Summary Of Plan Features
- Central Pennsylvania's
premier Integrated Delivery System (preferred provider
organization)
- Hospital participation
includes 8 facilities located in the counties of Dauphin,
Cumberland, Lebanon, Perry and Northern York
- Physician participation
includes more than 1,700 physicians and other contracted
providers in every primary care and specialty field
available
Features
- Negotiated discounts with
all contracted providers which results in overall employer
savings of between 25-40%
- Claims prepriced and report
generated which illustrate the discounts applied to
services
- Utilization Management
program which encourages cost efficient utilization of high
quality care at the appropriate level of service
- Contracting relationships
with insurance companies and HMOs to provide comprehensive
healthcare coverage for all businesses
Access Fee
- $5.00 Access Fee per
employee per month
- $2.50 Utilization Management
Fee per employee per month
(Utilization Management
is administered through South Central Preferred)
No Charge for provider directories at initial enrollment and
renewal |