Accessing Care:
Find a Provider and Understand Your Sharing Benefits
Get the care you need to stay healthy at an affordable rate, without unexpected costs
With a broad access to providers nationwide and the flexibility to choose in-person or virtual care, you’ll easily find the right professional to support your needs, no matter where you are on your healthcare journey. We couple that with our white-glove member services team, which partners with our members as they navigate their care, so they know what to expect. Surprise bills will become a thing of the past.
Step 1
Before scheduling non-emergency care, contact Member Services. Our team can help you understand your program, confirm what to expect, and help establish the right provider for your needs.
Step 2
Member Services will help you determine whether pre-certification* is required and guide you through the next steps before your appointment.
Step 3
Schedule your appointment, provide your membership information, and receive care. If pre-certification is required, your provider must submit the request before services are received.
After Care
Once you receive care, your provider will submit your bill to UHSM. You’ll then receive an Explanation of Share confirming your member responsibility.
Important: For all non-emergency care, call Member Services before visiting a provider. This helps avoid delays, confusion, and unexpected billing issues
*Pre-certification is required for inpatient hospitalizations, 23-hr observation stays, surgeries (not performed in a doctor’s office), pregnancies, biopsies (when checking for or to rule out cancer), endoscopic and colonoscopy procedures, imaging such as laparoscopy, MRI, CT, and PET scans, Physical, Speech or Occupational Therapy, chemotherapy and radiation, infusion therapy, home health care, and durable medical equipment over $2,500.
Virtual Care Anywhere!
At UHSM, preventative care is our top priority. When you get ahead of those preventable health issues, you’re then free to live the full life you want—and that’s why Members may have 100% of eligible annual wellness and preventive expenses shared. Our exclusive wellness perks then help support you in taking on a healthy lifestyle, giving you a clear, two-step approach to holistic wellness. When you’re not feeling your best and can’t or don’t want to leave the house, you have access to convenient care to help you get back to health.
To access Amwell’s virtual care:
With MinuteClinic® by CVS members have access to a licensed provider over video to address common illnesses like colds, flu, strep, infections (eye, ear, skin, sinus, and UTI) or get support with medication refills. Providers are accessible for common illnesses 24/7, 365 days a year and are generally 40 percent less than urgent care.
To get CVS MinuteClinic virtual care –
In-Person Care
MinuteClinic® by CVS is a walk-in clinic that patients can choose as an alternative to urgent care. The service emphasizes our commitment to lowering costs, with MinuteClinic® prices averaging 40 percent less compared to traditional urgent care facilities. These clinics offer over 120 treatments, screenings, and immunizations and are open 7 days a week.
Appointments can be booked online for easy scheduling or in-person at the walk-up kiosk.
PHCS is America’s No. 1 PPO provider and the largest in the nation. Your membership includes access to more than 1M+ doctors, diagnostic, therapeutic and specialty providers. By contracting with this network, our members benefit from pre-negotiated rates and payment processes that lead to a much smoother process and overall cost savings.
To access care, search our PHCS PPO Network directory by name, specialty, or location to find physicians, labs, radiologists and urgent cares. Call 1-800-900-8476 to locate facilities and hospitals. Remember to reference the PHCS PPO Network when scheduling your appointment.
Please Note: We do our best to keep the directories updated. However, participating physicians, hospitals, and/or healthcare providers may have changed since the online directory was last updated. Always confirm network participation and provide your WeShare Member ID card prior to scheduling an appointment and during your appointment check-in process. It is best practice to reach out to Member Services prior to your visit to ensure the provider is still in our network, as this can change.
Prescriptions
Added to the value of a UHSM membership value is the convenience offered by over 68,000 pharmacy locations through CVS Caremark™, Costco, Kroger, Walmart, and select Target pharmacy locations. Members can easily access medications through pharmacy pickup at CVS locations nationwide. Additionally, members can arrange to receive a 90-day supply of maintenance medications via mail-order by visiting a CVS Caremark™ location to set it up.
