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

Provider80/20 Plan70/30 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