As healthcare gets costlier and more complex, carefully consider where and how you get care to maximize your PEHP benefits.
“Know Before You Go” — that means taking a few simple steps beforehand to assure you get the right care, at the best value, and avoid the nasty surprise of an unnecessary large bill.
» To help give you an idea of how much you may have to pay out-of-pocket for your treatment, see how much you've spent toward your yearly limits. Track your spending toward your deductible and out-of-pocket maximums. Log in to PEHP for Members and find "Track Deductible" and "Track Out-of-Pocket Maximum" in the "my Benefits" menu.
» Figure out what kind of doctor or other medical provider you need to see. Call us if you need help -- 801-366-7555.
» Determine if a PEHP Value Option can treat your condition or provide a starting point.
» Use the Treatment Cost Calculator to estimate treatment costs. Find this tool when you log in to PEHP for Members.
» Search for healthcare providers in your network with the "Find and Select a Provider" tool. Find this tool when you log in to PEHP for Members. Carefully review important information and warnings for choosing the right care and avoiding unnecessary out-of-pocket bills.
» Come prepared with your prescription history. Find and print it by logging in to PEHP for Members. From the "my Health" menu, click "RX History."
» Come prepared to your appointment with a tape recorder or notebook.
» Understand referrals and watch out for common referral traps.
» Find out if you need preauthorization.
» After your appointment, view your claim at PEHP for Members. Share your experience with other PEHP members by reviewing your provider. Keep an eye on the message center for important messages about your benefits.
» Call a PEHP nurse if you need help figuring out what to do next -- 801-366-7555.
» Did you get a prescription? Price medication costs to find the best value at PEHP for Members.
» Need help losing weight or managing diabetes? Are you pregnant? See how PEHP Wellness Programs can help.
» See where you are with your deductible and out-of-pocket maximum. Log in to PEHP for Members and find "Spending Toward Limits" in the "my Money" menu.