For Enrolled Members
Start with your Transperra support team. We can help explain your next step, coordinate available services, and confirm the benefits that apply to your plan.
Your plan determines the services available to you. The Transperra team helps you understand how to engage and what to do next. For an emergency, seek emergency care immediately or call 911—navigation is never required first.
Before planned care
Engage first, confirm the arrangement, and understand your plan benefit before proceeding with planned services. Your plan documents govern coverage; your team can help explain the process.
Call 833-200-3095 or use your approved member app/support channel.
To qualify for waived out-of-pocket costs on eligible navigated care, complete the initial education and follow your plan’s navigation requirements. Download and maintain the app if you have a compatible smartphone. If you do not, contact the team to establish counselor or email access.
1. Use the verified app-store link or web-access link supplied with your plan.
2. Follow your employer's enrollment and registration instructions to connect to the correct group and benefits.
3. Review your available benefits and support options.
4. If you cannot register or find your plan, contact support. Do not guess your group information or create duplicate accounts to resolve an access issue.
Contact Transperra before arranging an eligible scan, procedure, equipment purchase, or other planned service. Your navigator can review the options and confirm the arrangement and applicable benefit. In eligible Transperra plans, following an approved arrangement can make eligible covered navigated care $0 out-of-pocket.
Contact the team as soon as possible to ask whether an approved arrangement is still available. Do not cancel or delay medically necessary care based only on a website message. Savings and benefit eligibility cannot be assumed before review.
Use the approved Rx support channel or call the team. Transperra Rx can evaluate available assistance or sourcing pathways and explain the steps and requirements. Do not stop or change medication without guidance from your treating clinician. Do not send medication details through the general sales form.
For an emergency, seek emergency care immediately or call 911. Do not wait for navigation. Emergency care does not qualify for the navigation out-of-pocket waiver. Applicable plan deductibles, copayments, or coinsurance remain. Transperra can assist with resulting claim and billing questions afterward. For nonemergency urgent needs, use the appropriate services available through your plan and seek medical guidance when needed. The website and general inquiry form are not emergency-response channels.
Your plan determines provider access, coverage, and costs. Choosing care independently may mean standard cost-sharing applies. Contact the team before planned care to understand the options and requirements for the navigation benefit.
Your PPO option includes required exclusive Transperra Rx advocacy. It does not include Transperra medical navigation or the medical-navigation cost waiver. Ask the team about qualifying pharmacy benefits and follow your PPO administrator's instructions for medical coverage and claims questions.
Illustrative example · Why Engagement Matters
Illustrative Traditional Plan
Member Cost
$4,100
Eligible Covered Navigated Care
Member Cost
$0
Illustrative Traditional Plan
$4,100
Eligible Covered Navigated Care
$0
Illustrative example, not a quote or actual case study. Eligibility, approved arrangements, plan terms, authorization requirements, and applicable plan rules govern benefits. PPO medical care does not receive the Transperra navigation waiver.
What Members Can Access
Transperra connects cost-containment strategies with practical member services. Depending on the employer's selected program and available partners, members may have access to the services below. Your plan materials and support team explain which services are included and how to use them.
Virtual Primary Care
Available by plan selection
Connect with an available primary care service for routine needs and ongoing care through the program selected by your employer.
Virtual Urgent Care
Available by plan selection
Get help for appropriate nonemergency concerns through your plan's available virtual urgent care service.
Behavioral Health
Available by plan selection
Access available behavioral health services and support through the providers and programs included in your plan.
Direct Primary Care
Available by plan selection
Where included and available, connect with participating direct primary care practices for the services covered by the arrangement.
Laboratory Services
Available by plan selection
Ask the team about approved laboratory arrangements and how to access the benefits available under your plan.
Diabetic Testing Supplies
Available by plan selection
Get help accessing eligible testing supplies through the program selected by your employer.
Durable Medical Equipment
Available by plan selection
Ask for assistance with eligible equipment and supplies, including evaluation of available sourcing and pricing arrangements.
Sleep-Related Services
Available by plan selection
Get guidance on available sleep-related evaluation, treatment, or equipment programs when included in your benefits.
Available services, providers, authorization requirements, and member costs vary by plan. Eligible services may be available at $0 through approved program arrangements. Contact the team before using a service to confirm your benefits and next steps.
Download the app
Verified app-store links will appear here when they are added. Use your employer’s approved member instructions in the meantime.
Billing help
If you receive a bill related to care arranged through Transperra, contact the support team promptly. We will help review the issue and coordinate with the applicable administrator, provider, and advocacy partners within your program's scope.
A bill is not the same thing as a final determination of what you owe. The team can help you understand the status and your plan's process. Support does not guarantee that every disputed amount will be eliminated.
Get Help With a BillContact the appropriate team
Choose a state to find the appropriate support team.
For providers
Contact us if you need help identifying the appropriate team for a care arrangement, billing question, or potential provider agreement. Please have the relevant plan or arrangement information available when you speak with the team.
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