FAQs

No, it is a program. The group employer selects one of three, participating health care providers who extend limited benefits for most needed health services, including physician office visits, urgent care centers, lab x-ray, mammograms and prescription medication.

The current list includes Community Care Partners (CCA)

Yes. HealthChoice reviews the qualifications of participating physicians and clinics to assure the medical delivery meets its standards. The health plans look to work with other doctors and health facilities throughout the county and region to serve its member base.

Community Care Associates Provider Directory

Members have a $10 co-pay for doctor visits, $20 for specialist visits, $50 for hospital emergency room visits in the network, $100 for hospital visits outside the network. If admitted, emergency room fees are waived, but ER visits are only covered if the condition is deemed life threatening. The plan encourages people to visit an urgent care facility in their network that charges a $15 co-pay.

No. You select a primary care physician (PC). If you need to be treated by a specialist, then you obtain a referral from your health care provider.

HealthChoice maintains a reserve fund to pay claims in a timely fashion if a HealthChoice client's validated claim is not paid in a timely manner. Please use our contact form to reach the organization if you have any questions or comments.

For comprehensive answers, please see the HealthChoice handbook. Among the services declined are sickness and injury arising out of an employment activity or motor vehicle accident. It won't cover any medical condition arising out of a member's action in conjunction with the commission of a felony or for any form of self-inflicted injury. It doesn't pay for experimental treatments, chiropractic care or, cosmetic surgery.

Individuals cannot select their own health riders. The company selects the riders for its whole group. Options include physical therapy, durable medical equipment, vision exams and glasses, inpatient drug and alcohol rehabilitation services and an additional 10 inpatient hospital days.

Yes. Failure of the employer group to pay the entire monthly premium by the due date could cause all subscribers and their eligible dependents to lose covered services for the month the premium was due. It could result in cancellation of the group. They may have to wait months to re-enroll.