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
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
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
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.