Are Your Clients Getting Lower Copays?

  • Small Group News
    Published July 8, 2019

    For employers with 1–50 employees

    Premera Blue Cross small group plans offer more value for members who designate a primary care provider (PCP). When members designate a PCP their copay becomes lower for a visit to that specific provider. This not only adds value for our members, but also allows their provider to get to know them and their health history.

    Members can choose a PCP from many types of healthcare providers—a family or general practice doctor, internist, pediatrician, obstetrician/gynecologist (OB-GYN), physician assistant or nurse practitioner. A PCP provides preventive care, identifies and treats common medical conditions, coordinates care, and makes referrals to medical specialists.

    Here are a few things to keep in mind when telling your small group clients about the value of designating a PCP:

    • Members have the flexibility to choose a different PCP for each member of their family covered by their Premera plan.
    • The PCP selection must be made official before the office visit in order to get a copay that’s lower than a visit to a non-designated PCP or specialist office.
    • A member makes their PCP selection by logging in to their member account or calling the customer service number on the back of their ID card.
    • If a member’s health needs change, they can switch their PCP. In order to benefit from a lower copay for visits, they must notify Premera about the change.

    Action you can take now

    There are two things you can do now:

    1. Remind your clients about the value of their small group plan with Premera.
    2. Tell them about the resources we offer on B’link to help them share the news about lower copays for designating a PCP with their employees. B’link is our online resource for employers that provides ready-to-share flyers, emails, and copy-and-paste content.
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