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

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