888-816-3096: The Health Plan Self-Funded Business Line
Quick answer
(888) 816-3096 reaches The Health Plan of West Virginia (self-funded business line). It is answered by automated phone menu → automated phone menu. From the greeting, press 1 for provider: member ID does not begin with H; press 2 for provider: member ID begins with H; press 3 for member; press 0 for repeat menu.
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Line at a glance
| Health plan | The Health Plan of West Virginia |
|---|---|
| Department | Self-funded business line |
| Purpose | Self-funded business line for The Health Plan, sorting providers by member ID format and offering claim, eligibility, benefit and authorization options. |
| Answered by | Automated phone menu → Automated phone menu |
| How to respond | Keypad |
| Supported languages | English |
| Hours | Monday through Friday, 8 AM to 5 PM Eastern |
| Have ready | Member ID (begins with H followed by 10 digits) |
How to reach each option
| To reach | Do this | What happens |
|---|---|---|
| Provider: member ID does not begin with H | 1 | Recorded messageExplains that The Health Plan member IDs begin with H followed by 10 digits and asks callers to check the member's ID card for the right number. |
| Provider: member ID begins with H | 2 | Opens a menuPoints to the myplan.healthplan.org portal, then offers a representative, Cigna authorizations and pre-authorization options. |
| Representative for claim status, eligibility and benefits | 2 then 1 | |
| Cigna authorizations | 2 then 2 | Transfers the callConnects to the pre-cert line for Payer Solutions, now part of Evernorth, which asks for behavioral health or medical pre-certification. |
| Does a procedure require pre-authorization | 2 then 3 | Recorded messageAfter hours, plays the office-closed message with hours and on-call nurse and pharmacy options, and points to the myplan.healthplan.org portal. |
| Start an authorization | 2 then 4 | Recorded messageAfter hours, plays the office-closed message with hours and on-call nurse and pharmacy options, and points to the myplan.healthplan.org portal. |
| Previous menu | 2 then 9 | |
| Member | 3 | |
| Repeat menu | 0 |
Shortcuts and conditional instructions
- If you are a provider and the member ID does not begin with a single H 1 Press 1
- If you are a provider and the member ID begins with H followed by 10 digits 2 Press 2
- If you are a member 3 Press 3
Skip the call
- Provider portal: claims, eligibility, benefits, payment vouchers and prior authorizations myplan.healthplan.org
Questions about (888) 816-3096
How do I know if a patient is covered by The Health Plan?
The Health Plan member IDs always begin with the letter H followed by 10 numeric digits. If the ID does not start with H, the patient is likely covered by a different plan.
Where can providers check claims and eligibility online?
At the provider portal, myplan.healthplan.org. Click register at the top of the page to sign up.
Where do Cigna authorizations go?
Press 2, then 2. The call goes to the Payer Solutions pre-cert line, now part of Evernorth.
What are the office hours?
8 AM to 5 PM Eastern, Monday through Friday.