SDOC Enrollment Training Notes - Updated (2022 08 06)

Medical (provider network & ID cards) | 800.308.2748, Mon –Fri. 8:30-6:30pm Email: askehs@ehsppo.com | www.ehsppo.com CLICK HERE TO FIND PROVIDERS • Custom network • ID Card:

Good

BEST!

Better

Tier 1

Tier 2

Tier 3

Most Preferred Relationships

Preferred Relationships

Non-Specified Providers Out-of-network

In-Network (Group: SDOC or 30003

Hospitals

• Orlando Health System • St. Cloud Regional • Ambulatory Surgical Center • Nemors (new) • Lake Nona Medical Center (new) • Osceola Regional (new) • Physicians (Primary Care, Specialist, Pediatricians, OB/GYN, etc

Excluded

• IF enrolling for first time or adding a new dependent(s) to coverage.

• Provider Search Instructions at ehsppo.com • Click on the “FIND A PROVIDER” Box at the top of ehsppo.com website or in the member section. • Type “SDOC” in the Group Name section, click “Continue” & choose your search criteria • Tier 1 Providers will show up as Evolutions Healthcare Systems PRIME Tier 1 Network, All Others that show up in search are Tier 2 • Employees can nominate their provider • Visit the website and complete form (on-line or print and mail /email back) • Evolutions reaches out to your provider but can not guarantee they will want to be part of the network (Tier 1 or Tier 2)

Physicians (Primary Care, Specialist,

Doctors

Pediatricians, OB/GYN, etc

Labs, Imaging, (ancillary services)

• Green Imaging

Note:

Potential for Balance Billing

For non-emergencies it is wise to confirm Provider Tier before scheduling care

Explain My Benefits © 2021

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SDOC Open Enrollment, Coverage Effective October 1

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