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Member ID Card

PEHP Advantage Care Identification Card

Advantage Care is a PEHP HMO Plan based primarily around Intermountain Healthcare facilities and practitioners. The provider network also includes certain other non-Intermountain Healthcare practitioners and facilities (based on geographical need).  Covered services rendered to Advantage Care members are reimbursed based on PEHP’s fee schedule.  Members must utilize Advantage Care providers in order to receive maximum benefits.  Some Advantage Care Plans do not have out-of-network benefits.

PEHP Summit Care Identification Card

Summit Care is a PEHP HMO plan based primarily around non-Intermountain Healthcare facilities and practitioners. This network also includes Primary Children's Medical Center and all rural IHC facilities. The plan utilizes a leased provider network from Wise Provider Networks and includes 35 hospitals, the University of Utah, IASIS and Mountain Star facilities. Members must utilize Summit Care providers and hospitals in order to receive maximum benefits. Some Summit Care Plans do not have out-of-network benefits.

PEHP Preferred Care Identification Card

Preferred Care is a PEHP PPO Plan utilizing a provider network consisting of both Intermountain Healthcare and non-Intermountain Healthcare facilities and practitioners. Almost all hospitals in the state of Utah participate in this plan. Covered services rendered to Preferred Care members are reimbursed based on PEHP’s fee schedule. Members are encouraged to utilize participating providers to maximize their benefits. Preferred Care offers the flexibility to see a non-contracted provider for covered benefits.

Beginning July 1, 2010

PEHP will no longer be administering any CHIP medical or dental plans.

PEHP will continue to pay CHIP claims with dates of service prior to July 1, 2010.

Start preparing now....

Start preparing now for the electronic healthcare transactions change to Version 5010 and the ICD-10 conversion. Speak with your practice management vendor or clearinghouse about these coming changes.