phcs practitioner and ancillary only phcs practitioner and ancillary only

All Rights Reserved. >>endobj The PHCS Network consistently achieves superior savingsincluding a national average savings over 40% for practitioner and ancillary facility claims. endobj If you have an emergency, seek immediate medical help. PHCS offers the same coverage and benefits for online therapy and in-person therapy. - With the PHCS Practitioner and Ancillary network Medicare-based repricing is applied on specific procedures to allow transparency and value in how those claims are paid through our in-house and proprietary system. <> Total number of Providers on Doctor.com who Accept Multiplan PHCS: Most popular medical specialty of providers who accept Multiplan PHCS: Multiplan PHCS providers listed on Doctor.com have been practicing for an average of: Average ProfilePoints score for Providers who take Multiplan PHCS: Average Overall User Rating for providers who take Multiplan PHCS. HealthSmart's online provider directory is provided for reference purposes only. insurance, payment options, etc. website and services to function. <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> By showing providers with higher ProfilePoints first, % PHCS Practitioner & Ancillary Only Connection Dental Network HEALTH LINK NETWORK Our network partner in Eastern Missouri, HealthLink provides employers coverage throughout Missouri. To read notices from all states that have issued them, click here. 71 0 obj <>/Filter/FlateDecode/ID[<45EB451CDD69B445990CC61D0CE630DC>]/Index[41 58]/Info 40 0 R/Length 135/Prev 278879/Root 42 0 R/Size 99/Type/XRef/W[1 3 1]>>stream Summary of the Transparency in Coverage (TiC) Rule and No Surprises Act under the Consolidated Appropriations Act, 2021 (CAA), In-network rates for covered items and services, Out-of-network allowed amounts and billed charges for covered items and services, Currently the requirement for MRF Pharmacy data has been deferred. The UHS Sharing Guidelines is a document provided to members to serve two main purposes: (1) it directs monthly contributions between members in its health care cost sharing ministry program, and (2) it describes the types of medical expenses the members have agreed to share among themselves. % endobj HealthSmart Physician/Ancillary Only Network* for employees of: *To search, select "HealthSmart Physician/Ancillary Only" from the network plan options.Please note, you may use the network search tool for professional (physicians) and ancillary (chiropractors, laboratories, physical therapists, etc) providers. Universal HealthShare members are a community of people who participate in voluntary health sharing of eligible medical expenses and accept our Statement of Shared Faith and Beliefs. Flexible repricing solutions that streamline claims administration and payment processing through a series of automated tools, including electronic submissions. Always call your provider in advance to confirm that they are a current member of Multiplan/PHCS before you incur medical expenses. All rights reserved. by providers with Doctor.com accounts when editing their profile on Doctor.com. PHCS Insurance Reviews 2022: Is it legit or a scam? - Blog Hng Sarah Alexander, M.D. For example, over 90% of the practitioners in the PHCS Network are contracted under a fixed fee schedule arrangement. WeShare, a program of Unite Health Share Ministries (UHSM), is a religious organization facilitating the sharing of medical expenses. Universal HealthShare programs are not insurance and Universal Health Fellowship is not an insurance company. xMO@0IR Each individual or family chooses the program that best fits them. <>/Font<>/ProcSet[/PDF/Text]>>/StructParents 1/TrimBox[0.0 0.0 612.0 792.0]/Type/Page>> endobj 11 0 obj PHCS Practitioner & Ancillary Only Network (Note: you may also have access to the MultiPlan Practitioner & Ancillary Only Network. The PHCS Network consistently achieves superior savingsincluding a Network-Based Solutions:national average savings over 40% for practitioner and ancillary facility claims. Do I have to pay for Telemedicine consultations? This waiting period does not apply to the Office Visit charge for Primary Care, Pediatric Care, Specialty Care or Urgent Care visits. 7 0 obj <] /BitsPerComponent 1/Interpolate false/SMask 12 0 R/Length 2>> FAQs - Universal Health Fellowship %PDF-1.7 Physical Address. fn>Cu;|=lGJ5tiBOC3Q- Kr8yl5[Xl= Yes, except for the first year of continuous sharing, pre-existing conditions are sharable based on the waiting periods and sharing limits of the program as follows: UHS SmartShare is designed for the individual or family who wants the peace of mind of health sharing, but a more affordable monthly share amount. 2. group name. <> <> What are individual mandates and state exemptions? PDF UHS2 UHS4 UHS6 - Universal Health Fellowship Preferred Health Professionals, LLC offers several different PPO networks. Doctor.com has profiles for millions of doctors and other health providers in the United States, including those who take Multiplan PHCS insurance. <> <> PHCS is the leading PPO provider network and the largest in the nation. How do I know whether a medical provider is in-network with Universal HealthShare? Any changes made to their sharing program will typically become effective on the anniversary date. Health Plans Inc. | Pioneer | Health Care Providers - Search our Frances Catherine Baxley, M.D. | NorthShore stream For example, over 94% of the practitioners in the PHCS Network are contracted under a fixed fee schedule arrangement. Most other eligible medical service expenses can be shared after you have paid eligible medical expenses in a cumulative amount equal to the applicable Annual Non-Sharable Amount (NSA), and after you have satisfied any applicable waiting periods. But the two entities have different provider networks for their insurance company clients. endobj A member may use any of the PPO network providers, at his or her discretion, and receive maximum plan benefits. How does my medical provider receive reimbursement? All you need to do is make your monthly voluntary sharing contributions. A few states have enacted an individual mandate requiring residents to have minimum essential health insurance coverage (an Individual Mandate) and imposing a financial penalty on those who have no qualified health insurance and have not qualified for an exemption (a State Tax Penalty). In Network Only: PHCS/Multiplan Practitioner & Ancillary Only Provider Network Hospital4 Open Non-Sharable Amount (NSA) 8 Non-Sharable Amount Per Member (NSA)8 $1,500 $5,000 $6,000 Non-Sharable Amount (NSA) for 2 Persons8 $3,000 $10,000 $12,000 Non-Sharable Amount (NSA) for 3 or more8 I want Universal Health Fellowship to contact me, I agree with the Universal Health Fellowship. endobj www.universalhealthfellowship.org is using a security service for protection against online attacks. 800-482-8770; sales@optimedhealth.com; Solutions . Acadia-St. Landry Hospital. Copyright document.write(new Date().getFullYear()) Preferred Health Professionals | All Rights Reserved, 1) Provider network termination notices to members for Continuity of Care on 1/1/2022, 4) Qualified Payment Amounts (QPA) on 1/1/2022. FACILITY: CRED ID; Name of Physician TITLE: National Provider Identifier (NPI) Specialty. How are my monthly contributions distributed for sharing? Is living a healthy lifestyle important to the Fellowship? endobj Medical services subject to meeting the NSA include inpatient, outpatient, and diagnostic services. With the fourth membership year, a condition is no longer considered pre-existing. PNOA is committed to providing professional services to our contracted providers with our sophisticated administrative system and experienced staff. With a presence in all 50 states, PNOA has achieved aggressive discounts with all Provider types in an effort to service its large membership base. 1 0 obj 3 0 obj Click hereto learn more. 10 0 obj To keep members sharing contributions low, UHS SmartShare offers limited sharing with fixed fee amounts. Health Plans Inc. is a Harvard Pilgrim company Copyright 2023, HealthSmart Physician/Ancillary Only Network*, Multiplan Practitioner Plus Ancillary Network, Transparency in Coverage Machine Readable Files. We're currently processing your request and we'll be in touch soon. 4 0 obj Annual Preventive and Wellness Care also does not have a waiting period. Many clients prefer to see their therapists online via a secure online platform, as it makes mental health treatment convenient and more accessible. Access sample communications for your participants. Membership is not offered through an insurance company, and the organization is not subject to the regulatory requirements or consumer protections of any states insurance code. 315 0 obj 6 0 obj Payors > MultiPlan You will always remain responsible for your medical bills, and you may be treated as a cash paying patient. www.universalhealthfellowship.org is using a security service for protection against online attacks. Top 10 Multiplan PHCS Provider Specialties: Family Doctor (53185 providers) Internist (49936 providers) Pediatrician (Kids / Children Specialist) (43988 providers) Nurse Practitioner (NP) (26588 providers) Obstetrician / Gynecologist (OBGYN) (24905 providers) Chiropractor (23905 providers) Radiologist (19858 providers) is a specialist that offers services and treatment options in Cardiology. Wide-ranging availability that meets any network needs. All Universal HealthShare programs includeunlimited 24-hour telemedicine with $0 consultation fees. PDF PHCS Practitioner Only Network - My Benefits Portal You can use any hospital anywhere in the continental U.S.A. Please consult your state tax laws to determine if you may be subject to an individual mandate. What is the purpose of the UHS Sharing Guidelines? Instead of a monthly insurance premium, you send a voluntary monthly share amount or contribution to UHF that is applied to your sharing account to support members with eligible health care expenses. Ambulance use is shared up to two incidents per Program Year at $500 per incident. Members can access the Sharing Guidelines by logging into their Member Portals. No, sharing and insurance are very different. 9 0 obj %%EOF Offered through our partnership with FlexCare, telemedicine gives you immediate access to board-certified doctors. There are up to seven sharing programs available through Universal Health Fellowship, each with different contribution and monthly sharing levels or amounts. HealthSmart Provider Lookup How to find a PHCS Practitioner Only Network provider We can help you find the provider of your choice. We use cookies and limited processing of your personal information for our Im interested in health sharing for me and maybe my family. For providers that do not, you can submit the itemized bill to Universal HealthShare and sharing funds will be sent directly to you. Copyright 2019-2022 Universal Health Fellowship. 0 PHCS-Practitioner-and-Ancillary-Only Appeal Rights. CT Scan, MRI, and X-Ray imaging have a 90-day waiting period and are shared up to two visits per year, with a member consultation fee of $400. PDF PHCS Network and Limited Benefit Plans - MultiPlan Whether a self-funded employer, TPA, insurance carrier, Taft-Hartley Trust plan, Native American Tribe or cost containment company, PNOA provides an extensive Provider Network that can produce substantial savings. You may receive in- and out-patient hospital-based services from any facility you prefer. PNOA contracts directly with our Providers to deliver competitive discounts and maximize savings for patients who utilize in-network Providers and facilities. The monthly membership dues will be added to your monthly sharing contribution. Its the fastest, most convenient, and often the lowest cost way to access medical care. In non-emergency situations, consider telemedicine. No, there are no annual enrollment periods for Universal HealthShare. Surgical costs are shared up to $2,750 per day for two surgical procedures per year (subject to the annual limit of $27,500). This process is automatic. See your Member ID card for details. HOW DO I FIND OUT IF MY DOCTOR IS IN THE PHCS PRACTIONER ONLY NETWORK? Customer Care. Frances Catherine Baxley, M.D. A Medical Incident is a medically diagnosed condition and all medical treatment(s) received and medical expenses incurred relating to that condition. /StructTreeRoot 5 0 R x[`WwXab6BGocfAL lHX!.(N 9`g7`g7`g7`g7`g7`g7`g7`g7`g7`g7`g7`g7`g7`g7`g7`g7`g7`g7`g7`g7`g7`g7`g7`g7`g7`g7`g7`g7`g7`g7`g7`g7`g7`g7`g7`g7`g7`g7`g7`g7`g7`g7`g7`g7`g7`g7`g7`g7`g7`g7`g7`g7`g7`g7`g7`g7`g7`g7`g7`g7`g7`g7`g7`g7`g7`g7`g7`g7`g7`g7`g7`g7`g7`g7`g7`g7`g7`g7`g7`g7`g7`g7`g7`g7`g7`g7`g7`g7`g7`g7`g7`g7`g7`g7`g7`g7`g7`g7`g7`g7`g7`g7`g7`g7`g7`g7`g7`g7`g7`g7`g7`g7`g7`g7`g7`g7`g7`g7`g7`g7`g7`g7`g7v|u/wm]_=ojIOqFJ qos-vn:Ig442%vcv q`;s)NKM;}n,9{`Q`%)NK`%qvvcvdS>n7j'NU+e)NK+]R>n7j[`%I#&#gk-%G7\`8n7iWvvvc `WQvqH*]`8n7v[BU/nan,9NyYvvc `NyIn][K` vfnqn,`8oCX;m4nFqvv2`N}s-%^-vU~nan,`ek`4n7g~v&v2`d.];=dW. endobj If it is not an emergency, you will be required to contact customer service before any hospital admission as part of the pre-notification process. PDF With the PHCS Practitioner and Ancillary network NTWK. UHF relies on voluntary contributions from members who choose to help each other without using insurance. I have questions about UHFs health sharing programs. If you are unsure of your plan's network, contact your employer, call HPI, orlog in to My Plan after your effective date to access your specific network search tool. Does PHCS cover couples therapy? But many providers in the Multiplan/PHCS network may choose to accept your Universal HealthShare membership card and submit your medical expenses directly to us, minus applicable NSA and consultation fees. What makes UHS SmartShare different from the standard UHS programs? Inpatient room and board are shared up to $2,750 per day, per year for 10 days maximum (subject to the annual maximum limit of $27,500). PreferredOne Fifty-five Non-Sharable Amounts (NSA) 8 Per Individual Member8 You must be a member of Universal Health Fellowship to join our sharing programs. Is there a required minimum timeframe for membership? Significant Access and Savings With the PHCS Network in your cost management strategy, you give your MultiPlan Solutions: <>stream Her services comprise general consultations, annual check-ups, physical and gynecological examinations, and treatment for common ailments. /Pages 3 0 R PHCS health insurance is a private health system and was recently acquired by MultiPlan. Please enable JavaScript on your browser and try again. A PPO consists of a select network of health care providers under contract to serve member employees and their families for a reduced fee. 3 0 obj It provides networks of doctors, hospitals and medical professionals, like its parent company, MultiPlan. While every effort is made to ensure that we provide current, accurate data, provider information changes frequently. Is MultiPlan the same as PHCS? Examples include CA, MA, NJ, RI, VT, and DC. Provider Network of America, LLC 2023. PHCS, which stands for Private Healthcare Systems, is not an insurance company. You may leave UHF at any time and you can join at any time. PHCS-Practitioner-and-Ancillary-Only - Optimed Gain access to our online claim entry tool. 316 0 obj stream 5) Machine-readable files (MRF) must be generated and made available on a public website no later than 7/1/2022 for: 6) Price-comparison tool and cost-estimating tool (first 500 services) effective 1/1/2023. Alcohol should only be used in moderation, Use prescription drugs only as and when prescribed, Encourage all family members to be involved in caring for themselves and each other, Second and third year of sharing, pre-existing conditions are eligible for sharing up to $50,000. Doctors who accept Multiplan PHCS Insurance | Doctor.com Sales . Unite Health Share Ministries and WeShare. Sharing eligibility for a members medical expenses will be determined by their Effective Date, which will also become the members anniversary date with UHF. ), PHCS Practitioner & Ancillary Only Network(Note: you may also have access to the MultiPlan Practitioner & Ancillary Only Network. <>/A10<>/A11<>/A3<>/A5<>/A8<>/Pa0<>/Pa10<>/Pa2<>/Pa3<>/Pa4<>/Pa5<>/Pa7<>/Pa8<>>> endobj I have employees who are interested in health sharing. Provider Search Dr. Treya Z Browning is a family physician and primary care doctor at AllCare in Alexandria, VA. She welcomes patients of all ages, from seniors to infants. stream PDF PHCS Network - MultiPlan With UHS, there are no copayments as there are with traditional insurance products, but there are per-visit consultation fees that are not sharable. 5 0 obj 98 0 obj <>stream Sarah Alexander, M.D. | NorthShore Provider Network of America (PNOA) is a nationwide, direct, contracted provider network. Universal Health Fellowship (UHF) is a not-for-profit health care sharing ministry established on the principles of the Unitarian Universalist Church. (Non-Sharable amounts or NSA do not apply to the UHS SmartShare program.). MultiPlan: Customer Complaints and Reviews - ValuePenguin we make it easier for you to quickly identify the most informative profiles on Doctor.com. hbbd```b``"A$9d 5 L.3!7`v8Z PHCS is the leading PPO provider network and the largest in the nation. Major Medical; GAP Group Supplemental; Limited Medical & MEC; Monthly sharing contributions and fees are non-refundable. Annual Maximum Limit is $27,500 per year inclusive of all services shared. . <> endobj Our teams of industry experts are trained to develop contracts that are mutually beneficial for the patient, the payer and the Provider. 1-800-482-8770. customercare@optimedhealth.com. Please consult the Sharing Guidelines for details. You will be redirected once the validation is complete. Healthcare Highways PLUS Network* for employees of: *Outside of Oklahoma, members may use the Private Healthcare Systems network. Our national network provides access to more than 2,500 hospitals, 25,000 ancillary facilities, and over 525,000 professional providers. endobj Always call your provider in advance to confirm that they are a current member of Multiplan/PHCS before you incur medical expenses. 1600 W Broadway Rd., STE 300, Tempe, AZ 85282, For Employers, TPAs, Insurance Carriers and Health Care Providers, Through Analytics, Cost Management and Aggressive Discounts. - With the PHCS Practitioner and Ancillary network. Also, most in-patient and out-patient services (such as surgeries and hospital admissions) require pre-notification by calling customer service. Lifestyle considerations include: The date when membership in your UHS program begins is called your Effective Date. You may receive in- and out-patient hospital-based and facility services from any provider you prefer. These charges are sharable when you become an eligible member and pay a consultation fee for the office visit. To become eligible to receive sharing, every family member must complete the Health Questionnaire in the member portal. Please enable cookies on your browser and try again. Im interested in introducing health sharing to my clients. endstream endobj startxref Hospital4 None - Sharing of eligible expenses is available for any accredited hospital in the United States. Best Multiplan PHCS OB-GYNs Near Me | Zocdoc Through PNOA Provider Relations and Account Management departments, roster updates and claim inquiries are handled promptly and efficiently by our professionally trained staff. 9\E(\8relv6>B(/i E"|&/.Gjx$!y'tYiCR'Q1| Its available 24/7 with a $0 consultation fee. Find information about our services. ), Privacy PolicySurprise Medical Bills Transparency in Coverage - Machine Readable Files Translation Disclaimer Sitemap, Corporate Headquarters1500 West Park Drive, Suite 330Westborough, MA 01581Directions, Phone: 508-752-2480Toll-free: 800-532-7575Fax: 508-754-9664, Health Plans, Inc. is a Harvard Pilgrim company, PHCS Practitioner & Ancillary Only Network. * Plans in CO will be available for October 1, 2021, and later effective dates. LinkedIn Twitter. In todays health care environment, consumer needs are complex and continuously shifting. endstream endobj 42 0 obj <>>> endobj 43 0 obj <>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageC/ImageI]/Properties<>/XObject<>>>/Rotate 0/TrimBox[0.0 0.0 612.0 792.0]/Type/Page>> endobj 44 0 obj <>stream All related medical bills are treated as part of the same Medical Incident. hb``g``je`a` @1V a5DfNCI,DV7bYH?:yNH20T<7=_!&x -.f`o@ 6%g NMR+\5S\o()M~&Et"c(\e"Y~9edwU)eg#YN *2,sy)tg#Yn,n[D'KmyegY~9L2E,sD?\xgY~9. ), Maine's Choice Plus for Services Provided in 2023, All Multiplan networks(Note: Follow the instructions on the page to select the network that appears on your Member ID card.