This plan requires members to choose a PCP and obtain referrals. This plan is a network hybrid of our ElevateHealth provider network of 20 hospitals (Tier 1) and the remainder of our New England provider network (Tier 2).
Tier 1 functions similarly to our ElevateHealth HMO plan however, BOTH labs and X-rays are covered at 100% at Tier 1 facilities. Members have access to the full HMO New England network in Tier 2, however when accessing providers in Tier 2, services will be subject to a separate deductible and coinsurance. Pharmacy is not tiered.