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- See coverage in your area
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For Members
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Find everything you need in the member online account
- View your claims
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- Print your ID card
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NEW MEMBER? MAKE YOUR FIRST PAYMENT TO LOCK IN COVERAGE
-
Our Health Plans
show Our Health Plans menu
-
- About Our Plans
- Our Benefits
- Coverage Area Map
- Ways to Save
- What is Ambetter Health?
- Shop and Compare Plans
- Find a Doctor
Use your ZIP Code to find your personal plan.
- See coverage in your area
- Find doctors and hospitals
- View pharmacy program benefits
- View essential health benefits
Find and enroll in a plan that's right for you.
-
-
Join Ambetter Health
show Join Ambetter Health menu
-
- Four easy steps is all it takes
- What you need to enroll
- Special Enrollment Information
-
-
For Members
show For Members menu
-
- Pay Now
- Find a Doctor
- Drug Coverage
- Forms and Materials
- Ways to Pay
- New Members
- Renew Your Plan
- Better Health Center
- Member News
- Health Savings Account
Find everything you need in the member online account
- View your claims
- Review your plan benefits
- Print your ID card
- View rewards points total
-
Quality Improvement Program | Ambetter from Sunflower Health Plan
Quality Improvement (QI) Program
The Quality Improvement (QI) program is an important part of your Health Plan. The QI department supports our goal of improving member healthcare.
The QI Program monitors the quality of care and services provided in the areas below:
- Making sure members get the care they need, when and where they need it
- Making sure that members are receiving quality care
- Cultural needs of our members
- Member satisfaction
- Member/Patient Safety and Privacy
- Offering a wide variety of provider specialties
- Health plan services members are using
The goal of the QI program is to improve member health. This is achieved through many different activities.
Some of our Quality Improvement goals include the following:
- Good health and quality of life for all members
- Care provided by Plan Healthcare Providers meets industry-accepted standards of care
- Plan customer service meets industry-accepted standards of performance
- Provide members with Preventive Care reminders annually
- Incomplete or duplicate services will be kept to a minimum through QI activities across Plan departments
- The Member experience will meet the Plan’s expectations
- Compliance with all State and Federal laws and regulations
- Evaluate the quality of health care through HEDIS® (Healthcare Effectiveness Data and Information Set). These scores tell us when you have received the type of care you need.
- Check out our HEDIS® rates and results here (information coming soon).