Getting the most from my coverage. It's all part of my plan.

Get the Most from Your Coverage

You Deserve Quality Healthcare. And you also deserve to have the information you need to get the most from your coverage. Goals for quality are set and reviewed by Iowa Total Care to make sure you get the care you need.

This information is part of a Quality Program designed to improve the services and care you receive. It provides details about your coverage and services available to you. 

Contact Member Services to learn more about the Quality Program.

Know Your Rights

Being a member means there are things you should expect from Iowa Total Care. These are some of your rights:

  • You should have access to all the services available to members
  • You should be treated with courtesy and respect
  • You should be able to get a copy of your medical record
  • You should know your medical data will be kept private. There are policies in place to guard your health records and protected health information.

It’s also important to know what you can do to get the most from your coverage:

  • Ask questions if you don’t understand your rights
  • Be sure to keep your scheduled appointments
  • Keep your Member ID Card with you so you have it at appointments
  • Tell your doctor if you have gotten care in an emergency room.

The full list of rights and responsibilities is in your Member Handbook.

We are committed to keeping your race, ethnicity, and language (REL), and sexual orientation and gender identity (SOGI) information confidential. We use some of the following methods to protect your information:

  • Maintaining paper documents in locked file cabinets.
  • Requiring that all electronic information remain on physically secure media.
  • Maintaining your electronic information in password-protected files.

We may use or disclose your REL and SOGI information to perform our operations. These activities may include:

  • Designing intervention programs.
  • Designing and directing outreach materials.
  • Informing health care practitioners and providers about your language needs.
  • Assessing health care disparities.

We will never use your REL and SOGI information for underwriting, rate setting or benefit determinations or disclose your REL or SOGI information to unauthorized individuals.
 

Getting the Care You Need

Get More Information

Your Member Handbook is a great source for information about your coverage and benefits. It also lists important phone numbers.

 

Member Services to get:

  • A paper copy of your Member Handbook, Privacy Notice or anything on IowaTotalCare.com
  • Help finding a doctor and making an appointment
  • Help speaking with a care manager
  • Help with an appeal for a service that’s been denied
  • Help with a ride to your appointment

 

IowaTotalCare.com has a lot of helpful information. Visit it to find the Member Handbook, Find-a-Provider tool, and the Preferred Drug List. You can also use it to help you manage your health.

 

Creating an online member account is free and easy. With it, you can:

  • Find or change your PCP
  • Request a new Member ID Card or print a temporary ID Card
  • View and update your personal information

You can also send a message directly to Iowa Total Care from your member account.