PEHP DPC Program Utah | $0 Doctor Visits

PEHP benefit

Healthcare that is simple to use

The PEHP / Medallus Direct Primary Care program is designed to make everyday healthcare easier for eligible PEHP members and covered dependents.

$0 visits

Covered primary care and urgent care visits at Medallus are $0 per visit for eligible PEHP members.

Same-day access

Walk into a Medallus clinic for illness, injury, refills, preventive care, and common medical needs.

Eight Utah locations

Use any Medallus Utah clinic for covered urgent care and primary care services.

PEHP contracted provider

Medallus coordinates with PEHP after enrollment so members can use the program correctly.

Quick explainer

See how your PEHP benefit works

This interactive overview from the original page explains the Medallus DPC program, Traditional PEHP, HDHP members, and enrollment flow.

Plan paths

Traditional PEHP and HDHP work differently

Both paths can give members access to the same Medallus care model, but the payment rules differ before and after a high-deductible plan deductible is met.

Traditional PEHP plans

Participation is at no cost to you.
PEHP pays Medallus directly for your PEHP / Medallus DPC program.
Your PCP designation applies immediately.
You receive unlimited covered primary care and urgent care visits at Medallus.

Enroll in Traditional PEHP

HDHP plans: STAR, Consumer, Summit

You may participate while on an HDHP.
Before your deductible is met, adults pay $38/month and children pay $22/month.
These monthly payments count toward your deductible.
After your deductible is met, PEHP pays your PEHP / Medallus DPC program.

Enroll in HDHP Plan

Included care

Everything you need for common healthcare needs

Medallus keeps primary care, urgent care, diagnostics, and many in-clinic services together so PEHP members can get practical care without bouncing between offices.

Primary care

Annual physicals, preventive visits, chronic condition management, medication refills, blood pressure, diabetes, thyroid, and wellness support.

Urgent care

Cold, flu, infections, minor injuries, cuts, sprains, fractures, wounds, allergic reactions, and same-day medical needs.

Diagnostics and procedures

On-site X-rays, EKGs, rapid testing, point-of-care testing, many in-house labs, and common in-clinic procedures.

Whole-person support

Pediatric and adult care, wellness exams, medication management, mental-health screening, and referrals only when needed.

Getting started

From enrollment to first visit

Enrollment is simple. Medallus helps coordinate with PEHP, then members can walk into any Medallus clinic for covered care.

Complete enrollment

Select the plan type that matches your PEHP coverage and complete the online enrollment form.

Medallus handles PEHP

Medallus coordinates with PEHP to set Medallus as your participating primary care provider when applicable.

Walk in for care

Use any Medallus Utah clinic for covered primary care, urgent care, diagnostics, and follow-up.

Get Started Today Call 801-810-7058

Program details

Important member responsibilities

The original PEHP page includes several program rules members should understand before and after enrolling.

Topic	What PEHP members should know
PCP designation	By participating, you designate Medallus as your Primary Care Provider. PEHP pays Medallus monthly on your behalf based on this designation, and you agree to use Medallus clinics for your primary care needs while enrolled.
Outside primary care	If you wish to visit another primary care provider, you must cancel Medallus participation at least 30 days before that outside PCP visit. If you visit an outside PCP without canceling in advance, you may be responsible for the full cost of that visit.
HDHP timing	Before meeting your deductible, HDHP members may continue seeing outside PCPs and using PEHP insurance at their discretion. After the deductible is met, PEHP begins paying Medallus, Medallus becomes the designated PCP, and PCP designation rules apply.
Durable medical equipment	Medallus offers some DME in-house, but DME is not included in the PEHP / Medallus DPC program. Medallus bills PEHP for DME, and any remaining deductible, coinsurance, or balance becomes the member's responsibility.
Quest outside labs	Many labs are handled in-house, but some tests are sent to Quest Diagnostics. Quest bills PEHP directly, coverage depends on the plan, and any remaining balance is the member's responsibility.
Coverage changes	Your PEHP coverage must remain active. Notify Medallus immediately if your PEHP plan changes, ends, or switches between HDHP and Traditional. Services after PEHP coverage ends may become your financial responsibility.

Member acknowledgment

Know what you are agreeing to

Before enrolling, members should understand what is covered, what is not included, and what happens if PEHP eligibility changes.

Medallus is your PCP while enrolledTraditional members have immediate PCP designation. HDHP members follow HDHP timing rules.

DME and outside labs can create balancesDME is billed to PEHP, and Quest lab balances may depend on plan benefits and deductible status.

Eligibility changes must be reportedMembers are financially responsible for services provided without active PEHP coverage or proper cancellation.

Use any Medallus clinic