Vantage PPO Frequently Asked Questions
  1. What is Vantage PPO?
  2. Who do I call for information regarding health benefits, eligibility, co-pay information and claim status?
  3. How do I know if my physician/provider participates in the Vantage PPO network?
  4. Who should I call if my physician/provider does not currently participate with Vantage PPO?
  5. When I call my provider's office for an appointment, what information should I give them?
  6. Do I need a referral to see a specialist?

 

What is Vantage PPO?
Vantage PPO is a preferred provider organization. We are a provider network that contracts with, hospitals, physicians and ancillary providers. We offer our network to employers throughout western Pennsylvania, southwestern New York and northeastern Ohio.

Vantage PPO is not an insurance company and does not have access to benefit or eligibility information.

Who do I call for information regarding health benefits, eligibility, co-pay information and claim status?
Please call your third party administrator (TPA) for any of the above inquiries. Your third party administrator is responsible for handling all benefits, eligibility and claims processing questions. Their telephone number appears on the back of your insurance identification card.

How do I know if my physician/provider participates in the Vantage PPO network?
Please click on the "provider search" portion of this website, which is updated regularly, or you may call Vantage at 814/337-0000 locally, or 800/955-5247 out of the area.

Who should I call if my physician/provider does not currently participate with Vantage PPO?
Please call a Vantage PPO representative at 814/337-0000 locally, or 800/955-5247 out of the area. We will be happy to contact your physician/provider to inquire if he/she is interested in joining our network.

When I call my provider's office for an appointment, what information should I give them?
Please tell the provider's office that you access the Vantage PPO network. Upon arrival for your appointment, please make sure you present your most recent insurance identification card issued to you.

Do I need a referral to see a specialist?
No. You may obtain service from any participating specialist. Please make sure to consult with your third party administrator for information regarding co-pays and benefits information.