A member wants to know if their doctor is currently in the network. How will Customer Service determine this and what will they tell the member?
A database of network medical providers is maintained and available to AmeriPlan Health® members. (This is also available on the website.) The Customer Service Representative can search for a desired provider by name, specialty, and a local zip code. If the provider is in network, the Customer Service Representative will ask if they plan on visiting said provider. If so, Customer Service will contact the provider’s office on behalf of the member. If the doctor is not part of the network, they will offer the member another provider in the same specialty and area. This is done so that the member may make the most of the program. The member can also submit a Provider Referral/Nomination form so that they can refer/nominate their doctor, who will then be contacted regarding joining the AmeriPlan Health® network.
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