chevron_leftBlog
Home Blog Network News

Network News

Aug 11, 2022
reading takes 3 min

Knowing what your health care plan can do for you is one important part of maintaining your best health, and your Member ID Card is an excellent place to start. First, at the bottom of your card is the name of your plan. If you have the word “Tiered” in your plan,  this means you are part of our tiered provider network option and could save money on provider visits.  

Tiered provider networks give consumers a better way to consider the cost of care when choosing care options and therefore save money on healthcare costs. Our tiered network plans reduce cost-sharing for specific benefits and services received from a preferred network provider. Types of providers and services include hospital outpatient services, primary care, urgent care centers, imaging centers, and labs.

Preferred providers and facilities for these plans are noted with a preferred star icon in the Health Options Provider Directory at https://lookup.healthoptions.org/. Please note that some services may not be covered at the preferred service rate when administered in non-preferred settings. Therefore, it is important to visit the specific location listed in the search results to take advantage of the preferred rate.

Preferred locations for hospital outpatient services are limited to outpatient surgery and other outpatient procedures (such as catheterization, joint arthroscopy, or colonoscopy), including anesthesia.

It’s important to note: Even if you have a tiered network plan, you always have the option to visit our standard network providers with a standard co-pay. If you have questions about tiered network plans, contact our Member Services team at (855) 624-6463.

The bottom line is, with our robust NE Network and our new tiered network, you are very well covered!

SEE ALSO

There is never a bad time to start a good new habit. And as we enter another year with the pandemic continuing to cause disruptions and uncertainty in our lives, this is an excellent time to use Healthwise resources to learn about some easy and useful self-care habits.

Whether you unwind at the spa or on the golf course, self-care can mean many things to many people (that’s pretty much where the term comes from). We want to discuss and link to three easy, free care practices you can apply to your daily life to reduce stress and clear your mind. These practices do not require any special equipment or classes; you don’t need a therapist to do them, and they are quick enough to try almost any time you need.

 

1) The first stress reducer is Mindfulness-Based Stress Reduction (MBSR) which can help you calm your mind and better cope with illness, pain, and stress. “Mindfulness" means reminding yourself to focus only on things happening in the present moment. Healthwise advises going outside and taking a few deep breaths. How does the air feel? Warm or cold? Try to accept that feeling and not resist it. What else do you notice around you? Or, take a slow walk by yourself. Count your steps while you breathe in and out.

It sounds simple, and it is. However, like any habit, it will take a couple of months to really make it stick. For more tips on mindfulness, search “MBSR” on the Healthwise search bar.

 

2) A second way to “train your brain” into a calmer state is to use guided imagery, a practice of using directed thoughts and suggestions to guide your imagination toward a relaxed, focused state. Athletes use guided imagery to imagine a race or a game before they are in it, and the same steps can be used to prepare for a big meeting or public speaking. Other methods involve imagining watching wax soften and melt or a tight piece of rope unraveling. Healthwise has videos and lists to help you through this process. Check out more tips by searching "guided imagery" at Healthwise. 

 

3) For a way to connect your mind and body for clear thinking and better sleep, try progressive muscle relaxation.

Healthwise notes, “The body responds to stress with muscle tension, which can cause pain or discomfort. In turn, tense muscles relay to the body that it's stressed, which keeps the stress–muscle-tension cycle going.” Progressive muscle relaxation helps break this cycle, creating body-mind awareness and calm. Healthwise has recordings to guide you through all the muscle groups, or you can learn the order of muscle groups and work through them from memory. To get started, choose a place where you can lie down on your back and stretch out comfortably. You can begin working through the muscle groups by clenching your hands and releasing them. Next, according to Healthwise, you tense each muscle group (hard but not to the point of cramping) for 4-10 seconds, exhaling and relaxing each muscle group quickly.

 

For more pointers, Healthwise has more articles, videos, and lists (search progressive muscle relaxation) to help you through this process. And if these three de-stressors aren’t your cup of tea, use the Healthwise search bar to do more exploring.