Health Insurance, continued Zip Code Table for PCP Of昀椀ce Visit Copay and QUICK SEARCH Provider Network If you enroll in the Network Plan and your home residence zip code is bolded in For a quick way to see if your home residence zip code is the table below, your Primary Care Provider (PCP) of昀椀ce visit copay will increase to listed in the table below, use $50 if you choose to see an in-network, non-UnityPoint Health PCP. If your PCP “ctrl+F” on your keyboard, Of昀椀ce Visit is to a UnityPoint Health PCP, your copay will remain $10. which will open a search bar. › Once that appears, enter your If your home residence zip code is NOT bolded in the table below, your home residence zip code and Primary Care Provider (PCP) of昀椀ce visit copay will be $10 as long as you press “enter”. see an in-network PCP. Your home residence zip code will also determine your provider network access. To locate in network providers visit healthpartnersunitypointhealth.com/uph, select “Find covered care” and pick the appropriate plan based on the zip code table below. Team members who reside within the zip code table and have dependents residing in a different zip code should contact AskHR to start the process of authorizing providers in that area. 50001 50002 50003 50005 50006 50007 50009 50010 50011 50012 50013 50014 50021 50023 50026 50027 50028 50029 50031 50032 50033 50034 50035 50036 50037 50038 50039 50040 50041 50043 50044 50046 50047 50048 50049 50050 50051 50054 50055 50056 50057 50058 50060 50061 50062 50063 50064 50066 50068 50069 50070 50071 50072 50073 50075 50078 50099 50101 50102 50104 50105 50106 50107 50109 50111 50112 50115 50116 50118 50119 50120 50122 50124 50125 50126 50127 50128 50129 50130 50131 50132 50134 50135 50136 50137 50138 50139 50141 50142 50143 50145 50146 50148 50149 50150 50151 50152 50153 50154 50156 50157 50158 50160 50161 50162 50163 50164 50166 50167 50168 50169 50170 50171 50173 50174 50201 50206 50207 50208 50210 50211 50212 50213 50214 50216 50217 50219 50220 50223 50225 50226 50227 50228 50229 50230 50231 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61734 61742 61747 61755 61759 61771 62682 Note: The Family Medicine clinic in Grinnell, IA is eligible for a $10 copay. | 12 |