Our experience indicates that members who understand their plans retain them longer. With a good understanding of each benefit you’ll be able to maximize value while minimizing your out-of-pocket costs.
The Core Health plan you selected has a doctor office benefit which pays a preset dollar amount, indemnity benefit. Office visit benefits range from $100 to $125 per visit (highest levels in the market) depending on the plan selected. The benefit is payable to a provider for a doctor visit related to an eligible sickness/illness. There is a 30-day waiting period starting from your plans effective date for the doctor office benefit.
While this benefit will pay towards your visit with any doctor in the country, seeing a doctor in Core Health’s provider network allows you access to significant saving in addition to the insurance benefits of your plan. Doctors and hospitals in this network have pre-negotiated savings for specific services and procedures. Using a network provider will allow you to take advantage of these savings and make the indemnity benefits of your plan stretch farther. In many cases, when the office charge is less than the benefit of your plan, you will receive a check for the difference. Another reason it “pays” to be a Core Health member.
To learn more about the benefits of your plan, contact InsuranceTPA.com at 800-279-2290. InsuranceTPA.com is the plan administrator for Core Health Insurance. Already a member? Login to your account here.