|
Your health plan has eliminated the requirement of going to an in-network Provider (aka Preferred Provider Networks - PPO) for your medical care. This means that you can go to any Provider that you choose. In order to assist you in locating a Provider, we have developed a Provider search tool called MediVI. You can access this tool by downloading the MediVI mobile app or by visiting the MediVI website, medivi.6degreeshealth.com
Do I need to use the MediVI Mobile app or MediVI website? No, you are free to seek care at any Provider you choose. These tools are available to help you locate Providers that are friendly to self-funded plans. |
If you're experiencing an access issue or have received a balance bill, please contact The Loomis Company:
Phone: (800) 346-1223 Website: loomisco.com Always check your mail It is important for employees to open all mail to check for any balance bills. If you receive a balance bill for any medical services, it is VERY important that you call Loomis at (800) 346-1223. When in doubt, call Loomis with any questions |
What is a Referenced Based Pricing Plan?
Your health plan has eliminated Preferred Provider Networks (PPO) for medical facilities and physicians, allowing you to access any provider you choose. All payments to providers are based off of Medicare pricing, plus an incentive bonus over and above the Medicare allowable amounts.
Why is my employer offering this plan instead of the Previous PPO?
This plan allows your employer to manage the ballooning cost of healthcare while still continuing to provide quality benefits to employees and their families.
Can I only go to a Doctor or Hospital that is in network?
No. There is no network.
Employees enrolled in the COAST health plan have the freedom to go to any doctor, hospital, or medical facility they choose.
What should I do if scheduling or billing doesn’t recognize my health plan?
Please tell your provider that your health plan is an open access plan and that there are no reduced out-of-network benefits. They should collect any applicable copay and submit a claim through the TPA, Loomis, with the information on your ID Card.
If the Provider still has questions, have them call Loomis Customer Service immediately at (800) 346-1223. The phone number is also on your health plan ID card. Make sure you present your ID card at every visit or service.
Who should I contact for questions about my plan benefits or my medical coverage?
Loomis Customer Service (800) 346-1223
Your health plan has eliminated Preferred Provider Networks (PPO) for medical facilities and physicians, allowing you to access any provider you choose. All payments to providers are based off of Medicare pricing, plus an incentive bonus over and above the Medicare allowable amounts.
Why is my employer offering this plan instead of the Previous PPO?
This plan allows your employer to manage the ballooning cost of healthcare while still continuing to provide quality benefits to employees and their families.
Can I only go to a Doctor or Hospital that is in network?
No. There is no network.
Employees enrolled in the COAST health plan have the freedom to go to any doctor, hospital, or medical facility they choose.
What should I do if scheduling or billing doesn’t recognize my health plan?
Please tell your provider that your health plan is an open access plan and that there are no reduced out-of-network benefits. They should collect any applicable copay and submit a claim through the TPA, Loomis, with the information on your ID Card.
If the Provider still has questions, have them call Loomis Customer Service immediately at (800) 346-1223. The phone number is also on your health plan ID card. Make sure you present your ID card at every visit or service.
Who should I contact for questions about my plan benefits or my medical coverage?
Loomis Customer Service (800) 346-1223
This web site is not a legal document. This web site is not a guarantee of coverage, eligibility, or provider status and is designed for informational illustration only. Benefits outlined on this web site are subject to change at any time. Please consult your benefit plan provider(s) or administrator(s) for legal documents regarding your plan and to check coverage and/or eligibility.
