How do I use the PPOM or Sloans Lake Networks?
To use the PPOM or Sloans Lake networks, you do not need a referral or any paperwork. You should first verify the provider is participating in the network by calling your provider or contacting customer service. Review your eligibility and coverage guidelines determined by your insurance carrier before seeking treatment. Be sure to present your ID card with the network logo at your visit.

How do I set up my first appointment with a PPOM or Sloans Lake provider?
First, verify your benefit levels for using a PPOM or Sloans Lake provider. Next, call the provider, tell them you are a network participant, and confirm they are participating with one of the networks. Verify the provider is participating , and does not only simply accept PPOM or Sloans Lake network members. Schedule your appointment. Be sure to present your ID card with the at your visit

Be sure you understand your benefits and costs before seeking care. Your individual plan may require co-pays or deductibles, even though they are in-network. These costs are often substantially less that going to a non-network provider. You are responsible for all costs not covered by your healthcare plan.

How do I determine my eligibility and coverage levels?
PPOM and Sloans Lake are medical provider networks and do not determine eligibility or any benefit levels. Your insurance plan determines which services are covered, and at what levels. The phone number for your insurance plan is located on your medical benefit card.

You are responsible for any difference between the network contracted rate and the payment made by the your insurance company. Patients are responsible for payment for non-covered services.

Can I choose a different network provider, or do I need to stay with the same one for a specific period of time?
PPOM and Sloans Lake allow you to see any network provider, at any time, with no additional paperwork or doctor referrals. Make sure that the services you are seeking are covered by your insurance plan before you see the provider

How can I get my provider to join the PPOM or Sloans Lake network?
Tell your physician that you have access to our networks and ask if they would consider joining. If the answer is yes, complete the online Add A Doctor form. You can also contact customer service.

When should I call Customer Service?
Customer Service answers your questions and clarifies your options before you incur any costs. Additionally, Customer Service helps you understand when you should call your benefit manager or insurance carrier. We can also assist with questions regarding the network and help you find a provider in your area. Customer service is available Monday through Friday, 8 a.m.to 5 p.m..