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Find a Doctor or Pharmacy

Finding a healthcare provider is quick and easy... simply use the following provider search utilities to find providers in your area:

KPPFree

WALGREENS PHARMACIES

Walgreens is NON-COVERED for Advantage Health Plans Trust. There is NO BENEFIT if you utilize Walgreens pharmacy.

CANCER TREATMENT CENTERS OF AMERICA

Cancer Treatment Centers of America (CTCA), and entities with tax ID numbers affiliated with CTCA, are NON-COVERED for members of Advantage Health Plans Trust. There is NO BENEFIT if you utilize CTCA.

BAYLOR SCOTT & WHITE PROVIDERS

Specific Baylor Scott & White providers may be excluded from your PPO network. Claims submitted by providers with certain tax ID numbers affiliated with Baylor Scott & White, may be processed as OUT-OF-NETWORK.

These providers may appear as though they are participating in your network based on the network search results. To view a list of excluded providers, please click here.

Claims from these Baylor Scott & White providers will be processed as out-of-network and will be reimbursed based upon AHP’s Reference Based Price (RBP) limitations.

The Reference Based Price reimbursement is calculated on a percentage above the specific provider’s Medicare reimbursement for that service.

  • Physicians will be reimbursed 100% of their Medicare allowable, plus an additional 20%.
  • Facilities and Hospitals will be reimbursed 100% of their Medicare allowable, plus an additional 50%.
  • Emergency services will be reimbursed 100% of their Medicare allowable, plus an additional 100%.
Remember: Amounts exceeding Plan limitation are non-covered, and you may be balance billed.

*This list is accurate as of the date indicated, and is subject to change. This list, and all PPO network lists, are for review purposes only and are never a guarantee of benefits. For benefit information or to confirm the status of a network provider, please call us at (800) 324-9396. Benefit determinations are based on the Summary Plan Description.

HENDRICK MEDICAL CENTER

Hendrick Medical Center is excluded from your PPO network. Claims submitted by this provider will be processed as OUT-OF-NETWORK.

These will be processed as out-of-network and will be reimbursed based upon AHP’s Reference Based Price (RBP) limitations.

The Reference Based Price reimbursement is calculated on a percentage above the specific provider’s Medicare reimbursement for that service.

  • Physicians will be reimbursed 100% of their Medicare allowable, plus an additional 20%.
  • Facilities and Hospitals will be reimbursed 100% of their Medicare allowable, plus an additional 50%.
  • Emergency services will be reimbursed 100% of their Medicare allowable, plus an additional 100%.

Remember: Amounts exceeding Plan limitation are non-covered, and you may be balance billed.

This provider may appear as though they are participating in your network based on the network search results.

Provider Networks

Prescription Network

Lab Network

Imaging Network

Vision Network