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Mayo Medical Plan (for Mayo Clinic employees) provider network

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Overview

In-network options (Tier 1 and 2) are based on the Mayo Medical Plan subscriber's state of residency. When you choose an in-network provider, you'll have lower out-of-pocket expenses (deductible, co-insurance, and out-of-pocket maximum).

Please note: You must confirm with the provider's office that they're in your plan's network before your first appointment and before every following appointment. Tier 1 and 2 are in-network for Mayo Medicare Supplement Plans.

Arizona residents

If you live in Arizona:


Network Provider

Mayo Medical Plan Network

Mayo Medical plan general provider search

Durable medical equipment search – local suppliers

Durable medical equipment search – national suppliers

Tier (s)

1

Location of Service

Arizona

Special Notes

Mayo Clinic providers are Tier 1. Durable medical equipment national suppliers are Tier 1.

Blue Cross Blue Shield (BCBS) of Arizona PPO Network

BCBS of Arizona general provider search

Tier (s)

1 & 2

Location of Service

Arizona

Special Notes

Adult services in audiology, oncology, cardiology, vascular surgery, endocrinology, nephrology, hepatology, and plastic surgery received through the BCBS network will be processed at Tier 2. All other services process at Tier 1.

First Health Network

First Health Network general provider search

Tier (s)

2

Location of Service

Outside of Arizona

Special Notes

Additional providers are available through the First Health Network when you travel outside of Arizona.

Out-of-network

Tier (s)

3

Location of Services

Out-of-network

Special Notes

Other licensed providers nationwide.

Note:
You and your eligible family members will be responsible for any charges above usual, customary, and reasonable rates when you get covered services at Tier 3 out-of-network providers. Those payments won't count toward your deductible and/or out-of-pocket maximum.

However, mental and behavioral health services performed by Tier 3 out-of-network providers will be processed at Tier 2 in-network benefits under the Mayo Medical Plan. Still, out-of-network providers may bill you for costs above the non-network provider reimbursement amount.

Florida residents

If you live in Florida:


Network Provider

Mayo Medical Plan Network

Mayo Medical Plan general provider search

Durable medical equipment search – local suppliers

Durable medical equipment search – national suppliers

Tier (s)

1

Location of Services

Florida

Special Notes

Mayo Clinic providers are Tier 1. Durable medical equipment national suppliers are Tier 1.

Private Healthcare System (PHCS)

PHCS general provider search

Tier (s)

1 & 2

Location of Services

Florida

Special Notes

Custom PHCS Network providers.

First Health Network

General provider search

Tier (s)

2

Location of Services

Outside of Florida

Special Notes

Additional providers are available through the First Health Network when you travel outside of Florida.

Out-of-network

Tier (s)

3

Location of Services

Out-of-network

Special Notes

Other licensed providers nationwide.

Note:
You and your eligible family members will be responsible for any charges above usual, customary, and reasonable rates when you get covered services at Tier 3 out-of-network providers. Those payments won't count toward your deductible and/or out-of-pocket maximum.

However, mental and behavioral health services performed by Tier 3 out-of-network providers will be processed at Tier 2 in-network benefits under the Mayo Medical Plan. Still, out-of-network providers may bill you for costs above the non-network provider reimbursement amount

Minnesota + Wisconsin residents

If you live in Minnesota or Wisconsin:


Network provider

Mayo Medical Plan Network

Mayo Medical Plan general provider search

Durable medical equipment search – local suppliers

Durable medical equipment search – national suppliers

Tier (s)

1 & 2

Location of Services

Minnesota/Wisconsin

Special Notes

Mayo Clinic providers are Tier 1. Durable medical equipment national suppliers are Tier 1.

First Health Network

First Health Network general provider search

Tier (s)

2

Location of Services

Nationwide

Special Notes

Additional providers are available through the First Health Network nationwide.

Out-of-network providers

Tier (s)

3

Location of Services

Out-of-network

Special Notes

Other licensed providers nationwide.

Note:
You and your eligible family members will be responsible for any charges above usual, customary, and reasonable rates when you get covered services at Tier 3 out-of-network providers. Those payments won't count toward your deductible and/or out-of-pocket maximum.

However, mental and behavioral health services performed by Tier 3 out-of-network providers will be processed at Tier 2 in-network benefits under the Mayo Medical Plan. Still, out-of-network providers may bill you for costs above the non-network provider reimbursement amount.

Residents of other states

If you live in states other than Arizona, Florida, Minnesota, or Wisconsin:


Network provider

First Health Network

First Health Network general provider search

Tier (s)

1

Location of Services

Nationwide

Special Notes

All First Health Network providers are Tier 1.

Mayo Medical Plan Network

Mayo Medical Plan general provider search

Durable medical equipment search – local suppliers

Durable medical equipment search – national suppliers

Tier (s)

1 & 2

Location of Services

Arizona, Florida, Minnesota, or Wisconsin

Special Notes

Mayo Clinic providers are Tier 1. Durable medical equipment national suppliers are Tier 1.

Out-of-network providers

Tier (s)

3

Location of Services

Out-of-network

Special Notes

Other licensed providers nationwide.

Note:
You and your eligible family members will be responsible for any charges above usual, customary, and reasonable rates when you get covered services at Tier 3 out-of-network providers. Those payments won't count toward your deductible and/or out-of-pocket maximum.

However, mental and behavioral health services performed by Tier 3 out-of-network providers will be processed at Tier 2 in-network benefits under the Mayo Medical Plan. Still, out-of-network providers may bill you for costs above the non-network provider reimbursement amount.

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Questions about the Mayo Medical Plan?
Give us a call.

  • Monday to Friday 7 a.m. – 8 p.m. CT
  • Saturday 9 a.m. – 3 p.m. CT
  • Closed 8 – 9 a.m. on Thursdays
1-866-839-4015