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Network Definitions

Emory's medical plans offer three network options for the Aetna POS, Aetna HDHP and BCBS-GA PPO plans. Aetna HRA plan does not have a core network but you receive a 10% discount if you use an Emory Provider.

Core Network

Core Network providers give you the maximum benefit available under the plan, with lower co-pays, co-insurance and deductibles.

Core Network hospitals include:

  • Emory Crawford Long Hospital
  • Emory University Hospital
  • Emory Johns Creek Hospital
  • Emory Eastside Medical Center
  • Emory Adventist Hospital
  • Children’s Healthcare of Atlanta (Egleston and Scottish Rite)
  • Wesley Woods Hospital
  • Northside Hospital (Johnson Ferry Road location only)
  • Newton Medical Center

Core Network physicians include:

  • Emory physicians
  • Other participating physicians as specified by each plan

To locate a participating Core physician or facility, contact the appropriate network:

Note: The Core Network does not apply to the Aetna HealthFund (HRA). However, you receive a 10% discount if you use an Emory provider.

In-Network

Providers that are part of the Aetna and/or the BCBS plan networks provide coverage at In-Network levels. The co-pays, co-insurance and deductibles are higher than with the Core Network.

To locate a participating physician or facility, contact the appropriate network:

  • Aetna POS/Aetna HDHP/Aetna HealthFund (HRA) — Go to www.aetna.com/docfind/ custom/emory or call 800-847-9026.
  • BCBS-GA PPO — Go to www.bcbsga.com/emory and select Find a Doctor, then select Emory BCBS-GA PPO for Emory Employees (In-Network). If you prefer, call 800-414-7977.

Out-of-Network

Providers that are not participating with either the Aetna POS, Aetna HDHP, Aetna HealthFund (HRA) or BCBS-GA PPO are considered Out-of-Network. The co-pays, co-insurance and deductibles are the highest, and the costs of services can be higher than Core and In-Network.

 

Emory HealthConnection is available to assist you in selecting the right Emory provider to meet your needs. Emory HealthConnection can be reached at www.emoryhealthcare.org or by calling 404-778-7777.

 

 
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