Care System Provider Network Option Medica with CHI Health Network
Broad Provider Network Option Insure Tiered Network
AVAILABILITY For individuals and families living in Buffalo, Burt, Butler, Cass, Colfax, Cuming, Dodge, Douglas, Fillmore, Hall, Hamilton, Kearney, Johnson,
AVAILABILITY For individuals and families living throughout Nebraska (all counties).
Lancaster, Nance, Nemaha, Nuckolls, Otoe, Pawnee, Saline, Sarpy, Saunders, Seward, Thayer and Washington counties.
CARE DETAILS Access to CHI Health doctors, clinics and hospitals plus others.
CARE DETAILS Access to doctors, clinics and hospitals at many health care systems. The network includes:
The network includes: § § 1,400+ Primary and specialty care providers § § 30+ Hospitals
Tier 1 – Preferred Providers § § 8,290+ Primary and specialty care providers § § 133+ Hospitals
Featured health care systems : § § Boys Town § § CHI Health § § CHI Health Partners § § Children's Hospital & Medical Center
Tier 1 health care systems: § § Avera Health § § Boys Town § § Bryan Health § § CHI Health § § Children’s Hospital & Medical Center § § Children’s Physicians § § Genesis Health System
§ § Great River Health System § § Mary Lanning Health Care § § Mercy Iowa City PHO § § Methodist Health System
§ § Nebraska Medicine § § UnityPoint Health § § University of Iowa Health Care
Tier 2 – Standard Providers § § 8,136+ Primary and specialty care providers § § 142+ Hospitals
With a copay or deductible/coinsurance plan, your benefits will vary depending on the provider you visit. You receive your highest level of benefits and typically the lowest out-of-pocket costs when you see Tier 1 – Preferred providers. With an HSA- compatible plan, your benefits are the same for network (tier 1 and 2) providers.
SEARCH THE NETWORKS To search what health care systems and other providers are in the network, use the online search tool at Medica.com/NEFBplans . Unless it's an emergency, there is no coverage if you visit a provider who's not in the network. This means you'll be responsible for the full cost of any care.
5
Made with FlippingBook - Online catalogs