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  • Provider and Pharmacy Networks

    PHP (HMO SNP) makes getting health care and filling prescription drugs easy. The plan’s provider network includes leading HIV primary care doctors, specialists, and hospitals in Los Angeles County.

    All of PHP’s primary care providers are HIV specialists. They provide routine health care and manage the disease. Members don’t need a referral to infectious disease specialists for HIV management. This is an important feature of an HIV special needs plan. Most regular Medicare Advantage plans require members to choose a generalist primary care provider and be referred to an infectious disease specialist for HIV care.

    The plan’s specialists are chosen for their familiarity and compassion in treating HIV patients and they are affiliated with some of Los Angeles County’s leading hospitals.

    You can review the plan’s provider network two ways:

    Because PHP is an HMO, members must generally get medical care from network providers for the care to be covered by the plan.

    Filling a prescription is easy. PHP has contracted with the big pharmacy chains like CVS, Rite Aid and Walgreens, as well as smaller chains like AHF Pharmacy. It has also contracted with numerous independent pharmacies throughout Los Angeles County. If you happen to need to fill a prescription when you’re outside of Los Angeles County, you can go to any contracted chain pharmacy. (By clicking on the link above, you will be taken to the AHF Pharmacy website. AHF Pharmacy is operated by the parent company of PHP, AIDS Healthcare Foundation.)

    You can review the plan’s pharmacy network two ways:

    Members must generally get prescriptions filled at network pharmacies for the drugs to be covered by the plan.

    To report any errors in the PHP provider or pharmacy, please send an email to california.directory.errors@positivehealthcare.org, or send a message using our web form. You may also report directory errors by calling Member Services at (800) 263-0067, Option 2 (TTY 711). Agents are available 8:00 am to 8:00 pm, seven days a week.

    You will need the Adobe Acrobat Reader program to view the above forms. To download this free program click here or use the link above – the link will open a new window and take you to the Adobe website.
     

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