Welcome to Prime Healthcare's
Employee Health Plan
It is an honor to care for members of our own Prime Healthcare family.
That's why we are pleased to offer a best in class health plan for
our employees and their qualified dependents.
Find a Tier 1 Provider Quickly & Easily
Members of Prime Healthcare's Employee Health Plan can access quality
care at the greatest value and the lowest cost by choosing a provider
in the Prime EPO Tier 1 Network.
For the benefit year
starting 01/01/2022, to download the list of services that does not require prior authorization
when rendered at or by a Tier 1 contracted provider,
click here.
To request prior authorization or a referral, please
click here to download the form. This request needs to be initiated on behalf of
the member by your primary care physician, however specialists should
submit requests for further care after initial visit.
Is your provider not a part of the Prime Healthcare Network?
Please complete the
Nomination Form
and fax to 909-235-4405 or email to
EHPprovidercontracts@primehealthcare.com.
Exceptional Care. Exclusive Benefits.
Prime Healthcare is creating a unified experience of exceptional care for
the community and its extended family of nearly 50,000 staff members.
As Prime’s mission of excellence, you and your dependents are eligible
for a variety of benefits, including health and life benefits, retirement
savings, and work-life and tuition programs.
To stay healthy and protect your loved ones, Prime Healthcare offers The
Exclusive Provider Organization (EPO) Plan - a comprehensive, self-funded
medical plan that features our expert in-network providers, specialists
and Prime Healthcare facilities across the country. Providing you healthcare
services at our own award-winning hospitals (referred to as the Tier 1
Prime Healthcare Network) is an honor, and allows us to offer
high-quality care to you and your families, and savings that are passed on
directly to you at no or little cost with low out-of-pocket charges and minimal employee payroll contributions.
The EPO Plan covers 100% of preventive care charges and most inpatient
and outpatient hospital-based services within the Tier 1 Prime Healthcare Network,
at little to no cost.
Click here to review Frequently Asked Questions & Answers regarding our health plan.
To find a Prime Healthcare provider, click through the Prime Provider Directory.
Or for more information, contact Prime Customer Service at
877-234-5227.
Forms