Our provider directory helps you to find a doctor or a facility in your network. Please be aware that this information is updated on a regular basis. To be certain a doctor is participating, ask the office staff prior to receiving care, or call the PHP Customer Service Department. Always show your ID card at each visit.
If your card has the PHP logo in the upper left corner, Physicians Health Plan is your healthcare insurance company.
If your card has your employer/company name in the upper left corner, Physicians Health Plan is not your healthcare insurance company. Your employer has a self-funded health plan and is financially responsible for payment of your benefits and determines what services are covered and at what benefit level. They have selected PHP TPA Services, a Third Party Administrator and a subsidiary of Physicians Health Plan, Inc., to manage and process medical claims on their behalf. Provider network participation may vary. Please refer to your Summary Plan Description or contact PHP's Customer Service Department for details.
A referral to a non-participating doctor may be obtained if a uniquely specialized procedure is medically necessary and not performed by any participating doctors. This process must be requested by your participating doctor and approved by PHP, in writing, prior to receiving the services.
PHP's definition of an emergency allows coverage for emergency room services that a reasonable person would consider dangerous to the patient's life or health. If a life-threatening medical condition occurs, call 911 or your local emergency service. If a non-life-threatening emergency occurs, contact your doctor for direction.
It is a good idea to discuss with your doctor what to do in the event of an urgent medical situation before it happens.
Explanation of Benefits
Maybe you've received an Explanation of Benefits (E.O.B.) in the mail and are wondering how to interpret it. Don't worry - Kim also received an E.O.B. after a trip to the ER and it was really helpful. It's a simple explanation of the services you received and how much PHP covers.
Simply show your PHP ID card at one or more of the following organizations and receive a variety of special discounts just for being a PHP member. That's PHP Easy!
- Snap Fitness
- Honeywell Center
- Spiece Fitness
- Bussick Orthodontics
- Eastlake Athletic Clubs