Member Tools to Help Manage Your Plan - Physicians Health 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
View benefit coverage & drug determination policies
View policies
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
Request a copy of your ID card be sent to you

Click here to visit MyPHP

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.
Click here to visit the Member Reference Desk

Medical Resource Management (MRM)

MRM 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 MRM Do?

As part of MRM, clinical staff 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 disease management programs

MRM Team

Our MRM 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 MRM 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 trained professional who will 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.

To contact our MRM, visit the Contact Us page.

The Medical Resource Management Approach

Medical Resource Management	Process Description
Prior Approval	PHP Notification/Prior Approval 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 Coordinate access to specialists 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
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 Click here for a Case Management Referral Form
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

Manage Your Plan