Submit a Referral to HealthMe
Use the secure form below every time an SVH member needs care outside your DPC office โ specialty, imaging, PT, or procedures. Include any records or clinical notes in the form.
You determine the patient needs specialty, imaging, PT, or a procedure beyond DPC services.
Imaging โ HealthMe only PET scan โ Prior Auth first DME โ Prior Auth firstComplete the secure form โ upload any records or notes. This is the official handoff to HealthMe Care Navigation.
๐ Open Referral Form โ | Fax: 888-522-7313
Our Care Navigation team reviews benefits, finds the right in-network clinic, and coordinates scheduling โ all at $0 out-of-pocket to the patient.
Your practice receives an email notification when the appointment is booked.
๐ฌ DPC notified by email at schedulingThe visit is fully covered under the active HealthMe referral. Patient pays nothing as long as they follow the care navigation process.
$0 out-of-pocketPatient reports what the provider recommended (follow-up, imaging, PT, surgery). HealthMe generates the next referral from this call.
๐ Patient line: 1-888-488-1551
โ ๏ธ Critical: Even if a clinic gives a follow-up date, the patient must still call HealthMe. A clinic-given date does NOT activate coverage for the next visit.
HealthMe manages the full referral loop โ every next step stays at $0 as long as the patient calls back after each visit.
Loop continues until care is fully completeAll specialty care referrals are managed by HealthMe. Here are common examples โ submit the form and we coordinate the rest.
Mole or skin concern requiring evaluation? We connect the patient with dermatology for evaluation and treatment, including any necessary procedures.
Rolled ankle, foot injury, or musculoskeletal concern? We refer to orthopedics for evaluation. Most orthopedic consultations include imaging in the same visit.
Cardiac evaluations including echos can be coordinated through HealthMe. Full cardiology network is currently in development โ submit a referral and we'll confirm what's available in the patient's area.
We perform at-home sleep studies for patient convenience. If a CPAP is needed after the evaluation, the machine is covered. Patient maintains restock supplies locally or through Amazon.
Outpatient or inpatient mental health needs? Submit a referral and we match the patient with a provider in our nationwide network and initiate therapy or ordered procedures.
If your DPC office has lab capabilities or an existing lab contract, please run labs through that option first. Only submit to HealthMe if labs are not available through your office or existing contract โ we'll coordinate for the patient.
Calls 1-888-488-1551. HealthMe finds the right clinic.
Patient receives email confirmation. Clinic calls to schedule.
Fully covered. $0 out-of-pocket.
Reports what provider recommended after every visit.
Next referral generated. Process continues at $0.
๐ง HealthMe Has Mental Health Providers Nationwide
HealthMe maintains a nationwide network of mental health providers for both outpatient and inpatient services. Simply submit a referral โ we match the patient with a provider and initiate therapy or other ordered procedures. This is separate from, and in addition to, the EAP benefit through HealthJoy.
Individual, couples & family therapy matched to in-network providers near the patient.
Inpatient psychiatric care coordinated through our network when clinically necessary.
Submit referral via the form above. HealthMe matches the patient and starts the care process.
Members also have TalkSpace virtual therapy through HealthJoy EAP โ see benefits section below.
๐ขPlan Info โ Shoestring Valley Holdings
๐Ancillary Charges โ Covered by Employer
Submit to Hint Connect by the last business day of the service month. Include the member's name.
๐Submit via Provider Portal or fax (833) 227-4256 | Questions: FCH (800) 808-0450
Emergency services do not require pre-auth. Experimental/investigational services are not covered.
๐Pharmacy Options
๐Additional No-Cost Member Benefits
mygroups.healthjoy.com/eap ยท (888) 731-3327
Company: Shoestring Valley Holdings ยท Code: shoestring
talkspace.com ยท Enroll under First Choice Health
color.com/shoestring
Genetic, colorectal, cervical, prostate, digital skin
We are building a portal for DPC practices to track referral progress and view visit notes. Once we go live, we will reach out directly to practices that want access. In the meantime, referral updates and scheduling notifications are sent by email.
โ ๏ธ Nurse Dora's line is for general questions only โ do not use it to submit referrals. Use the form above.