While every effort has been made to ensure accuracy of the provider look-up tool,
PEHP makes no warranty of the accuracy or completeness of the information provided.
Network providers are determined as of the date of service based on agreements with
PEHP. PEHP contracts with providers at specific practice locations. If a provider is
an in-network provider at one location does NOT guarantee that the provider is an
in-network provider for any other location. Using an in-network provider does NOT
guarantee benefits or preauthorization of benefits. Benefits are limited in defined
ways. PEHP’s payment is governed by the PEHP Master Policy. Please review your applicable
PEHP Master Policy for
specific coverage, limitations and exclusions. Providers contracting with PEHP are
independent contractors and not employees or agents of PEHP. Providers exercise
independent professional medical judgment in providing care and services to PEHP members.
PEHP specifically does not promise, represent, warrant, or otherwise guarantee that care
or services provided to PEHP members by providers will achieve any specific result, be
provided in any particular manner, or be provided at any level of care. PEHP members agree
that providers are solely responsible to members for services rendered. Certain providers
are not available for payment either in or out-of-network. Please review the “Non-Covered
Providers” list for a list of those providers.
While every effort has been made to ensure accuracy of the codes and treatments
on the “Compare Medical Costs” tool, PEHP makes no warranty of the accuracy or
completeness of the information provided. Common services and codes change from
time to time. PEHP’s tool is based on historical claims data and makes no warranty
about future services. Using the cost tool does NOT guarantee benefits or
preauthorization of benefits. It also does not guarantee the costs for particular
services will be the amount listed. Benefits are limited in defined ways. PEHP’s
payment is governed by the PEHP Master Policy and its provider agreements. Please
review your applicable PEHP Master Policy
for specific coverage, limitations and exclusions.
While every effort has been made to ensure accuracy of the prescription drugs,
dispensing amounts and uses on the “Compare Prescription Costs” tool, PEHP makes no
warranty of the accuracy or completeness of the information provided. Common
prescription drugs, dispensing amounts and uses change from time to time. PEHP’s
tool is based on historical prescription drug claims data and PEHP makes no warranty
about future prices or dispensing amounts of prescription drugs. Using the cost tool
does NOT guarantee benefits or preauthorization of benefits. It also does not
guarantee the costs for prescription drugs will be the amount listed. Benefits are
limited in defined ways, including application of PEHP preauthorization rules and step
therapy protocols, such as “dispense as written” penalties when a member obtains a
brand drug when a generic drug is available. PEHP’s payment for prescription drugs is
governed by the PEHP Master Policy and its pharmacy benefit manager and pharmacy
agreements. Please review your applicable PEHP Master Policy for specific coverage,
limitations and exclusions.
PEHP provides links to medical information that you can use
to discuss with your provider. PEHP provides such links to materials for
informational use only and does not provide medical advice, diagnosis or
treatment. PEHP does not endorse any products or services offered or
referenced on the linked site, the organizations sponsoring site, or any views
which might be expressed or referenced on the site. PEHP does not control
the content of the linked site, and PEHP’s privacy policies do not apply to
information you provide on that site. Your use of a linked site is at
your own risk and subject to the terms and conditions for that site.
Linked sites do not make decisions regarding your coverage or exclusions under
your PEHP plan. Use of information obtained from external web sites is
voluntary and should be independently verified.