1. What is OneNet PPO?

OneNet PPO is a comprehensive network of physicians, hospitals, and health care practitioners who provide quality health care services. Insurance carriers, third-party administrators and union funds use the OneNet PPO network for their members, to obtain a quality health care network that allows participants the ability to choose their health care practitioners.

2. Does OneNet PPO pay my claims?

No, OneNet PPO is not your Benefits Administrator. Check your health plan identification card (ID) for the name of the insurance carrier, third-party administrator or union fund who is responsible for your claims payment.

3. When is the OneNet Member Services Department available to answer my questions?

The OneNet PPO Member Services Department is available 24 hours a day, seven days per week, and 365 days a year to answer all your network-related questions.

4. Who do I call if I lose my health plan ID card?

You will contact your employer, who will tell you how to get a new health plan ID card.

5. How do I obtain an OneNet PPO Directory?

Click here  to obtain customized Directory of Health Care Professionals,
or call our Member Services Department at 1-800-342-3289 to request a regional customized directory. We also distribute the OneNet PPO Directory of Health Care Professionals to claims administrators. Directories are available in CD ROM format. MAPSI directory can also be requested.

6. How do I submit a request to have a health care practitioner recruited into the OneNet Network?

OneNet PPO welcomes the opportunity to work with participants in identifying physicians and other health care practitioners for inclusion in our network. Please contact your designated benefits administrator to submit this request.

7. What number do I call to start the pre-certification process?

Please refer to the back of your health plan ID card to obtain the telephone number and name of the Utilization Management company (UM) that your employer group has selected for this service. Our OneNet Member Services Department provides you assistance with behavioral health pre-certification toll-free at: 1-800-962-0643.