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Learn more about Patient Choice Insights and Tiers ($, $$, $$$).
Patient Choice Insights features a unique open access "tiered" network in which health care providers compete for patients based on value. Each year providers in the network — including primary care physicians, specialists and hospitals — are analyzed on cost, efficiency and quality measures and then ranked into three tiers. The lower the tier, the better they have performed on the measures. Members are free to access any provider in the network in any tier. No referrals. Those who obtain services from network providers that are in a lower tier are rewarded through greater overall value and lower copayments and/or coinsurance. Providers and facilities in the Patient Choice Insights by Medica network have been placed into three tiers. The tiers will help you identify those high-quality providers who are more efficient and cost-effective. The tiers may also represent the amount you pay as a copayment and/or for coinsurance. These amounts are listed in your Certificate of Coverage or Summary Plan Description, available on mymedica.com.
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