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FOR BEST ASSISTANCE IN FINDING THE RIGHT PROVIDER FOR YOUR NEEDS PLEASE CALL FIRST STOP HEALTH FKA SENTRY HEALTH , YOUR MEDICAL ADVOCATE AT 888-289-0700.
Please realize that providers are continuously being updated. If a provider that you are searching for is not showing up in the online directory, call FIRST STOP HEALTH, your Medical Advocate at 888-289-0700. They will verify if the provider is/is not currently contracted with the Evolutions network. If not, SENTRY HEALTH (MAP) can guide members through the process of nominating that provider.
EXPLANATION OF TIERS:
Tier 1 Provider:
- Great news! The provider is participating in the Evolutions Prime Tier 1 Network.
- Provides the best member benefit option resulting in the lowest copay/cost to members and the plan.
Tier 2 Provider:
- Great news! The provider is participating in the Evolutions Prime Network.
- Provides the next best member benefit option resulting in a lower copay/cost to members and the plan; however, not as cost-effective as a Tier 1 Provider.
Tier 3 Provider: (Non-contracted providers will not display in the directory.)
- The provider is NOT contracted with Evolutions. You may still seek treatment from this provider as long as the provider allows it.
- The provider will be reimbursed on an amount based on Medicare allowable as per your plan document.
- Since there is no contract in place, this may result in balance billing from that provider to the member. Contact miBenefits.ebms.com or call 888-326-7240 for help with balance bills
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