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Evergreen Health Plan Changes

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Wednesday, August 20, 2008

 
    Evergreen Health Plan Changes  
 
 
Some exciting changes are happening to the Evergreen Health Plan.

From its' inception as a HMO type Health Plan, Evergreen has required a referral from your Primary Care Physician (PCP) when you needed to see a specialist. With a focus on preventive care, this "gatekeeper model" was very effective in directing members to their PCP. After careful review of our referral patterns and thoughtful discussions with many of the PCP's, Evergreen has decided to eliminate the requirement for referrals to in-network specialist effective October 1, 2006. Please remember that your PCP should still be your initial point of contact for health-related issues and should be used for all preventive and routine health issues. Also, please remember that certain procedures and all out-of -network visits still require an authorization.

Evergreen also has some news regarding it's provider network. Evergreen Health Plan and Columbus Clinic have reached an agreement and Columbus Clinic will be joining the network of participating physicians. They will be effective no later than January 1, 2007 and we will make every effort to complete this process by December 1, 2006.

Some of the Columbus Clinic physicians have very busy practices. None of them have closed their practice. But, new patients may have to wait for an appointment with some of the physicians. They encourage you to check before enrolling with a specific doctor. If you are an existing patient, this should not be an issue.
 
 

 
       
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