During open enrollment season, a time when you may be choosing your health plan and primary care physician, we want to make sure you have the facts regarding your choices.
When you enroll with GNP as your medical group, you have the option of choosing Hoag as your hospital network, or you may choose MemorialCare, which is a full-service healthcare provider that includes four award winning hospitals, including a dedicated children’s hospital, and a vast network of high-quality, convenient community-based locations for urgent care, breast care, imaging, surgery, physical therapy, and dialysis centers.
Click here for a map and listing of locations near you.
Greater Newport Physicians is an Independent Practice Association (IPA), with approximately 900 primary care and specialty physicians. The primary care physicians have combined more than 1,800 years of experience.
Greater Newport Physicians is consistently rated as one of the top medical groups in the state for quality-of-care, access, and patient experience.
If you have any questions about access to care, please call us at (800) 553-6537 or call your GNP primary care physician.
FAQs
No, this is not true. The truth is that if your plan is contracted with Hoag, you will continue to have access as a GNP member to many services at Hoag. These services include emergency room care, inpatient care, surgeries, deliveries/maternity care, and certain elective outpatient services directed by your specialist. We recommend that you keep your GNP physician for the continuity and quality of care you have always had with us. Your PCP knows you and your medical/family history, and he or she can best help you navigate your healthcare. The primary care physician-patient relationship is critical to ensuring your health and wellness goals are met.
If your plan is contracted with Hoag, you will continue as a GNP member to have access to Hoag facilities even after December 31st, 2022. These services include emergency room care, inpatient care, surgeries, deliveries/maternity care, and certain elective outpatient services directed by your specialist. Your health plan/insurance company determines where you receive your care for these services. The following major health plans have confirmed that Hoag is remaining in network for GNP patients:
- Aetna
- Anthem
- Blue Shield
- Cigna
- HealthNet
- SCAN
- UnitedHealthcare
Beginning in 2023, GNP members will no longer be able to access outpatient lab, physical therapy, imaging/mammography, radiation oncology and other outpatient testing at Hoag facilities. Also, Hoag urgent care centers will not be in-network. Instead, GNP patients will receive these types of outpatient services from other leading providers. These include facilities that are affiliated with MemorialCare. MemorialCare maintains a robust network of high quality and conveniently located facilities that are available and accessible to meet your needs. For some time, GNP has been transitioning these outpatient services to ambulatory facilities like MemorialCare’s. They offer the same high level of care, on a timelier and more convenient basis. In addition, they are offered at a much lower cost than in the hospital setting (which directly impacts your premiums).
We want to reassure you that GNP will continue to honor current referrals if you are in the middle of active care. After you complete your current episode of care, you may be eligible to receive care at Hoag under your plan’s continuity of care guidelines, or until it is otherwise safe to transfer your care to another facility. Patients who are in between episodes of care may require a new referral. GNP will continue to review any request to start a new episode of care on a case-by-case basis. GNP patients can receive care at MemorialCare, a leading integrated health system with nationally recognized providers, including in radiation therapy.
In many cases, you may already be receiving these types of services in community outpatient facilities, rather than a hospital setting. If so, these services will continue to be provided at the community facility without change or interruption.
No. If you choose to switch to a physician in Hoag’s network, you will no longer have in-network access to your GNP physician. We recommend that you keep your GNP physician for the continuity and quality of care you have always had with us. Your PCP knows you and your medical/family history, and he or she can best help you navigate your healthcare. The primary care physician-patient relationship is critical to ensuring your health and wellness goals are met.
Yes, as GNP contracts directly with specialists, including Hoag-based specialists. The contracts between GNP and its specialist network are not affected by the expiration of the agreement with Hoag. Therefore, we expect that GNP members will continue to have access to their current specialists.
We recommend that you keep your GNP physician for the continuity and quality of care you have always had with us. Your PCP knows you and your medical/family history, and he or she can best help you navigate your healthcare. The primary care physician-patient relationship is critical to ensuring your health and wellness goals are met.
GNP is consistently rated as one of the top medical groups in the state and regularly receives high ratings for overall patient experience. As a regional leader in healthcare, GNP has a 37-year history of providing high quality patient care and convenient access, and GNP physicians are some of the best in the region.
Most PPO patients will not experience any changes. The expiration of the GNP-Hoag contract only impacts certain outpatient services for GNP patients who have an HMO or Medicare Advantage plan. However, we encourage PPO patients who are in Accountable Care Organizations (ACOs) to confirm with their health plan if Hoag is part of their network. Other PPO patients will continue to have the same access that they do now to physicians and to hospitals for inpatient and outpatient services.
Questions? Call us at 1-800-553-6537.