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PA Health Care Provider Panel - Form C

 

All panels have been revised as of 8/1/17 - please remove the currently posted panel/s in your area and replace with an updated version.

 

 

Medical care must be obtained from one of the University’s designated Panel providers for the first 90 days from the date of your first visit.The University will not pay medical services provided by a non-Panel physician during the first 90 days of treatment.

 

If you require emergency medical care, you may seek treatment at the closest Emergency Department for your initial care. Additional medical treatment and referrals must be coordinated through one of the above Panel providers.