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Primary PPO Network

Before you try to find a PPO provider, refer to your ID card to find your primary PPO network. Click on that PPO network’s logo to begin your search. PPO networks may also include access to Mayo Clinic in Rochester, Minnesota, as well as the Rochester Mayo affiliated hospitals. The following networks require preauthorization for Mayo Clinic. If your network is Quad City Community Healthcare, Eastern Iowa Community Healthcare, or THE Health Plan of Western Illinois, call (888) 498-7224. If your network is Cedar Valley Community Healthcare or Northern Iowa Community Healthcare, call (877) 797-0770. Members of Lakes Area Community Healthcare should call (218) 998-0477.

You also have access to a Travel PPO Network, which you can only access if you have an emergency illness or injury while traveling outside your primary PPO’s service area, or if you are an insured dependent living outside the primary PPO’s service area. Your Travel PPO Network will be what is displayed on your ID card, either Multiplan or PHCS Healthy Directions. Check the front or back of your ID card to find out which Travel PPO Network you may access.

Use of providers in the Travel PPO Network will be considered Out of Network and paid at a reduced benefit level unless you meet the requirements for an emergency/travel exception, or if you are an insured dependent living outside the primary PPO’s service area.

If you have any questions regarding your network or the PPO providers you may access, please contact us at 1-800-322-0160, Extension 2758.

Primary PPO Network
Click on the logo that is found on your ID card to connect directly to that network’s web-based provider directory information
Network Service AreaToll Free Number
Indiana888-446-5844
Can only be used in Illinois counties of Fulton, Knox, McLean, Peoria, Tazewell, and Woodford.866-510-2922
Wisconsin800-279-9776
Illinois, Indiana800-624-2356
Illinois800-295-5444
Only available in Illinois counties of Bureau, Cook, DeKalb, DuPage, Kane, Kankakee, Knox, La Salle, Lake, Lee, Macon, McHenry, McLean, Peoria, Rock Island, Sangamon, Will, Winnebago, and Woodford.877-237-1741
Rockford, Illinois800-990-3204

Must choose HealthSmart Preferred
Illinois, Iowa, Wisconsin866-511-4757
Iowa800-371-9622, Extension 2758
Indiana counties of Crawford, Daviess, Dubois, Martin, Orange, Perry, Pike, and Spencer.800-318-1590
All 50 States H29 only888-955-7427
All 50 States888-955-7427
Indiana800-364-3469
Ohio800-601-9208
Only available in Indiana Counties of Allen, DeKalb, Kosciusko, and Wells.800-371-9622, Extension 2758
Southeast and Northeast Wisconsin800-371-9622, Extension 2758

Additional physicians currently being contracted.  Please contact us for the full listing.

Only available in the Pekin, Illinois area800-371-9622, Extension 2758 or E
To obtain preauthorization for Mayo Clinic, call (888) 498-7224.888-498-7224
To obtain preauthorization for Mayo Clinic, call (888) 498-7224.888-498-7224
To obtain preauthorization for Mayo Clinic, call (888) 498-7224.888-498-7224
To obtain preauthorization for Mayo Clinic, call (218) 998-0477.866-460-7422
To obtain preauthorization for Mayo Clinic, call (877) 797-0770.877-797-0770
To obtain preauthorization for Mayo Clinic, call (877) 797-0770.877-797-0770

Call Toll-Free 1-800-322-0160