Common use of Network Providers and the Provider Directory Clause in Contracts

Network Providers and the Provider Directory. SAMPLE The Provider Directory lists the Primary Care Providers (PCPs), Specialists, Hospitals, and other Network Providers who have contracts with Health Options to provide Covered Services to our Members. The Provider Directory is also a place to go for information on Network Providers, including contact information and office hours. Visit xxxxx://xxx.xxxxxxxxxxxxx.xxx/Search-provider to view the regularly updated Provider Directory. If you do not have online access, you may obtain a printed copy by calling Member Services. Members are encouraged to use Network Providers. Your Out-of-Pocket Costs are typically lower when you receive Covered Services from a Network Provider rather than a Non-Network Provider. Section 6 describes how using a Non-Network Provider can affect your Out-of- Pocket Costs. Health Options’ Member Services Associates can answer questions about our Network Providers at 1-855-624-6463. Network Providers have contracts with Health Options that can be terminated from time to time, even without notice. If your Network Provider leaves our network for any reason, we will try to give you at least 60 days’ notice. In any case, we will give you as much notice as we can. To find a new Network Provider, you may review the Provider Directory or contact Member Services. In some cases, we may continue to cover the care you receive from your departing Network Provider with the same Out-of-Pocket Costs to allow for a smooth transition to a new Network Provider. If you are undergoing a course of treatment with a Network Provider who leaves Health Options’ network, you may have the same Out-of-Pocket Costs with that Network Provider for at least 90 days from when we notify you that your Network Provider is leaving. If you are a pregnant Member in the 2nd or 3rd trimester and we notify you that your Network Provider is leaving, you may have the same Out-of- Pocket Costs, related to that pregnancy, with that Network Provider through postpartum care. In the event that you are not able to obtain services from a Network Provider in your area, you or your Provider should call Health Options at 1-855-624-6463 (TTY/TDD: 711) to seek assistance in finding a Network Provider.

Network Providers and the Provider Directory. SAMPLE The Provider Directory lists the Primary Care Providers (PCPs), Specialists, Hospitals, and other Network Providers who have contracts with Health Options to provide Covered Services to our Members. The Provider Directory is also a place to go for information on Network Providers, including contact information and office hours. Visit xxxxx://xxx.xxxxxxxxxxxxx.xxx/Search-provider to view the regularly updated Provider Directory. If you do not have online access, you may obtain a printed copy by calling Member Services. Members are encouraged to use Network Providers. Your Out-of-Pocket Costs are typically lower when you receive Covered Services from a Network Provider rather than a Non-Network Provider. Section 6 describes how using a Non-Non- Network Provider can affect your Out-of- of-Pocket Costs. Health Options’ Member Services Associates can answer questions about our Network Providers at 1-855-624-6463. Network Providers have contracts with Health Options that can be terminated from time to time, even without notice. If your Network Provider leaves our network for any reason, we will try to give you at least 60 days’ notice. In any case, we will give you as much notice as we can. To find a new Network Provider, you may review the Provider Directory or contact Member Services. In some cases, we may continue to cover the care you receive from your departing Network Provider with the same Out-of-Pocket Costs to allow for a smooth transition to a new Network Provider. If you are undergoing a course of treatment with a Network Provider who leaves Health Options’ network, you may have the same Out-of-of- Pocket Costs with that Network Provider for at least 90 days from when we notify you that your Network Provider is leaving. If you are a pregnant Member in the 2nd or 3rd trimester and we notify you that your Network Provider is leaving, you may have the same Out-of- of-Pocket Costs, related to that pregnancy, with that Network Provider through postpartum care. In the event that you are not able to obtain services from a Network Provider in your area, you or your Provider should call Health Options at 1-855-624-6463 (TTY/TDD: 711) to seek assistance in finding a Network Provider.

Network Providers and the Provider Directory. SAMPLE The Provider Directory lists the Primary Care Providers (PCPs), Specialists, Hospitals, and other Network Providers who have contracts with Health Options to provide Covered Services to our Members. The Provider Directory is also a place to go for information on Network Providers, including contact information and office hours. Visit xxxxx://xxx.xxxxxxxxxxxxx.xxx/Search-provider to view the regularly updated Provider Directory. If you do not have online access, you may obtain a printed copy by calling Member Services. Members are encouraged to use Network Providers. Your OutThe Plan does not provide Benefits for non-of-Pocket Costs are typically lower when you receive Covered Services emergent services received from a Network Provider rather than a Non-Network Provider. Section 6 describes how using a Non-Network Provider can affect your Out-of- Pocket Costs. Health Options’ Member Services Associates can answer questions about our Network Providers at 1-855-624-6463Providers. Network Providers have contracts with Health Options that can be terminated from time to time, even without notice. If your Network Provider leaves our network for any reason, we will try to give you at least 60 days’ notice. In any case, we will give you as much notice as we can. To find a new Network Provider, you may review the Provider Directory or contact Member Services. In some cases, we may continue to cover the care you receive from your departing Network Provider with the same Out-of-Pocket Costs to allow for a smooth transition to a new Network Provider. If you are undergoing a course of treatment with a Network Provider who leaves Health Options’ network, you may have the same Out-of-of- Pocket Costs with that Network Provider for at least 90 days from when we notify you that your Network Provider is leaving. If you are a pregnant Member in the 2nd or 3rd trimester and we notify you that your Network Provider is leaving, you may have the same Out-of- of-Pocket Costs, related to that pregnancy, with that Network Provider through postpartum care. In the event that you are not able to obtain services from a Network Provider in your area, you or your Provider should call Health Options at 1-855-624-6463 (TTY/TDD: 711) to seek assistance in finding a Network Provider.

Network Providers and the Provider Directory. SAMPLE The Provider Directory lists the Primary Care Providers (PCPs), Specialists, Hospitals, and other Network Providers who have contracts with Community Health Options to provide Covered Services to our Members. The Provider Directory is also a place to go for information on Network Providers, including contact information and office hours. Visit xxxxx://xxx.xxxxxxxxxxxxx.xxx/Search-provider xxxxx://xxx.xxxxxxxxxxxxx.xxx/Search‐provider to view the regularly updated Provider Directory. If you do not have online access, you may obtain a printed copy by calling Member Services. Members are encouraged to use Network The Plan does not provide Benefits for non‐ emergent services received from Non‐Network Providers. Your Out-of-Pocket Costs are typically lower when you receive Covered Services from a Network Provider rather than a Non-Network Provider. Section 6 describes how using a Non-Network Provider can affect your Out-of- Pocket Costs. Health Options’ Member Services Associates can answer questions about our Network Providers at 1-855-624-6463. Network Providers have contracts with Community Health Options that can be terminated from time to time, even without notice. If your Network Provider leaves our network for any reason, we will try to give you at least 60 days’ notice. In any case, we will give you as much notice as we can. To find a new Network Provider, you may review the Provider Directory or contact Member Services. In some cases, we may continue to cover the care you receive from your departing Network Provider with the same Out-of-Out‐of‐ Pocket Costs to allow for a smooth transition to a new Network Provider. If you are undergoing a course of treatment with a Network Provider who leaves Community Health Options’ network, you may have the same Out-of-Pocket Out‐of‐Pocket Costs with that Network Provider for at least 90 days from when we notify you that your Network Provider is leaving. If you are a pregnant Member in the 2nd or 3rd trimester and we notify you that your Network Provider is leaving, you may have the same Out-of- Pocket Out‐ of‐Pocket Costs, related to that pregnancy, with that Network Provider through postpartum care. In the event that you are not able to obtain services from a Network Provider in your area, you or your Provider should call Community Health Options at 1-855-624-6463 (TTY/TDD: 711) to seek assistance in finding a Network Provider.

Network Providers and the Provider Directory. SAMPLE The Provider Directory lists the Primary Care Providers (PCPs), Specialists, Hospitals, and other Network Providers who have contracts with Health Options to provide Covered Services to our Members. The Provider Directory is also a place to go for information on Network Providers, including contact information and office hours. Visit xxxxx://xxx.xxxxxxxxxxxxx.xxx/Search-provider to view the regularly updated Provider Directory. If you do not have online access, you may obtain a printed copy by calling Member Services. Members are encouraged to use Network Providers. Your Out-of-Pocket Costs are typically lower when you receive Covered Services from a Network Provider rather than a Non-Network Provider. Section 6 describes how using a Non-Network Provider can affect your Out-of- of-Pocket Costs. Health Options’ Member Services Associates can answer questions about our Network Providers at 1-855-624-6463. Network Providers have contracts with Health Options that can be terminated from time to time, even without notice. If your Network Provider leaves our network for any reason, we will try to give you at least 60 days’ notice. In any case, we will give you as much notice as we can. To find a new Network Provider, you may review the Provider Directory or contact Member Services. SAMPLE In some cases, we may continue to cover the care you receive from your departing Network Provider with the same Out-of-of- Pocket Costs to allow for a smooth transition to a new Network Provider. If you are undergoing a course of treatment with a Network Provider who leaves Health Options’ network, you may have the same Out-of-Pocket Costs with that Network Provider for at least 90 days from when we notify you that your Network Provider is leaving. If you are a pregnant Member in the 2nd or 3rd trimester and we notify you that your Network Provider is leaving, you may have the same Out-of- of-Pocket Costs, related to that pregnancy, with that Network Provider through postpartum care. In the event that you are not able to obtain services from a Network Provider in your area, you or your Provider should call Health Options at 1-855-624-6463 (TTY/TDD: 711) to seek assistance in finding a Network Provider.

Network Providers and the Provider Directory. SAMPLE The Provider Directory lists the Primary Care Providers (PCPs), Specialists, Hospitals, and other Network Providers who have contracts with Community Health Options to provide Covered Services to our Members. The Provider Directory is also a place to go for information on Network Providers, including contact information and office hours. Visit xxxxx://xxx.xxxxxxxxxxxxx.xxx/Search-provider xxxxx://xxx.xxxxxxxxxxxxx.xxx/Search‐provider to view the regularly updated Provider Directory. If you do not have online access, you may obtain a printed copy by calling Member Services. Members are encouraged to use Network Providers. Your Out-of-Pocket Out‐of‐Pocket Costs are typically lower when you receive Covered Services from a Network Provider rather than a Non-Non‐ Network Provider. Section 6 describes how using a Non-Network Non‐Network Provider can affect your Out-of- Pocket Out‐of‐Pocket Costs. Community Health Options’ Member Services Associates can answer questions about our Network Providers at 1-855-624-6463Providers. Network Providers have contracts with Community Health Options that can be terminated from time to time, even without notice. If your Network Provider leaves our network for any reason, we will try to give you at least 60 days’ notice. In any case, we will give you as much notice as we can. To find a new Network Provider, you may review the Provider Directory or contact Member Services. In some cases, we may continue to cover the care you receive from your departing Network Provider with the same Out-of-Out‐of‐ Pocket Costs to allow for a smooth transition to a new Network Provider. If you are undergoing a course of treatment with a Network Provider who leaves Community Health Options’ network, you may have the same Out-of-Pocket Out‐of‐Pocket Costs with that Network Provider for at least 90 days from when we notify you that your Network Provider is leaving. If you are a pregnant Member in the 2nd or 3rd trimester and we notify you that your Network Provider is leaving, you may have the same Out-of- Out‐of‐ Pocket Costs, related to that pregnancy, with that Network Provider through postpartum care. In the event that you are not able to obtain services from a Network Provider in your area, you or your Provider should call Community Health Options at 1-855-624-6463 (TTY/TDD: 711) to seek assistance in finding a Network Provider.