Engage offers simplicity to our members. Engage members have direct access to their choice of providers with a single coinsurance level that applies to Preferred, Participating and non-contracted providers. There are no upfront benefits. Engage members have cost sharing (deductible and coinsurance) benefits only.
Engage claim example
Scenario:
An Engage member has a $500 deductible and 80/80/80 percent coinsurance level. The member visits a Preferred provider for a preventive visit. During the visit, the provider removes a suspicious mole. The member’s claim is paid as follows:
Benefit impact:
- Office visit
- Mole removal (in-office surgery)
- Mole biopsy (sent to outside lab)
All services accumulate toward $500 deductible and 80 percent coinsurance.
Refer to the following Summary of Benefits. For more detailed benefit information, visit the Products section of our Provider Web Site at www.or.regence.com/provider.
Note: The three columns on the Summaries of Benefits are the three Engage products available for employer groups to purchase based on coinsurance amounts 80%, 70% or 50%.
Regence Engage Summary of Benefits (PDF)
Regence Engage Summary of Benefits - Clark County (PDF)
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