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? * Required

2. Have you designated a primary care practitioner? * Required

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

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

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

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

• a. The services, procedures, and items covered in the policy? * Required

  Yes

  No

  N/A

• b. The noncovered services, procedures, and items in the policy? * Required

  Yes

  No

  N/A

• c. How to find providers in your network? * Required

  Yes

  No

  N/A

• d. Potential restrictions such as network, service, or benefit restrictions? * Required

  Yes

  No

  N/A

• e. How to use your pharmacy benefit? * Required

  Yes

  No

  N/A

• f. How to authorize (or give consent to) another person due to HIPAA? * Required

  Yes

  No

  N/A

• g. How the health plan uses and discloses your Personal Health Information (PHI)? * Required

  Yes

  No

  N/A

* I would like assistance with the following: