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 under Provider Specialty » Family Practice.

Provider Directory

Fia Care 

As a PEHP member, you now have access to Fia Care, a primary care option that’s built around you! Whether you need virtual visits, at-home care, support with chronic conditions or prescription renewals -  Fia Care is here to make healthcare easy.

Here’s what you can expect:

• Simple scheduling with very little wait time–get the care you need now!
• Convenient access for prescription renewals, physicals, and convenient video visits — even early morning and late night.
• Care coordination.
• Easy referral process to in-network specialists when you need it.

Use Fia when:

• You have an illness and don’t have time for frequent in-office visits.
• You’re a busy caregiver and need quick access without rearranging your schedule.
• You want to avoid copays or high out-of-pocket costs for primary care.
• You need to have a primary care provider to help manage your care.

Cost:

• Traditional Plan: No copays! PEHP covers the monthly fee for your primary care.
• High Deductible Health Plan (e.g. STAR HSA Plan): You’re responsible for the Fia Care monthly subscription fee before deductible ($38.67 for the first person, $22 for additional family members).

Ready to make healthcare easier? Download the Fia Care app today and get started!

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

Get Started

Direct Primary Care (DPC)

Direct Primary Care (DPC) is a subscription-based model where you pay an independent doctor a monthly fee for all your primary care needs. Although DPC providers do not contract with insurance companies, 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

Medallus Medical - See Locations