A Medicare Managed Care Plan option that lets you use doctors and hospitals outside the plan for an additional cost.
A health benefits plan that lets members access both participating and nonparticipating providers. Accessing care through a primary care physician (PCP) gives members in-network coverage levels while self referred care is covered at a lower, out-of-network benefit level.
A benefit plan that provides two levels of coverage options to Members. A Member may access Covered Services through their Primary Care Physician or Self-Refer to any Provider.