FAQs

How do I know if my provider is in-network?

To ensure you receive in-network benefits from an in-network provider, you can contact the Ridgeview Community Network Navigator at 952-442-7860, view the network options or email navigator@ridgeviewcommunitynetwork.org, or contact PreferredOne customer service at 763-847-4477, 1-800-997-1750 outside the Metro area or 763-847-4013 for hearing impaired.

Can I go to an out-of-network provider?

Generally, all plans offered include out-of-network benefits with a separate out-of-network deductible.  Keep in mind that the amount you pay for your care will be significantly higher when seeing providers who are not affiliated with Ridgeview Community Network (RCN).  If the services you need are not available within RCN, it is possible to have these charges processed as in-network.  You must discuss this with our Network Navigator before your appointment.  The Network Navigator submits an authorization form directly to your health insurance plan in order for the services to be processed as in-network.  A “referral” from your primary care provider does not take the place of our authorization form.  Contact our Network Navigator for more information at 952-442-7860.

My son or daughter attends school outside the Ridgeview Community Network service area. Can they still receive in-network coverage?

Yes, a national network is available throughout the US.  If your child is outside PreferredOne’s service area ( Minnesota, western Wisconsin, northern Iowa, North and South Dakota, the Billings, Montana community and the upper peninsula of Michigan), and she/he needs care, she/he can receive in-network coverage by visiting a provider in PreferredOne’s national network. To find a provider you can call a Network Navigator at 952-442-7860, or PreferredOne customer service – 763-847-4477, 1-800-997-1750 outside the Metro area or 763-847-4013 for hearing impaired.

If your child lives outside Ridgeview’s five-county metro service area but within PreferredOne’s service area (for example, Fargo, N.D., or Mankato, Minn.), out-of-network benefits would apply when seeing a provider. NOTE: All emergency care is covered at an in-network level regardless of where your student attends school.

What if I’m traveling and I have an emergency? Where should I go for care?

Go to the nearest hospital emergency room. All emergency care is covered at the in-network benefit level, regardless of where you are in the country and urgent care is covered at an in-network level for some groups.  Virtual care, otherwise known as online e-visits, and in-network convenience/retail care clinic options are also available for non-emergency care.

Who do I call if I have a questions about benefits or claims?

A PreferredOne customer service team dedicated to assisting Ridgeview Community Network members is available to help answer questions about your benefits and claims. Call PreferredOne customer service – 763-847-4477, 1-800-997-1750 outside the Metro area and 763-847-4013 for hearing impaired or send an email to ask for assistance.  The PreferredOne Customer Service Call Center is available between 7 a.m. and 7 p.m. CST, Monday through Friday.  Or call a Ridgeview Community Network Navigator at 952-442-7860. A navigator is available Monday through Friday from 8 a.m. to 5 p.m. or feel free to leave a confidential voicemail. You may also email a Network Navigator at navigator@ridgeviewcommunitynetwork.org.