Beginning Jan. 1, 2025, the $15 copayment for the EmblemHealth-GHl portion of the Senior Care Plan will resume. Senior Care members will be required to pay a $15 copay each time they use the health services listed below. Copays are limited to one copay per provider per date of service.
If you are a provider delivering the following services for Senior Care Plan members after the start of the new year, you will need to collect the required $15 copay:
- Primary care provider (PCP) office visits.
- Specialist office visits.
- Allergy testing/injections.
- X-rays.
- Laboratory tests.
- Complex diagnostic and radiology services.
- Radiation therapy.
- Urgent care services.
- Emergency care (professional component).
- Mental health care (outpatient).
- Substance use disorder services (outpatient).
- Physical, occupational, and speech therapy.
- Cardiac rehabilitation.
- Pulmonary rehabilitation.
- Chiropractic care.
- Podiatry care.
- Vision care.
Please note: Senior Care Plan members are responsible for the annual Medicare Part B deductible and $50 GHI Senior Care deductible.
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