For the Employee
Advanced Intermed HealthPlan™: How It Works
The Advanced Intermed HealthPlan™ is medical insurance that provides for basic medical services that cover everyday illnesses and hospitalizations. It takes advantage of high-quality PPO networks to give you substantial provider choices even while reducing your out-of-pocket costs
How It Works
Provider Visits
- Find a provider in your area by calling the number on your member ID card
- Visit your provider for the service you need and show your card when you sign in
- The provider will call CHC to verify coverage and any co-pay
- You receive the medical services
- The majority of the time, you will leave without having a co-pay
Hospitalization
- Your doctor requests pre-authorization for hospitalization
- CHC acts as your advocate to find the best rates at area hospitals
- CHC calls you with hospital options and their estimated costs
- You confirm the hospital selection
- CHC obtains pre-certification with the selected hospital
- You or your dependent goes in for medical care or surgery
- The hospital sends all claims to CHC for evaluation and repricing
- CHC applies and pays benefits directly to the hospital
- If any charges remain, they are billed to you, and you are responsible for paying the hospital directly
It's Easy and Affordable
- Low monthly or weekly cost
- Guaranteed issue - You won't be turned down during an open enrollment period
- Immediate first-dollar coverage with reduced out-of-pocket expenses
- National physician network to choose from
- One toll-free number for fast answers
- Multilingual, superior customer service
- 24/7 nurse hotline for medical decision support
