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Provider and Pharmacy | 2019 directoryUTAH provider and pharmacy | 2019 This directory was updated on 11/01/2018. For more recent information or other questions, please contact SelectHealth Member Services toll-free, at 855-442-9900 or, for TTY users, 711, during the following dates and times: October 1 to March 31: Weekdays 7:00 a.m. to 8:00 p.m., Saturday and Sunday 8:00 a.m. to 8:00 p.m. April 1 to September 30: Weekdays 7:00 a.m. to 8:00 p.m., Saturday 9:00 a.m. to 2:00 p.m., closed Sunday. Outside these hours of operation, please leave a message. Your call will be returned within one business day. Changes to our network may occur during the benefit year. An updated directory is located on our website at selecthealth.org/medicare. SelectHealth Advantage HMO Plan Provider Directory This directory is current as of November 1, 2018. This directory provides a list of SelectHealth Advantage’s current network providers. This directory is for the Utah counties of: Box Elder, Cache, Davis, Garfield, Iron, Morgan, Rich, Salt Lake, Sanpete, Sevier, Summit, Tooele, Utah, Wasatch, Washington, Weber and the Idaho county of Franklin. To access SelectHealth Advantage’s online provider directory, you can visit selecthealth.org/medicare. For any questions about the information contained in this directory, please call our Member Services department at 855-442-9900 during the following dates and times: October 1 to March 31: Weekdays 7:00 a.m. to 8:00 p.m., Saturday and Sunday 8:00 a.m. to 8:00 p.m. April 1 to September 30: Weekdays 7:00 a.m. to 8:00 p.m., Saturday 9:00 a.m. to 2:00 p.m., closed Sunday. Outside of these hours of operation, please leave a message. Your call will be returned within one business day. TTY users, please call 711. SelectHealth is an HMO plan sponsor with a Medicare contract. Enrollment in SelectHealth Advantage depends on contract renewal. H1994_14043391_ProvPharmDir_UT_v2_C i Fair Treatment Notice SelectHealth complies with Federal civil rights laws. ትኩረት: በአርመን ቋንቋ መናገር የሚችሉ ከሆነ, የቋንቋ እርዳታ We do not discriminate or treat you differently አገልግሎቶች በነጻ ይገኛሉ. ይደውሉ SelectHealth. because of your race, color, national origin, age, ملحوظة: إذا كنت تتحدث العربية، فإن خدمات المساعدة اللغوية تتوافر .disability, or sex لك بالمجان. اتصل بشركة We provide free: .SelectHealth > Aid to those with disabilities to help them communicate with us, such as sign language ВНИМАНИЕ: Если вы говорите на русском языке, interpreters and written information in то вам доступны бесплатные услуги переводчика. other formats (large print, audio, electronic Позвоните SelectHealth. formats, other). > Language help for those whose first language เรียน: ถ้าคุณพูดภาษาไทยคุณสามารถใช้บริการช่วยเหลือทาง is not English, such as Interpreters and member ภาษาได้ฟรี โทร SelectHealth materials written in other languages. For help, call SelectHealth Member Services at ATTENTION : si vous parlez français, des services 1-800-538-5038 or SelectHealth Advantage d’aide linguistique vous sont proposés gratuitement. Member Services at 1-855-442-9900 Contactez SelectHealth. (TTY Users: 711). ACHTUNG: Wenn Sie Deutsch sprechen, stehen If you feel you’ve been treated unfairly, call Ihnen kostenlos sprachliche Hilfsdienstleistungen SelectHealth 504/Civil Rights Coordinator at zur Verfügung. Rufnummer: SelectHealth. 1-844-208-9012 (TTY Users: 711) or the Compliance Hotline at 1-800-442-4845 (TTY Users: 711). You ОБАВЕШТЕЊЕ: Ако говорите српски језик, may also call the Office for Civil Rights at услуге језичке помоћи доступне су вам бесплатно. 1-800-368-1019 (TTY Users: 1-800-537-7697). Позовите SelectHealth. Language Access Services ध्यान दिनुहोस्: तपार्इंले नेपाली बोल्नुहुन्छ भने ATENCIÓN: Si habla español, tiene a su disposición तपार्इंको निम्ति भाषा सहायता सेवाहरू निःशुल्क रूपमा servicios gratuitos de asistencia lingüística. Llame a उपलब्ध छ । SelectHealth मा फोन गर्नुहोस्। SelectHealth توجه: اگر به زبان فارسی گفتگو می کنید، تسهیﻻت زبانی بصورت .تماس بگیرید SelectHealth رایگان برای شما فراهم می باشد. با 注意：如果您使用繁體中文，您可以免費獲得語 言援助服務。請致電 SelectHealth。 Díí baa akó nínízin: Díí saad bee yáníłti’go Diné PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari Bizaad, saad bee áká’ánída’áwo’dęʹęʹ’, t’áá jiik’eh, éí kang gumamit ng mga serbisyo ng tulong sa wika ná hólǫʹ, kojį’ hódíílnih SelectHealth. nang walang bayad. Tumawag sa SelectHealth. FAKATOKANGA’I: Kapau ‘oku ke lea fakatonga, ko CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ e kau fakatonu lea te nau tokoni atu ta’etotongi, pea te hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số ke lava ‘o ma’u ia. Telefoni ki he SelectHealth. SelectHealth. សម្គាល់៖ បើសិនជាអ្នកនិយាយ ភាសាខ្មែរ 주의: 한국어를 사용하시는 경우, 언어 지원 សេវាជំនួយផ្នែកភាសា ដោយមិនគិតថ្លៃ 서비스를 무료로 이용하실 수 있습니다. គឺអាចមានសំរាប់ អ្នក។ សូមទូរស័ព្ទមក SelectHealth. 번으로 전화해 주십시오. SelectHealth ។ 注意事項：日本語を話される場合、無料の言語 SelectHealth: 1-800-538-5038 支援をご利用いただけます。SelectHealth. まで、 SelectHealth Advantage: 1-855-442-9900 お電話にてご連絡ください。 (TTY Users: 711) © 2018 SelectHealth. All rights reserved. 203540 09/18 Table of Contents Section 1 – Introduction .................................................................................................... iv What is the service area for SelectHealth Advantage? ................................................. v How do you find SelectHealth Advantage providers in your area? .......................... vi Section 2 – List of Network Providers ............................................................................ vi Primary Care Physicians ................................................................................................... 1 Specialists .......................................................................................................................... 28 Mental Health Providers .............................................................................................. 119 Hospitals ........................................................................................................................ 130 Skilled Nursing Facilities ............................................................................................. 131 Specialty Services and Supplies ................................................................................... 133 Pharmacies ..................................................................................................................... 161 iii Section 1 – Introduction This directory provides a list of SelectHealth Advantage’s network providers. To get detailed information about your health care coverage, please see your Evidence of Coverage (EOC). You will have to choose one of our network providers listed in this directory to be your Primary Care Provider (PCP). The term “PCP” will be used throughout this directory. Generally, you must get your health care services from your PCP. Your PCP is the healthcare provider that you see to receive the care that you need to keep you healthy. He or she is usually the physician that you see most frequently and will diagnose and treat most common medical problems. Your PCP will help you coordinate all of your medical care and will communicate with specialist physicians and other healthcare providers to address your medical needs. As an in-network provider, your PCP will request prior authorization when required. Your PCP may be any of the following provider types: Family Medicine Internal Medicine Geriatrician The network providers listed in this directory have agreed to provide you with your health care and vision services. You may go to any of our network providers listed in this directory. If you have been going to one network provider, you are not required to continue going to that same provider. You must use network providers except in emergency or urgent care situations. If you obtain routine care from out-of-network providers, neither Medicare nor SelectHealth Advantage will be responsible for the costs. SelectHealth Advantage does not require members to obtain a referral to receive services that are covered by our plan. If you visit a network provider, the provider will contact us to get prior authorization. Billing Information Providers generally bill SelectHealth Advantage directly for your care. We then pay the provider for you, minus the copayment or coinsurance. If you receive a bill directly from a provider, please mail the bill to the following address: SelectHealth Advantage P.O. Box 30196 Salt Lake City, 84130-0196 iv Emergency Coverage It’s important to know you are covered and where to go when you need medical care. Our plan covers all urgent care, emergency care, and emergency hospital admissions worldwide, no matter where you go. You also get benefits for renal dialysis and access to participating retail pharmacies and lab facilities nationwide. Care provided by out-of-network providers that is not an urgent or emergency situation is not covered. Also, our plan does not cover any care that is non-urgent or non-emergency care received outside of the United States. What is the service area for SelectHealth Advantage? The counties in our Utah service areas are listed below: Utah: Box Elder, Cache, Davis, Garfield, Iron, Morgan, Rich, Salt Lake, Sanpete, Sevier, Summit, Tooele, Utah, Wasatch, Washington, and Weber, and Franklin county Idaho. v How do you find SelectHealth Advantage providers in your area? This provider directory lists providers by provider type, county, and city. When you find the type of provider you are looking for, providers will be listed by county and city. Once you find the county and city you are looking for, Providers are listed alphabetically
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