World-Class Care and Member Benefits You Can Count On

Flexible Care, Lower Costs, and Support from Local Experts

See How It Works

Your Choice. Your Peace of Mind.

At Pinpoint Health Benefits, we make it simple for you and your family to get the care you deserve without the stress or surprise costs. Our plans give members access to trusted preferred providers like Penn Medicine in Philadelphia and AtlantiCare in Southern New Jersey, often with no deductible or coinsurance.

You Benefit From

Pharmacy & Specialty Medication Support

Get prescriptions filled easily and affordably. Mail delivery and specialty drug support help you save time and reduce costs.

Care and Support When
You Need It

Access 24/7 telemedicine, nurse navigation, and case management. Get help with everyday care, chronic conditions, or pregnancy support.

Personalized, Worry-Free Healthcare

Your plan is built to make healthcare experiences easier. Benefit from simple access to care, fewer billing surprises, and real people ready to help.

How Our Health Plans Work

Choose Your Care—We help you see the provider of your choice and cut down on costs with our Penn Medicine and AtlantiCare preferred provider partnerships.
Access Support—Contact our team for quick help with claims, billing, or benefits.
Experience Simplicity—Enjoy comprehensive coverage designed around you and your family's needs, not red tape.

Preferred Provider Access

As a Pinpoint member, you have access to world-class care from leading academic health systems like Penn Medicine and AtlantiCare.

No deductible or coinsurance at Penn Medicine and AtlantiCare facilities
No referrals required

Comprehensive care across more than 100 locations in Southeastern Pennsylvania and Southern New Jersey

Find a Penn Medicine Provider Find an AtlantiCare Provider

Call 888-562-4784

Need help with claims, benefits, or finding care?

Resources for Members

Whether you’re looking for overviews, guidance, or ways to make the most of your benefits, these resources are here to help.

Penn Medicine Overview

Balance Bill Brochure

Prescription Benefits Overview

Telemedicine Benefits Overview

FAQs

Call Pinpoint Health Benefits Member Services at 888-562-4784 or email members@edisonehs.com. Our team can help with claims, billing, or finding care.

Providers like Penn Medicine and AtlantiCare are part of Pinpoint’s preferred provider program, offering no deductible, no coinsurance, and no referrals required. Providers outside of the preferred provider program are still accessible, but may include deductibles or higher out-of-pocket costs.

Ask the provider’s office to bill Edison Health Solutions, our Third-Party Administrator (TPA). If they still have questions, they can call 888-562-4784 for verification.

Penn Medicine providers can be found through your member portal, by calling 800-789-7366, or by visiting www.pennmedicine.org/find-doctor. AtlantiCare providers can be found through your member portal, by calling 888-569-1000, or by visiting www.atlanticare.org/doctors

An Explanation of Benefits (EOB) outlines the services that were provided during your visit, what your insurance plan paid, and your portion of the costs. It is not a bill.

Notify Us—If you get a balance bill, don't pay it until we verify the charges.
Provide Us with Important Details—Once the charge is verified, we may also ask for income-related information to see if you are eligible for financial assistance.
Stay Informed—Our team will regularly update you on the status of your balance bill.
Let Us Take Care of It—Pinpoint's legal team will work through the dispute process from start to finish.

Go to member.edisonehs.com in your web browser (use Chrome, Firefox, Edge, or Safari).
Click the blue "Sign Up" link below the "Log In" button.
Your screen should expand and ask for an Activation Code and your Date of Birth.
1. Activation Code: Enter your complete Member ID or the last 4 digits of your Social Security Number.
2. Date of Birth: mm/dd/yyyy
3. Click "Verify"
Please enter the following information:
1. Email Address (This will serve as your Username)
2. First Name
3. Last Name
4. Password—Please choose your own password (minimum of 12 characters), containing: one lowercase letter, one uppercase letter, one number, and one special character.
Once completed, click "Register"
You will receive a confirmation email (at the provided email address). Open the email and click the blue "Let's Get Started" link.
At the Login Screen, please enter your Username (email address) and Password to log in.

Most prescriptions can be filled at in-network retail pharmacies through US-Rx Care. You can also use Prescription Mart’s mail-order service to have medications delivered directly to your home. Learn more about your Prescription Benefits here.

Specialty drugs are handled through ScriptSourcing, which connects you to manufacturer assistance programs and international pharmacies. Most members pay $0 out-of-pocket once approved. Learn more about your Specialty Prescription Benefits through ScriptSourcing here.

Pinpoint partners with Recuro Health to provide 24/7 access to doctors by phone, video, or app. You can book same-day appointments or behavioral health visits, often with zero wait time and no consult fees. Learn more about your Telemedicine Benefits through Recuro Health here.

Yes. Your Recuro telemedicine plan covers your entire household with no copays or consult fees.

Get to Know Us

We know you need a health benefits plan you can rely on to deliver. Check out our team and insights to learn more about the Pinpoint difference.

Meet Our Team Read Our Blog