Be sure to consider physician and hospital tiers when choosing a provider. Employees and Non-Medicare Retirees/Survivors pay the lowest copay for Tier 1 doctors and hospitals. The GIC’s Clinical Performance Improvement (CPI) initiative gives you an incentive to use doctors with higher quality and/or cost-efficiency scores. Millions of physician claims are analyzed for differences in how physicians perform on nationally recognized measures of quality and/or cost efficiency. You pay the lowest copay for the highest-performing doctors:
***Tier 1 (excellent)
**Tier 2 (good)
*Tier 3 (standard)
Physicians for whom there is not enough data and non-tiered specialists are assigned a plan’s Tier 2 copay.
! During annual enrollment, check your doctor’s and hospital’s tier, as they can change each July 1 with new data. Check the health plan websites for physician tiers.
This information provided by the Group Insurance Commission.