Additional Information/Forms
The Health Plan/THP Insurance Company's Affirmative Statement Regarding Incentives:
The Health Plan/THP Insurance Company bases its decision making for coverage of health care services on medical appropriateness utilizing recognized criteria. Incentives are not offered to providers or The Health Plan employees involved in the review process for issuing nonauthorization. Also, no incentives are given that foster inappropriate restrictions of health care services or underutilization by provider, nor does THP Insurance Company condone underutilization, nor inappropriate restrictions on health care services.
2025 Medical Direct Claim Form
2025 ACH Letter & Contract
This contract will allow you to pay The Health Plan bill automatically each month with the Automated Payment Program. Deductions on your health care premium will be on the 4th or 5th of each month depending on what region you live in.
2025 Appointment of Representative Form
This form will allow you to authorize an individual to act as your representative for requesting a coverage determination or an appeal.
2025 Medical Pre-Authorization Form
This form allows you to request for Medical Pre-Authorization.
2025 Medicare Secondary Payer Form
Required form by the Centers for Medicare and Medicaid Services.
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Contact Us
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By Phone:
Current Members
Prospective Members
Hearing Impaired Services
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By Mail:
The Health Plan
1110 Main Street
Wheeling, WV 26003-2704
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Hours of Operation
October 1 through March 31:
8:00 a.m. to 8:00 p.m.,
7 days a week
April 1 through September 30:
8:00 a.m. to 8:00 p.m.,
Monday through Friday