Elite Health is a directly contracted network of providers resulting in the lowest available cost to the consumer. The network is tiered.
Tier 1 is comprised of:
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In addition to the three primary systems and their contracted physicians, Tier 1 includes a number of independent specialty practices: to learn more please go to Provider Search.
*Each of the above is contracted on a cost-plus basis as opposed to the standard preferred provider organization model of a discount on billed charges.
Tier 1 provides access to 5,500+ physicians in the Greater Cincinnati and Northern Kentucky region.
Tier 2 is First Health Network. First Health will serve as the wrap network locally when necessary to fill a gap and nationally to provide access across the US.
Elite Health includes Tier 1, Tier 2, and out-of-network benefits to ensure adequate access for all participating members while driving them to the lowest available cost for employers without the risk of balance billing that typically accompanies cost-plus arrangements.