My point of service plan covers services from out-of-plan providers. Why do I need to select an HNE Primary Care Physician?
Even if you intend to get all of your care from out-of-plan providers, there may be times when you want to receive the in-plan level of coverage. To do this, you must select a PCP from HNE s provider directory. If you need care and want to use a plan provider, the services you receive are still coordinated through your plan PCP, except in an emergency. If you want to receive certain specialty care at the in-plan level of coverage, you must get a referral from a plan PCP. Log in to HNEDirect and search for PCPs who participate in your plan. Once you find the doctor you want, you can select your new PCP right on line. Or call Member Services at 413-787-4004 or 800-310-2835, 8 a.m.-5 p.m., Monday-Friday.
Related Questions
- In reference to the Community-Based Services Program Service Unit Plan (CBSP) Objectives, why is Respite included as part of the Reference Guide for Development of the 2005-2009 Area Plan?
- My point of service plan covers services from out-of-plan providers. Why do I need to select an HNE Primary Care Physician?
- What services are limited on the open access point of service (POS) plan?
