General FAQs

How does Hudson Health Plan reimburse its providers?

Hudson Health Plan has a provider friendly approach, which includes reasonable rates and prompt turnaround of claims for authorized services. Generally, primary care is paid for by monthly capitation payments to participating pediatricians, internists, and family practice physicians. The capitation rate, which covers routine office visits, may vary according to age and sex of the enrollee. Primary care procedures and specialty services are reimbursed on a fee-for-service basis.