WHAT YOU SHOULD KNOW
Frequently Asked Questions
Have a question? We may have your answer below.
QualityCare Connect (formerly SpecialtyCare Connect®) is designed to connect you with the best possible doctors when you need them the most. Our unique, unbiased service is based on extensive research of tens of thousands of healthcare providers. We not only look at their degree and medical training, we evaluate the depth of their experience with medical conditions exactly like yours. We also match the experience of the doctor with the specific criteria that is important to you – such as location, insurance acceptance and appointment availability.
If you’re looking to empower your members or employees with better healthcare choices, contact us today.
Our world-renowned Clinical Advisory Board is comprised of top physicians in a wide variety of specialties. This board has spent the past decade refining its evidence-based and outcome-driven physician evaluation process. The result is a database of tens of thousands of objectively screened physicians across 200 subspecialties of care.
From routine procedures to life-threatening events, our Care Navigators evaluate the specific needs of each diagnosis, so we can match you with the physicians that are most appropriate.
There is no legal or financial relationship with any of the physicians we recommend. The recommendations provided to each member are based solely on an informed understanding of the patient’s diagnosis matched with the expertise of the physician.
There is no cost to use this service when it is provided through your employer or association. Individuals not associated with a group can also purchase this benefit for themselves.
We give you a choice of doctors who are evaluated on quality and objective-based medicine; however, you are not obligated to see any of them.
If you have access to our services through a plan sponsor or association, you can enroll through your sponsor’s custom site to immediately begin a request for doctor recommendations.
Alternatively, if you know you have access and you can’t locate your custom website, you can email QualityCare Connect or call us at 888-302-5735 and provide your plan sponsor or association, and we’ll verify your eligibility and help you get started with connecting you to the right doctor.
Within one to two business days, we’ll send you a care packet that provides you with doctors that match your exact criteria and, most importantly, are best suited to treat your condition. This information will include background information on the recommended doctors along with directions to their office and instructions on what to bring with you (e.g. test results, medical records).
You can request a doctor recommendation as often as necessary throughout the year at no additional cost.
Locating the best possible doctor for you requires time for an in-depth review of medical credentials to identify those doctors that are the best match for YOUR specific health condition and have the greatest level of expertise. This safeguards you from receiving an incorrect diagnosis and unsuccessful treatment.
We also ensure the recommended doctors accept your insurance and have appointment availability, which is often not an option when using other sources.
There is no legal or financial relationship with any of the doctors we recommend. The doctors recommended to each member are first and foremost based on an informed understanding of the patient’s diagnosis matched with the expertise of the doctor.
Our services are designed to match you with the best possible healthcare primary care doctor, specialist or surgeon based on your specific medical condition and needs. We do not practice medicine, so it’s important to have a diagnosis from your primary care doctor which allows us to provide you with the most accurate match possible.
Once you have a proper diagnosis or a working diagnosis, we will then be able to identify multiple specialists that have the most expertise in that area as well as meet additional criteria you choose.
One of our goals is to avoid sending you to an inappropriate specialist which increases cost for healthcare and delays proper treatment. Seeing a primary care physician first gives us a “working diagnosis” to ensure that we are recommending the proper specialist. Your primary care doctor can take care of any testing or imaging that may be required for an accurate diagnosis.
Many specialists require that you first see a primary care doctor before scheduling an appointment with them. They may also ask to see your lab work and medical records prior to scheduling an appointment with you.
Yes, although we always encourage you to consult with your primary care doctor as a first step in your medical care.
The following conditions can be appropriate for self-referrals:
- Elective procedures (LASIKS, vasectomy, cosmetic and reconstructive procedures, colonoscopy)
- OB-GYN (routine care, fertility issues, obstetrics)
- Dermatology (non-oncology assessment including skin checks, esthetic procedures)
- Orthopaedic evaluation (obvious fractures and sprains)
If you are uncertain as to your exact diagnosis, we can guide you to a general specialist to confirm a suspected diagnosis.
Yes – we verify that the recommended doctors accept your insurance and meet any other criteria you require before providing you with recommendations. If we are unable to find in-network doctors that meet your preferences, we will clearly identify the doctors we recommend as out of network to ensure you know this before making your selection.
When you contact us to locate a doctor, please let us know of any special needs that are important to you and we’ll do our best to identify doctors that are able to meet your needs. We want your experience to be as comfortable and stress-free as possible, so we strive to find doctors that accommodate your needs including language preferences, hearing and vision assistance, sign language, and many more.
We comply with HIPAA practices and incorporate a high level of data encryption into our systems to ensure that your health and personal information is kept private. We do not share any of your records with your employer or any other entity unless otherwise required by law. Requesting a doctor recommendation for those under 18 years of age must be done by a parent or guardian.
We only provide recommendations to medical physicians (MDs and DOs); therefore we are unable to offer information for the following healthcare services at this time:
- Dental care
- Addiction treatment
- Physical therapy
- Occupational therapy
- Speech therapy
- Genetic counselors
- Integrated medicine and naturopathy
- Mental health-psychiatry, behavioral health, psychologist, therapist or social workers