Virginia Premier Health Plan

600 East Broad Street, Ste. 400
Richmond, VA 23220
Member Services: 1(800) 727-7536
Fax: (804) 819-5187
Provider services: (800) 727-7536
Web site: www.vapremier.com

Key Staff
Chief Executive Officer, VA Premier Health Plan – Linda Hines
Medical Director – Melvin Pinn, MD
Director of Provider Relations – Patrick McMahon, VP Network Development
Government Relations – Karah Gunther, Dir., Government Relations, VCU

Other Contacts
Grievance/Appeals Procedures – Eric Wilson, Program Integrity Officer
Quality Improvement
Pharmacy Benefits – Javier Menendez, Director of Pharmacy

Specialized Health Care Services
Service In-House Contracted
Mental Health X
Pharmacy Benefit Mgmt. X- Envision
Vision Care X- VSP
Disease Mgmt. X
Utilization Mgmt. X

 

Network Providers Under Contract (numbers are combined HMO/PPO)
Network Providers HMO PPO PAR
PCPs Under Contract
Physician Specialists Under Contract
Hospitals Under Contract
OB/GYNs

 

Enrollment (as of 1/31/2017: 193,472)
Medicaid MCO
FAMIS (SCHIP)MCO

 

Virginia HMO Service Area:

Counties Accomack, Albemarle, Alleghany, Amelia, Amherst, Appomattox, Augusta, Bath, Bedford, Bland, Botetourt, Brunswick, Buchanan, Buckingham, Campbell, Caroline, Carroll, Charles City, Charlotte, Chesterfield, Clarke, Craig, Cumberland, Dickenson, Dinwiddie, Floyd, Fluvanna, Franklin, Frederick, Giles, Goochland, Grayson, Green, Greensville, Halifax, Hanover, Henrico, Henry, Highland, Isle of Wight, King George, King William, Lee, Louisa, Lunenburg, Mecklenburg, Montgomery, Nelson, New Kent, Northampton, Nottoway, Page,  Patrick, Pittsylvania, Powhatan, Prince Edward, Prince George, Pulaski, Roanoke, Rockbridge, Rockingham, Russell, Scott, Shenandoah, Smyth, Southampton, Spotsylvania, Stafford, Surry, Sussex, Tazewell, Washington, Westmoreland, Wise, Wythe

Cities: Bristol, Buena Vista, Charlottesville, Chesapeake, Colonial Heights, Covington, Danville, Emporia, Franklin, Fredericksburg, Galax, Hampton, Harrisonburg, Hopewell, Lexington, Lynchburg, Martinsville, Newport News, Norfolk, Norton, Petersburg, Portsmouth, Radford, Richmond, Roanoke, Salem, Staunton, Suffolk, Virginia Beach, Waynesboro, Winchester