GetHealthHelp

A Patient Advocate's View

Plan Analysis Continued

 

 

ADVANTAGE OF USING IN NETWORK DOCTORS

 

 

Doctors agree to a fee schedule which may lower your out of pocket cost

 

Pay only a $15 co-pay

 for office visits

 

Requires PCP Selection

Limits out of pocket cost

 

No out of Pocket for In Network doctors visits $15 co-pay for specialists

 

Requires PCP Selection

Pay only a $10 co-pay

 for office visits

 

Pay only a $10 co-pay

for office visits.

 

Pay only a $10 co-pay

for office visits.

 

 

CHIROPRACTIC COVERAGE

 

Same as Medical Coverage Out-of-Network

In-Network agrees to managed care limits

 

 

80% covered fees after deductible for both In and Out of Network with  medical necessity and fees subject to limits

 

 

$10 co-pay

 

Limited number of visits both in and out of network  Preauthorization and

 $1500 Annual Max.

 

 

Only limited in-network coverage with

 managed care  limits

 

 

Limited number of visits

in-network $10 co-pay

 

 

Limited number of visits

in-network $10 co-pay

 

 

OUT PATIENT MENTAL HEALTH

 

Good Plan Most Providers Accept In- Out Network

 

Good Plan Most Providers Accept In-Out Network

 

Approved Services

in-network $10 co-pay

 

Authorization Required

$15 in network 50% out

 

Approved Services

in-network $10 co-pay

 

60 visits limit

in-network $10 co-pay

 

Approved Services

in-network $10 co-pay

October 8, 2007 - Posted by | Uncategorized

No comments yet.

Leave a Reply

Please log in using one of these methods to post your comment:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s

%d bloggers like this: