Mayo Medical Plan (for Mayo Clinic employees) provider network

Overview

In-network options (Tier 1 and 2) are based on the Mayo Medical Plan subscriber’s states 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).

Here’s an overview of how the Mayo Medical Plan tiers are defined:

Tier 1 Providers (In-network)
Includes Mayo Clinic providers.

Tier 2 Providers (In-network)
Includes approved Medica-contracted providers and leased network providers.

Tier 3 (Out-of-network)
Includes other licensed providers nationwide.

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

General provider search for 2022
Durable medical equipment search for 2022

Tier (s)

1



Location of Service

Arizona





 

Special Notes

Mayo Clinic providers are Tier 1.

Additional Medica-contracted providers are available to you in Minnesota and surrounding states at Tier 1 or Tier 2. See the general provider search for details.

Blue Cross Blue Shield of Arizona PPO Network

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 are available from Tier 2 providers but not from Tier 1 providers.

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.

Florida Residents

If you live in Florida:
Network Provider

Mayo Medical Plan Network

General provider search for 2022
Durable medical equipment search for 2022

Tier (s)

1

Location of Services

Florida

Special Notes

Mayo Clinic providers are Tier 1.


Additional Medica-contracted providers are available to you in Minnesota and surrounding states at Tier 1 or Tier 2. See the general provider search for details

Private Healthcare System (PHCS)

General provider search

Tier (s)

1 & 2

Location of Services

Florida

Special Notes

Custom PHCS Network providers.

Zelis National Access Program

General provider search

Tier (s)

2

Location of Services

Outside of Florida

Special Notes

 Additional providers are available through the Zelis Healthcare 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.

Minnesota and Wisconsin Residents

If you live in Minnesota or Wisconsin:
Network provider

Mayo Medical Plan Network

General provider search for 2022

Durable medical equipment search for 2022

Tier (s)

1 & 2








Location of Services

Minnesota/Wisconsin








Special Notes

Mayo Clinic providers are Tier 1.

Additional Medica-contracted providers are available to you in Minnesota and surrounding states at Tier 1 or Tier 2. See the general provider search for details.

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.

Residents of other states

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

Mayo Medical Plan Network

General provider search for 2022

Durable medical equipment search for 2022

First Health Network

General provider search

Tier (s)

1






Tier (s)

1

Location of Services

Arizona, Florida, Minnesota, or Wisconsin





Location of Services

Nationwide

Special Notes

Mayo Clinic providers are Tier 1.




Special Notes

All First Health Network providers 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.

Sign in to your account

•  See your benefits and claims
•  Find a provider in your network
•  View your prescriptions
•  Download your ID card
•  Get quick answers about your coverage and more

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

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