1. Who is Devon Health Services, Inc.?
Devon Health Services is a Preferred Provider Organization (PPO). Our members
get direct access to a large network of Physicians, Specialists, Hospitals and
Ancillary Providers without a referral from a primary care physician.
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2. What is a Preferred Provider Organization (PPO)?
A Preferred Provider Organization (PPO) is a network of healthcare providers,
including doctors, hospitals and ancillary providers, who have contracted to
accept discounted fees. Members of PPO programs typically may see any provider,
although they receive a higher level of benefits when using PPO network
providers.
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3. Is Devon Health Services an insurance company?
Devon Health Services is not an insurance company. Devon Health provides the
health network to insurance companies, administrators, employers and labor
unions.
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4. Who provides my health benefits coverage?
Your benefits administrator and/or insurance company provides your health
benefits coverage. Coverage could include medical, dental, vision, prescription
drug, life and disability. The extent of your health benefits coverage depends
on the specifics of the plan in which you are enrolled. The name and logo of
your benefits administrator and/or insurance company appear on your medical
card along with the Devon Health Services name and logo.
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5. Is my doctor or healthcare provider in the Devon Health
Network?
To determine the participation of specific providers you can search the Devon
Health PPO Provider Finder located
on this website or call one of our Customer Service Representatives at
800.431.CARE (2273).
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6. How can I get my doctor or healthcare provider in the Devon
Health Network?
You can submit your healthcare provider’s name, location, and specialty to Devon
Health. This information will assist our Network Development Department in
contacting the healthcare provider and actively recruiting them into the our
network; however, it is the healthcare provider who ultimately decides whether
or not to join.
You can submit this information via this
online form or by contacting our Customer Service Department at
800.431.CARE.
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7. How can I obtain a Directory of Participating Providers?
Directories are obtained through your benefits administrator or insurance
company. You can also print one from a search on our
Provider Finder.
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8. What happens if I use a provider that is not "in network"?
You may receive a lower level of coverage depending on your health benefit
provisions. Please review your benefit plan or contact your benefits
administrator and/or insurance company.
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9. Do I need a referral?
While most benefit plans that use the Devon Health Network do not require a
referral, some plans require precertification for certain types of medical
care. For specific questions about precertification, contact your health
benefit administrator.
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10. What is my co-pay?
Co-payments are the amount of money a healthcare provider can charge at the time
medical services are provided. Your insurance provider and plan type determine
member co-pay amounts. Co-payment amounts should be printed on your medical
card. If a co-payment amount is not printed on your card, contact your benefit
plan administrator for the actual amount.
Please note: You may be responsible for additional charges over and above
co-payment amounts depending upon your benefit plan design.
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11. What is my benefit structure?
Benefit structure will vary depending upon the benefit administrator, insurance
company and plan type. Review your benefits package or contact your plan
administrator for all benefit and eligibility questions.
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12. Are all medical services represented by the Devon Health
Network covered by my health benefits coverage?
No. Some health benefit plans do not cover all the medical services represented
by our network. A few services like Behavioral Health, Vision, and Dental may
not be covered by your health benefit plan. Contact your benefit plan
administrator for specific questions about covered medical services.
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