Out-of-network providers are under no obligation to treat Peoples Health Choices and Peoples Health Patriot members, except in emergencies. Most out-of-network services must be medically necessary. With the exception of emergency care and urgently needed care, it may cost more to get care from out-of-network providers. Peoples Health Choices (PPO) and Peoples Health Patriot (PPO) members: You can use network providers or out-of-network providers. If you obtain routine care from out-of-network providers, neither Medicare nor Peoples Health will be responsible for the costs. Peoples Health Choices 65 (HMO), Peoples Health Choices Gold, Peoples Health Secure Choice (HMO D-SNP), Peoples Health Secure Health (HMO D-SNP) and Peoples Health Secure Complete (HMO D-SNP) members: You must use network providers except in emergency or urgent care situations or for out-of-area renal dialysis. This means that some providers may no longer be in our network or there may be newer providers in our network that are not yet listed. Providers may have been added or removed from our network since this directory was last updated, or some providers may have changed whether they are accepting new patients. Please note that some providers may not be accepting new patients. The services that may need prior authorization are noted in the Evidence of Coverage. Our staff uses nationally recognized criteria to make sure the service is appropriate for both your condition and the setting (e.g., inpatient, outpatient, etc.). Our clinical staff will review your provider’s request and make a decision. This means your provider needs to get approval from us before giving you the services. You may go to any of our network providers in this directory however, some services may require prior authorization. Check the Search Only for Primary Care Physicians box, then enter your other search criteria. You can search for PCPs in the Physician Search. Generally, you must get your health care services from your PCP. You will have to choose one of our network providers in this directory to be your primary care physician (PCP). The network providers in this directory have agreed to provide you with your health care services. To get detailed information about your health care coverage, please see the Evidence of Coverage. This directory provides information about Peoples Health network providers. If you identify an error with any of the provider information in our online directory, use the Report Incorrect Information button on the provider’s search results screen or call member services. Peoples Health offers plans in all Louisiana parishes.įor any questions about the information contained in this directory, please call our member services department toll-free at 1-80, seven days a week, from 8 a.m. This directory is for Peoples Health plan members. This directory provides information about Peoples Health current network providers.
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