Advantage Health Plans Trust’s Networks

Locate In-Network Physicians, Hospitals and Specialists

In Network Physicians | Advantage Health Plans Trust

AHPT provides wide networks of healthcare coverage

From primary care and pharmacies to specialists and surgical centers. We have provided the different directories of network coverage below.

Advantage Health Plans Trust administers different plans for each of our clients, so check your ID card and plan documents to ensure you’re searching within the appropriate network.

Important Exclusions

The following providers and pharmacies are NOT in your AHPT Network. Some of these may appear to be in-network in a provider search, but will be processed as out of network.

Out-of-network Providers

Walgreens logo
Hendrick Medical Center logo
Certain Baylor Scott & White Providers Logo

Out-of-Network Coverage

For any charges incurred outside of your network, you will be responsible for the difference between what the coverage allows and the provider’s charges. Amounts exceeding Plan limitation are non-covered, and you may be balance billed:

Physician’s charges will be reimbursed 130% of the provider’s Medicare rate.

Facilities and hospitals will be reimbursed 160% of the provider’s Medicare rate.
Anesthesia will be reimbursed 250% of the provider’s Medicare rate.

Outpatient laboratory will be reimbursed 100% of the provider’s Medicare rate.

Emergency services will be reimbursed 200% of the provider’s Medicare rate.
Air ambulance will be reimbursed 120% of the provider’s Medicare rate.
Out-of-network pharmacy claims are not covered.
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