You Have the Freedom Hybrid Plan
|
UNDER CONSTRUCTION
The Community Health Plan ///////////////pairs a /////////physician-only network with our Freedom Plan to provide you savings and choice. Allied National lets you choose the provider you want without restrictions or penalties. You can see a physician in your Preferred Provider Organization (PPO) network or go out of network – you will never be penalized for seeing an out-of-network provider. How does this work? You may visit any health care facility without restrictions and they will be reimbursed at the levels shown on your health plan ID card. Reimbursement to your out-of-network health care providers is called reference-based pricing and is based on a specified percentage above Medicare levels. Please check with your providers before receiving care to see if they will accept this type of payment in full for your health services. |
|
Elite Experience Team
Your Elite Experience Team can help you if you receive a balance bill from a provider. Our team will work with providers to make sure you only pay your copays, deductible and coinsurance.
You can contact
You can contact
Call Elite Experience Team
at 866-332-1987 |
Send email to
elite@alliednational.com |
Visit Self-Service Site
www.alliednational.com Click on the “Self-Service Account Sign In” to view claim status |
Hybrid FAQ
You have questions, we have answers.
Q. CAN I REALLY SEE ANY PROVIDER I CHOOSE?
A. YES! The Freedom Hybrid Plan allows you to see the provider YOU choose. There are no penalties or reduced benefits for seeing the “wrong” provider.
Q. WILL I ALWAYS RECEIVE THE VALUE OF PPO-LIKE PRICES?
A. Yes! Regardless of whether you choose a physician in a PPO network or out of a PPO network, you will still receive PPO-like prices. Facilities are not part of your PPO network and are reimbursed at a value above Medicare accepted levels of payment.
Q. WHAT HAPPENS IF I GO TO A FACILITY OR AN OUT OF NETWORK PHYSICIAN
AND GET A BALANCE BILL FROM MY PROVIDER?
AND GET A BALANCE BILL FROM MY PROVIDER?
A. Freedom Hybrid Plan members are protected by our “no balance bill guarantee” and are only responsible for copays, deductibles and coinsurance as shown on their Explanation of Benefits. Members are not responsible for any balance billing from providers who might not accept the reimbursement levels of the plans.
If you have any questions about your benefits, please call Allied Client Services at 800-825-7531 or email clientservices@alliednational.com.