NOTES:
 1. Plans starting before 7/1/2007, use Coalition American PPO
 2. Plans starting after 7/1/2007, use MultiPlan (see below).
 3. If you want to continue treatment with a Coalition America Provider after 10/21/2007:
     A. Ask your provider if he/she is in the MultiPlan network.
     B. If yes, continue with your provider as before.
     C. If no, please complete and mail this form to the address provided: PSI Transitional Care Form, continue with your provider as before.
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Go to MULTIPLAN OR call 1-800-546-3887

1) Click the "Find Network Doctor" button at the end of these instructions

2) Click "Search for a Doctor or Facility"

3) Identify your Network logo by clicking on the "Back of Card"
4) Choose a Provider Type, and Click "Continue"

5) Type in your ZIP Code, and Click "Continue"

In case of medical emergency or if there are no network doctors or hospitals in your area, you can see any doctors, and the benefits will be the same as if you are seeing a network doctor. In such cases, please attach an explanation when you file your claim(s).

* Call the doctor's office to make an appointment.  You should say, "My medical insurance coverage is through PPO networks on my ID card: All Student Health Centers and; PPO Next; Intergroup; PHS."  If necessary, say, "Underwritten by:  CHARTIS U.S./AIG." 

* Always bring a your ID card & Claim Form, which you can download from your PSI account.   

* If you are asked to pay, send original receipts and a Claim Form to the address found on the Claim Form, in order to receive your refund.