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Contact Numbers

FUNDS' Call Center:
(800) 291-1425

Administration
:
(202) 521-2200

Provider Services Claims:
(888) 865-5290

Precertification:
(800) 292-2288

Pharmacy:
(800) 294-4741



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UMWA H & R Funds
All Rights Reserved

Primary Care Provider (PCP)Networks


Primary Care Provider (PCP) Networks are currently located in an 11 county area in southwestern Pennsylvania and central and eastern West Virginia; and in a five county area around Birmingham, Alabama. To view the network directory, click here.

The PCP Network physician is responsible for providing, coordinating, and managing the health care services for enrolled Funds beneficiaries. He or she provides and coordinates all health care services and directs beneficiaries to appropriate specialists and hospitals as required.

PCP Network physicians may also participate in special Funds disease management projects as well as steering committees that help the Funds manage care appropriately.

PCP Network physicians agree to accept Funds' payments as payment in full. They do not balance bill beneficiaries for covered services.

Beneficiaries have the choice of using network or non-network physicians.


Who can become a Primary Care Network Physician?


PCP Network physicians are local primary care doctors who practice in one of the network areas. Network physicians include family and general practitioners, geriatricians, internists, and some specialists such as cardiologists who agree to take responsibility for a beneficiary's primary and preventive care. If you would like more information about physician enrollment, please contact Cathy Johnson at 1-606-437-9145 or e-mail to cjohnson@umwafunds.org.

 

 

 


  UMWA H & R Funds
2121 K Street N.W.,
Washington, DC 20037