The Health Plan of the Upper Ohio Valley

Member Services

Customer Service

St. Clairsville
P: 740.695.7902
TF: 1.888.847.7902
F: 740.699.6163
Email: information@healthplan.org
Hours: Mon. - Fri.,
8:30am to 5:00pm

Massillon
P: 330.837.6880
TF: 1.800.426.9013
F: 330.830.5634
Email: information@healthplan.org
Hours: Mon. - Fri.,
8:00am to 5:00pm

Tip: The volume of calls we receive is typically higher on Mondays. You may receive quicker service if you call us on another day of the week.

If you need any written information provided by The Health Plan in an alternate language or format due to special needs such as vision or reading impairments or language translation difficulties please contact The Health Plan's Customer Service Department at 740.695.7902 or toll-free 1.888.613.8385, Monday through Friday, 8:30am to 5:00pm.

During regular business hours - If you leave a message in our voice mail system, please be aware that every attempt will be made to return your call the same day. After hours - Please leave a message in our 24-hour voice mail system. Your call will be returned the next business day.

Member Rights & Responsibilities

View The Health Plan Rights & Responsiblities. (38k)

Privacy of Your Health Information

View The Health Plan Privacy Practices information and links to forms pertaining to your Privacy of Health Information.

Notice Regarding Advance Directives

View The Health Plan's Notice regarding Advance Directives. Find frequently asked questions about "What is a Living Will?" or "What is a Durable Power of Attorney?" and more.

Case Management Program

(Practitioner Procedural Manual, Section 7)

For members experiencing a critical illness or injury, The Health Plan provides specially trained registered nurses in case management to assist in coordinating care and services. If you believe you could benefit from this program, you can contact the case managers by calling the Medical Department at 740.695.7644 or 740.695.7643 and toll-free at 1.800.624.6961, ext. 7644 or 7643.

You can also submit a Member Case Management Referral Form online.

Nurse Information Line

Always someone to turn to . . . for Health Plan members, there is always someone to turn to, whatever time of day or night a health concern arises.

The nurse information line provides our member's access to a nurse, 24 hours a day, 7 days a week and has been a feature of The Health Plan since 1994. You will speak to a registered nurse if you have concerns about a particular issue, need assistance accessing services or obtaining urgent/emergent care while out-of-the-area.

The nurse information line is not meant to replace any services offered by your healthcare provider including after hours assistance. You can contact the nurse information line by calling toll-free 1.800.624.6961 or 740.695.3585 or 304.639.8597.

Drug Lists (Formularies)

This list contains generic and brand-name drugs that are preferred by The Health Plan. Also view drugs for The Health Plan’s three-tiered incentives.

Forms

Find information on filing a grievance or appeal, requesting a new ID card or name change, download a claim form, print out an Emergency Medical Information (EMI) form for medical personnel and more.

Pharmacy Services

View Pharmacy benefit information, Pharmacy Counter News and customer service phone numbers.

Behavioral Health Unit

This internal unit was created to give our members greater coordination of high quality care. We work directly with our providers and members to coordinate care needs.

Disease Management Program

The Health Plan’s Disease Management and Health Promotion Programs are multi-disciplinary and continuum-based systems developed to proactively identify populations with, or at risk for, chronic medical conditions.