Effective May 2013 - El Paso First Health Plans, inc.
Effective May 2013 - El Paso First Health Plans, inc.
Effective May 2013 - El Paso First Health Plans, inc.
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For members residing<br />
outside <strong>El</strong> <strong>Paso</strong>’s network<br />
service region:<br />
• The PHCS logo is placed on<br />
the front of the card, and the<br />
Multiplan logo will be placed<br />
on the back of the card<br />
• Language requested (on back<br />
of card): To locate PHCS provider,<br />
please contact 800-922-<br />
4362 or multiplan.com<br />
BENEFITS VERIFICATION<br />
Your benefits may be verified by calling the Customer Service Helpline at 915-532-3778 or 1-877-532-3778<br />
(if outside the calling area). <strong>El</strong>igibility, benefits, deductibles, coinsurance, co-payments and a listing of network<br />
providers may be obtained by calling this number.<br />
Member benefits may also be verified by logging on to www.preferredadmin.net. Simply click on “Members”<br />
and follow the web instructions to obtain the requested information. You will have the ability to set up a<br />
unique password online to access provider information and verify your personal claims information.<br />
NIGHT CLINICS<br />
Night clinics are a safe alternative to emergency rooms for night time illnesses and injuries. You will receive fast,<br />
friendly, quality care without the wait of a long ER visit. There are eight convenient locations that open at 6 p.m.<br />
nightly, 7 days a week. No appointment is necessary.<br />
ADDITIONAL MEDICAL SERVICES<br />
SPECIALTY PHYSICIAN CARE:<br />
You may select and visit a specialty physician in this directory without a referral or authorization from<br />
Preferred Administrators or your PCP. If you should have any special health care needs, a Customer Service<br />
Representative will help you select a provider to accommodate your specific needs.<br />
BEHAVIORAL HEALTH CARE:<br />
You can receive Employee Assistance Program (EAP) services that <strong>inc</strong>lude, but are not limited to, mental health<br />
and substance abuse services from Preferred Administrators. For a list of services offered, contact Preferred<br />
Administrators at 915-532-3778 or 1-877-532-3778 (if outside the calling area). Members must contact<br />
Preferred Administrators to access these services by calling 915-532-3778 or 1-877-532-3778 (if outside<br />
the calling area). Participating behavioral health care providers are listed in the back of this directory.<br />
PHARMACY:<br />
Preferred Administrators also <strong>inc</strong>ludes a prescription drug benefit. Prescription drugs are covered by Preferred<br />
Administrators through Optum Rx. You will be responsible for paying a co-payment for prescribed medications.<br />
These co-payment amounts are listed on the front of your <strong>Health</strong> Insurance Identification Card and will vary<br />
according to the type of medication you are prescribed. Please refer to your plan document for a description of<br />
prescription coverage. In addition to utilizing University Medical Center of <strong>El</strong> <strong>Paso</strong> pharmacies, you can take<br />
your prescriptions to any pharmacy participating in the network. Participating pharmacies are listed in the back<br />
of this directory.<br />
ii<br />
Customer Service Helpline<br />
915-532-3778 or 1-877-532-3778