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Medical Drug Benefit Prior Authorization List

November 30, 2018

For Providence OHP and commercial plan members. View a list of drugs administered under the medical benefit that require prior authorization. 

Experimental and Investigational Noncovered Services

November 30, 2018

Experimental/investigational services are those we determine not to be medically necessary or accepted medical practice in the service area. This includes services performed for research purposes. 

Transition of care request packet

November 27, 2018

We are happy that you chosen Providence Health Plan as your health plan. Use this packet to understand the process of transitioning your care, and use the included forms to submit your transition request.

2019 producer compensation plan for commercial business

November 27, 2018

Get the details on the producer compensation plan for individual and family plan business effective January 1, 2019.

2019 producer compensation plan for commercial business

November 27, 2018

Get the details on the producer compensation plan for fully insured commercial business effective January 1, 2019.

Providence Choice Medical Home Selection Form (non-PEBB Plans)

October 29, 2018
To maximize the benefits and value of your medical home plan, please designate a medical home provider for yourself and each enrolled dependent. 

Coverage of ACA Preventive Prescription Medications

October 08, 2018
Providence Health Plan, in accordance with The Patient Protection and Affordable Care Act (PPACA), provides coverage of the following preventive medication categories without imposing a copayment, coinsurance, or deductible. Coverage of these medications, including over-the-counter (OTC) medications, requires a prescription from a licensed health care provider. Not all medications are covered in full under these categories and may be subject to medical management techniques to determine frequency, method, treatment, setting or medical necessity for non-formulary medications.

HealthEquity HSA and HRA standard new business notification form

October 08, 2018

Use this form is you're a new business with an HRA or HSA Providence Health Plan. Once they receive the form, HealthEquity will get in touch to discuss the steps to implement your new plan.

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