Other Services
Self Referral
VHP contracts with its Plan Providers. Based on your Primary Care Physician’s Network, you may self-refer to some specialists. Please contact your PCP’s office directly. You may obtain Covered Services through direct access (self-refer) from a Plan OB/GYN and/or through direct access from a Plan family practice physician and surgeon (Plan Provider).
Acupuncture
Valley Health Plan covers you for Acupuncture Services when your Primary Care Physician (PCP) prescribes it as medically necessary. Your PCP must process a referral before you receive services. Once approved by VHP, you will receive a copy of the authorization so you can receive the authorized visits with a VHP Network Acupuncturist. If you seek services without a referral from your PCP or seek services at a non-VHP provider, you may be responsible for all charges. Coverage is limited to a maximum of twenty-four (24) visits per Calendar Year. No prior authorization required for the first 12 visits by VHP Providers. Prior authorization is required at 13th visit. You will be asked to pay a co-payment at the time of each visit. Please see Schedule of Benefits and Coverage Matrix (SOBM) for co-pay amount based on your plan type.
For a list of our Providers, you may use our online Provider Search or call VHP Member Services at 1.888.421.8444 (toll-free).
Chiropractic (Classic and Preferred Members)
For members with Classic or Preferred Plans, VHP covers you for Chiropractic Services when your Primary Care Physician (PCP) prescribes it as medically necessary. Your PCP must process a referral before you receive services. Once approved by VHP, you will receive a copy of the authorization so you can receive the authorized visits with a VHP Network Chiropractor. If you seek services without a referral from your PCP or seek services at a non-VHP provider, you may be responsible for all charges. Coverage is limited to a maximum of twenty-four (24) visits per Calendar Year. No prior authorization required for the first 12 visits by VHP Providers. Prior authorization is required at 13th visit. You will be asked to pay a $10.00 co-payment at the time of each visit.
For a list of our Providers, you may use our online Provider Search or call VHP Member Services at 1.888.421.8444 (toll-free).