Choices Plus is not a standard Medicare health plan. Unlike other Medicare health plans, we are a triple-option plan. This means that as a member of Choices Plus, you have the flexibility to have your care coordinated by your own Primary Care Physician (PCP). You can also see specialists without a referral from your PCP. Plus, you have a third option of going to any doctor or specialist outside of the network and still receiving Medicare-level benefits.
With Choice 1, you benefit from the guidance and expertise of your PCP - a healthcare professional who knows your medical history and lifestyle.
Most of our members prefer having their medical care coordinated through their PCP. Going to a PCP first offers those members the most savings, and it enables their personal physician to help them coordinate their overall healthcare - for example, what kind of specialist they need to see or what prescription drug interactions to observe. A PCP can also provide members with advice on issues pertaining to overall health and well-being.
With Choice 2, you enjoy the convenience of going directly to a provider within the Choices Plus network.
Choices Plus members may prefer to visit a specialist without seeing their PCP first. They have the choice to access care when and how they wish. The ability to self-refer is one of the many ways Choices Plus is unique.
Choice 3 gives you complete freedom by allowing you to go outside the network to see any doctor or specialist you choose and still receive Medicare-level benefits.
If your current doctor isn't in the network, you can still get Medicare-level coverage to see your doctor with Choices Plus. If you want to use our providers for some services but decide, at any time for any reason, to use a doctor or hospital outside the network, you'll still have the same coverage as Medicare.
There's no risk that you'll have to sacrifice your Medicare benefits to enjoy savings with Choices Plus. With Choice 3, you can keep your current doctors and your Medicare benefits!
Unlike other $0-plan premium health plans, Choices Plus gives you the flexibility to customize your care to meet your changing needs and to change your mind anytime you want without having to change coverage. With Choices Plus, you have more control over the healthcare you receive. All three choices are available to you at any time, though higher copays may apply when you go to a specialist in the network or receive care from a physician outside the network.