The HealthChoice plans allow any willing provider that meets the minimum terms and conditions in its contracts to participate. The contract terms and conditions include, at a minimum, applicable state licensure, any applicable federal registration(s), minimum liability insurance requirements, and other requirements or credentials specific to a provider's specialty. Network providers must be willing to accept HealthChoice's operating terms and conditions, schedule of fees, covered expenses, and utilization regulations to participate in our plans.
HealthChoice Select is a program that offers specified services for free! The program offers certain services at no cost to HealthChoice participants because some of our network facilities have agreed to accept one consolidated bundled payment for certain procedures at a reduced rate, and HealthChoice is passing all savings on to our members.
Select is available to any enrolled person on the HealthChoice High, High‐Alternative, Basic, Basic‐Alternative or High Deductible Health Plan (HDHP).
No need to opt-in or sign up to qualify.
Not available for HealthChoice Medicare Supplement plan members.
HealthChoice must be member’s primary coverage.
Not available for services originated in an Emergency Department.
HealthChoice Network facilities have the option to sign up for the Select program for some or all of the services offered under the program. There are multiple Select service categories available for either outpatient, inpatient or both service types. Facilities may opt in to any category under either service type, and all procedures within that category performed at that facility are covered under HealthChoice Select.
For HealthChoice High and Basic members, if you have a qualifying Select procedure done at a participating Select facility, it's free!
Any copay that may normally be applied is waived.
No matter where you are in meeting your deductible, it's waived.
Any coinsurance that would normally be applied, it's waived.
And, if you have a qualifying colonoscopy or sigmoidoscopy done at a participating Select facility, HealthChoice pays you $100.
For HealthChoice HDHP members, federal regulations require that participants meet their annual deductible before a health plan can pay toward any services other than preventive; however, there are still saving opportunities available:
By having a qualifying Select service done at a participating Select facility, you get the service done at a lower price with only one easy‐to‐manage bill.
You could fulfill your deductible as part of the Select service, and the rest of that Select procedure would be free. So you would pay your share up until your deductible is met, and all additional costs are waived.
After your deductible is met, any qualifying Select service done at a participating Select facility is completely free to you. Any copay or coinsurance that may normally be applied is waived.
Once your annual deductible is met, if you have a Select qualifying colonoscopy or sigmoidoscopy done at a participating Select facility, HealthChoice pays you $100.
If you have a qualifying preventive colonoscopy or sigmoidoscopy done at a participating Select facility, HealthChoice will pay you $100 even if your deductible hasn't been met.
