Zelis takes your healthcare needs seriously and is pleased to provide you with this online directory. While we make every effort to ensure the accuracy of this information, please keep in mind that changes occur frequently and may not be included in this directory. It is possible that the provider you plan to select is not currently participating in the PPO network. We recommend contacting the intended provider and confirming their participation prior to making your healthcare appointment.
With your acceptance below, you are agreeing that a provider listed within the subsequent pages does not constitute a guarantee of benefits coverage. As a member, it is your responsibility to verify with the provider that he/she is participating in your PPO or health plan when making an appointment.
If you have questions regarding your benefit eligibility, please contact your health plan administrator or human resource manager for more information.
This tool was designed to help you easily locate providers, hospitals and other facilities in your area. While we take great care to make the directory complete and accurate, the network listing of participating providers may change without notice.
A "Health Plan" is defined as a program of benefit coverage that you have elected through your employer, insurance company or other entity offering as a program of benefit coverage that you have elected through your employer, insurance company, or other entity offering coverage for health benefits. If you are using this site, your company or health benefit administrator has contracted with a Zelis company to provide access to participating providers.
Before receiving services, you should always verify with the provider that he/she is participating in your PPO or health plan when making an appointment. Please know that actual coverage for the healthcare services you receive is determined by your health plan.
To receive the highest level of coverage for the services provided by a specialist, some health plans may require you to obtain a referral from your primary care physician before receiving services. Please review your enrollment material, or call your plan‘s customer service number(s) listed on your benefit ID card for more information.
About Your Plan's Services:
The plan does not provide health services or practice medicine. Rather, the plan arranges for providers of health services to participate in a network. Network providers are independent contractors and are not employees of the plan. The plan makes payment to network providers through various types of contractual arrangements. These contractual arrangements may include financial incentives (e.g., bonuses, capitation) to promote the delivery of healthcare in a cost efficient and effective manner although financial incentives are not guaranteed. Such financial incentives are not intended to impact your access to medically necessary health services. If you have questions about whether there are any financial incentives in your doctor‘s contract with the plan, please feel free to ask your doctor.
All of the above means that the physician patient relationship is between you and your doctor. It means that:
- you are responsible for choosing your own doctor
- you must decide if any doctor treating you is right for you; this includes network providers that you choose or to whom you have been referred by the Plan
- you must decide with your doctor what care you should receive
- your doctor is solely responsible for the quality of the care you receive
The Plan makes decisions about benefit plan coverage. These decisions are administrative decisions and are for payment purposes only. The Plan is not liable for any omission of a provider of health services, nor any act of a provider of health services.