Use the booklet to record all your child's immunizations, medical conditions and developmental milestones.
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. Listed below are a number of links to various wellness and disease management sites.
If you choose to use any of the links we provide, you will be leaving our website and going to a new website. Protection of your privacy at those other sites will be governed by the privacy policy at that site. We've taken special care selecting the companies that appear in the Wellness Services section of The Health Plan to try to ensure that they respect your privacy as we do, but please take the time to read the privacy policies at their sites.
The particular service or treatment listed here is not a guarantee that it is covered under your benefit plan. Your benefit plan, may or may not cover all preventive services described. For more information on your benefits coverage, please refer to your certificate of coverage for more complete information regarding benefits, limitations and exclusions or call The Health's Plan's Customer Service Department St. Clairsville Office, Monday through Friday, 8:30am to 5:00pm at 1.888.847.7902 or the Massillon Office, Monday through Friday, 8:00am to 5:00pm at 1.800.426.9013.
For Our Members . . .
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...
Read More...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.
Read More...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....
Read More...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...
Read More...Pharmacy News
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...
Read More...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...
Read More...For Our Providers . . .
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...
Read More...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...
Read More...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...
Read More...HealthWise Newsletter
Latest News
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The Health Plan Sponsors WLU Outstanding Marketing Student Award West Liberty University recently held their WLU College of Business Honors Banquet honoring 19 students. The Health Plan sponsored award for West Liberty University's Outstanding Marketing Student Award...
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Medicare Advantage Plan Info. April 1 - November 14 - This time period is referred to as the "lock-in" period. During this time only certain Medicare beneficiaries can enroll in or disenroll from a Medicare Advantage Plan. This...
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ATTENTION: PEIA Employees (Public Employees of WV) The Health Plan July 1, 2010 Benefits brochure is available for you to view.
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