Am I required to receive care only from contracted providers?

Members of the HMO and the Senior Care Plus Medicare Advantage Plan must receive care only from the physicians, hospitals and other health care providers that are contracted to provide services for Prominence Health Plan and Senior Care Plus. 

If you are on the Self-funded PPO or High Deductible Health Plan, you will receive a better rate if you use contracted providers, but you do have flexibility.  If you permanently reside more than 50 miles from a PPO provider, you may use the doctor of your choice and it will be covered at the usual and customary allowance.