What is the difference between participating provider benefits and non-participating provider benefits?
Members who elect to use a non-participating provider must pay the provider in full at the time of service and submit a claim to Avesis for reimbursement. Reimbursement levels are in accordance with the non-participating reimbursement schedule listed on your benefit summary. Non-participating benefits are subject to the same eligibility, availability, frequency of benefits, and limitation and exclusion provisions of the plan.
