What do the tiers mean?

  • Affinity Health Network – This plan offers lower cost shares for certain services when the services are provided by Affinity Health Network (AHN) providers.
  • Tier I Providers – Most participating providers are Tier I providers. Members seeing Tier I providers pay the Tier I co-pays, coinsurance and deductibles as listed in the Certificate of Coverage.
  • Tier II Providers – Tier II providers are participating providers whose cost may be higher than other similar participating providers. Members who choose to see these providers will have to pay an additional 20% coinsurance in addition to their Tier I cost share.
Posted in VANTAGE HEALTH PLAN - MEDICARE ADVANTAGE PLANS.