What is a Preferred Provider?
A Preferred Provider is a doctor, hospital or other health care provider that participates in Aetna Preferred Provider Network.
The advantage to using a Preferred Provider is that these providers have agreed to accept a predetermined fee or Preferred Allowance as payment for their services. Out-of-Network providers have not agreed to any prearranged fee schedule, therefore any charges in excess of the insurance payment may be the student’s responsibility. Consequently, when insured students use Preferred Providers, out-of-pocket expenses will be less because any applicable cost sharing will be based on a Preferred Allowance.
The insured person should be aware that Preferred Provider hospitals may be staffed with Out-of-Network providers. Receiving services or care from a Out-of-Network provider at a Preferred Provider hospital does not guarantee that all charges will be paid at the Preferred Provider level of benefits.
How do I find a Preferred Provider?
Click the 'Search for Provider' button to locate a Preferred Provider.
Network participation is subject to change, so please verify with the provider that they are participating in the network when making an appointment or at the time of service.
- Gallagher Student Health & Special Risk
500 Victory Road, Quincy, MA 02171
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