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for Members

Members of First Choice Health PPO Network (FCH PPO) have access to the largest independent PPO Network in the Northwest. Our goal is to help members (employees and dependents) reduce their healthcare costs and improve healthcare benefits, without sacrificing quality and convenience.

To accomplish this goal, FCH PPO:

  • Networks with more than 50,000 providers in Washington, Oregon, Alaska, Idaho and Montana.
  • Assures quality by credentialing and reviewing providers' backgrounds, and by only contracting with providers that meet our high standards.
  • Encourages the use of cost-effective, necessary and appropriate treatment through utilization review and case management programs (for participating groups).
  • Acts as a resource for the operational needs of our Contract Holders/Administrators

By accessing our network of quality healthcare providers, eligible members of participating Payors will save money and lower out-of-pocket costs.

Members are able to utilize our online Doctor/Hospital search tool. Click Here to search for a Doctor, Hospital or Facility.

Please note FCH PPO does not include general dentists and retail pharmacies. Refer to your benefit plan information for these provider types.

Tools and Resources for Members

First Choice Health PPO Network (FCH PPO) website can be used to search for participating providers in our network. You can also generate customized directories (provider listings) using a variety of search features. If the provider you’re searching for is not part of our network you may nominate them using the Provider Nomination Form below.

Click the links below to access these tools and resources:


Using the Tools and Resources

Members can access the Doctor/Hospital Search Tool from the First Choice Health (FCH) website at www.fchn.com to locate a First Choice Health PPO Network (FCH PPO) provider. Customer Service is available, during regular FCH business hours, 8AM to 5PM Pacific, to help you with your search or answer any questions you may have.


Additional Information

In Case of Emergency

In the case of a life-threatening emergency, whether at home or away from home, seek the most immediate care available. If you are admitted to a hospital for an emergency, you, your doctor or the hospital may need to obtain retroactive authorization for the admission within the time specified by your benefit plan. To obtain authorization, call the number on your ID card.

Hospital Care

Some healthcare plans require pre-authorization for non-emergent hospital care. Check your healthcare benefit plan and/or ID card to see if your plan requires pre-authorization. If pre-authorization is required, you or your doctor must call the number printed on your ID card to get the necessary authorization before you are admitted to the hospital.

How to File a Claim

In most instances, First Choice Health PPO Network (FCH PPO) preferred providers will file a claim for the healthcare services you receive. However, occasionally you may receive a bill for services rendered. If so, be sure your name, member ID number, and insurance group number are written on the claim form. Send the claim form to the claims address on your ID card. Contact your benefit plan administrator using the information on your ID card to obtain a claim form.

First Choice Health PPO Network (FCH PPO) cannot provide specific eligibility, coverage or claims information. To obtain specific eligibility, coverage or claims information, reference your benefit plan document or ID card for a benefits and eligibility phone number.

Specialist Care

Your benefit plan may or may not require a referral from your primary care provider for specialty care. If your plan requires a referral, the process is easy:

  1. Have your primary care provider select a specialist from your available network(s)
  2. Have your primary care provider call the appropriate referral number on your ID card
  3. You or your primary care provider will schedule your appointment with the specialist

If your plan does not require a referral, you may select a specialist from your available network(s) and schedule an appointment at any time. In some cases your benefit plan may use separate networks for certain services such as vision, mental health and chemical dependency.

Not all specialty care may be covered by your health plan. For example, some health plans do not cover care from chiropractors, social workers, physician's assistants and others. Before you schedule an appointment, check the schedule of benefits in your benefit plan document, or call your healthcare company to be sure you are covered for these services.

If you choose an out-of-network provider, your out-of-pocket cost for care is usually higher. Your benefit plan document, or your healthcare company customer service representative, will be able to explain the level of benefits when you receive care from an out-of-network provider.

Women's Healthcare (Washington)

Under Washington state law, women may self-refer to providers who specialize in the treatment of women's healthcare needs. This means a woman does not need a referral from her primary care provider for the diagnosis and treatment of reproductive health services, gynecological care, maternity care, general examinations, preventive care, or medically appropriate follow-up visits for these services. This right to self-referral is not a guarantee of coverage. Before you schedule your appointment, you should:

  • Call your health plan administrator to be sure the care you want is covered
  • Schedule your appointment with a recognized women's healthcare provider
  • Be sure the women's healthcare provider is a FCH PPO preferred provider

The following providers are recognized as women's healthcare providers:

  • An MD or DO (osteopath) who is a family or general practitioner, internist, obstetrician, or gynecologistist
  • A licensed physician's assistant for any of the above listed MDs or DOs
  • An advanced registered nurse practitioner (ARNP) who specializes in women's health, family practice or midwifery
  • Licensed midwife

Contact the First Choice Health PPO Network (FCH PPO)

Call First Choice Health PPO Network (FCH PPO) Customer Service toll-free at (800) 231-6935 if you have questions about:

  • Finding a healthcare provider in our network
  • Finding out whether a physician or other providers participate in our network

Call your plan administrator for questions regarding your benefit plan.

First Choice Health PPO Network (FCH PPO) cannot provide specific eligibility, coverage or claims information. Locate the customer service phone number of your healthcare company or claims administrator on your ID card or in your benefit plan document.

Call your healthcare company or claims administrator if you have questions about:

  • Your healthcare coverage or coverage exclusions
  • Your eligibility for healthcare services
  • Your healthcare bills and claim processing payment
  • Your benefit plan may use separate networks for certain services such as vision, mental health and chemical dependency, in some cases

Call the pre-authorization telephone number on your ID card if you have questions about pre-authorization for hospital services.