If you’re a member of Prominence Health Plan, here you’ll find information and resources that can help you make the most of your health benefits. If you have questions or need assistance, please contact our Customer Service Department.
If you or someone you are assisting has questions about your health benefits or other information related to your plan coverage, you have the right to receive help and information in a language other than English at no cost. Call Prominence Health Plan Customer Service at the phone number on the back of your member ID card and they can assist you with access to language translation services. You can also contact Customer Service to ask for the translation of written benefit materials.
Online Member Portal
Quick, Easy Access To Benefit Information
The Prominence Health Plan member portal is designed to help you easily manage your plan and access personal benefit information in a secure online setting.
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Choose your region
Plan resources for Prominence Health Plan members residing in Nevada.
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Plan resources for Prominence Health Plan members residing in Texas.
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Plan resources for Prominence Health Plan Medicare Advantage members.
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Products and Services
Medicare Advantage Plans >
Prominence Health Plan Medicare Advantage HMO plans are designed to fit your lifestyle and budget, offering you more insurance coverage when compared to Original Medicare.
Teladoc™ Telemedicine Services >
Get access to U.S. board-certified doctors, pediatricians and therapists by phone or video — 24-hours a day, every day of the year — through Teladoc™.
Bill Negotiation Services >
Get access to bill negotiation services provided free of charge by Prominence Health Plan through The Karis Group.
Prescription Drugs >
Get information on your pharmacy benefits, including Specialty Pharmacy care and the Pharmacy by Mail program.
Forms and Resources >
Get access to a variety of tools and resources to help you get all you need from your health plan quickly, efficiently and conveniently.
Wellness Services >
Prominence Health Plan members have access to a variety of wellness programs that identify health risk factors, prevent disease and help make changes that lead to a healthier life.
Affirmative Statement Regarding Incentives >
Utilization Management decision-making is based only on appropriateness of care and services and existence of coverage.
Claims Payment Policies >
Important information about claims processes including how to file a claim, claim denials, balance billing and more.