HealthChoice Select is a program designed to reduce the costs of select services by contracting with select medical facilities to provide these services and bill HealthChoice for a single amount for all costs associated with the service on the date the surgery or procedure is performed.
HealthChoice would like your facility to be part of the HealthChoice Select program.
The HealthChoice Select program continues to increase the services covered under the program to include more of those with reasonably controllable cost variances, high consumer demand, and market growth.
Advantages of participating in the HealthChoice Select program include:
- Procedures covered at 100 percent of Allowable Fees*;
- No copays, coinsurance and/or deductibles to collect*;
- Approximately 170,000 HealthChoice members in or near Oklahoma;
- Potential to increase patient volume;
- Dedicated provider directory on HealthChoice website; and
- Targeted marketing to HealthChoice members
*Members of the High Deductible Health Plan must meet their deductible before any benefits, other than for preventive services, are paid by the Plan.
Colonoscopies and sigmoidoscopies performed on or after Jan. 1, 2016, are covered under the program. To encourage members to participate in HealthChoice Select for these services, HealthChoice provides a $100 incentive payment to members.
Members can now contact a referral coordinator who is proactively assigned to a member under the active redirection process. The HealthChoice Select referral coordinator utilizes the Leading Reach Referral Application. Leading Reach allows referring physicians to send relevant information at the point of referral through branded emails while at the same time notify the referred-to clinic that a referral has been initiated.
For a list of services and procedures covered under HealthChoice Select, providers can log in and access the Select fee schedule using the “HealthChoice Select Fee Schedule” link below. Providers can also access a list of services and procedures through the “Provider Search” by using the “Search for Providers Participating in HealthChoice Select” link below. Be aware that participating facilities are not required to provide all of the services covered under the program. Facilities can choose any combination of services and opt-in or opt-out at any time, according to existing contract notification provisions.
Select the link below for a full list of the services available under HealthChoice Select. Be aware that participating facilities are not required to provide all of the services covered under the program. Facilities can choose any combination of services and opt-in or opt-out at any time, according to existing contract notification provisions.
Below is a full color flier detailing pertinent information regarding HealthChoice Select. This flier contains valuable details and contact information for office staff. HealthChoice encourages providers to display the flier in staff offices.
To participate in HealthChoice Select, facilities must agree to and sign the contract amendment listed below for each location choosing to participate. Network management will provide the Attachment A with applicable services upon request.
For more information about participating in HealthChoice Select, please contact network management by calling 1-405-717-8790 or toll-free 1-844-804-2642 or by emailing EGID.NetworkManagement@omes.ok.gov.
Detailed information regarding Select types of procedures and fee schedules
HealthChoice Select Fee Schedule
Frequently Asked Questions
Search for Providers Participating in HealthChoice Select
HealthChoice Select Program flier
Facility Steps for Redirection
Select Mammography and Associated Services
HealthChoice Select e-ticket
HealthChoice Radiology and Sleep Study Facility Contract and First Amendment Select Amendment
HealthChoice Independent Diagnostic Testing Facility Amendment
HealthChoice Select Facility Amendment
HealthChoice Select Network Ambulatory Surgery Center Amendment