With this plan, members are required to choose a PCP. They have access to thousands of participating providers throughout New England and nationwide. Members can receive care for covered services without a PCP referral; they have in-network coverage when visiting participating providers and out-of-network coverage when visiting non-participating providers.
This plan offers distinctive features: Members can save money when receiving diagnostic lab testing and outpatient surgery procedures from participating LP providers. When members receive lab services from LP providers, it’s covered in full. This is ideal for anyone with chronic medical conditions that require routine blood monitoring such as diabetes, thyroid disorders, cholesterol and blood thinners. When day surgeries are performed at participating LP locations, procedures are covered at only a copayment instead of the deductible. It’s important to note that if these services are received out of the network or from non-LP providers, members will not have access to these savings.
Summary of Benefits & Coverage
Premium 4 Tier Prescription Drug Coverage