As a Preferred Provider Organization (PPO) member:

• You can choose which doctor or specialist to see and you get to choose an in-network or out-of-network provider (Note: you pay substantially less when you go to a doctor in the network.);
• You don't need to select a primary care physician and you don't need a referral to see a specialist.

Whether you choose an in- or out-of-network provider, certain services require that you satisfy a copay, deductible, and/or coinsurance. If you receive care from an out-of-network provider, your coverage will be at a lower benefit level and you will have to pay a higher deductible and coinsurance.
 

LINKS, DOCUMENTS, FORMS

• Visit Meritain Website
• Federal Surprise Billing Notice
• 2023 Medical Summary Plan Description
• 2024 Summary of Benefits & Coverage - Standard PPO
• 2024 Summary of Benefits & Coverage - Choice PPO
• 2024 Summary of Benefits & Coverage - HDHP
• High Deductible Health Plan Brochure
• Preventative Care Screenings
• Medical Member Discounts
• Communicating with Your Physician
• Claims Direct Deposit Instructions
• Direct Deposit Form