Members
Find care
Search for a doctor you've seen or find a new one in your network using the Find Care tool.
Understanding your insurance
Learn about the basics of health insurance and understanding how your coverage works.
Using your benefits
Your plan has tools and services to help you find care and stay healthy. Find out more!
Member rights
As a member, you have a certain rights and responsibilities, such as filing appeals, subrogation, privacy, nondiscrimination and more.
Coverage policy and pre-certification/pre-authorization
Find out which procedures are covered by your policy or if your procedure requires prior authorization.
InterQual® coverage policy guidelines
The InterQual® guidelines are used by our utilization management team to help assess whether a given medical condition and known or represented circumstances of a case support medical service(s) as the most appropriate treatment, or whether the medical condition/circumstances presented could be appropriately addressed with an alternative treatment. Use the self-registration tool at the link to create a login and view the criteria. Individuals without an email address should contact the plan to receive the criteria information via mail. Please consult your provider for applicable policies and/or criteria.
