Did you know? State Health Plan members will enjoy the following primary care copay waivers and specialty care reductions at Bethany Medical.
- If a Bethany Medical provider is selected as your Primary Care Provider (PCP) and listed on your insurance ID card, your copay is waived!
- If you visit a Bethany Medical specialist and also have a Bethany PCP listed on your insurance ID card, 80/20 Plan members pay $40 for a CPP specialist ($80 for a non-CPP specialist), and 70/30 Plan members pay $47 for a CPP specialist ($94 for a non-CPP specialist).
IMPORTANT: To qualify for the $0 CPP PCP copay at Bethany, you must have selected a Bethany CPP PCP which appears on your State Health Plan ID card, and then see that Bethany PCP for your office visit. You and your dependents may select a Bethany Medical PCP at ANY TIME including during enrollment periods.
If you need to update your Primary Care Provider to a Bethany Medical provider, please follow these helpful directions.
CLEAR PRICING PROJECT PROVIDER COPAY COMPARISON CHART
|Provider||80/20 Plan||70/30 Plan|
|Primary Care Provider (PCP)||$0 for Clear Pricing Project (CPP) PCP on ID card;|
$10 for non-CPP PCP on ID card;
$25 for any other PCP
|$0 for Clear Pricing Project (CPP) PCP on ID card; |
$30 for non-CPP PCP on ID card;
$45 for any other PCP
|Specialist||$40 for CPP Specialist;|
$80 for other Specialists
|$47 for CPP Specialist;|
$94 for other Specialists
|Speech, Occupational, Chiropractor and Physical Therapy||$26 for CPP Providers;|
$52 for other Providers
|$36 for CPP Providers;|
$72 for other Providers