Member FAQs

As a GlobalHealth member, you must use plan providers to get your covered services. This starts with choosing a Primary Care Physician from the list of physicians in the Provider Directory or the Provider Search tool. If you do not choose a PCP, one will automatically be assigned to you.

Here are some examples

1. See or call your Primary Care Physician (PCP) first for all your medical care. Your Primary Care Physician will see that you get the care you need, whether in his/her office or from another doctor.
2. If you or a covered member of your family, need same-day urgent care, call your
   Primary Care Physician's office for medical direction.
3. If you need emergency care, go immediately to the nearest medical facility for care. Call your Primary Care Physician within 48 hours of receiving the care.
   Emergency care is covered when it is for a medical emergency. An emergency is
   based on your presenting symptoms arising from any injury, illness or condition
   manifesting itself by acute symptoms of sufficient severity (including severe pain)
   such that a reasonable and prudent layperson could expect the absence of
   medical attention to result in
   1. serious jeopardy to the patient's health (or in the
      case of a pregnant woman, serious jeopardy to the health of the fetus);
   2. serious impairment to bodily function; or
   3. serious dysfunction of any bodily organ or part.

Follow-up care after an emergency is also covered when provided or arranged by your Primary Care Physician.

If you want to change your PCP, contact GlobalHealth's Customer Service Department at
(405) 280-5600 (local), 1-877-280-5600 (toll free) (TTY 1-800-522-8506) Monday - Friday 8 am - 5 pm (CST). The change will be effective the first of the next month if you call by the 20th of the current month. If you call after the 20th of the month, your change will be effective the first day of the second month following your request.

Members may access mental health services directly by calling Mental Health Network (MHNet) at 1-866-904-5234 (toll-free). MHNet will manage and arrange all inpatient and outpatient mental health and substance abuse services to assure that you and/or your family members receive timely and appropriate care. You do not need to go through your Primary Care Physician. You must call MHNet at 1-866-904-5234 to receive a referral for any inpatient or outpatient behavioral health services. MHNet is available 24 hours a day, 7 days a week to assist you.

If you submit a claim for payment and any part of it is denied, GlobalHealth will reconsider the claim. Send your written request to GlobalHealth's Customer Service Department within 6 months of the day it was denied. Be sure to include the reasons why you believe the denied claim should be paid based on the contents of your Group Subscriber Agreement. If you have any questions, call GlobalHealth's Customer Service Department at (405) 280-5600 (local), 1-877-280-5600 (toll-free) (TTY:1-800-522-8506 Monday -Friday, 8 am - 5 pm (CST).

If you are a potential member of a covered employer group and have questions concerning coverage of your prescription medications. You may contact GlobalHealth Medical Management at UM@ghpn.cc, or by telephone at 405-280-5300 (local), at 1-866-277-5300 (toll free).

GlobalHealth Customer Service respresentatives are available to assist you at askcustomerserivce@globalhealth.cc. By telephone at 405-280-5600, or toll free at 1-866-280-5600, TTY/TDD/Voice at 1-800-522-8506.