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Members

Welcome to First Health! We are grateful for the opportunity to serve you. In order to find an in-network doctor, urgent care center, hospital or other provider, use our online provider search tool. Or, contact us to talk to someone who can help:

  • First Health Network, call 1-800-226-5116.
  • Cofinity Network, call 1-800-831-1166.
  • First Choice of the Midwest Network, call 1-888-246-9949.

Frequently Asked Questions

Why should I use an in-network doctor or hospital?
Here are some of the benefits you’ll get from using an in-network doctor or hospital:

  • They’ll file a claim on your behalf
  • You’ll be charged the lower network rate for your care
  • Your health plan may pay higher benefits for using in-network doctors and hospitals

Can I suggest that a doctor join the network?
Yes. If your doctor is not in the network, you can ask your employer to nominate the provider.

How do providers know that I’m a network member?
Your ID card will include the network logo, which may be on the front or back of the ID card.

Do I need to choose a Primary Care Physician (PCP)?
Most PPO plans don’t require you to choose a PCP. Check with your employer or health plan administrator to find out what your plan requires.

Do I need a referral to see a specialist or other health care provider?
Most plans don’t need a referral for you to see a specialist. However, check with your employer or health plan administrator to find out what your plan requires. If you need more services for diagnosis and treatment, ask your doctor to refer you to another in-network provider.

What if I need to be admitted to a hospital or other facility?
Your health plan may require preauthorization of an admission to ensure that you receive the right care. You or your doctor should call the medical review company listed on your ID card. Be sure to show your ID card to the admissions staff when you check in.

What about behavioral health care providers?
Our networks include behavioral health providers. Please call your health plan to find out what services are covered and what the requirements are.

What will I owe to the provider?
When you use an in-network provider for services covered under your health plan, you may need to pay the provider as part of your plans cost share. Out-of-pocket costs may include:

  • co-payments (if applicable)
  • deductible (if applicable)
  • coinsurance (if applicable)

Your health plan’s “explanation of benefits” will show a summary of the charges and your financial responsibility.

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