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Help Center FAQs

What are the tiers within the OMNIA Health Plans and how do they work?

With our OMNIA Health Plans, doctors and other health care professionals in the Horizon Managed Care Network and all hospitals in the Horizon Hospital Network are placed into one of two tiers – OMNIA Tier 1 or Tier 2. Members can use theDoctor & Hospital Finderto find participating doctors, health care professionals and hospitals and their designated tier.

OMNIA Health Plan members maximize their benefits and lower their out-of-pocket costs by using the doctors, specialists, other health care professionals and hospitals designated as OMNIA Tier 1. However, members can still choose to see doctors and hospitals in Tier 2, but they will not have the same cost-saving opportunities that they would if they had chosen a 1 health care professional designated as OMNIA Tier 1.

All ancillary providers are considered OMNIA Tier 1; however, exceptions may apply when an ancillary provider shares a Tax Identification Number (TIN) with a Tier 2 hospital-owned practice.

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Last updated:

Oct 31,2021