Member Resources

Find tools, information, and other resources
to help you get the most out of your benefits

Out-of-Network Coverage Rules 

As a member of Simpra Advantage, you can choose to receive care from out-of-network providers. Our plan will cover services from either in-network or out-of-network providers, as long as the services are covered benefits and medically necessary. However, if you use an out-of-network provider, your share of the costs for your covered services may be higher.

For help in an emergency, view or print the Guidance for Finding Providers and Pharmacies in a Disaster Event and maintain it with your important documents.