How a tiered network provides choice and savings
With a tiered network, Keystone HMO Proactive plans also give you a way to save on your out-of-pocket costs by using certain providers. We’ve grouped our in-network providers into three tiers. Doctors and hospitals that offer high-quality care at a lower cost are in Tier 1 – Preferred. More than half of doctors and hospitals in our network are in the most affordable tier, Tier 1 – Preferred, so you have plenty of choices.
A tiered network is different from a limited network. With a tiered network, you still have access to the full provider network of doctors and hospitals. Other health insurers may offer plans with a limited network, which does not give you access to the full network of doctors and hospitals. But our tiered network gives you access to the entire Keystone Health Plan East network. And the choice to save is yours — you can choose providers in Tier 1 for some covered services and providers from Tier 2 or 3 for other covered services.