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Partnership PPO Provider Directory - Preferred Health Plan

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Welcome to <strong>Preferred</strong> <strong>Health</strong> <strong>Plan</strong>, Inc.!<br />

<strong>Preferred</strong> <strong>Health</strong> <strong>Plan</strong>, Inc. is a preferred provider organization (<strong>PPO</strong>), developed to provide you and your<br />

family with quality, cost-effective health care services through its network of health care providers. With<br />

<strong>Preferred</strong> <strong>Health</strong> <strong>Plan</strong>’s network, you may see the physician of your choice. When you utilize the services<br />

of a network provider, you maximize your benefits.<br />

Using the Network<br />

When making an appointment with a <strong>Preferred</strong> <strong>Health</strong> <strong>Plan</strong> network provider, always identify yourself as<br />

a member of the network, and verify your doctor’s continuing participation in it. At the time of your<br />

appointment, the physician’s office will verify your coverage by checking your identification card and/or<br />

by calling <strong>Preferred</strong> <strong>Health</strong> <strong>Plan</strong>. The physician’s office will then collect any applicable office visit<br />

copayment and will file your claim for you.<br />

Using this <strong>Directory</strong><br />

This directory includes a list of all network providers. The first list is sorted alphabetically by<br />

physician’s last name and includes ALL practice locations. The list reads left to right across the page.<br />

The second list is sorted alphabetically by Practice Specialty, then alphabetically by physician last name<br />

within each specialty.<br />

This directory is subject to change, so always confirm with the doctor’s office that your doctor is currently<br />

a network provider. When your doctor refers you to a specialist or hospital, make sure that the referral is<br />

to a <strong>Preferred</strong> <strong>Health</strong> <strong>Plan</strong>, Inc. network provider in order to minimize your out-of-pocket expense.<br />

To verify a physician or hospital’s participation in the network, you may also call <strong>Preferred</strong> <strong>Health</strong> <strong>Plan</strong>,<br />

Inc. at (502) 339-7500, or toll-free (800) 832-8212.<br />

Maximizing Your Benefits<br />

To maximize your benefits, choose a <strong>Preferred</strong> <strong>Health</strong> <strong>Plan</strong> network provider whenever possible. This<br />

can result in direct savings based on discounted rates negotiated with the participating providers. In<br />

addition, we suggest that you become familiar with your health plan and its pre-certification requirements,<br />

if any. Many plans include significant penalties for non-compliance with pre-certification procedures.<br />

Questions concerning your benefits and pre-certification requirements should be directed to your benefits<br />

manager.

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