CommercialCoverageMedium impact
New optional supplemental product offers member incentives for choosing top-performing providers
Priority Health·Provider News
Effective date
Jul 1, 2024
We identified it
Jun 23, 2026
Summary
A new optional supplemental product through Garner Health will reimburse member out-of-pocket costs when they choose 'Top Provider' designated physicians. This affects commercial group employers with a pilot starting July 1 and full rollout August 1.
Action Required
By July 1, 2024: Billing team should verify if practice providers are designated as Garner 'Top Providers' by checking Garner's website. Monitor patient eligibility for this supplemental product during registration. No billing code changes required as standard in-network billing applies.