Introducing Coupe Health — quality care with clear pricing and no upfront payments

• Coupe Health offers a unique plan starting January 2025 with upfront service pricing and zero‑interest installments.
• Providers receive full contracted rates without needing to collect payments directly from patients.
• Members identify with co‑branded ID cards, and claims processing remains consistent with existing procedures.

Beginning in January 2025, we are partnering with Coupe Health to offer members an alternative health plan that provides price certainty, easy access to quality care, and a seamless user experience.

With Coupe Health, members know the price of medical services upfront and can pay for their care in zero‑interest installments. They pay nothing at the time of service and receive a single statement at the end of the month for all covered services.

Care providers are paid their contracted rate in full — without any deduction for patient responsibility. This means you can focus on providing care to your patients without the need to collect payments or track down debt.

How does Coupe Health work?

• Same quality network: Your patients can access our BlueCard® PPO Network.
• Price certainty: Your patients will know the cost of all covered medical services and will pay $0 upon their visit.
• Focus on care: You’ll be paid your contracted rate in full — allowing you and your staff to focus on patient care, not payment collection.

How do I know if my patient has a Coupe Health medical plan or is eligible for one?

Members with a Coupe Health medical plan will have a co‑branded ID card — Our logo will be in the top‑left corner, and the Coupe Health logo will be in the top‑right corner:

• Our PPO (or Select) will be the network listed on the card.
• Coupe Health plans will be available in select states beginning in January 2025, through a member’s employer.

Is there a different process for filing claims?

• No. Coupe Health claims are processed as our claims, and you will use the same prefix on your patient’s member ID card and our same payer ID.
• Some members may opt into a Coupe Health plan that requires them to pay at the time of service. This will be reflected in the EDI inquiry file.

Coupe Health will be available to select individual and family plan members beginning in January 2025. For more information, visit https://www.coupehealth.com/providers/ or contact your Provider Services representative.

We are committed to helping patients more easily access the care they need.