Beginning in 2011, PHC's Medical Plan options will pay for services
according to a three-tier structure that offers financial incentives to those
who use ProHealth Care facilities, affiliated facilities and affiliated
In-network providers will fall into one of two in-network tiers that will
determine your out-of-pocket expenses. Review the Medical Outline of Benefits for additional information.
- Tier 1 - Providers include WMH; OMH; PHC joint venture facilities;
Children's Hospital; ProHealth Care closely affiliated physicians;
UW Health physicians and MCW pediatric sub-specialty providers.
- Tier 2 - Aetna Open Choice PPO Network.
- Tier 3 / Out-of-Network - All other providers not participating in the
WIDS Network or in the Aetna Open Choice PPO Network.
Non-Network providers do not appear in this directory.
The use of non-network providers will result in substantial out-of-pocket
cost to you.