To locate an in-network provider, CLICK HERE. 

For help determining which network service area you are in, see the 2022 HSHS Benefits Guide. 

If you have a dependent who lives outside of the network area, such as a child attending college, you and/or your out-of-area covered dependent must complete and submit the Care Package Form in order to have additional providers available to your out-fo-area covered dependent in the First Health Network. The Care Package Form must be completed and submitted before receiving any services.

Your coverage will begin on the 1st of the month on or after your hire date. This applies if you are a newly hired colleague or have transferred from a PRN position to a benefits-eligible position. Coverage for your dependents begins on the same day as your coverage as long as you have enrolled them for health insurance. 

If you are a new hire and you do not enroll by your enrollment deadline, you will have the following coverage by default:

• Basic Life and AD&D insurance
• Short-Term Disability Coverage
• Long-Term Disability Coverage

If your condition is a true emergency, you will have a $100 copayment for emergency services. This is in addition to your deductible and coinsurance for the medical plan option you select.

For 2021 - If you utilize the emergency room for a non-emergency condition, you will have a $300 copayment in addition to your deductible and coinsurance for the medical plan option you select.

For 2022 - If you utilize the emergency room for a non-emergency condition, you will have a $100 copayment in addition to your deductible and coinsurance for the medical plan option you select.

For True Medical Emergencies:
For an emergency medical condition, the HSHS Healthy Plan provides the same benefit level regardless of the provider who provides your care.

• Medical Emergency and Emergency Accident facility charges are covered at the HSHS benefit level, whether you go to an HSHS or another facility.
• Likewise, Medical Emergency and Emergency Accident Specialist Physician charges are covered at the HSHS Specialist Physician benefit level, regardless of whether the Specialist is an HSHSSpecialist. 
• Medical Emergency and Emergency Accident PCP Physician charges are covered at the HSHS Specialist Physician benefit level, if the PCP is an an Out-of-Network PCP.

Out-of-network services will not be covered unless you first obtain a referral from your provider and prior authorization from Health Choices. Your provider will need to submit a referral request to Health Choices. If you have questions about the referral process, contact Health Choices at 1-833-728-0538.