Find a Doctor or Facility
You have the option to receive care from any healthcare provider you choose. Every doctor and hospital participating in your plan’s networks meets stringent nationally-accepted quality standards. However, not all doctors and hospitals charge the same amount. So we’ve separated providers into three tiers (levels). Your cost-share is determined by the tier associated with your provider of choice.
Here’s how it works:
- Tier 1:
- ABC Health System
- You'll receive the highest level of benefits and pay the lowest cost share when you choose from providers in the ABC Health System.
- Tier 2:
- Harvard Pilgrim Health Care and UnitedHealthcare Options PPO
- United Behavioral Health Network
- You'll pay slightly more cost share when you choose HPHC and United providers.
- Tier 3:
- all other non-network providers
- You'll pay the highest cost share when you choose out of network providers.