Your Care, Your Choice
Did you know that many common tests and treatments performed in a hospital can be easily done at a more convenient and lower-cost location?Choosing a non-hospital location could mean you can get an appointment sooner, it might be closer to home, or perhaps the location is just easier to visit.
We believe that the cost and convenience of care is a priority, and we want to make it more affordable and accessible for you wherever possible.When you use a non-hospital setting for some services, you also help lower the overall cost of health care. This allows us to provide more affordable, quality services you have come to expect from your Presbyterian Health Plan.
Visit lower-cost care facilities when getting tests and procedures
When you need to get imaging (e.g. an MRI), labs, or some surgical procedures, search for the lowest-cost facility.
Here are some examples of lower-cost or more convenient options:
Service | Providers Service Area by Region | Lower-Cost Care Provider |
---|---|---|
Joint Procedures
| Central | |
Northeast | ||
Northwest | ||
Southeast | ||
Southwest | ||
Lab Work
| Central | |
Northeast | ||
Northwest | ||
Southeast | ||
Southwest
| ||
Diagnostic Imaging
| Central | |
Northeast | ||
Northwest | ||
Southeast | ||
Southwest | ||
Colon Screening
| Central |
TBD |
Northeast | ||
Northwest | ||
Southeast | ||
Southwest | ||
Multispecialty ASC
| Central | |
Northeast | ||
Northwest | TBD | |
Southeast | TBD | |
Southwest | TBD | |
Multispecialty ASC
| Central | |
Northeast | ||
Northwest | TBD | |
Southeast | TBD | |
Southwest | TBD |
You can also:
Ask your provider
Call your Presbyterian Customer Service Center at the number found on the back of your member ID card
Know your options when getting care
When looking for immediate care, search by condition to find the lowest cost, most convenient option.
Get the lowest cost prescription medications
If you are taking medications, ask for generic prescriptions if possible and consider using mail order.
Register or sign in to myPRES to view your Optum pharmacy benefits through Presbyterian.
Ask your provider if there is a lower-cost option
Call your Presbyterian Customer Service Center at the number found on the back of your member ID card and select the “pharmacy” option
Estimate your costs before seeking care
As a health plan member, you have the option to get an estimate before you get the care you need, with the PHP Treatment Cost Estimator. This is available to our individual and employer group plan members. Please log into the myPRES portal, go to Benefits & Coverage, then Estimate My Costs, to access the tool. This tool may not be available to all members, based on your plan.