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Aug 11, 2022
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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

Community Health Options urges nonprofits that promote physical and mental health in Maine’s communities to apply for its 2023 Wellbeing Grants. Organizations can submit applications between March 10 and April 7.

“The link between physical activity and mental health is well documented,” said Community Health Options President and CEO Kevin Lewis. “These grants are meant to provide some support to grassroots organizations that share our vision to help the people of Maine live their healthiest lives possible by caring for mind and body.”

Maine nonprofit organizations with an annual operating budget under $1 million are eligible to apply for grant funding. Applicants should be focused on community-based wellness services and promote physical activity.

Read more here: 2023 Wellness Grant Press Release

Apply here:  Community Giving page