Qualuable FAQs

If my doctor is in the Qualuable ACO, can I still see whatever doctor I want, even doctors outside of the Qualuable ACO?

Absolutely. You can still see any healthcare provider who accepts Medicare. No one can tell you who you have to see.

Is the Qualuable ACO a Health Maintenance Organization (HMO), managed care or an insurance company?

No. We are a group of health providers who work together to provide you with better, more coordinated care. Unlike HMOs, managed care, or some insurance plans, an ACO can't tell you which healthcare providers to see and can't change your Medicare benefits. You always have the right to choose any doctor or hospital who accepts medicare at any time.

What should I expect if my doctor is in the Qualuable ACO?

Overtime, if you see a doctor participating in Qualuable, you may notice that:
  • You don't have to fill out as many medical forms that ask for the same information;
  • The health care providers that you see all know what is going on with your health because they communicate with each other;
  • You don't have to have the same medical tests done over and over because your results are shared among your health care team;
  • The providers participating in the ACO will become partners with you in making care decisions.

Who can read my medical information? And, will it be protected?

The providers working together in the Qualuable ACO will be able to read your medical records, along with other medical team members authorized to help coordinate your care.

The privacy and security of your medical information is protected by Federal law. Contact your doctor’s office for more information about how they protect your medical information, or call 1-800-MEDICARE (1-800-633-4227) 24 hours a day/7 days a week. TTY users should call 1-877-486-2048.

How will an ACO, like Qualuable, lead to better care for me?

When your healthcare provides have access to your health information and are able to share that information with one another, they can give you better, more coordinated care. Each of your Qualuable ACO participating providers will not only know about the health issues that they have treated, they will have a more complete picture of your health through communicating with your other Qualuable ACO healthcare providers.

Where can I find more information about ACOs?

For more information about ACOs, you can do the following:

  • Visit www.cms.gov/ACO/.
  • Visit www.Medicare.gov/ACO.
  • Talk with your doctor.
  • Call 1-800-MEDICARE (1-800-633-4227) 24 hours a day/7days a week. TTY users should call 1-877-486-2048.