The Primary Care Network (PCN) is another health plan offered by the Utah Department of Health. It covers services administered by a primary care provider.
Applications are only accepted during open enrollment periods, which are held when resources are available to cover more people .PCN will be open for all adults July 1 - 31, 2008. If you are an adult ages 19-64 and uninsured, you may qualify for PCN.
• Age 19 through 64
• U.S. citizen or legal resident
• Uninsured; not covered by any health insurance
• Not qualified for Medicaid
• Not have access to student health insurance, Medicare or Veterans’ Benefits
How much does it cost?
• Yearly enrollment fee is $50, $25, or $15 depending on your income
• Low co-pay amounts
• The maximum amount of co-pays you will be required to pay out-of-pocket is •no more than $1,000 per person per year
• See PCN Co-Pay Summary
•American Indians/Alaska Natives do not have a co-pay when getting services •at Indian Health Services or tribal facilities.
PCN covers primary care services:
• Visits to a primary care provider
• Four prescriptions per month
• Dental exams, dental x-rays, cleanings, and fillings
• Eye exam; no glasses or contacts
• Routine lab services and x-rays
• Emergency room visits (restrictions apply)
• Emergency medical transportation
• Birth control methods
What is not covered?
Hospital stays, MRI’s, CT scan, etc.; visits to a specialist such as an orthopedist, cardiologist, ear nose and throat doctor, etc. are types of services that are not covered by PCN. A Specialty Care Coordinator may be able to help you find a provider who charges a minimum co-pay for uncovered services.
What doctors, dentists and facilities accept PCN?
If you already have a primary care provider or dentist, or you find one in the phone book you would like to use, you are welcome to call them and ask if they accept PCN. Otherwise, these options below will help you: Online PCN Provider List or call 1-888-222-2542
How long can I be on PCN?
PCN reviews your enrollment every 12 months from the time you started. At that time, PCN will send you a renewal form. If you are still eligible, you will need to pay the enrollment fee to get covered for another 12 months. Once you become a PCN Member, you must report any changes in your information or status. You must report changes if you: get health insurance through another source, move to a new address, get a new phone number, become a full-time student, or become pregnant.
You may apply for PCN in three ways:
• Apply online
• Print and mail a PCN application. Applications must be received during Open Enrollment
• Stop by your local office