Your provider files claims on your behalf Failure to precertify may result in substantially reduced benefits You precertify by calling the toll-free number on your ID card. Participating provider precertifies for you Providers are free to bill you over the allowed amountĬertification for inpatient hospital and other medical services Providers have agreed not to bill you over allowed amount You may use out-of-network providers but it will cost you moreīalance Billing (the amount billed by your provider that is over the insurance company's allowed amount) You do not need to identify a PCP or obtain a referral to see a specialist.Ĭovered at 100%, regardless of where you live and the network PCP you choose.īroad national network of physicians and hospitals If you live outside of the Ithaca area or do not receive an enhanced wellness exam, you can receive routine and covered medical services from any participating Aetna provider. able to encourage your family members to support this plan choice for themselves as well.willing to choose a participating PCP for your yearly enhanced wellness exam.willing to commit to following a wellness improvement plan.You will get the most out of the optional enhanced wellness program if you live in the Ithaca area and are: Your participation in any of the endowed medical plans, includes prescription drug coverage administered by OptumRx. And, with so many doctors and hospitals on the list, that’s not hard to do. Keep in mind, however, that your share of the medical cost is usually lower when you stay in the network. The Aetna PPO Cornell Program for Healthy Living (CPHL) plan offers the freedom to choose any doctor - in or out of the Aetna network. Take advantage of the optional Enhanced Wellness Program:
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |