The following are recommended "Best Practices" that will help you achieve the best experience during your doctor office visit:
1. When you contact a provider to set your appointment it is critical that you inform them that you have a "PPO plan". If the provider requests the name of the specific PPO plan you should respond per the following:
"I have a National PPO plan consisting of several preferred regional networks."
OR
"My PPO plan is (network name)."
Always reference the PPO Network's name as the provider's office may not recognize your program's name. An example of where you will find the PPO Network that the provider participates in is highlighted below.
 NAME: Advanced Physical Therapy
ADDRESS: 7175 West Oakland Park Blvd., Ft. Lauderhill, FL 33313
PHONE: (954) 572-0777 - Map and Directions
SPECIALTY: PHYSICAL THERAPY - PPO NETWORK: First Access PPO
IMPORTANT: First Access consists of "preferred" contracted providers. For best results, always reference "First Access" when making your appointment as the provider's office may not recognize your program's name.
2. Always be prepared to present your ID card as well as provide payment for your portion of services received at the provider's office.
3. Always bring the "Dear Provider Letter©" with you to your appointment.
To download a copy of the "Dear Provider Letter©" please click here.
Notices:
- THIS PLAN IS NOT INSURANCE.
- This program provides reduced rates for cash payment at time of service with specific healthcare providers for medical services.
- This program does NOT make payments directly to the providers of medical services.
- Program members are obligated to pay for all health care services at time of service but may receive a reduced rate from those healthcare providers who have contracted with the network plan organization.
- Competitive Health, Inc. does not guarantee specialty care in all areas, nor do we guarantee the continued participation of any provider. If he/she leaves the plan, you will need to select another participating provider. Please verify that the provider is a participating provider when enrolling or scheduling your appointment. NOTE: Due to the size of our provider panel and our constant recruiting efforts, provider information is subject to fluctuation.
Note to Utah Residents: This contract is not protected by the Utah Life and Health Guaranty Association. The program and its administrators have no liability for providing or guaranteeing service by providers or the quality of service rendered by providers. Not all programs available in all states.
Not available in all states. Void where prohibited by law.
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