ADVANTAGE Choice

ADVANTAGE Choice Plans are a popular alternative to our HMO and POS plans and include the ADVANTAGE HMO affiliated networks PLUS a preferred provider organization (PPO)... giving employers the benefit of offering their employees more choice through a broader state-wide network of providers.

Plan Features:

• Employee selects either the PPO network or an HMO network at time of enrollment
• Health plan benefits are the same regardless of network chosen
• Employee pays a higher percent of the premium if the PPO network is selected
• Members can go to most in-network specialists without a PCP referral
• PCPs are available to help navigate the health care system
• Disease Management and complex case management are included without additional cost
• Members can enroll in the Mountain of Wellness program
• Employers can actively engage in benefit plan designing
• Employee and dependents must select the same network

Underwriting Guidelines:

• Available to groups with 51 or more employees
• 80% of employees must reside in the ADVANTAGE HMO service area
• Premium rates are approximately 15% higher for employees selecting the PPO network and funded through employee contributions

Click here to view our current benefit matrix for benefit plan designs.

For more information on these plans, please contact our Sales & Service department at 317.573.2700 or send a secure email.