Members

Here for your health

Quite simply, serving our members’ healthcare needs is the reason Physicians Health Plan (PHP) exists. Our award-winning customer service includes a commitment to helping you make the most of your PHP coverage. This section of our website is full of information that will help you manage your plan, understand your coverage and use the valuable health and wellness tools available to you as a PHP member.

What to do in an emergency

PHP is always there when you need us, but please realize that not all emergency or urgent medical situations should be treated the same. Here’s what to do when you require immediate care. If you have a serious injury or sudden illness with severe symptoms, call your primary care physician (PCP) and follow the instructions you are given. If you are unable to contact your doctor and have someone to transport you safely, go directly to the nearest hospital emergency room. If you don’t have enough time to contact your doctor and you need immediate assistance, call 911 and stay on the line until instructed to hang up. Emergency staff can get to you faster than you can get to the hospital. As soon as possible after your treatment, contact your PCP so you can receive necessary follow-up services.

What to do in an urgent situation

Urgent care should be used in a situation that is not life-threatening but requires care sooner than you can typically schedule an office visit. If you are in need of urgent care during normal office hours, after your doctor’s office hours or on the weekends, call your PCP for direction. PHP-participating providers must have an on-call physician for after-hours issues. Your PCP may direct you to obtain urgent care services at a network urgent care facility or may arrange to see you personally on an urgent basis.

What to Do if You are Out-of-Town and Have an Emergency/Urgent Care Situation

PHP covers you at the network-benefit level for emergency and urgent conditions if you are traveling away from home. If you have an emergency, go to the nearest emergency room. If your situation is urgent, go to the nearest urgent care facility. If you have trouble locating a provider during normal business hours, contact PHP Customer Service (517.364.8500 or 800.832.9186) or Zelis HealthCare (866.807.6193), PHP's network partner. If you need help on the weekends or after business hours and your situation is an emergency, call PHP's Customer Service Department and ask to speak with a PHP Nurse on Call.We will also cover a non-network physician’s office visit for urgent care. As soon as possible after your treatment, contact your PCP so that follow-up care can be provided and your medical record can be updated.