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.
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PHP is proud to offer a wide variety of insurance products, including Group Health plans, Self-Funded plans, FSAs and HRAs, Dental and Vision plans, Prescription programs, and Life and…
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At PHP, we understand that health insurance can be complicated. We want to help make it easy...PHP easy! Use our helpful glossary of terms to gain basic understanding of what various…
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At PHP, we want to provide you with the highest quality of healthcare coverage. If you have concerns about your coverage, or questions regarding a claim payment, a grievance procedure has been established that allows you to request a reconsideration of any decision that you disagree with. To begin the process, please complete and return the Appeal Filing Form (included with every Explanation of Benefits) or call the Grievance and Appeal coordinator stating your question or concern. We will assist you in any way we can.
Grievance Appeal Coordinator
1-800-982-6257, ext. 361
custsvc@phpni.com
For questions about your rights or for assistance if your coverage is a group health plan through your employer, you can also contact:
Employee Benefits Security Administration
1-866-444-EBSA (3272)
Indiana's Department of Insurance
www.in.gov/idoi
Ohio's Department of Insurance
www.insurance.ohio.gov
Additionally, a consumer assistance program can help you file your appeal. Click here for a list of all state's agencies.
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We can't seem to find your Plan Finder results at the moment, but we're doing everything we can to track them down. In the meantime, feel free to contact a PHP customer support representative…
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