Arise Health Plan - New Member Survey

Welcome to Arise Health Plan. Arise Health Plan is continually looking for ways to improve the services we provide to you, our members. Please take a moment to complete this brief survey. Your feedback is important to us. Thank you in advance for your feedback.

1.	Have you selected a qualifying primary care physician for yourself?	Yes No
2.	Have you selected a qualifying primary care physician for your dependents?	Yes No
3.	Do you understand when a pre-service authorization is required?	Yes No
4.	Do you know how to obtain a pre-service authorization?	Yes No
5.	Do you have any cultural, ethnic or language needs/preferences for health care providers?	Yes No
	If so, please explain

6.	Did you receive your medical and prescription cards in a timely manner?	Yes No
7.	Do you understand your prescription drug benefit?	Yes No
8.	If you have contacted a member service representative, were you satisfied with the level of service you received?	Yes No
	Please give us any comments you have regarding the previous questions as well as your overall comments of Arise Health Plan.

	If you have further questions and would like a Arise Health Plan representative to contact you, please give us your full name and phone number.


	PACKERS, WPS HEALTH INSURANCE PARTNER FOR OPERATION FAN MAIL

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