What type of health plan is Ascension Personalized Care?
Ascension Personalized Care is an exclusive provider organization (EPO).
What is an Exclusive Provider Organization?
An exclusive provider organization (EPO), often called a narrow network, is an exclusive network of doctors and specialists. It doesn’t cover most out-of-network care (expect in a medical emergency). An EPO does allow the member to visit any doctor in their network without a referral from their primary care doctor.
How do I refer patients in an EPO?
Ascension Personalized Care members do not need a referral to see a doctor or specialist. However, members need to stay within the plan's network in order to be covered. If patients are treated by an out-of-network doctor, they will be responsible for 100% of that bill, unless it's an emergency.
How do I get language assistance?
If you need language assistance, please call our customer service team at 833-600-1311. You will be prompted to choose a language in which you will be connected with an interpreter and our customer service representative. They will be able to help you understand your plan, translate printed plan materials over the phone or help answer any additional questions. This service is free and is available Monday through Friday, 8:00 a.m. to 6:00 p.m. EST.
Does Ascension Personalized Care cover dental care?
The Ascension Personalized Care plan does not cover routine dental care at this time. We are hoping to add this feature soon, so please check back for future updates.
Accidental dental is covered in the states of Indiana, Kansas, Tennessee and Texas. Please refer to your summary of benefits and coverage regarding plan-specific details for copays and coinsurance.
Does Ascension Personalized Care cover routine eye care?
Ascension Personalized Care does not cover routine eye care for adults at this time. Please refer to your summary of benefits and coverage regarding plan-specific details for children’s eye exams and eyewear.
How can I contact Ascension Personalized Care?
For member related questions, please call 833-600-1311.