How to Obtain Health Care Services

Follow this simple 5 step process to obtain services.
For further instructions, refer to additional information posted further down on this page.

• Verify your eligibility and coverage before you receive services.
• Check the Preferred Choices PPO directory to select a participating provider.
  (Note: you can use our on-line directory or a printed copy)
• Verify that your provider participates with Preferred Choices PPO.
• Present your PPO ID card at the provider's office (displaying the Preferred Choices PPO logo).
• Verify that your provider's office will forward any claims to the address listed on your PPO ID card.

If you need assistance or have any questions about the Preferred Choices PPO provider network, contact our Customer Services department at 1-800-992-6837.

Verify Your Eligibility And Coverage Before You Receive Services

It is important that you understand your health care benefits and coverage levels are determined by your benefit plan. Preferred Choices PPO is a provider network and not an insurance company. Therefore, we are not involved with determining your eligibility, benefits or coverage levels. Please check with your Benefit Plan Administrator regarding eligibility, benefits, or coverage level information; their phone number is located on your medical benefit card.

Preferred Choices PPO Customer Service

The Preferred Choices PPO Customer Service department can help you with participating provider information. If you have any questions about our network, please call our Customer Service department at 1-800-992-6837.

How to Verify Your Provider Participates With Preferred Choices PPO

The provider directory is as complete as reasonably possible at the time of posting; however, provider information does occasionally change. Since some providers listed in the directory may no longer participate in the Preferred Choices PPO network or are practicing at another location at the time you refer to the listing, it is essential that you verify your provider's participation in the Preferred Choices PPO network before you receive services.

Please note:

• It is important to ask if the provider: participates with Preferred Choices PPO rather than ask if the provider accepts Preferred Choices PPO.
• A provider may be willing to accept Preferred Choices PPO which could mean that the provider is simply willing to care for you even though the provider does not participate in Preferred Choices PPO.
• Your Benefit Plan Administrator will consider the health care claims from a non-participating provider as out-of-network and you will not get a reduction in your out-of-pocket expenses.
• Your chosen health care provider must participate in Preferred Choices PPO for you to have a reduction in your out-of-pocket expenses as defined by your benefit plan.

Important Reminder: It is your responsibility to check whether your physician, hospital or other health care provider is currently participating in the Preferred Choices PPO network before you seek health care services.

How To Obtain The Lowest Out-Of-Pocket Expenses For Services From Providers

For services from another type of health care provider such as a laboratory, radiology, or a medical supply company, please ask your physician to refer you to a participating Preferred Choices PPO network provider. These providers are listed in the Preferred Choices provider directory.

Providers May Practice At Several Locations

It is important that you know that some health care providers may practice at several locations and that the same providers may not participate in the Preferred Choices PPO provider network at all practice locations. In addition, not all physicians or other health care providers within a group practice participate in the Preferred Choices PPO provider network. Again, we encourage you to verify that the specific physician or other health care provider you choose participates with Preferred Choices PPO at your preferred location before you receive services.