You Have the Level Funded Advantage
Freedom+ Plan
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The Level Funded Advantage Freedom+ Plan pairs a physician-only network with our Freedom Plan to provide you savings and choice.
You can 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. |
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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 |
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Visit Self-Service Site
Click on the “Self-Service Account Sign In” to view claim status |
Level Funded Advantage Freedom+ Plan FAQ
You have questions, we have answers.
Q. CAN I REALLY SEE ANY PROVIDER I CHOOSE?
A. YES! The Level Funded Advantage Freedom+ 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. Level Funded Advantage Freedom+ 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.
Call the Level Funded Advantage Service Center at 800-714-3432. You also may visit www.levelfundedadvantage.com to get 24-hour access to information online, including your plan documents.