Make the most of your health plan benefits
The following tips can help you save when you receive care:
Tip 1: Use your preventive care benefits; certain services are covered in full.
Your plan covers certain preventive services in full when received from an in-network provider.
Tip 2: Choose in-network providers and participating pharmacies.
Refer to the online provider directory to locate in-network providers and participating pharmacies.
Tip 3: Choose generic medications, use a mail-order pharmacy and have certain medications prior authorized.
Purchase up to a 90-day supply of maintenance drugs using a participating mail-order or preferred retail pharmacy. Not all prescriptions are considered maintenance medications, including compounded drugs, drugs from specialty pharmacies and oncology drugs.
Tip 4: Know what services need to be authorized before you receive care.
Certain services must be prior authorized by Providence Health Plan. Refer to your member materials to learn more about prior authorization.