Suitcases

Out of Area Provider

HEALTH TRADITION – HEALTH MAINTENANCE ORGANIZATION (HMO)

If you are within your HMO service area and need urgent and emergent care as defined by your health plan, please use the Find a Doctor search to find a network provider.

If you are outside of your HMO service area and need urgent and emergent care as defined by your health plan, please use our Out of Area Provider search.

HEALTH TRADITION – POINT OF SERVICE (POS)

If you are outside of your service area and need urgent and emergent care as defined by your health plan, please use our Out of Area Provider Search.

HEALTH TRADITION – PHCS PRIMARY

To find a provider, please use PHCS Primary Provider Search.

HEALTH TRADITION – FOR VENTURE MACHINE & TOOL AND EMPIRE EMPLOYER GROUPS

To find a provider within your level 1 benefits, please use our Health Tradition Community Provider Search.
To find a provider within your level 2 benefits, please use our MultiPlan Complementary Provider Search.

UNSURE OF YOUR PLAN TYPE?

Summary of benefits and coverage graphic

If you are unsure of your plan type you can find this information on your current Summary of Benefits and Coverage (SBC) document or access the Maddy portal.

FAQS

WHAT SHOULD I DO IF MY SERVICE WASN’T COVERED?

Please contact Customer Service. Our Representatives will help research and explain your charges. When necessary, the Customer Service Representative may offer to contact the provider on your behalf to assist with claim resolution.

HOW DO I FIND A COST EFFECTIVE AND ACCESSIBLE ALTERNATIVE TO URGENT CARE?

Doctors and therapists are just a click away on our Amwell telehealth app. Copays are as low as $0 depending on your plan. This can also help you avoid out-of-network charges if you are outside your normal service area.

DOES MY HEALTH TRADITION HEALTH PLAN COVER ME WHEN I’M TRAVELING OUTSIDE THE UNITED STATES?

Please refer to our Your Benefits When Outside the U.S. document. This document outlines coverage when traveling outside of the United States and how to be reimbursed for covered services received in a foreign country.