New Reimbursement Methodology for Out-Of-Network Medical and Dental Plan Services

  • Medical Plan (Cigna and UnitedHealthcare): The reimbursement for covered out-of-network services will be based on a set fee schedule 300% (3 times) of Medicare rates versus the current practice of paying based on average provider fees in a given geographic area (at the 90th percentile of reasonable and customary, or R&C, fees). To learn more, review these FAQs.
  • Dental Plan: Covered out-of-network services will now be reimbursed based on the 80th (versus the current 90th) percentile of R&C.

Read how staying in network saves you money and time. For help finding in-network providers, contact an Accolade Health Assistant.

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