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  • Out Of Plan Referral Worksheet - Paramount Health Care

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OUT OF PLAN REFERRAL WORKSHEET Phone Number toll free at (800) 8912520 or (419) 8872520 Fax Number toll free at (866) 2142024 or (419) 8872028 Attention: OutofPlan Coordinator Date of Request: Member.

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Ohio Med HDHP This plan is a preferred provider organization (PPO). Has a higher employee contribution, but a lower deductible. Members must pay the full amount until the deductible is met. Copay amounts are set for medical services such as a visit to the doctor or hospital, and prescriptions.

Preferred Provider Organization (PPO)

PPO, Paramount Health Care.

Preferred provider organizations (PPO) offer a network of healthcare providers to use for your medical care at a certain rate. Unlike HMO, a PPO offers you the freedom to receive care from any healthcare provider—in or out of your network.

Become a Network Provider To get started, complete and submit the Network Participation Request Form and W9. Upon completion of the contracting process, the credentialing process will begin. If you have questions regarding our contracting process, please email our Contracting Staff.

Health insurance by healthcare professionals. Paramount is a true advocate for our members and their health. The fact that we're closely affiliated with ProMedica and managed by medical professionals makes us the only health plan provider to take a clinically based, medically sound approach to insurance.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232