Health Plans 2014
Base Medical Plans |
Plan Overview |
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Standard Platinum - $15 co-pay PCP and $35 co-pay for Specialist visits. |
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Standard Gold - $25 co-pay PCP and $40 co-pay for Specialist visits. |
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Standard Silver - $30 co-pay PCP and $50 co-pay for Specialist visits. |
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Standard Bronze - 50% coinsurance for PCP and Specialist visits. |
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Non-Standard Platinum - $15 co-pay PCP and $30 co-pay for Specialist visits. |
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Non-Standard Gold - $25 co-pay PCP and $40 co-pay for Specialist visits. |
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Non-Standard Silver - $30 co-pay PCP and $50 co-pay for Specialist visits. |
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Non-Standard Bronze - 50% coinsurance for PCP and Specialist visits. |
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Standard Platinum - $15 co-pay PCP and $35 co-pay for Specialist visits. |
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Standard Gold - $25 co-pay PCP and $40 co-pay for Specialist visits. |
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Standard Silver - $30 co-pay PCP and $50 co-pay for Specialist visits. |
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Standard Bronze - 50% coinsurance for PCP and Specialist visits. |
Please click one of the benefits above for summary coverage.
Important Provider Contact Information:
For questions regarding eligibility, claims and benefits.
https://www.easychoiceny.com
For questions regarding Pre-authorization.
https://www.easychoiceny.com
For information regarding prescription drug benefits and Participating Pharmacies.
https://www.usscript.com
For information regarding behavioral health and substance abuse benefits.
https://www.easychoiceny.com
For information regarding dental services benefits.
Group number: GG-557
https://www.healthplex.com/our_dentists
For information regarding dental services benefits.
Group number: GG-557ZMN
https://www.healthplex.com/our_dentists
For information regarding vision benefits and Participating Vision Providers.
https://www.advanticabenefits.com
For information regarding our gym membership reimbursement program.
https://portal.palladianhealth.com
Members who require assistance, please dial 711 from your telephone. TRS (Telecommunication Relay Service) and STS (Speech-to-Speech) services are available. A representative will connect you to Easy Choice.
If you do not speak English or prefer to communicate in a language other than English, our Members Services staff can assist you in understanding your coverage and/or with any other questions/concerns you may have. Multi-lingual staff and translation services are available.
Please call Member Services to request a large print handbook or transcription of the written word on to audio-cassette.
You will receive your handbook within 72 hours.
Health Plans 2013
Base Medical Plans |
Plan Overview |
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Plan 25/40 Enhanced. Pay a $25 co-payment for office visits and $40 co-payment for specialist visits. There is no co-payment for hospitalization. |
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Plan 20 Enhanced. Pay a $20 co-payment for office visits. There is no co-payment for hospitalization. |
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Plan 20. Pay a $20 co-payment for office visits. There is $250 co-payment for hospitalization. |
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Plan 25/40 Low Option. Pay a $25 co-payment for office visits and $40 co-payment for specialist visits. There is $500 co-payment for hospitalization. |
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Plan 20 Low Option. Pay a $20 co-payment for office visits. There is $500 co-payment for hospitalization. |
Please click for Summary of Benefits and Coverage.
To contact Easy Choice through U.S. Mail, Fax, or email:
If you need further assistance please contact Sales Support at 212-747-8422 (option 3)
via email or fax at [email protected].
or fax number 646-929-9279.