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PLEASE READ BEFORE SELECTING A PROVIDER

In order to receive the highest level of benefits, employees in the Savannah, Ga., area enrolled in the Well Care PPO plans must receive care from an HCA-affiliated facility and MHP PHO network physicians. If medically necessary services are unavailable at an HCA-affiliated facility, you may use an MHP PHO network facility.

The MHP PHO network service area includes the Georgia counties listed below.  If you live outside this MHP PHO service area, you may use an MHP/PHO or Aetna PPO national network in order to receive the highest level of benefits.

Bryan
Chatham
Effingham
Liberty

Prior to your first appointment with any physician, you should verify if he or she participates in the MHP PHO network, if they are taking new patients and if they have admitting privileges to an HCA-affiliated facility when inpatient and outpatient services are needed. If your physician refers you for services outside of his or her office setting for physical therapy, lab or x-rays, e.g., it’s important you use an HCA-affiliated facility for these services, if available, to receive the highest level of benefit.

THE WELL CARE PLANS RECOGNIZE ONLY

HCA-AFFILIATED FACILITIES FOR THE HIGHEST PAYABLE BENEFIT LEVELS. 

To determine if medically necessary services are available at an HCA affiliated facility, participants must call Aetna Member Services. If Aetna determines a covered service is unavailable, participants must use a facility that participates in the MHP PHO / Aetna network to avoid reduced benefits.  If care is not received at an HCA affiliate or MHP PHO / Aetna network facility when it is available, reduced benefits will apply. All medical claims and/or benefit-related questions should be submitted to:

Aetna
P.O. Box 14079
Lexington, KY 40512
(800) 222-9215
Member Services is available from 8:00 a.m. to 6:00 p.m. Central
           


Behavioral Health Providers

Behavioral health providers are included in the MHP PHO or Beacon Health network for HCA. The behavioral health plan is administered by Beacon Health. All services for mental health and/or chemical dependency treatment or services, except for the first 30 outpatient visits, must be pre-certified in advance by Beacon Health. After visit 30, an office visit outpatient treatment report from your provider is required for benefits to continue. Eligible providers are defined as licensed psychiatrists, licensed clinical psychologists, licensed or certified master's level clinical social workers, licensed or certified masters level psychiatric nurse specialists or licensed professional counselors. For more information about behavioral health benefits, contact Beacon Health at (800) 434-5100.


Directory Disclaimer

This Directory does not guarantee that all services or all providers will be covered under the Well Care plans. You must consult the HCA Health and Welfare Benefits Plan Summary Plan Description, as well as Aetna Member Services to determine which providers and services are covered. Failure to refer to these resources may result in lesser reimbursement for certain medical expenses.

 

Click on the link below to continue for Well Care Plans administered by Aetna:
https://memorialhealth.com/ppo-network.aspx  – Savannah MHP  (Level 1, 2 and 3)

   

September 2017

 



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