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More About AHPOAHPO
Partnership Advantages
Each of the partners in this unique program benefit
from the commitment to provide quality, cost-effective health services. Following are just
a few examples of the AHPO advantages.
As a participating EMPLOYER,
you
- Maintain your own benefit plan design, unique from
other members of THE ALLIANCE. The only requirement is that your plan design includes an
incentive (minimum coinsurance differential of 10 percentage points) for employees and
dependents to receive medical services from AHPO participating providers.
- Receive 100% of the savings offered by AHPO
participating providers
because there is no insurance company or HMO to retain any of
the savings.
- Control your corporate health care costs, while
offering quality benefits and a broad provider network, resulting in a high level of
employee satisfaction.
As an EMPLOYEE participating
in the AHPO through your employer-sponsored plan, you
- Enjoy freedom of choice to
select the hospitals and physicians you want to use. Unless
otherwise structured by your employer, there is no primary care
gatekeeper that you must see before going to a specialist. In
addition to the AHPO providers, you have access to EHN's
comprehensive network throughout Ohio. Most of the plans sponsored
by AHPO employers also permit access to providers outside the AHPO
and EHN network, although benefits are higher when you receive care
from an AHPO health care professional.
- Share in the savings achieved by seeking care from
in-network hospitals, physicians and ancillary providers. In addition to receiving a higher
level of benefits, your coinsurance is based on AHPO providers' discounted fees, rather
than billed charges.
- Receive the highest level of customer service,
including courteous, professional assistance through our toll-free customer service line
and 24-hour access to AHPO's on-line provider directory.
As an AHPO participating PROVIDER,
you
- Benefit from quality employer-sponsored plans that
provide effective incentives for patients to receive medical care from AHPO participating
hospitals, physicians and ancillary providers.
- Enjoy prompt, accurate claims payment.
- Receive the attention of courteous, professional
provider relations personnel.
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