Out of Area Coverage — Effective 01/01/2017
Employees and dependents who live 40 or more miles from the nearest Tier 1 hospital may visit Tier 2 providers and receive a higher benefit (80% vs. 50%, after deductible). That's an increase from 65% in 2016. You can determine your proximity to Tier 1 network hospitals by using our provider search tool. If you or one of your dependents lives 40 or more miles from a Tier 1 hospital, notify our Customer Advocacy Center at 1-844-843-3229. To ensure your claims process correctly, please notify us prior to accessing services.