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An Out-of-Area Network for Health Plan Members
PHCS Healthy Directions eliminates the need for HMO, PPO and POS plans to
pay full charges for services when their members travel or attend school outside the
service area and offers access to nearly 450,000 providers and over 4,000 facilities
nationwide.
With PHCS Healthy Directions, you can lower your health care claims costs
by actively directing eligible members to participating providers while taking advantage
of the best savings in the industry. Members get increased peace of mind, knowing that
they can receive medical care nationwide from providers and hospitals that have met PHCS
rigorous credentialing standards.
Customer Benefits
- Allows customers to provide seamless access to health care through a high quality
nationwide provider network
- Provides streamlined customer service through a dedicated account manager who is
the single PHCS point of contact
- Utilizes services that are compliant with the highly complex legal and regulatory
requirements that govern managed care
- Lowers health care costs by applying PHCS provider and facility rates for medical
services
- Achieves operational efficiencies through PHCS pricing out-of-area claims
Member Benefits
- Offers members the freedom to choose providers from within a national network
- May lower out-of-pocket costs for members who use providers participating in the
PHCS Network
- Increases peace of mind by allowing members to access providers who have met
PHCS rigorous credentialing standards
- Offers ease of provider selection through a toll-free Customer Service phone
number on members' ID cards, provider directories and the PHCS website
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