Your Primary Care Provider (PCP) is the doctor you see on a regular basis. You do not have to go to the emergency room for basic medical care. Make sure you see your PCP at least once a year for preventive care. Seeing your doctor for regular checkups may help to find problems early enough to fix them. When you sign up with Superior, you are asked to choose a PCP. If you need to choose or change your PCP, call Superior Member Services. More information on how to choose a PCP can also be found in your member handbook.
Did you know you can talk to a nurse 24 hours a day? Superior’s nurse advice line is a toll-free health information line. They can help you with:
- Medical advice.
- Answer questions about your health.
- Advice about a sick child.
- Information about pregnancy.
To reach a nurse, call Superior Member Services.
Superior HealthPlan does not reward or pay our doctors or employees for approving or denying utilization reviews. Decisions are based on appropriate care and coverage.
Do you have a concern of whether or not a service is covered by Superior? Our Utilization Management (UM) Department checks to see if the service needed is a covered benefit. If covered, the UM nurses check to see if the service is medically necessary by reviewing the medical notes and talking with your doctor. If the service is medically necessary, Superior approves the service.
Traveling Farm Workers
If you are moving due to farm work, it is still important for your child to get the medical and dental care they need to stay healthy. Children of Traveling Farm Workers can usually get their checkup sooner. If you are leaving the area to follow work, call Superior at the number below to get help scheduling an appointment
Do you need a ride to your doctor’s appointment? Medicaid members should call the Medical Transportation Program at 1-877-633-8747 (1-877-MED-TRIP). Call within two work days before you need to be picked up.
Superior wants you to have timely, appropriate care for all your health needs. You should be able to get an appointment scheduled with your Primary Care Provider (PCP) as follows:
- Urgent care visit within twenty-four (24) hours.
- Routine care visit within fourteen (14) days.
- Preventive health service visits within three (3) months for an adult and two (2) months for a child.
Please call us at the number below if you need help making an appointment with your PCP.
Your ID Card
You should always carry your/your child’s Superior Member ID card with you. You’ll need this for doctor’s appointments or when picking up medications. If you change your name, need to pick a new Primary Care Provider (PCP) or your Superior Member ID card is lost or stolen, please call Superior Member Services. You will get a new Superior Member ID card.
Superior has experienced nurses who can help you understand problems you may have, like asthma, diabetes, using the emergency room frequently or being in the hospital often. We work with your doctor to keep you healthy. Call Member Services and ask for a Case Manager if you need help managing your health.
Superior has staff members who speak English and Spanish. If you speak another language, need materials in braille or are hearing impaired, please call Superior Member Services.