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Three Reasons to Choose In-Network Providers

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Although some plans provide members with the option to use out-of-network providers, there are good reasons to select physicians and facilities that are part of the Empire network. 

1. Lower Costs. Choosing in-network providers and facilities means that members only have to pay co-payments or coinsurance, depending on their plans. And, in-network coinsurance is based on Empire’s negotiated provider rates. Members who choose providers and facilities who are not in the network are responsible for the difference between Empire’s allowed amounts and the fees charged. This difference can be substantial.

2. Patient Safety Standards. In addition to agreeing to accept negotiated fees, all in-network ambulatory surgery facilities must meet Empire’s credentialing standards, be licensed by the State of New York and meet the minimum patient safety standards established by New York law.

3. It’s Easier. When a member goes to an in-network provider, payment for the covered services is sent directly to the network provider.

 
Members can find licensed, in-network providers and facilities that meet their requirements by going to “Find a Doctor” and first choosing their plan under “Select a plan”. Then: 

Choose Physicians for all doctors consisting of Primary Care Providers, Generalists, and Medical Specialists including Ophthalmologists, Oral Maxillofacial Surgery and Osteopaths.

Choose Other Health Professionals for Nurse Practitioners, Oral Maxillofacial Surgery, Chiropractors, Midwives, Occupational and Physical Therapists, Podiatrists, Dieticians, Speech Therapists, Equipment Suppliers, and other providers not listed elsewhere.

Choose Hospitals, Facilities, Services and Equipment for General, Acute Care, and Veterans Hospitals as well as Ambulance Services, Urgent Care Facilities, Laboratories, Hospices, Home Health Agencies, Clinics, Ambulatory Surgical Facilities, Renal Dialysis Centers, and Equipment Suppliers.

 
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