For questions regarding your Employee Assistance benefits, please call Health Advocate at 866-799-2329.

For questions regarding your behavioral health benefits or claims, please call Quest Behavioral Health at 800-364-6352 or email us at:

• membership@questbh.com
• claims@questbh.com
• qm@questbh.com

PennCare PPO Benefit Plan

• Penn Behavioral Health Summary Plan Description
• Penn PPO Benefit Grid FY 2023
• Penn Retiree Benefit Grid

Please note: The University of Pennsylvania Behavioral Health Summary Plan Description excludes “services or treatment rendered by unlicensed providers, including pastoral counselors, as recognized by the state and federal licensing laws (except as required by law), or which are outside the scope of the provider’s licensure. (UPENN BH SPD, Section VI, Coverage Exclusions of this Plan, July 1, 2019, Page 30).” To find a covered, licensed provider, use the online Provider Search below or call Quest Behavioral Health at 800-364-6352.

Find A Provider

Out-of-Network Claim Submissions

• Out-of-Network Claim Form

Autism Forms

• Autism Treatment Request form

Machine Readable Files (MRF)