Did you know that many common tests and treatments performed in a hospital can be easily done at a more convenient and lower-cost location?
Choosing a non-hospital location could mean you can get an appointment sooner, it might be closer to home, or perhaps the location is just easier to visit.
We believe that the cost and convenience of care is a priority, and we want to make it more affordable and accessible for you wherever possible.
When you use a non-hospital setting for some services, you also help lower the overall cost of health care. This allows us to provide more affordable, quality services you have come to expect from your Presbyterian Health Plan.
Visit lower-cost care facilities when getting tests and procedures
When you need to get imaging (e.g. an MRI), labs, or some surgical procedures, search for the lowest-cost facility.
Here are some examples of lower-cost or more convenient options:
You can also:
Ask your provider
Call your Presbyterian Customer Service Center at the number found on the back of your member ID card
Know your options when getting care
When looking for immediate care, search by condition to find the lowest cost, most convenient option.
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Get the lowest cost prescription medications
If you are taking medications, ask for generic prescriptions if possible and consider using mail order.
Register or sign in to myPRES to view your Optum pharmacy benefits through Presbyterian.
Ask your provider if there is a lower-cost option
Call your Presbyterian Customer Service Center at the number found on the back of your member ID card and select the “pharmacy” option
Estimate your costs before seeking care
Coming soon for commercial members: As a health plan member, you will soon have the option to get an estimate before you get the care you need - with the PHP Treatment Cost Estimator! Look for more in the coming months on this new tool just for you!
Frequently Asked Questions
Why are non-hospital facilities usually less expensive than hospital-based services?
In general, hospitals provide services for very sick or injured patients which require additional staff and resources. Hospitals play a critical role in providing care and services for our most vulnerable populations. There may be instances when a hospital is more appropriate for your care. If a hospital venue is not required, however, outpatient options can be more convenient and save you time and money.
What procedures and treatments may be offered outside of a hospital?
Diagnostic imaging, lab work, colon screenings, and orthopedics are the most common services that can be provided in either a hospital or an outpatient (non-hospital) location. Other services may be added soon.
What if a non-hospital facility is less convenient for me?
In most cases, it will be your choice where to get care. We just want to make sure you are aware of the most convenient and affordable health care options available in your area.