Your Paradigm Health Portal provides you with online access to your personal healthcare information.Go to Portal
You’ll have access to forms, tools,
and any outside resources that
you might need.
Our Member 360 Program takes the guesswork out of navigating your healthcare. The days of calling a health plan and getting different answers from different people are gone! Each Paradigm Health Plans Member is assigned a personal Member 360 Program Team Member who becomes your benefit advocate throughout your enrollment in Paradigm Health Plans—that means you get consistent answers you can trust! Your Member 360 Program will remove obstacles and barriers to getting the care you need. Empower you through education about your plan and how to access care when you need it.
You can reach out to your Member 360 Program for just about anything related to your healthcare. Your Member 360 Program will:
Paradigm offers access to a national network of thousands of high-quality, physicians, hospitals and out-patient clinics. Your employer selects your provider network prior to plan enrollment. Contact your Member 360 Program when you receive your Member Identification Cards and ask them if your preferred doctors are in the network. If your doctor is not participating, your MAP will reach out to your doctor to either facilitate enrollment in the network or work out next steps so your care isn’t interrupted!
It’s easy! Call the Member 360 Program Team and they will help you find in-network providers or help you extend your care with your existing provider until you can transition to an in-network provider. If you cannot locate your personal provider in your network, please contact the Member 360 Program Team and they will verify the provider’s participation for you!
What services does Paradigm Health Plans cover?
How will my pharmacy and prescription needs be handled?
What Is 1.800MD?
How do I know if I am covered for a service?
I’ve lost my Member Identification (ID) Card. How can I replace it?
Urgent Care vs. Emergency Room Coverage
What should I do if I require emergency care after hours or over the weekend?
What if I have a chronic condition that requires coordination with my health plan and providers?