Are there Group Health Contracted Community Pharmacies located in San Juan County?
Yes. Friday Harbor Drug in Friday Harbor, Ray’s Pharmacy in Eastsound, and Lopez Island Pharmacy on Lopez Island are contracted with Group Health as “in network” providers. 7. Do I need a referral to see a specialist? A referral is not necessary for outpatient services at the “out-of-network” benefit level. Pre-authorization by your primary care physician is only needed for outpatient high-end radiology (such as an MRI) and scheduled inpatient hospitalization. Payment for these services will be made at 80% of provider charges after the deductible has been satisfied. If the specialist is contracted with First Choice Health Network, there will be no balance billing; if it is not, there can be balance billing. To receive benefits at the 90% payment level, in many cases, you must have a referral from your Primary Care Provider (PCP) to see contracted specialists. 8. Are my enrolled dependents covered up to age 26? Yes. Under a recently-enacted law, enrolled dependents are covered up to age
