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Preferred EPO member profile...
"My company is based in the Rochester, New York area, but I travel frequently for work. I'm looking for a health plan that provides coverage anywhere in the United States, with no referrals, and benefits to help me live a healthy life."

About Preferred EPO
Preferred EPO is a health plan that uses an EPO (Exclusive Provider Organization) network. Preferred Care has a national network of more than 500,000 hospitals, doctors, and health care professionals who are contracted with Preferred Care to provide care at discounted rates. Members can see any doctor in-network with no referrals.

You’re covered!
Preferred EPO offers great coverage for you and your family with a focus on preventive care:

  • low copays for doctor office visits;
  • low copays for well-child visits, checkups, and physicals to age 18;
  • low copays for sick-child visits during regular office hours (depending on plan);
    specialist visits (no referrals required);
  • maternity care;
  • pre- and post-natal care;
  • hospitalization;
  • surgical and other medical procedures;
  • inpatient and outpatient hospital services;
  • lab work and X-rays;
  • medically-necessary chiropractic services;
  • diabetic equipment, drugs, and supplies;
  • around-the-world coverage, no referral needed;
  • urgent care in and out of the service area;
  • routine gynecological exams;
  • childhood immunizations and vaccinations;
  • mammogram and Pap screens; and routine vision exams and medical eye exams.

NEW Wellness Suite
Preferred EPO offers the exciting features of our new Wellness Suite-at no additional cost. The suite offers:

  • WebMD HealthDollar Rewardssm - subscribers earn up to $300 each year by tracking their health online with the WebMD Personal Health Manager
  • Work Well, Live Wellsm - bringing online health tools and educational information to your workplace
  • Healthy Discounts - exclusive savings at a variety of businesses and events
  • Personal Care Advocacy - a Registered Nurse assigned to each member…dedicated to answering health care questions and guiding people to better health

Web Tools and Services
Our innovative Web site offers many convenient features - www.preferredcare.org:

  • Ask a question about coverage
  • Check claim status, eligibility and benefits
  • Change your address
  • Order ID Cards
  • and more!

To help you make informed healthcare decisions - find these tools under Health and Wellness at www.preferredcare.org

  • Online health library - powered by Healthwise Knowledgebase®
  • Hospital quality comparison tool
  • Hospital quality profile
  • Prescription drug cost comparison tool
  • Wide range of disease and care management programs

Ready to Join?
See the personnel, human resources, or benefits officer at your company, where benefit summaries and enrollment kits of plans offered by your employer are available.

Most companies conduct an open enrollment during the fall. New employees enroll according to your company's new-hire policy.

Click here to find a physician in our nationwide network of providers.

Click here to find a physician in the Rochester, New York area.

 

Disclaimer:
This summary of benefits is only an overview of plan provisions. While every effort has been made to ensure that this summary accurately reflects the provisions of each plan, it is the plan contract that governs the operations of individual plans and payment of all benefits. Please check with your company's plan administrator for a more detailed plan description.

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Last updated: January 11, 2008

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