What is PennCare PPO?
The PennCare PPO is a self-funded preferred
provider organization that provides a full range
of health care services for employees who have
selected the Independence Blue Cross/Personal
Choice Plan.
To be included in the top tier (with the least
out-of-pocket expenses), PennCare PPO providers
also must participate in the Personal Choice
network. To verify that the provider you select
participates in Personal Choice, check the Personal
Choice web site at www.ibx.com or
contact Independence Blue Cross at 1-800-ASK
BLUE. If the provider does not participate in
Personal Choice, you may be balance billed.
By choosing in-network providers for health
care services, PennCare PPO members significantly
reduce -- or eliminate -- out-of-pocket expenses.
The vast majority of services are available in-network.
If a service is not available within the network,
you'll be covered at the out-of-network rate.
Please note that for some selected services,
in-network providers have limited capacity in
their practices. While employees' covered benefits
will not change during the plan year, in-network
providers or services may change. For questions
or clarification, please call toll-free 1-877-354-4999
or contact your benefits office.
The PennCare PPO Network supports PPO programs
offered by the University of Pennsylvania, the
University of Pennsylvania Health System and
some UPHS affiliates. It does not include all
providers affiliated with UPHS.
All providers in the PennCare PPO Provider
Search site participate in the PennCare PPO.
For more specific information about the level
of benefits covered by the PennCare PPO, please
refer to your Human Resources Benefits handbook
or contact Human
Resources or Independence Blue Cross.
Please be aware that the PennCare PPO is not
available to the general public. This site provides
information for University of Pennsylvania employees,
University of Pennsylvania Health System employees
and their dependents only.
If you would like
to find a Penn provider but you aren't a Penn/UPHS
employee, please visit the Physicians & Providers section
of the University of Pennsylvania Health System
web site. You also may call PennHealth at 1-800-789-PENN
(7366), Monday through Friday from 8:30 am
to 5 pm.
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