Pathways Concierge Service

Online or over the phone, we’re here for you.

Call HPI’s Pathways Concierge service if you ever need help. We can answer questions like:

• What benefits do I have?
• Will my provider take my insurance?
• How can I find a new doctor in my PPO network?

• What if my provider asks me to pay up front?
• What hospitals or facilities can I visit?
• What do I do if I get a bill?

Call the number located on your member ID card – Monday–Friday, 8am–8pm (ET) | hpiTPA.com

After hours, log in to My Plan, your secure member portal at: hpiTPA.com

What you need to know before you get medical care

There are two important things to know about your plan:

  1. You can visit any hospital or facility that accepts Reference-Based Pricing (RBP).
  2. You can see doctors and providers who are in your Preferred Provider Organization (PPO) network (or accept RBP if they’re not in the PPO).

What you should do before you get care*

  • Before your appointments: Make sure your providers participate in your PPO network. If they don’t, you’ll still be covered, but check to see if they accept the RBP process for the best cost
  • Before you schedule a procedure or service at a hospital or facility: Have your provider call to precertify your services, then check to see if it is an RBP-friendly provider.

*If you are having a medical emergency, call 911 or go to your nearest emergency room

Your member ID card

Contains important contact and plan information for you and your providers