Broad Network Access For Small Group (1-50) Employers in Connecticut Welcome to our network – one of the largest in the area. 9 out of 10 Health Net network physicians are already in our Freedom Network.1 Provider network Local Access We understand that choice, flexibility and affordability are top priorities. To help best meet your needs, we offer two provider networks for our Oxford2 products — the Freedom Network and Liberty Network. •Freedom Network: Premier tri-state network (CT, NY, NJ), which includes over 83,000 physicians and other health care professionals, who practice at more than 124,000 office locations, and over 200 hospitals.3 • Liberty Network: Subset of the Freedom Network, and is only available with Oxford products for New Jersey and New York employers. The Liberty Network provides members accesss to 54,600 physicians and other health care professionals, who practice at more than 78,000 office locations and 168 hospitals. All Freedom Network providers in Connecticut are considered in-network for New Jersey and New York members enrolled in a Liberty Network product. That adds another 13,900 physicians and 32 hospitals.3 Freedom Network Providers Office Locations Hospitals New York 48,179 70,593 110 New Jersey 21,192 32,346 66 Connecticut 13,900 21,693 32 Liberty Network Providers Office Locations Hospitals New York 36,433 49,997 106 New Jersey 18,209 28,142 62 To search for providers in either of these networks, please visit www.oxfordhealth.com. National Access In addition to our robust local network, many of our plans give your employees seamless access to our UnitedHealthcare Choice Plus national network4 — the largest single proprietary network available — when they are outside of the tri-state area of Connecticut, New York and New Jersey. This is great news for “snow birds,” travelers and parents of students attending an out-of-state college. To search for one of the 617,000 physicians and other health care professionals or 5,010 hospitals in our UnitedHealthcare Choice Plus national network4, please visit www.uhc.com. Using participating providers helps your employees get the most from their health plan Good news! 96%1 of Health Net physicians, hospitals and other health care professionals already participate in our tri-state (Connecticut, New York and New Jersey) Freedom Network. • Based on a comparison of PCPs, OB/GYNs and specialists1, our Freedom Network has 9,300 more physicians than the Health Net tri-state network. • Our Freedom Network has 24 more hospitals than the Health Net tri-state network.1 In the unlikely chance that a Health Net physician does not participate in our network, your employees will receive information on transitional care options. For example, an employee who is receiving ongoing treatment, or is in her second or third trimester of pregnancy, will receive this information. August 2009 comparison of primary care physicians (PCPs), OB/GYNs and specialists. All analysis is based off of the provider’s primary ID. March 2010 comparison of acute care facilities (excludes free-standing mental health/alcohol/drug rehabilitation facilities and physician rehabilitation facilities) within the tri-state (CT, NY, NJ) Freedom Network and the tri-state (CT, NY, NJ) Health Net network. 2 Oxford Health Plans LLC. Oxford HMO products are underwritten by Oxford Health Plans (CT), Inc. Oxford insurance products are underwritten by Oxford Health Insurance, Inc. 3 As of December 2009; represents all participating providers except ancillary providers. Dental and complementary and alternative medicine providers are included (~6% of the total without chiropractors, who are considered specialists). Providers who are multiple boarded are counted multiple times. 4 December 2009 UnitedHealth Networks national network statistics. Propriety network analysis supported by internal Health Care Economics data. National network not available for New York groups enrolled in the Liberty HMO or with the following Connecticut plans: HMO/Freedom Network, HMO Select/Freedom Network, Freedom Plan® Laurelsm HMO, Freedom Plan® HMO Laurel Selectsm. CT-10-238 CTSG (1-50) 10370 Rev 1 1 Finding a physician is easy 1) Members can simply use the provider search tool on our Web site, www.oxfordhealth.com, to find physicians and other health care professionals in their area, or to search by the criteria that are important to them. 2) Members without Internet access can request a copy of the printed provider directory. 3) Members can call Customer Service at 1-800-444-6222 to confirm whether a provider participates in our network. More information for you about physicians The UnitedHealth Premium® designation program is an online tool that enables members to view information about physicians identified for meeting or exceeding standards for quality care established by professional societies like the American College of Cardiology. Members may access information indicating physician quality and efficiency, which can be of assistance with making decisions about their care. If a physician has received a Premium designation, members will see one or two blue stars next to the physician’s name: * = quality physician, ** = quality + efficiency of care physician. Of course, evaluating physicians is only half the story. We believe physicians need to stay at the top of their respective fields and to help, we sponsor continuing medical education. By putting these steps in motion, we believe our members have a better chance of receiving the best possible care. (Note: Program applies to certain specialists and not to all physicians.) Pharmacy network All members enrolled in an Oxford product have access to our national pharmacy network of over 60,000 retail pharmacies5, including both chain and independent stores located across the United States. We have compared our pharmacy network with your current Health Net pharmacy network and we are glad to tell you that we have over a 99% network match.6 So you can feel comfortable knowing that your employees will have virtually the same access as they have now. Laboratory network Members enrolled in an Oxford product have access to 425 free-standing lab patient service center locations in the tri-state area of Connecticut, New York and New Jersey — which is 90 more locations than the Health Net tri-state lab network.7 We have a broad local and national network, including specialty (e.g., Clinical Lab Partners, Enzo, Sunrise Labs, Shiel Medical Lab) and hospital labs, as well as Laboratory Corporation of America. You and your employees can search for participating laboratory service center locations using our provider search tool on www.oxfordhealth.com. (Note: Quest Diagnostics is an out-of-network provider.) Questions? If you have questions, please contact your broker or our Migration Services Team at [email protected] or 1-866-393-5189. Whether you choose to remain in your Health Net product or move to an Oxford product, it is our goal to make your renewal experience a smooth one. 5 6 7 December 2009 data. November 2009 comparison based on pharmacy locations. January 2010 comparison of tri-state (CT, NY, NJ) free-standing lab patient service center locations for members enrolled in Oxford and Health Net products.
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