How do I find a provider?
May 2, 2024
The best way to find a provider and make best use of your benefits is to contact our Care Coordination team.
Learn more about care coordination here.
Does your plan use a network?
Most Planstin-managed health plans do not use a provider network. Those that do, use PHCS to keep rates low while directing members to high-quality care.
If your health plan does use the PHCS network, you will not use the Care Coordination team. Rather, you can find a provider following the instructions below.
1.) Visit planstin.com/phcs
2.) Search for a provider
You can search by name, specialty, facility type, National Provider Identifier Number (NPI#), or license number.
Note: When selecting a provider, contact the provider’s office to verify that they are still in-network.
Learn More
- Looking for a dental provider? Start here.
- Do you have a Planstin-managed health plan? Does it require you to see in-network providers? If you are unsure, contact Member Services for help understanding your benefits details at 888-920-7526.
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It depends on how you enrolled. If you enrolled through Enrollment Manager, your benefit documents will be available there. Simply login using the same credentials you used when you enrolled. Access Plan Documents in Enrollment Manager 1. Login to Enrollment Manager 2. Click on “Documents” 3. Select the plan document you wish to view
Most Planstin-managed health plans do not use a provider network . That means you are free to work with any provider with out fear of any out-of-network penalties. Very few Planstin-managed health plans still use a provider network. In this case, your health plan uses the PHCS network of providers. Fair-priced healthcare & care coordination The majority of Planstin-managed health plans use an innovative healthcare pricing strategy called fair-priced healthcare. This strategy does not require the use of a provider network, and instead relies on a care coordination team to help you work with your provider, make appointments, and locate providers that work well with your benefits. To learn more about fair-priced healthcare, click here . To learn more about care coordination click here .
Preventive Core is a health plan that focuses on preventive care. This health plan meets ACA requirements for minimum essential coverage (otherwise known as MEC). Fair-priced healthcare This health plan uses an innovative healthcare pricing strategy called fair-priced healthcare. To learn more about fair-priced healthcare, click here . Care coordination Preventive Core health plans have no network restrictions and include care coordination services to help you make appointments and locate providers that work well with your benefits. To learn more about care coordination click here . To view information about your Preventive Core health plan, click here and select your specific plan name.