Medical Networks

PEHP has three network options our members and employers can choose from. They are our Preferred Care, Advantage Care, & Summit Care networks. A description of each is provided.

Advantage Care Network

This is an IHC facility based network in which PEHP contracts directly with all providers. Some employer groups require the use of panel physicians or no benefits are payable. Other employer groups offer a swing option and will allow up to fee schedule rates for off-panel use. There is freedom to move within the panel without referrals or a primary care physician.

Preferred Care Network

This network contains all major hospitals within the state. PEHP contracts directly for with all providers in this network. There is member freedom to move within the Preferred Care panel without referrals or a primary care physician. Swing option to non-panel providers is available with a higher out-of-pocket expense.

Summit Care Network

This is a primarily a non-IHC based network that also includes Primary Children’s Medical Center and all IHC rural facilities. PEHP leases this network from Wise Provider Networks. Some employer groups require the use of panel physicians or no benefits are payable. Other employer groups offer a swing option and will allow up to fee schedule rates for off-panel use. There is member freedom to move within the panel without referrals or a primary care physician.

For information on joining the Summit Care panel contact “Imagine Health” home of Wise Provider Networks at 866-485-5205.