How does out-of-area dependent coverage work under the EPO options?
With all of the EPO options, you can cover a spouse and/or children who do not live with you. If your spouse and/or children live outside of the Providence Health Plan service area, they can enroll as out-of-area dependents. Out-of-area dependents may see any provider, in or out of the service area. Providence Health Plan will pay up to 80 percent of covered charges. Providence Health Plan’s payment is based on usual, customary and reasonable (UCR) charges. Charges that exceed UCR are your responsibility and these charges are not applied to the out-of-area dependent out-of-pocket maximum. To cover your out-of-area dependents, you must complete an application and send it to Providence Health Plans.
Related Questions
- Whose responsibility is it to notify the employee or dependent when the group continuation coverage will end and their options after it ends?
- What self-payment options are available when my child is no longer eligible for dependent coverage?
- How does out-of-area dependent coverage work under the EPO options?
