In-Network Doctors

You can visit a primary care doctor that is contracted with PEHP in your network. After your visit, your doctor will submit a claim to PEHP for the services you received. Once processed, we’ll send you an Explanation of Benefits (EOB) detailing the services rendered, the amounts billed, the portion covered by PEHP, along with any credits to your plan limits (deductible/out-of-pocket max).

Find a primary care doctor in your network in the Provider Directory.

Provider Directory

Medallus Medical

Medallus gives you unlimited access to high-quality primary and urgent care at 8 convenient clinic locations along the Wasatch Front. Most clinics are open 7 days a week, 9am–8pm, so you can be seen when it fits your schedule. Whether it’s a same-day visit, physical, or help managing chronic conditions, Medallus makes healthcare simple and affordable.

Here’s what you can expect:

• Unlimited visits for both primary and urgent care — from everyday illnesses to injuries and chronic conditions.
• Walk-in or same-day access with minimal wait times.
• Most locations open 7 days a week, 9am–8pm.
• On-site labs, x-rays, and procedures included at no additional cost for members.
• Seamless coordination with specialists when needed.

Cost:

• Traditional Plan: No copays! PEHP covers your monthly subscription.
• High-Deductible Plan (e.g., STAR HSA): $38 adults/$22 children a month before deductible, $0 after deductible. Subscription fee counts toward deductible.

Note: When you designate Medallus Medical as your primary care provider, please avoid using other primary care providers.

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Direct Primary Care (DPC) Providers

If you choose to visit other DPC providers, PEHP helps you pay your monthly fee.

Reimbursement Eligibility

• You must have primary coverage with PEHP that includes out-of-network benefits. To verify if you have out-of-network benefits, refer to your Benefits Summary and Master Policy.
• You must submit the Direct Primary Care Subscription Reimbursement Form along with proof of payment for a minimum of three months of service. If you cancel your membership with your DPC provider after three months (for example, in the fifth month), you can seek reimbursement from PEHP for the remaining two months.
• You must not have received primary care services from another provider during the period for which you are seeking reimbursement.

How Much Does PEHP Reimburse for DPC Services?

• PEHP reimburses the lesser of the paid amount or a flat fee allowed amount of $38.67 per month for adults and $19.12 per month for children (ages 2-18 only), regardless of your actual payment.
• Separate reimbursements are available for lab work, imaging, and Durable Medical Equipment (DME) according to your out-of-network benefits.

Important! Reimbursement does NOT apply to coinsurance or copays. However, the amount reimbursed will count toward your deductible.

Direct Primary Care Providers in Utah

Blake Family Medicine
777 N 500 W
Provo, UT 84601
(385) 375-7989

Voyage Clinics
Dr. John Sanders
720 N 530 E
Orem, UT 84097
(385) 498-7506

Orange MD
Dr. Ben Larsen
5974 Fashion Point Dr, Suite 250
Ogden, UT 84403
(385) 238-2133

Salt Lake Direct Primary Care
Dr. Robert Corson M.D.
1670 East 1300 South, Suite 204
Salt Lake City, UT 84105
(385) 449-0688

Blossom Health
Dr. Mary Tipton
3584 W 9000 S, Suite 404
West Jordan, UT 84088
(801) 890-3837

Fia Care

AZOVA

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