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Southern Health Services

 


9881 Mayland Drive
Richmond, VA 23233
• Telephone: (804) 747-3700

1000 Research Park Blvd.
Charlottesville, VA 22911
• Telephone: (434) 951-2400
• Member Services: (800) 627-4872

Web site: www.southernhealth.com
 
Key Staff
• CEO - Cosby M. Davis, III
• Medical Director - Ian W. Bushell, MD
• Network Operations - Matthew Meleski
• Government Relations - Laura Lee Viergever

Other Contacts
• General Company Information - Laura Lee Viergever
• Grievance/Appeals Procedures - Jennifer Palmese
• Quality Improvement - Joyce Dayvault
• Pharmacy Benefits - Jill Andres
 
 

Specialized Health Care Services
Service In-House Contracted
Mental Health X- United Behavioral Health
Pharmacy Benefit Mgmt. X- CVS/CareMark Corporation
Vision Care X- Cole Managed Vision/Eye Med
Disease Mgmt. X
Utilization Mgmt. X

 

Market Segment
Market Segment HMO/POS PPO
Individual X
Small Group (2-49 Employees) X X
Large Group (50+ Employees) X X
Administrative Services Only (ASO) X X

 

Network Providers Under Contract (numbers are combined HMO/PPO)
Network Providers HMO PPO PAR
PCPs 3223 4442 4442
Physician Specialists 5213 7202 7202
Hospitals 72 131 131
OB/GYNs 483 648 648

 

Enrollment (as of January 31, 2007)
Standard HMO 138909
Medicaid HMO 16546
Point-of-Service (POS) 24046

 

Virginia HMO Service Area:
Counties
all EXCEPT: Accomack, Amherst, Appomattox, Brunswisk, Buchanan, Campbell, Dickenson, Grayson, Greensville, Henry, Highland, Isle of Wight, Lancaster, Lee, Patrick, Russell, Scott, Smyth, Southhampton, Washington, Wise, York

Cities
Alexandria, Bedford, Buena Vista, Charlottesville, Chesapeake, Clifton Forge, Colonial Heights, Covington, Danville, Fairfax, Falls Church, Fredericksburg, Galax, Harrisonburg, Hopewell, Lexington, Manassas, Manassas Park, Petersburg, Radford, Richmond, Roanoke, Salem, Staunton, Waynesboro, Williamsburg, Winchester