You have direct access to a primary care provider through your Health Access Benefit. Your provider can help you manage ongoing health conditions, prescribe medication, send orders for labs and imaging, and much more. Go to your primary care provider for your routine medical needs.

Having a primary care provider is the key to your total health solution. Not only will your primary care provider keep you and your family healthier, but they will save you money on health care costs over time.

Selecting a Primary Care Provider

When you are ready to begin using a primary care provider, you have several options, all of which are included in your Health Access Benefit.

First, your plan may include a primary care provider that your employer selected for you. If so, you will find their information included in your digital membership packet.

Second, your plan may be part of our Any DPC program, which means you can select any direct primary care provider you would like and submit the bill each month to be reimbursed just like with your preventive care services. A direct primary care provider delivers services offered by physicians and nurse practitioners with a simple flat fee membership. You can find out if your plan is part of the Any DPC program and see your maximum allowable amount in your digital membership packet.

Last, everyone can keep their existing primary care provider, even if they are not a direct primary care provider, with no network limits. You can see any provider you would like and get reimbursed for multiple Annual Wellness visits per year. You can find your maximum allowable amounts in your digital membership packet.

How Do I Begin Using My Primary Care Provider?

If you are choosing a new direct primary care provider, you’ll begin by scheduling an initial patient consultation with them at your earliest convenience. Once you've had your initial patient consultation, your primary care provider will be able to help you manage your routine medical needs, such as writing prescriptions and ordering lab work. Learn more about getting established with a DPC here.

Primary Care Keeps You Healthy

People who maintain a relationship with their primary care provider are healthier overall. Your primary care provider will help you avoid preventable illnesses and health complications, which can lead to these better health outcomes for you and your family.

Data shows that those who utilize primary care are better off in many ways, such as:

• Living longer and are less likely to die prematurely
• Spending less time in hospitals
• Visiting the emergency room less often
• Using ambulance services less often
• Requiring fewer surgeries

Primary Care Saves You Money

Primary care providers help patients avoid the really expensive health care costs of hospital stays, ambulance services, and emergency room visits. That means those with a primary care provider save more money on their health care than those without primary care. One study showed savings could be as much as 33% per year!

As a Health Access Benefit member, you can begin seeing your primary care provider whenever you are ready and start enjoying better health at lower costs.

Through your prescription service, you have access to some of the lowest-priced prescription medication in the country. We partner with a nationwide network of pharmacies to give your access to affordable drug pricing at over 65,000 locations. Use your prescriptions service anytime you need to fill a prescription from a pharmacy.

How does it work?

Your prescriptions are filled through a national pharmacy benefit manager with over 65,000 locations. Here’s how you do it:

1. Get a prescription from a physician.
2. Search for the prescription online using the list of all local and mail-order pharmacies to view all the options and prices.
3. Choose the best option for your needs and budget.
4. Pick up the prescription at the pharmacy you chose or, if you selected mail-order, have it mailed to your front door.

How can I search for my prescription?

Start searching for the lowest-cost prescriptions at your local pharmacies by enrolling online. Choose the option to link your card using your Membership ID. Then, simply search for your medication and find the closest pharmacy with the best price.

Note: Online enrollment is not required. It’s available as an additional feature to help you search for the lowest cost prescription.

How can I access my prescription card?

Your prescription card can be sent directly to your smartphone when you text "prescription" to (239) 299-0333. Your prescription card can also be emailed to you when you email memberdetails@healthaccesssolutions.com.

Questions about your prescriptions?

Contact a pharmacy specialist by email or by calling 844-728-3479.

Through your preventive care service, you’ll get reimbursed for preventive medical services such as dental cleanings, vision exams, flu shots, and much more. Simply snap a picture of your bill and submit it for reimbursement right from your phone. Use your preventive care service anytime you visit a lab or doctor’s office for dozens of tests and services to keep you and your family healthy.

How do I get started?

Once you have received preventive services, simply submit your provider's itemized receipt for reimbursement. You can snap a picture of your receipt and complete the form right from your phone or from any computer.

You will find detailed instructions in your Digital Membership Packet. You can access your membership information at any time via our Member Search tool.

How do I get reimbursed?

1. When you go in for a preventive screening or test, let your provider know that you are a “self-pay patient.”
2. Simply pay your provider directly and save the itemized receipt.
3. Snap a picture of your bill and submit it for reimbursement right from your phone or upload the image from any computer using this form.

Which services are eligible for 100% reimbursement?

Dozens of preventive labs and screenings are available for 100% reimbursement including dental exams, vision screenings, and mental health counseling. You can find the complete list of reimbursement maximums and eligible services here.

Are there any network restrictions?

No! There are no network restrictions for your preventive care benefit. You are free to visit any lab or doctor you’d like for included services and you’ll be reimbursed.

More questions about your preventive care benefits?

Contact Health Access Solutions at members@healthaccesssolutions.com or 800-606-1135 Ext. 1

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The Health Access Benefit is made up of three key pieces that work together to provide you and your family with quality health care that is both affordable and convenient. These three pieces are your primary care, prescription, and preventive care.

Here’s how they fit together.

Primary Care

Through your primary care provider, you have access to a personal care team of doctors, nurses, and health advisors. They can help you manage ongoing health conditions, prescribe medication, send orders for labs and imaging, and much more. Go to your primary care provider for most of your routine medical needs.

Learn more about why to use your primary care here.

Prescription

Through your prescription service, you have access to some of the lowest-priced prescription medications in the country. We partner with a nationwide network of pharmacies to give your access to affordable drug pricing at over 65,000 locations. Use your prescription service anytime you need to fill a prescription from a pharmacy.

Learn more about how to use your prescription service here.

Preventive Care

Through your preventive care service, you can get reimbursed for preventive medical services such as dental cleanings, vision exams, flu shots, and much more. Simply snap a picture of your bill and submit it for reimbursement right from your phone. Use your preventive care service anytime you visit a lab or doctor’s office for dozens of tests and services to keep you and your family healthy.

Learn more about how to use your preventive care here.

If you have eligible preventive expenses, use this form to request reimbursement.

Common Ways to Use Your Health Access Benefit

Here are some common ways that members use their Health Access Benefit. If you aren’t sure which piece of the Health Access Benefit you need at the moment, these examples may help guide you. Keep in mind, however, these are just a few of the many benefits included in your membership!

• My whole family received flu shots. We used our preventive care service to be reimbursed.
• My doctor gave me a prescription for a new medication. I used my prescription service to get it filled at the best price.
• I wanted to talk to a professional about quitting smoking. I went to my primary care provider and was able to use my preventive care to reimburse $500 of my costs.
• My kids needed “well child” exams before they could return to school. I used my preventive care to be reimbursed.
• My doctor sent me to a lab to get a bone density screening. I used my preventive care to be reimbursed.
• My son had an odd-looking bug bite. My primary care provider allowed a doctor to look at it by video* at no cost to me. The doctor prescribed a cream for him, and I used my prescription service to have it filled at the best price.
• I went to a local dentist for a routine dental cleaning and my eye doctor for an annual eye exam. I used my preventive care and I was reimbursed up to $250 each.
• I’ve taken the same prescription for years. I used my prescription service and was able to get it filled at a better price than I used to pay.
• My doctor recommended that I use an at-home colon cancer screening this year. I did, and then I used my preventive care and was reimbursed for 100% of the costs.
• I have high cholesterol. I work with my primary care provider to keep it under control.

* Some primary care providers offer virtual care, but not all. Check with your primary care provider to find out the best way to receive your care.