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Frequently Asked Questions about ACO 

What is an ACO program? Does it affect me?
Accountable care organizations, or ACOs, were developed by Medicare. Dean and St. Mary’s are participating in this Medicare program. It was developed to improve health care quality and allow groups of doctors to work together to provide this care at the right time in the right setting.  

If my doctor is in an ACO, can I still see whatever doctor I want?
Yes. Your Medicare benefits are not changing.

Is an ACO a Health Maintenance Organization (HMO), managed care or insurance company?
No. You still have the right to use any doctor or hospital who accepts Medicare, at any time. None of your Medicare benefits will change either.

Will my Medicare costs go up?
No. What you pay, your Medicare benefits and/or the cost of your coverage should not increase.

Where can I find more information about ACO’s?
Visit www.cms.gov/ACO/ or call 1-800-MEDICARE. 

Will my health information be shared with you, the ACO?
Yes, but let us explain what would be shared. Medicare will send us your claims. Claims sometimes contain information on things like visits to the doctor or hospital, medical conditions and prescriptions you’ve had in the past and moving forward. This is actually very helpful to us and nothing beyond that will be shared.

Will my medical information be protected?
Yes.  The privacy and security of your medical information is protected by law.

What if I do not want to participate? Can I decline to share my information?
Yes, if you choose, you can ask Medicare not to share your personal health information with us by doing one of these things:

·         Call 1-800 MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048.

Am I part of this? How do I know?
Did you get a letter from Dean & St. Mary's in the mail and are you a Medicare beneficiary?

·         If the answer is “no”… If you did not receive a letter or do not receive a letter very soon, it is likely you are not affected by this and there is no reason for concern. If you do receive a letter and have more questions, you can always call us back.

·         If the answer is “yes” or “I’m not sure”… Can I have a member of our Dean Clinic Patient Relations Department call you back? See next answer.

I have additional questions, who can I contact?
If you have more questions, someone from our Patient Relations team can call you back. Please email us at: DeanACOQuestions@deancare.com.

 

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