Skip to Content

  • Site Search

What is a PPO?

 

A Preferred Provider Organization, a PPO, is a network of health care providers from whom you can choose to receive health care services. A PPO contracts with physicians and hospitals to secure preferred rates for you and your covered family members. You can decide to visit a PPO provider any time medical care is needed. When you select a ConnectCare PPO participating provider for your medical care, your share of the out-of-pocket-cost of those services is reduced, based on the benefits of your medical plan. Eligible expenses are covered no matter what provider you select for your medical care; however, your share of the cost is greater if you choose a non-network physicians.

ConnectCare

Customer Service

ConnectCare's Customer Service Staff is available to assist you with general questions and to verify your provider's participation in the ConnectCare network.

Toll Free: 888-646-2429
Local: 989-839-1629
Fax: 989-839-1626
 
Hours of Operation
8:00 a.m. - 12:00 p.m.
1:00 p.m. - 5:00 p.m.
Monday - Friday (Eastern Time)

After normal business hours, inbound communications and information may be relayed via fax, confidential voice mail or electronic mail. All precertification requests and/or communications received after normal business hours are returned on the next business day and communications received after midnight on Monday through Friday are responded to on the same business day.

Certified by NCQA since 2007

NCQA Certified Utilization Management"Achieving Utilization Management Certification from NCQA demonstrates that ConnectCare has the systems, process and personnel in place to conduct utilization management in accordance with the strictest quality standards." -- Margaret E. O'Kane, President, NCQA

NCQA has reviewed and certified ConnectCare's Utilization Management functions only. For complete details on the scope of this review, visit www.ncqa.org.