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 |