Direct Contracting

Direct Contracting for Imaging Services

Effective September 1, 2023 the District contracted directly with RadNet and CMI Radiology Group to provide our members with a discount to our health plan.  While the Health Plan’s existing list of available imaging providers has not changed, Direct Contracting allows members and their dependents to receive imaging services at NO COST while the District’s Health Plan will save money with discounted rates by contracting directly with these providers.


What does this mean for you?  

 

  • When using these Direct Contract imaging providers, benefitted employees and their dependents will have their copays/deductibles and pre-authorizations waived on the services received from these providers.  
  • All employees covered under our health plan receive a Direct Contracting ID card in the mail.
  • When utilizing a Direct Contracted provider, members must present their Direct Contracting ID card (in lieu of their Blue Shield ID Card) to receive the waived copay/deductible and waived pre-authorization benefit.  
    • If the Blue Shield ID Card is presented instead of the Direct Contracting card members will not receive the benefit of having a waived copay/deductible and waived pre-authorization. 
  • Digital Direct Contracting ID Cards are also available through the myHNAS online portal or mobile application. See flyer under "Resources" for additional instructions.

 

What locations are included in the Direct Contract? 


RadNet Locations:CMI Radiology Group Locations:


Fresno Imaging Center

6191 N. Thesta Street

Fresno, CA 93710

Advanced Medical Imaging - Magnolia

570 N Magnolia Ave #103

Clovis, CA 93611

WISH Fresno Breast Center

6107 N. Fresno Street, #101

Fresno, CA 93710


Advanced Medical Imaging – Northpointe

6771 N Palm Ave,

Fresno, CA 93704

(Women’s Center)

Sierra Medical Imaging

231 Fir Avenue

Clovis, CA 93611


California Imaging Institute

1867 E Fir Ave # 101,

Fresno, CA 93720


Valley Metabolic Advanced Imaging

6191 N. Thesta Street

Fresno, CA 93710

Advanced Medical Imaging - Clovis

729 Medical Center Dr W #109

Clovis, CA 93611


Can I still use imaging providers outside of those we are directly contracted with?  

 

Yes!  There has been NO change to the district’s current plan.  All existing Tandem PPO network providers are still available to utilize but members will only receive the waived copay/deductible and pre-authorization benefit when utilizing a Direct Contracted provider.  


What if CUSD is not my primary insurance? 

 

If a member has dual coverage and CUSD does not serve as the primary insurance (e.g., Medicare or a dual covered spouse with employer serving as primary) the member should continue to use primary coverage and present the Direct Contracting ID Card to be used as secondary coverage for imaging services. When providing the Direct Contracting ID Card, members will benefit from the overall cost savings to our CUSD Health Plan.  

 

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