You Have the H&H Plan
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No network. You're free to go to any provider for services.
Allied National gives you the ability to choose the provider you want without restrictions or penalties. There are no preferred providers or networks required. You will never be penalized for seeing an out-of-network provider because there is NO network provider. How does this work? Reimbursement to your health care providers is based on a specified percentage above Medicare levels. You will not be responsible for balance billing from providers who do not accept the reimbursement as full compensation. Please check with your providers before receiving care to see if they will accept Medicare reimbursement “plus” as payment in full for your health services. Physicians and facilities providing your health care are reimbursed at the levels shown on your health plan ID card. H&H Plan members have the support of Allied’s Elite Experience Team to help you navigate your Reference-Based Pricing health plan – an exciting new concept in group health benefits that eliminates the need for a PPO. |
HealthChoices
How can you tell if you have the HealthChoices benefit? You will have two ID cards and one will say "HealthChoices."
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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
www.alliednational.com Click on the “Self-Service Account Sign In” to view claim status |
H&H Plan FAQ
You have questions, we have answers.
Q. CAN I REALLY SEE ANY PROVIDER I CHOOSE - EVEN IF THAT PROVIDER ISN'T A PART OF A PPO NETWORK?
A. YES! The H&H Plan allows you to see the provider YOU choose. There are no preferred providers or networks required. There are no reduced benefits for seeing the “wrong” provider.
Q. WILL I STILL RECEIVE THE VALUE OF PPO-LIKE PRICES?
A. The H&H Plan pays providers based on a percent above the Medicare allowed price for your medical services. This is set at a level that is acceptable for most providers while providing you with excellent discounts.
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. H&H 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 1-314-997-8865.