Aspirus Member Survey

We are continually looking for ways to improve the services we provide to our members, like YOU. Please take a moment to complete this brief survey.

All fields are required.

1. How long have you been a member of our health plan? Less than 60 days60 days to a yearMore than a year

2. Have you designated a primary care practitioner? YesNo

3. Have you notified Aspirus Health Plan of your primary care practitioner selection? YesNo

4. When selecting a health care provider, were you able to find a provider meeting your cultural, ethnic, or language needs? YesNo

5. Are you able to find benefit information on the Aspirus Health Plan website? YesNo *

6. Were you able to find the following information on our website:

• a. The services, procedures, and items covered in the policy? YesNoN/A
• b. The noncovered services, procedures, and items in the policy? YesNoN/A
• c. How to find providers in your network? YesNoN/A
• d. Potential restrictions such as network, service, or benefit restrictions? YesNoN/A
• e. How to use your pharmacy benefit? YesNoN/A
• f. How to authorize (or give consent to) another person due to HIPAA? YesNoN/A
• g. How the health plan uses and discloses your Personal Health Information (PHI)? YesNoN/A

* I would like assistance with the following: Finding benefit information on website
Finding a primary care provider (PCP) in my network
Selecting an Aspirus PCP and scheduling an appointment
Other. Please provide brief description below