2024 PHP Commercial New Member Guide

Prevea360.com/RightCare For more information, visit

Know the right care for your needs Where to go for care

Primary care provider (PCP) Health care is a personal experience. Your care team is committed to working with you to build a relationship of trust. Trust combined with their training and experience means you have true health advocates who care. Your care team: • Consists of your primary care providers • Provides care for a wide range of preventive and long-term health care • Helps you stay healthier with regular visits, immunizations and screenings • Handles your immediate care needs • Coordinates needed specialist care • Coordinates your health care with other medical experts Visit Prevea360.com/Doctors to search our online provider directory for an available primary care provider. Filter your search to only see providers in your network. Then select a provider to learn about his or her education, specialty, certification and more. Coordinated care We are part of an Integrated Delivery Network (IDN) with Prevea Health. That means physicians, hospitals, a health plan, and pharmacy care work together to reduce health care costs, improve quality and deliver a better member and patient experience. In-network provider Access a network of facilities, providers, and suppliers that provide health care services at negotiated rates. By staying in your plan’s network for your care, you’ll likely pay less in overall costs. Out-of-network provider A provider or facility with no contract with your health plan can charge you full price for any health care services received.

Too sick or unable to drive to the doctor? Fill out an online questionnaire, receive a written diagnosis, treatment, and a prescription. Lowest cost option: $

Virtual Care

Wish to see your provider for care? Schedule an appointment at your primary care clinic. Same-day appointments are usually available. In-person treatments and annual checkups.

Primary Care

Primary care clinic full or closed? Visit your nearest Urgent Care facility.

Urgent Care

Life-threatening illness or injury? Go to the nearest emergency room or call 911. Heart attack, stroke, head injury, severe pain. Greatest cost option: $$$

Emergency Care

Unsure of the type of care you need? Call the Prevea Care After Hours at 1 (888) 277-3832 (TTY: 711) for support 24/7/365.

Visit Prevea360.com to find information on your benefits | 11

10 | 2024 Group Member Guide

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