Choose a Provider Know Before You Go

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.