| Q: |
What is the CHW Arizona Medical Plan and the CHW $250 Deductible Plan? |
| Q: |
Am I required to select a Primary Care Physician (PCP) to obtain referrals to specialists? |
| Q: |
How can I get information about participating providers? |
| Q: |
If my provider is not currently on your list of participating providers, how can I get them added to the network? |
| Q: |
What if I am traveling outside of Arizona and need medical care? |
| Q: |
How are family members who live in another state covered? |
| Q: |
What type of prescription drug benefit does this plan offer? |
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| Q: |
What is the CHW Arizona Medical Plan and the CHW $250 Deductible Plan? |
| A: |
Both plans are comprehensive, self-funded medical plans, available to eligible employees and their dependents.
These preferred provider organization (PPO) plans offer two different benefit levels based on whether services are received from an in-network provider or non-network provider.
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| Q: |
Am I required to select a Primary Care Physician (PCP) to obtain referrals to specialists? |
| A: |
No, you are not required to select a primary care physician. You may self refer to a network specialist
and receive in-network benefits, or see any other specialist of your choice and receive non-network benefit.
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| Q: |
How can I get information about participating providers? |
| A: |
Go to the provider directory link at the top of this page. You will have two options to choose from. Select SAH network to search for physicians in Arizona or the First Health
national provider network for out-of-state physicians. If you have trouble locating a physician within the SAH network, please contact our Member Solution Center at 1-866-289-6195. For physicians in the First Health national provider network, call 1-888-685-7774.
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| Q: |
If my provider is not currently on your list of participating providers, how can I get
them added to the network? |
| A: |
If you do not see your provider listed, please contact the Member Solutions Center
at 1-866-289-6195. We will assist you in completing a Provider Nomination form. We will contact your provider to see if he or she is interested in contracting with the network.
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| Q: |
What if I am traveling outside of Arizona and need medical care? |
| A: |
Employees and their dependents traveling outside of Arizona can receive in-network benefits by using a First Health national provider (First Health has providers available nationwide). For a list of contracted providers go to the provider directory at the top of this page and select the First Health national provider network or call 1-888-685-7774. If you choose a physician or other health care provider
outside the First Health
national provider network, benefits will be paid at the non-network level.
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| Q: |
How are family members who live in another state covered? |
| A: |
Covered dependents residing outside of Arizona can receive in-network benefits by using a First Health national provider.
First Health has providers available nationwide. For a list of contracted providers go to the provider directory at the top of this page and select the First Health national provider network or call 1-888-685-7774. If your dependent chooses a physician or other healthcare provider outside the First Health
national provider network, benefits will be paid at the non-network level.
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| Q: |
What type of prescription drug benefit does this plan offer? |
| A: |
The CHW medical plans have a prescription drug benefit with various co-payment amounts,
depending on whether the drug is a generic or brand name and is a preferred or non-preferred drug.
The prescription drug benefits are administered by Express Scripts (ESI). You may access their Web site
by clicking On line Pharmacy, which will let you view the generic and brand name drugs covered under these plans,
or you can link directly to the ESI Web site for more information.
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