You can save on your out-of-pocket costs for care by using providers who participate in the plan’s network.
Find a network provider
To find network providers, log on to the Quantum Health website and select Find a Provider to use the online provider search tool.
You can also call Quantum Health at 855-497-1237 and a Care Coordinator can help you find a network provider.
Important: If you are enrolled in an EPO or HDHP medical option, you must use network providers. If it’s not an emergency and you see an out-of-network provider when you have access to a network provider, you will be responsible for all costs.
Express Scripts administers the prescription drug program; to find network pharmacies, log in to the Express Scripts website. You can also call Quantum Health at 855-497-1237 and a Care Coordinator will assist you.
Out-of-network providers
If you’re enrolled in a PPO medical option: Your coverage includes out-of-network benefits for covered services. However, you’ll pay more out of your pocket if you see an out-of-network provider when you have access to a network provider. Emergency services provided by an out-of-network provider are the only exception.
Out-of-network providers may require you to pay for services upfront and then file a claim for reimbursement. See Guide to Your Healthcare Benefits for more information or call Quantum Health.
If you’re enrolled in an EPO or HDHP medical option: These options do not cover care received from out-of-network providers except for emergency services. If you use an out-of-network provider when you have access to a network provider, you will be responsible for all costs incurred.