Manage Your Plan

Part of our commitment to you is making it as easy as possible to manage your benefits. We offer two online tools – MyPHP and the Member Reference Desk – that provide valuable information about your account.

MyPHP

MyPHP offers instant access from a computer or through an app to your claim information, a provider directory, out-of-pocket expenses, and more. It’s easy to use, easy to locate the information you need, and most importantly, available whenever you need to access information about your PHP coverage.

  • View detailed claim information, including any copays, deductible, and coinsurance amounts.
  • Order ID cards and print a temporary card
  • Track your deductible and out-of-pocket expenses through easy to read and understand graphs.
  • Download and print your out-of-pocket expenses onto a spreadsheet for tax reporting purposes.
  • Find providers in your area by specialty or location.
  • Create and print your own personalized provider directory.
  • Print locally or request a copy of your ID card be sent to you.

Visit MyPHP

Download the MyPHP Mobile App! Click here for Apple and here for Android!


Member Reference Desk (MRD)

The Member Reference Desk is a helpful resource for your basic benefit information. It offers, in PDF form, such information as: benefit summaries, the PHP handbook, certificates of coverage, advance directives, privacy statements, pharmacy mail order forms, prescription drug lists and provider directory information.



Medical Resource Management (MRM)

Medical Resource Management is a highly structured and clinically intense set of processes that facilitate your access to healthcare resources, decrease your “hassle” factor and improve your overall healthcare experience.

What Does Medical Resource Management Do?

As part of Medical Resource Management, physicians or PHP will:
  • Review members’ care while they’re in the hospital to make sure they’re getting the right care at the right time
  • Help members with care after they are released from the hospital
  • Assist members with complex care management
  • Assist members with transplant services
  • Facilitate the Healthy Focus (Life360) programs

Medical Resource Management Team

Our Medical Resource Management team strives to ensure that you receive quality care, can navigate through the healthcare system and avoid unnecessary out-of-pocket costs.

We define quality care as the right care at the right time in the right setting. Many Medical Resource Management functions revolve around monitoring the quality of your care.

Some of our members may benefit from having a case manager. A case manager is a registered nurse who is trained to help you navigate the healthcare system and obtain needed care and services. The case manager will work closely with you and your doctor to help you optimize your health and understand your conditions.

A trained Medical Resource Management team member may also assist you with minimizing unnecessary out-of-pocket costs.

To contact our Medical Resource Management team, visit the Contact Us page.


The Medical Resource Management Approach


Medical Resource Management Process Description
Prior Authorization Authorization - Notification Table

Hospital Stay Review
  • Care delivered in most appropriate setting   
  • Reduce delays in access to tests and procedures
  • Plan appropriately for discharge
Post-Hospital Discharge Assessment
  • Post-hospital discharge for targeted diagnosis
  • Provide assistance with in-network medical specialties
  • Educate about medical conditions and medications
  • Offer self-help tools and disease-specific education
  • Assist with follow-up for clinical care, physicians orders, post-hospital appointments
  • Provide support with supplies, equipment and community resources
Complex Case Management
  • Address gaps in care
  • Provide access to specialists
  • Educate about medications and disease process
  • Offer self-help tools and information on disease process
  • Assist with follow-up for clinical care, specialty physicians, medications and diagnostic testing
  • Provide support with supplies, equipment and community resources
Transplant Services
  • Care delivered in most appropriate setting by designated transplant network
  • Assist with discharge planning
  • Assist with follow-up for clinical care, physician appointments, required post-transplant-related care