Please be invited to share your thoughts on Nomi by May 9. There are five questions and only one requires a response. Your contribution will help inform next steps, if any. Additional information on Nomi is on the “Share your thoughts” page and some information is duplicated below.
Nomi Information
What is Nomi? How would work with ASR and our existing healthcare network?
Nomi’s Direct Network ensures that providers are paid quickly and in full so that employers can offer a rich health benefit that employees can use. Since providers are guaranteed to be paid in full in a short period of time, they are willing to reduce the overall cost of care, benefiting employees and employers. You could still use a provider not in the Nomi network, which would mean that the current copays, coinsurance, and deductibles would still apply, just as you experience them today. Current day “in-network” would separate into Tier 1 (Nomi) and Tier 2 (in-network, non-Nomi). Current day “out-of-network” would be renamed “Tier 3.”
| Benefits Summary | Tier 1 Nomi | Tier 2 Black Plan | Tier 2 Orange Plan | Tier 3 Black Plan | Tier 3 Orange Plan |
|---|---|---|---|---|---|
| Deductible (Single/Family) | $0/$0 | $1,000/ $2,000 | $0/$0 | $1,500/ $3,000 | $500/ $1,000 |
| Outpatient Co-insurance | 0% | 10% | 0% | 30% | 20% |
| Inpatient Co-insurance | 0% | 10% | 0% | 30% | 20% |
| Coinsurance OOP Max (Single/Family) | $0/$0 | $6,000/ $12,000 | $6,000/ $12,000 | N/A | N/A |
| Preventative Care | $0 | $0 | $0 | 30% | 20% |
| Office Visit Copay | $0 | $25 | $10 | 30% | 20% |
| Urgent Care | Same as Network In/Out | $50 | $20 | 30% | 20% |
| ER Copay waived if admitted | Same as Network In/Out | $150 | $150 | $150 | $150 |
| Current network, without Nomi | N/A | In-network | In-network | Out-of-Network | Out-of-Network |
How can I learn if my provider is already part of the Nomi network?
Nomi has approximately 20,000 providers in network with more being added regularly.
Use sample group ID MNCL1 to search the current directory at https://www.nomihealth.com/provider-search.
Tier 1 common local providers
Bronson Battle Creek Hospital
Bronson Lakeview Hospital
Bronson Methodist Hospital
Mercy Health St. Mary’s
University of Michigan Ann Arbor
University of Michigan Health System
Tier 2* common local providers
Borgess Hospital
Bronson at Home
Corewell Health Grand Rapids Hospital
Hospice of Greater Kalamazoo
Indiana Center for Recovery South Bend
Kalamazoo Endo Center
Life EMS of Kalamazoo
Mary Free Bed Rehabilitation Hospital
Northwestern Memorial Healthcare
Optimed Infusion Services
Pine Rest Christian Mential Health Services
Surgery Center of Kalamazoo
Woodbridge Center
*All in-network providers through ASR/HAP/Physicians Network not listed in Tier 1
Tier 3
All out-of-network providers from ASR/HAP/Physician’s Network
How would mental health care though BHS and Nomi work together?
Copays for mental health services would reduce to zero ($0) for BHS providers.