Office of Human Resources - Benefits Design & Management
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Other Benefits
Medical | Rates | Rates in .xls format
| EXCLUSIVE PROVIDER ORGANIZATION (EPO) An EPO is similar to a traditional HMO and provides the lowest-cost benefit because it uses contracted network physicians, hospitals, ancillary healthcare providers and facilities. Although it is recommended that everyone have a Primary Care Physician, it is no longer necessary to name one. You have access to any physician (including specialists) within your network without notifying the Plan Administrator. |
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| PREFERRED PROVIDER ORGANIZATION (PPO) With a PPO you can use both in-network and out-of network tiers of physicians, hospitals and facilities. In-network services cost less out-of-pocket, but the out of-network tier offers more provider choices. |
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| OUTSIDE ARIZONA An employee whose permanent residence is not in Arizona must enroll in Beech Street, a national PPO network. |
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Effective February 1, 2008, Strategic Health Development Corporation will begin providing Medical Management services for members in the Schaller Anderson, Arizona Foundation, and RAN+AMN networks. Strategic will assist health plan members with medical education, nurse line services and care facilitation needs. Medical Management provides oversight of provider and treatment quality and effectiveness. * Education to help members and their families understand medical conditions and treatment plans * Coordination of discharge planning from the hospital * Assistance with making health care decisions * Review of potential risks and consequences of proposed medical services |
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| PLAN ADMINISTRATORS | ||
For RAN+AMN or AZ Foundation |
For United Healthcare EPO or PPO UnitedHealthcare 1.800.896.1067 | www.myuhc.com |
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| This information is not binding and subject to change at any time. Federal regulations, ABOR, ASU and ADOA policies and vendor contracts govern benefits eligibility and coverage. If there is any discrepancy between this information and the plan documents, the plan documents will govern. | ||