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Benefit Plans
Prime Network
Commonwealth Network
Preferred Network


PRIME NETWORK

PrimeCare Gold, our HMO option, is easy to use and has no referral requirements for specialty care.

PrimeCare Platinum, our POS option, includes out-of-network benefits and no referral requirements for specialty care. In-network benefits apply to covered services received from participating providers. Out-of network benefits apply if member receives covered services from non-participating providers. Out-of-network benefits require the member to pay substantially more, including deductible, coninsurance and any amount above the eligible expense.

PrimeCare Silver, our PPO Option, includes more choices with out-of-network benefits and no referral requirements for specialty care. In-network benefits apply to covered services received from participating providers. Out-of-network benefits apply if the member receives covered services from non-participating providers. Out-of-network benefits require the member to pay substantially more, including deductible, coinsurance and any amount above the eligible expense.

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COMMONWEALTH NETWORK

Plan options include HMO, POS, and PPO with employers able to customize benefits to fit the company's needs. Utilizing CHA Health's Commonwealth Network of participating providers and our utilization management team, along with Commonwealth Administrators, LLC* servings as the TPA, we offer the self-insured employer a cost-effective, well-developed managed care approach. The result for the employer—greater control over health care costs.

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PREFERRED NETWORK

Another option for companies choosing to self-fund their health benefits is our Preferred Network. Any licensed TPA may lease this network directly from CHA Health. CHA Health maintains the provider network with all other services provided by the TPA of our choice.


*Commonwealth Administrators, LLC is a wholly owned subsidiary of Administrative Services Group, Inc. located in Lexington, Kentucky.

This is a summary of benefits. Refer to the Certificate of Coverage for complete information. Prior Plan Approval requirements apply to certain services from both participating and non-participating providers.

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Well Child Visit - 3 to 6 Years
Children ages 3-6 years are screened for vision, hearing and blood pressure. Height and weight will be measured, along with risk assessments for lead exposure, anemia and tuberculosis.
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