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Employees encouraged to use Tier 1 Signature Network for lower out-of-pocket medical costs

Are you making the most of the YNHHS Medical Plan? 

The plan has three tiers, but the Tier 1 Signature Network includes coverage from select providers, healthcare facilities and services to coordinate your care while meeting your needs and budget. You aren’t limited to sticking with any one tier throughout the year. However, employees and their dependents who use clinicians and facilities in the Tier 1 Signature Network enjoy lower co-pays, lower out-of-pocket costs and zero deductibles. (See table 1 for Tier 1 Signature Network clinician and facility categories.)

The best way to minimize out-of-pocket expenses is to know before you to go to a doctor or other medical appointment. Remember: 

  • To take advantage of the lowest out-of-pocket costs, use a Tier 1 Signature Network provider and a Tier 1 Signature Network facility for services. 
  • Providers in the same practice might not all be included in the YNHHS Medical Plan’s Tier 1 Signature Network. Check the list of providers before your visit.

Things to keep in mind

  • New providers are added throughout the year. Updates to the list can take time to process. Until the provider’s name is on the Tier 1 list, visits and services will be processed as Tier 2. Contact a patient resource coordinator (PRC) if you have questions about a provider’s status. Call 1-844-543-2147 (option 3) Monday through Friday, 8:30 am - 5 pm, or email [email protected]. You can also check the Tier 1 network list at ynhhsbenefitsconnection.org (search Tier 1) or visit HRConnect (in network only).
  • Providers must be participating with Anthem CT before they can be added to our Tier 1 Signature Network. Providers that only participate with Empire Blue Cross (NY), Blue Cross Blue Shield of Rhode Island or Blue Cross Blue Shield of Massachusetts are not considered Tier 1.
  • If you or a covered dependent has a question about a copay or bill, contact a PRC. They will work to adjust incorrect bills and arrange for refunds when appropriate.
  • Anthem’s representatives cannot access the YNHHS Medical Plan Tier 1 Signature Network list and can only refer to the larger Anthem BCBS network. 

Visit ynhhsbenefitsconnection.org for information about the medical plan’s three tiers, plus charts that show what you will pay for care and how certain services are covered.

These tables show Tier 1 Signature Network clinician and facility categories. For more information, call a Patient Resource Coordinator at 1-844-543-2147 (option 3).

Category

Medical Groups

Primary Care

Northeast Medical Group (NEMG)

Yale Medicine (YM)

Community Medical Group (CMG)

Trinity Health of New England and SOHO HEALTH, Trinity’s clinician network

WestMed

Specialists

Northeast Medical Group (NEMG)

Yale Medicine (YM)

Community Medical Group (CMG)

Trinity Health of New England and SOHO HEALTH, Trinity’s clinician network

Medical staff at a Yale New Haven Health System hospital

Category

Facility Names

Hospitals

YNHHS:

Bridgeport Hospital (including Milford campus)

Greenwich Hospital

Lawrence + Memorial Hospital

Westerly Hospital

Yale New Haven Hospital

Trinity Health of New England:

Johnson Memorial Hospital

Mount Sinai Rehabilitation Hospital

St. Francis Hospital

Saint Mary’s Hospital

Ambulatory Centers

YNHHS – jointly or fully owned

Trinity Health of New England – jointly or fully owned

Urgent Care and Walk-in Centers

NEMG Urgent Care centers

YNHHS Urgent Care centers

PhysicianOne Urgent Care

Trinity Health of New England-owned

Lab Services and Radiology Facilities

YNHHS-owned

Trinity Health of New England-owned