When should you call your health plan?

Healthcare Group Customer Care is a helpful resource for your business and answers questions related to benefits, enrollment, billing, ID cards, and plan changes without issue.

If you are on a PPOS plan, Healthcare Group should be contacted directly for all questions.

If you or your employees, however, are on an HMO plan and have questions in the following areas, please contact your health plan (Mercy or UPH) directly:

Medications and Formulary
Claims
Provider PCP Change
Provider Availability
Provider Referral Status
Non-Covered Services
Non-Formulary Drug
Out-of-Network Referral
Pre-Existing Condition
Appeal
Prior Authorization
Grievance

For our HMO members, the health plans can easily access the information needed to address questions related to the items above. They take an active role in these issues and will be happy to help. You can contact the applicable health plan by calling:

Mercy Healthcare Group: 602.798.2800 / 800.780.2300
University Physicians Healthcare Group: 520.874.5290 / 800.582.8686