Northeast Georgia Health Partners is a Preferred Provider Organization (PPO) created with your health care needs in mind.
We’re selective, so you can be too. Every one of the health care providers in Northeast Georgia Health Partners network has been thoroughly qualified and carefully screened. This helps you to select the best health care providers in north Georgia.
Participating Provider Listing
Participating network providers cover a broad scope of services, including the following:
- Rehabilitation – physical, occupational and speech therapy
- Ambulatory Surgery Center
- Home Health and Hospice
- Mental Health
- Diagnostic Services
- Imaging Services
- Durable Medical Equipment (DME) Suppliers
- Other Specialty Services
You have the Choice
As an insured member of one of the largest PPO networks in Georgia, you have a choice which physician to see. Referrals from primary care providers are not needed most of the time. However, it is always a good idea to verify with your employer if your plan requires a medical referral or not. Physicians who are not members of Health Partners are considered out-of-network. Depending on your plan design, the cost of using an out-of-network provider may be higher. Contact your employee benefits administrator to verify the coverage.
Making your Appointment
When you call an in-network doctor for an appointment, identify yourself as an insured (covered) member of Northeast Georgia Health Partners PPO. You can verify the doctor is currently participating in the network by calling Health Partners member services at 770-219-6600, or by checking our physician directory.
Verifying Your Participation
Your ID card confirms you have contractual access to the Health Partners network and it also contains important information about your plan benefits, such as your co-payment requirement and a pre-certification phone number, if one is needed. Please bring your ID card with you to doctor visits.
A co-payment is the responsibility of the insured and is expected to be paid at the time of service. Your plan may or may not require a co-payment. If a co-payment is required, the amount you need to pay is on your ID card. If the information is not there, you should contact your employee benefits administrator for verification.