Atrio Health Plans: An Overview
Atrio Health Plans is a non-profit healthcare organization that offers a range of health insurance plans to residents in Oregon. Their mission is to provide comprehensive, affordable health coverage to individuals, families, and seniors who need it most.
History
Atrio Health Plans was established in 2004 as an affiliate of the Integrated Health Services (IHS) network. IHS is a physician-led, community-based health plan that was founded in 1986 to provide health care services to residents in Oregon.
In 2010, Atrio Health Plans acquired the Medicare Advantage plans of the Affinity Health System, a move that allowed them to increase their market presence in the state of Oregon.
Today, Atrio Health Plans is one of the largest providers of Medicare Advantage plans in Oregon. They also offer commercial health insurance plans, including individual and family plans.
Mission
Atrio Health Plans is committed to improving the health and well-being of the communities they serve. They strive to provide quality healthcare services that are accessible, affordable, and convenient for all their members.
Their mission is founded on the following core principles:
- High-quality healthcare services
- Collaborative partnerships with healthcare providers
- Innovative solutions to healthcare challenges
- Exceptional customer service
Network
Atrio Health Plans has an extensive network of healthcare providers that includes hospitals, clinics, physicians, and specialists across the state. Their network is designed to provide members with easy access to high-quality healthcare services.
Service Areas
Atrio Health Plans serves members in 28 counties in Oregon, with plans available in the following regions:
- Salem
- Portland
- Columbia Gorge
- Central & Eastern Oregon
- Oregon Coast
- Rogue Valley
Atrio Health Plans is a reputable and well-established non-profit healthcare organization that is committed to providing its members with quality healthcare services. Their extensive network of healthcare providers, coupled with their commitment to innovative solutions to healthcare challenges, makes them a great choice for individuals and families who are looking for comprehensive, affordable health coverage.
Atrio Health Plans Coverage Options
If you are looking for a reliable, comprehensive health insurance provider, Atrio Health Plans could be a great option. Atrio Health Plans offer a wide range of health insurance plans that could meet the diverse needs of individuals, families, and seniors. Here’s what you should know about the coverage options offered by Atrio Health Plans:
Medicare Advantage Plans
Atrio Health Plans offer Medicare Advantage plans, which are health insurance options available to individuals with Medicare Part A and B. These plans offer a wide range of benefits, including prescription drug coverage, routine check-ups, and wellness programs. The Medicare Advantage plans offered by Atrio Health Plans are designed to provide their customers with a higher level of coverage than what is typically offered by Original Medicare. Some of the benefits of Atrio Health Plans Medicare Advantage plans include:
- Comprehensive coverage – Atrio Health Plans Medicare Advantage plans offer coverage for a range of healthcare services, including preventive care, hospitalization, emergency care, and prescription medications.
- Low Out-of-Pocket costs – Unlike other healthcare plans, Atrio Health Plans Medicare Advantage plans have low out-of-pocket costs, including copays, coinsurance, and deductibles.
- Added benefits – Atrio Health Plans Medicare Advantage plans also offer additional benefits, such as dental, vision, and hearing coverage, as well as a gym membership.
Commercial Plans
Atrio Health Plans also offer commercial plans, which are designed for individuals and families who are looking for comprehensive coverage outside of Medicare. These plans offer a range of benefits, including preventive care, hospitalization, emergency care, and prescription drug coverage. The commercial plans offered by Atrio Health Plans are designed to provide customers with an affordable, reliable, and flexible solution for their healthcare needs.
Some benefits of Atrio Health Plans commercial plans include:
- Network of providers – Atrio Health Plans commercial plans have a broad network of healthcare providers, including physicians, specialists, and hospitals.
- Affordable rates – Atrio Health Plans commercial plans are designed to provide customers with affordable options for their healthcare.
- Access to online tools – Atrio Health Plans commercial plans offer customers access to online tools that can help them manage their healthcare, including online bill payment, appointment scheduling, and prescription refill services.
If you are looking for a comprehensive and reliable healthcare solution, Atrio Health Plans may be a great option for you. Whether you are looking for Medicare Advantage or commercial plans, Atrio offers a wide range of affordable options with a network of healthcare providers that can meet your needs.
Benefits of Choosing Atrio Health Plans
Choosing a healthcare plan is a big decision, and it’s important to carefully consider all of your options. Atrio Health Plans is a great choice for individuals who want comprehensive coverage, access to top-rated providers, and affordable premium rates. Here are some of the benefits of choosing Atrio Health Plans:
Comprehensive Coverage
One of the biggest advantages of Atrio Health Plans is its comprehensive coverage. Atrio Health Plans offers a wide range of plans to meet the needs of its members, including Medicare Advantage plans and commercial plans. Atrio Health Plans covers many different healthcare services, including:
- Doctor visits
- Hospital stays
- Prescription drugs
- Laboratory services
- Diagnostic tests
- Outpatient surgery
- Preventive care
- Physical therapy
With Atrio Health Plans, you can have peace of mind knowing that you won’t have to worry about paying out-of-pocket for many healthcare services.
Access to Top-Rated Providers
Another advantage of Atrio Health Plans is that it partners with many top-rated healthcare providers. Atrio Health Plans has a broad network of doctors, hospitals, clinics, and specialists, so members can choose the healthcare providers that are right for them. Atrio Health Plans providers are known for their quality of care, so members can feel confident that they are receiving high-quality healthcare services.
Affordable Premium Rates
Atrio Health Plans also offers affordable premium rates. Atrio Health Plans’ premium rates are competitive with other healthcare plans on the market. In addition, Atrio Health Plans offers many cost-saving programs to help members save money on their healthcare expenses. For example, some plans offer $0 co-pays for certain healthcare services, and some plans offer discounts on gym memberships and fitness classes.
Additional Benefits
In addition to comprehensive coverage, access to top-rated providers, and affordable premium rates, Atrio Health Plans also offers many additional benefits, depending on the plan. Some plans may offer dental and vision coverage, transportation to medical appointments, and even a 24/7 nurse hotline.
Atrio Health Plans is a great choice for individuals who want comprehensive coverage, access to top-rated providers, and affordable premium rates. With Atrio Health Plans, you can have peace of mind knowing that you have access to high-quality healthcare services when you need them.
How to Enroll in Atrio Health Plans
If you’re looking for a comprehensive and affordable health insurance plan, Atrio Health Plans is an excellent choice. With a range of Medicare Advantage and commercial plans to choose from, you’re sure to find a plan that suits your healthcare needs and budget.
Eligibility Requirements for Atrio Health Plans
Before you sign up for Atrio Health Plans, it’s important to make sure you’re eligible for coverage. To enroll in an Atrio Health Plans Medicare Advantage plan, you must be:
- Eligible for Medicare Part A and Part B
- Living in the Atrio Health Plans service area
- Not currently enrolled in a Medicare Advantage or Medicare Supplement plan
If you’re interested in an Atrio Health Plans commercial plan, eligibility requirements may vary. Contact Atrio Health Plans for more information.
Enrollment Periods for Atrio Health Plans
If you meet the eligibility requirements for Atrio Health Plans, the next step is to enroll in a plan. Atrio Health Plans offers several enrollment periods throughout the year to make it easy for you to sign up.
For Medicare Advantage plans, you can enroll during the Annual Enrollment Period (AEP), which runs from October 15 to December 7 each year. During the AEP, you can switch from your current Medicare Advantage plan to an Atrio Health Plans Medicare Advantage plan or enroll in a plan for the first time.
If you’re new to Medicare, you have an Initial Enrollment Period (IEP) to sign up for an Atrio Health Plans Medicare Advantage plan. Your IEP is a seven-month period that begins three months before your 65th birthday, includes your birth month, and ends three months after your birthday month.
In addition to the AEP and IEP, Atrio Health Plans offers a Special Enrollment Period (SEP) for certain qualifying events, such as moving to a new area, losing employer health coverage, or qualifying for Medicaid.
How to Enroll in Atrio Health Plans
Enrolling in Atrio Health Plans is easy. You can enroll online, over the phone, or by mail.
To enroll online, simply visit the Atrio Health Plans website and follow the step-by-step instructions. You’ll need to provide some basic information about yourself, such as your name, address, and Medicare number.
If you prefer to enroll over the phone, call the Atrio Health Plans customer service line and a representative will assist you with the enrollment process.
Finally, if you prefer to enroll by mail, you can download an enrollment form from the Atrio Health Plans website, fill it out, and mail it to the address provided on the form.
Enrolling in Atrio Health Plans is a simple and straightforward process. With a variety of plans to choose from and easy enrollment options, there’s no reason not to sign up for Atrio Health Plans today. Don’t wait until you need healthcare coverage – enroll now and enjoy peace of mind knowing you’re covered by one of the best health insurance providers in the industry.
Atrio Health Plans Provider Network
Atrio Health Plans partners with an extensive network of healthcare providers to ensure that its members have access to quality care. Here are some details about the Atrio Health Plans provider network:
Hospitals and Clinics
Atrio Health Plans partners with a wide range of hospitals and clinics, including some of the top-rated healthcare facilities in the area. Members have access to a range of services, including primary care, specialty care, imaging and diagnostic services, laboratory tests, and more. Some of the hospitals and clinics that are part of the Atrio Health Plans network include:
- Asante Rogue Regional Medical Center: Located in Medford, Oregon, Asante Rogue Regional Medical Center is a nationally recognized healthcare facility that offers a wide range of medical services. As part of the Atrio Health Plans network, members can access emergency services, surgical services, cardiac care, and more.
- Providence Medford Medical Center: Providence Medford Medical Center is a non-profit healthcare facility located in Medford, Oregon. It provides a range of services, including emergency care, behavioral health, maternity care, and more.
- Mercy Medical Center: Located in Roseburg, Oregon, Mercy Medical Center is a full-service hospital that offers a range of medical services, including emergency care, surgical services, rehabilitation, and more.
Specialists
Atrio Health Plans members have access to a broad range of specialists, including cardiologists, dermatologists, neurologists, and more. Specialist care is often essential for managing chronic conditions or complex illnesses. Some of the specialists that are part of the Atrio Health Plans network include:
- Advanced Pain Management: Advanced Pain Management is a clinic located in Medford, Oregon that specializes in pain management. The clinic offers a range of services, including injections, nerve blocks, and medication management.
- Southern Oregon Cardiology: Southern Oregon Cardiology is a medical practice located in Medford, Oregon that offers a range of cardiovascular services. The clinic has a team of experienced cardiologists who provide care for conditions such as heart disease, heart failure, and arrhythmia.
- Cascade Eye Center: Cascade Eye Center is an ophthalmology clinic located in Medford, Oregon that specializes in the treatment of eye diseases and conditions. The clinic offers a range of services, including cataract surgery, LASIK, and glaucoma treatment.
Other Providers
Atrio Health Plans also partners with a range of other healthcare providers, including pharmacies and home health agencies. These providers offer essential services and support for managing a range of health conditions. Some of the other providers that are part of the Atrio Health Plans network include:
- Bi-Mart Pharmacy: Bi-Mart Pharmacy is a chain of pharmacies located throughout Oregon that offers prescription filling, medication counseling, and other services.
- Providence Home Health: Providence Home Health provides home-based healthcare services to patients who are recovering from illnesses or injuries. The agency offers a range of services, including nursing care, physical therapy, and occupational therapy.
The Atrio Health Plans provider network is designed to provide members with access to high-quality healthcare services. Members can choose from a wide range of healthcare providers, including hospitals, clinics, specialists, pharmacies, and home health agencies. This ensures that members can receive the care they need when they need it, no matter where they are located.
Frequently Asked Questions about Atrio Health Plans
If you are considering Atrio Health Plans for your health insurance needs, you may have questions about enrollment, coverage, and more. Here are some frequently asked questions about Atrio Health Plans to help you better understand how the plan works.
How do I find a provider who accepts Atrio Health Plans?
Atrio Health Plans partners with a wide range of healthcare providers, including doctors, specialists, clinics, and hospitals. You can use the provider directory on the Atrio Health Plans website to search for providers by name, location, specialty, or type of service. You can also call the customer service number on your Atrio Health Plans ID card for assistance finding a provider.
What types of services are covered by Atrio Health Plans?
Atrio Health Plans offers a comprehensive range of services, including preventive care, routine doctor visits, hospital care, surgery, laboratory tests, and more. The specific services that are covered depend on the plan you choose. Atrio Health Plans offers multiple Medicare Advantage plans and commercial plans, each with different benefits and levels of coverage.
How do I file a claim with Atrio Health Plans?
If you receive medical services from a provider who accepts Atrio Health Plans, they will submit claims on your behalf. If you receive services from a provider who does not accept Atrio Health Plans, you may need to submit a claim yourself. You can download claim forms from the Atrio Health Plans website or contact customer service for assistance.
How do I access prescription drug coverage with Atrio Health Plans?
Atrio Health Plans offers prescription drug coverage as part of its Medicare Advantage plans and some commercial plans. You can search the Atrio Health Plans drug formulary on the website to see which medications are covered. When you visit a pharmacy, present your Atrio Health Plans ID card to show that you have prescription drug coverage.
What are the enrollment periods for Atrio Health Plans?
For Medicare Advantage plans, the annual enrollment period is from October 15 to December 7 each year. You can also enroll in a Medicare Advantage plan during the open enrollment period from January 1 to March 31 each year, although there are restrictions on the types of changes you can make. For commercial plans, enrollment periods vary depending on the plan.
How do I get assistance with questions or issues related to my Atrio Health Plans coverage?
If you have questions or need assistance with your Atrio Health Plans coverage, you can contact customer service by phone or email. The customer service number and email address are listed on your Atrio Health Plans ID card. Customer service representatives are available to assist you with questions about coverage, claims, enrollment, and more.
Conclusion
In conclusion, Atrio Health Plans is a health insurance company that offers a wide range of health plans for its members. With its comprehensive coverage, Atrio ensures its members are armed with the coverage needed to stay healthy and avoid costly medical bills.
Through its innovative health plans and partnership with leading healthcare providers, Atrio has become a trusted and respected name in the health insurance industry. With its commitment to providing its members with quality healthcare services and support, Atrio is poised to become a leading provider of healthcare coverage across the United States.
Whether you are someone in need of individual health coverage or a business owner seeking group coverage for your employees, Atrio Health Plans has the insurance plan to fit your unique needs. Its team of caring professionals is always available to answer any questions and provide assistance when needed.
When it comes to choosing the right health insurance provider, Atrio Health Plans should be at the top of your list. With its outstanding coverage, affordable rates, and exceptional customer service, Atrio is the clear choice for those seeking to protect their health and financial well-being.
In short, Atrio Health Plans is an excellent choice for anyone looking for top-notch health insurance coverage. With a focus on quality and affordability, Atrio stands out as a leading provider of health insurance services, offering comprehensive coverage for individuals, families, and businesses of all sizes. So why wait? Contact them today and experience the peace of mind that comes with knowing you are protected by Atrio Health Plans.