2019 Benefits Key Changes

Advocate Centered EPO and HMO - Access to the Aurora Physician Network

Sep 28, 2018, 13:57 PM
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Advocate Centered EPO members must use Advocate physicians, specialists and facilities to receive the highest level of benefits, as well as the 10% discount applied for Advocate hospitals and facilities. If using Aurora Health Care physicians – the same lower level of benefits would be paid as if using providers in the Humana or Health Alliance networks. No facility discount would apply. Team members should check with their EPO plan administrator, Humana (Advocate) or Health Alliance (BroMenn), first before using Aurora Health Care providers.

Advocate Centered HMO members must use Advocate physicians, specialists and facilities for benefits to be paid. Aurora Health Care physicians and facilities are treated the same as any non-Advocate provider or facility. Team members should receive a PCP referral and check with the HMO plan administrator, Humana, first before using Aurora Health Care providers to validate the provider is in-network.

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