Monday, March 15, 2010
   
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The Health Plan - Here for You! The Health Plan of the Upper Ohio Valley, Inc. was established in 1979 through provisions under the Federal HMO Act. As a federally qualified and state-certified, 501(c)(4) not-for-profit HMO, our goal is to provide high quality, comprehensive and cost effective health care to residents of Ohio and North Central West Virginia.
Your Electronic Line to Us! As a Health Plan member, you now have access to a wide variety of information, 24 hours a day, 7 days a week. Register/Login now! Our website enables you to access general information, link to other relevant sites, and NEW to the website, you are now able to update your information and view personal claims and take Health Risk Assessments.
Emergency Medical Information What is an EMI? An EMI or Emergency Medical Information is a form that provides valuable information in a quick glance to medical personnel that need to take care of you.  
New Baby? After your baby is born, visit our website and download your Health Plan developed printable BABY KEEPSAKE BOOKLET to help aid you in keeping an organized and updated personal journal of your child's health and development from birth to adulthood.
Use the booklet to record all your child's immunizations, medical conditions and developmental milestones.

Need Help?

Contact our Ohio Valley/Mountaineer Region office, located in St. Clairsville, Ohio, toll-free at 1.800.624.6961 or 740.695.3585 or contact our HomeTown Region office, located in Massillon, Ohio, toll-free at 1.877.236.2289 or 330.834.2200.  
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For Our Members . . .

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Welcome Health Plan Members! If you need any written information provided by The Health Plan in an alternate language or format due to special needs such as vision or reading impairments or language translation difficulties please contact The Health Plan's Customer Service Department at 740.695.7902 or toll-free 1.888.613.8385, Monday through Friday, 8:30am to 5:00pm. Tip: The volume of calls we...

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The Health Plan understands the importance of having confidence in your health care provider. To find out if your healthcare provider already participates in our network, please use our Provider Search Tool to search for your health care provider or contact Customer Service Representatives at 1.800.624.6961.

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At The Health Plan, our benefits and programs encourage people to stay healthy by seeking preventive care and medical treatment at the onset of illness. We focus on wellness programs to promote healthy lifestyles and minimize health problems, enhancing the quality of life of our enrollees. We invite you to take advantage of the wealth of information and services offered here to enhance your well-being....

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The Health Plan Formulary is a listing of generic and brand-name prescription medications that are preferred for use by The Health Plan. The Health Plan maintains an open formulary with certain restrictions across several therapeutic classes. In these classes, the preferred drugs will be a covered benefit when dispensed at participating pharmacies. The Health Plan may add or remove drugs from our...

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Pharmacy News

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The information provided on this website in the Pharmacy section is provided for Members with prescription coverage only. If you are uncertain about your coverage, please contact our Pharmacy Services...

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The Health Plan Formulary is a listing of generic and brand-name prescription medications that are preferred for use by The Health Plan. The Health Plan maintains an open formulary with certain restrictions...

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For Our Providers . . .

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Welcome Health Plan Providers. Are you connected? You can check member eligibility, review claims, review referrals and precertifications using our secure Provider website. Customer Service Representatives are available for you to contact. Their numbers are listed on the left hand side of this webpage. Find providers using our Provider...

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Members enrolled in our HMO and POS products are required to select a Primary Care Physician (PCP) who acts as the coordinator of care for the patient. Members must contact their PCP prior to making appointments with specialty providers. Upon assessment of the patient needs, the PCP may find it appropriate to refer the patient to other participating specialty providers. The Health Plan contracts with...

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Medicare Advantage Training - Fraud, Waste and Abuse (FWA) All healthcare practitioners/providers or staff who render healthcare services to Medicare Advantage enrollees or who administer the Medicare Part D Prescription Drug benefit, must complete Fraud, Waste and Abuse (FWA) Training by December 31, 2010 and annually there after. The training must be documented by the healthcare providers and captured...

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HealthWise Newsletter

Access the latest newsletter from The Health Plan online or find past issues.

To view these materials, you will need a copy of Adobe Acrobat Reader. You can download and install the latest Acrobat Reader software free. Download Adobe Reader.

 




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Latest News

  • Open Enrollment Access more information about The Health Plan's Open Enrollment.
  • Medicare Advantage Plan Info. January 1 - March 31 - If you are not satisfied with your Medicare Advantage Plan, you may be able to switch plans between January 1 and March 31. You can only make one change during this time period and...
  • ATTENTION: Federal Employees! The Health Plan 2010 Federal Brochure available to view now.
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