Our tiered network design offers lower–cost options that allow you to choose what works best for your clients.
Direct network plans include the full network of over 50,0001 doctors and facilities, in a two-tier structure to maximize cost savings. Members can save money when they get services from a Tier 1 doctor or facility.
Sentara Direct Features
- core product offering for Small Group and an option for Mid-Market and Large Groups
- tier 1 includes all participating doctors and facilities except those in tier 2, which includes Mary Washington Healthcare
- plans are available throughout the entire Sentara Health Plans service area
- Direct plans for HMO, POS, and PPO (Small Group only) product lines
- wide range of Gold-, Silver-, and Bronze- level plans for ACA Small Group
- Health Savings Account (HSA) and Health Reimbursement Account (HRA) spending account options
- generous discounts on health and wellness services2
- comprehensive Health Management Programs
- Emergency Travel Assistance2
- free preventive care services when received from an in-network doctor or facility3
- virtual consults accessible from our website or the Sentara Health Plans mobile app
1 Sentara Health Administration, Inc., Provider Status Report, 2023, available at sentarahealthplans.com/find-doctors-drugs-and-facilities
2 Value-Added services; not a covered benefit
3 Office Visit copayment or coinsurance may apply
2 Value-Added services; not a covered benefit
3 Office Visit copayment or coinsurance may apply
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