What is a state indemnity plan?
With an indemnity plan (sometimes called fee-for-service), you can use any medical provider (such as a doctor and hospital). You or the provider sends the bill to the insurance company, which pays part of it. The plan will pay for charges for medical tests and prescriptions as well as from doctors and hospitals.
What is UniCare state indemnity plan plus?
UniCare State Indemnity Plan/PLUS (PPO-Type) PLUS providers include all doctors and hospitals in Massachusetts, along with UniCare-contracted doctors and hospitals throughout New England. When you use PLUS providers, you’ll have 100% coverage for most covered services.
Is UniCare part of Beacon?
For UniCare members, UniCare manages the benefits, receives the claims and pays the claims. Beacon manages the network, prices the claims, and performs utilization review.
What is the difference between an indemnity plan and a PPO?
The indemnity health policy is different than policies offered by health maintenance organizations (HMOs) and preferred provider organizations (PPOs) because it allows you obtain medical care where you choose providing compensation for a set portion of the costs.
What does an indemnity insurance cover?
Indemnity insurance protects against claims arising from possible negligence or failure to perform that result in a client’s financial loss or legal entanglement. Indemnity insurance also covers court costs, fees, and settlements in addition to an indemnity claim.
Is Tufts Navigator a PPO or HMO?
Navigator by Tufts Health Plan is a Preferred Provider Organization (PPO) plan. Members do not need to designate a primary care physician (PCP) or obtain referrals for covered services.
Is MassHealth non Medicare?
Medicaid & MassHealth Medicaid and MassHealth actually refer to the same program. Unlike Medicare, it’s income and/or asset based (depending on the particular program) rather than age based. It is a joint federal and state program designed for low to moderate income residents.
How do I contact UniCare?
UniCare Network Services supports the provider network through the contracting, credentialing and recontracting process and provides ongoing education and support to providers and their office staffs. Please call 1-800-700-0668 or fax at 1-855-362-3026.
What type of plan is UniCare?
UniCare’s CompleteChoice HealthFundSM is an innovative consumer-directed health insurance plan with a health reimbursement account (HRA) feature, that provides members with informational web tools and educational resources they need to help them take control of how and where they spend their HRA health care benefit …
https://www.youtube.com/watch?v=DtWYvQNQv1M