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Attention
The search function is currently available for those looking for general family practice, internal medicine and pediatrics providers. You can also access an alphabetical list of covered in-network facilities, hospitals, urgent care, etc., by clicking on the available links found below. For assistance making appointments or navigating the PDF listings, please contact your Healthcare Advocate team by phone at 855-404-9355, or by email at advocates@wellhealthqc.com.
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Behavioral Health Providers
If you are looking for a Behavioral Health provider, please contact Human Behavior Institute (HBI) at (702) 248-8866 and they can assist you in finding a provider that will work well for you and your family. Founded in 1990, HBI is a full-service behavioral health organization headquartered in Las Vegas, Nevada. As a leader in the development of effective quality assurance programs, HBI is devoted to excellence in clinical care and customer service, and adheres to URAC and NCQA standard of quality.
Medical and Dental Providers
The search function on the right side of the screen you will find in-network providers for the Performance Plus plan. You've already pre-selected your Patient Centered Medical Home (PCMH) Primary Care, Pediatrician, and OB-Gyn. Your selected PCMH doctor is your personal provider to actively work together with you to manage your healthcare needs. We understand that on occasion, some patient-doctor relationships are not an exact match. You are allowed to change your PCMH doctor(s). It is important to note that the systems and processes that make the PCMH model possible are complex; changing a provider is not as simple as clicking a button - it requires the linking of multiple systems, platforms, and communication systems.
If you need to change your PCMH doctor, you may do so once each quarter with the change being effective the following quarter. Simply call a WellHealth Healthcare Advocate at 855-404-9355, answer a few questions, and the change will be made effective the following quarter. A completed Provider Change Request Form is also required via email in order to expedite the process. Simply fill out this form and email to advocates@wellhealthqc.com. You do not need to call and email. Both options are available for your convenience.
PROVIDER SEARCH
Select a specialty to browse our providers
Patient Centered Medical Home
What is PCMH?
The medical home model holds promise as a way to improve health care in America by transforming how primary care is organized and delivered.
The medical home model encompasses four key functions and attributes:
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1. Comprehensive Care
The Patient Centered Medical Home model is designed with the patient's complete care in mind and takes an approach that looks at individuals holistically. In other words, patient care is directed at wellness and prevention, and not just when acute or emergent care is needed. Providing comprehensive care means looking at the whole person as opposed to and single part and enabling providers to partner together in a patient's total care.
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2. Patient-Centered
Patient-centered care is care that is driven by the patient's values and needs. The PCMH model seeks to strengthen the patient's control of their healthcare though encouraging providers to listen to and develop relationships with their patients so that decisions are made with the patient's values at heart. Patients are therefore better able to play an active role in their wellbeing through managing and organizing their care hand-in- hand with their providers.
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3. Coordinated and Accessible Care
With a Patient Centered Medical Home model in place, primary care providers now have the ability to coordinate between all elements of the healthcare system, including specialty care, hospitals, home health, behavioral health, and community services. This coordination is made possible by improving accessibility and communication between these entities. In addition, the PCMH model requires participating providers to provide better access to care, meaning scheduling appointments sooner with shorter wait times, 24/7 access to virtual care, and enhanced in-person visits.
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4. Safety and Quality
The PCMH model demonstrates a commitment to quality through ongoing engagement in evidence-based medicine, clinical support tools, and shared decision making with patients. Providers are given performance measures and quality standards and held accountable for their fulfillment or disregard for those goals. This data then acts as motivation to improve their overall performance, ultimately improving the level of quality and safety for patients.
Provider Change Form
Thank you for the patience you have shown throughout these past few months during the transition to your Teachers Health Trust Performance Plus Health Plan. A number of changes have been made in a very short time, and your cooperation is greatly appreciated. We all have the same goal to provide the best and most efficient medical care to you and your families.
One of the exciting changes to the health plan is the addition of the Patient Centered Medical Home (PCMH), which places your total medical care into the hands of your caregiver, as well as yourself, and results in a healthy and active relationship with your PCMH provider. When you select your Patient Centered Medical Home doctor(s), you are choosing a personal partner to manage your healthcare needs. However, we understand that on occasion some patient-doctor relationships are not an exact match. The program allows you to change any of your Patient Centered Medical Home Doctors. However, the systems and processes that are in place, which make the PCMH model possible, are complex; changing a provider is not as simple as clicking a button - it requires the linking of multiple systems, platforms, and communications systems.
Therefore, the option of changing your PCMH provider at will is not possible. If you need to change your PCMH doctor, you may do so once each quarter, with the change being effective the following quarter. Simply call a WellHealth Healthcare Advocate at 855-404-9355, answer a few simple questions, and the change will be made effective the following quarter. A Provider Change Request Form is also attached for you to complete and email in order to expedite this process. Simply fill out this form and email to advocates@wellhealthqc.com. You will not need to both call and email; you can choose whichever option is more convenient for you.
A number of you were unable to select a PCMH provider of choice during the open enrollment period. In some cases, your primary care provider was "pending" or not yet on the network at all. If that is what has occurred in your case, you have been assigned a PCMH provider. If this applies to your situation, you may call or email a Healthcare Advocate to obtain the name of your assigned provider and/or change your PCMH provider.
Thank you again for allowing us to continue providing your healthcare. Feel free to email or call a Healthcare Advocate should any questions arise or further assistance is needed.
Provider Change Request Form
Need to find a Patient Centered Medical Home (PCMH) provider? click here to search the complete online provider directory. Once you know your PCMH provider, click here to download and complete the Provider Change Request Form.
WHEN REGISTERING YOUR TELEMEDICINE ACCOUNT, YOU WILL BE ASKED TO ENTER YOUR MEMBER ID FOR VERIFICATION.
YOU WILL NEED TO ENTER THE NUMBER ON YOUR CARD FOLLOWED BY 00 WHICH IS YOUR PRIMARY SUBSCRIBER IDENTIFICATION.
FOR EXAMPLE 0000123400, THEN YOUR DATE OF BIRTH. ADDITIONAL INSTRUCTIONS AND THE HELP LINE CAN BE FOUND
HERE
Telemedicine Program
Healthcare When You Need It
Teachers Health Trust Performance Health Plan members now have the ability to access medical and behavioral health providers 24 hours a day, 7 days a week through a Telemedicine platform powered by MDLIVE.
Providers are able to diagnose and treat conditions such as the cold and flu, fevers, strep throat, conjunctivitis (pink-eye), sinus infections, rashes and more!
In addition, members have access to behavioral health professionals to help them with their immediate health needs.
Telemedicine Co-Pay is $0
Visit WellHealthOnline.Com | Directions on HOW TO activate your account. Telemedicine is not compatible with Safari web browsers
Frequently Asked Questions
When should you use WellHealth Online?
- Instead of going to the ER or an urgent care center for a non-emergency issue
- During or after normal business hours, nights, weekends and even holidays
- If your primary care doctor is not available
- If traveling and in need of medical care
Can a dependent under the age of 18 use Telemedicine?
Yes. MDLIVE has pediatricians on call 24/7/365. Please note, a parent or guardian must be present during any interactions involving minors. We ask parents to establish a child record under their account. Parents must be present on each call for children 18 or younger
What can Telemedicine treat?
Telemedicine can treat an array of symptoms such as:
- Allergies
- Asthma
- Bronchitis
- Cold & Flu
- Diarrhea
- Ear Infection
- Fever
- Headache
- Infections
- Insect Bites
- Joint Aches
- Rashes
- Respiratory Infections
- Sinus Infections
- Skin Infections
- Sore Throat
- Urinary Tract Infections
- And More!
What kinds of problems can I access Tele-Behavioral Health for?
You can access the behavioral health portion of telemedicine for issues such as:
- Marital Problems
- Child Behavior
- Child Learning Issues
- Financial Hardship
- Coping with Loss & Grief
- Parenting Counseling
- Problems at Work
- Stress
- Life Challenges
I am having trouble creating an account or accessing MDLIVE. Who can I contact?
You can call 866-327-4873, or email: advocates@wellhealthqc.com with your name, member ID, and what you need assistance with. Please allow one business day, excluding weekends and holidays, for a response.
Once I am registered, do I need to create a separate account for my dependents?
Yes, each dependent needs to have a unique username for billing purposes. However, they can be registered under the same email address. Once you have registered as the primary account user, you can click on the "My Account" tab and register any dependents by verifying their information and creating their username.
How long will I wait to see a doctor?
The goal of telemedicine is to give you the ability to see a doctor within minutes. However, there could be a delay based on the amount of members trying to access care at the same time. You do have the ability to schedule an appointment with any of the doctors available and see them when it is convenient for you.
Can I see a doctor through my smartphone?
Yes. You can download the MDLIVE app, login, and start to access care. You can download through the App Store or Google Play.
Can the doctor prescribe medication?
Yes. Prior to your visit, you will select your pharmacy (verify that you are selecting an in-network pharmacy). If a medication is prescribed by your doctor, you will be able to pick up the medication the same day in most cases.