Available to groups of 151+ members.

Advantages

• Combines the flexibility of a PPO with the wide range of benefits of an HMO.
• Members can choose to direct their care through their primary care physician (PCP) to receive in-network benefits.
• Members may choose a doctor of their choice without a referral from their PCP, but benefits will be paid at the out-of-network level and higher out-of-pocket for the member.

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Preventive Care Benefits

• Physical exams for adults and children
• Immunizations for adults and children
• Routine screenings such as mammograms, pap smears, cholesterol testing
• Well-child care

Physician and Hospital Benefits

• Diagnostic testing
• Hospital and surgical care 
• Outpatient Surgery
• Emergency care benefits
• Maternity care

Women's Health Benefits

• Routine gynecological care
• Access to OB/GYN and Certified Nurse-Midwife as woman's secondary PCP
• Breast cancer screenings
• Cervical cancer screenings
• Maternal and neonatal care

Other Covered Services

• Mental health and chemical dependency treatment
• Chiropractic services (check your specific plan for details)
• Chronic pain management
• Rehabilitative Therapy (physical, speech and occupational)
• Chronic disease management programs
• Vision Care (benefits will vary)
• Hearing Aid Discount Program
• Prescription drug benefits with mail service for maintenance medications