Pub. 3 2021 Issue 3

W hen your Harvard Pilgrim plan has LP (low-cost provider) benefits, you can pay lower out-of-pocket costs for advanced radiology (e.g., MRI, CT/CAT and PET scans), lab and outpatient surgery services when you receive them from select low-cost providers. Note: HMO plans require a referral from your primary care provider or specialist. See the Schedule of Benefits for details. To find out where you can save money, visit harvardpilgrim.org . • Click on “Find a Provider” and choose the directory for your plan under “LP (Low-Cost Provider) Plans.” • Under “Search by Provider Type,” Select “Other Care Providers.” For advanced radiology providers • On the next screen, under “Specialty,” choose “Computerized Axial Tomography (CAT),” “MRI,” or “Positron Emission Tomography (PET).” For labs and ambulatory surgery centers • On the next screen, under “Specialty,” choose either “General Laboratory” or “Ambulatory Surgical Center.” • Look for facilities with an “LP (Low-Cost Provider)” designation. When you use select low-cost providers: • The deductible will not apply. • You’ll pay a copayment or coinsurance for MRI, CT and PET scans. • There is no charge for covered lab tests, excluding genetic testing. • You’ll pay a copayment for outpatient surgery. SaveMoney with Low-Cost Providers LORI PREVE LICENSED INSURANCE PRODUCER D R I V E 14