phcs practitioner and ancillary only

endstream )`'v{}Nz;_Vkg5He$RXo=-J/# &yEvW2Qz. No, sharing and insurance are very different. UHSM medical sharing eligibility extends to qualifying costs at the more than 1.2 million doctors, hospitals, and specialists in this network. For example, over 94% of the practitioners in the PHCS Network are contracted under a fixed fee schedule arrangement. For providers that do not, you can submit the itemized bill to Universal HealthShare and sharing funds will be sent directly to you. 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. 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. By showing providers with higher ProfilePoints first, PHCS Practitioner Only Network* for employees of: *Please note, you may use the network search tool for physicians (including primary care physicians, specialists, and providers such as physical, occupational, and speech therapists). Our national network provides access to more than 2,500 hospitals, 25,000 ancillary facilities, and over 525,000 professional providers. 1-800-482-8770. customercare@optimedhealth.com. Access sample communications for your participants. 8 0 obj When you have an eligible medical expense (a Medical Need), sharing funds from other members can be used to help you meet that expense. You will be redirected once the validation is complete. Provider Search Physical Address. - With the PHCS Practitioner and Ancillary network. These fees vary depending on the type of service your receiving and the UHS program youre enrolled in. What makes UHS SmartShare different from the standard UHS programs? PHCS-Practitioner-and-Ancillary-Only - Optimed For more general inquiries, call 877-987-1233. You may leave UHF at any time and you can join at any time. Exceptions to NSA include Primary Care, Urgent Care, and Specialist Care office visits. Comprehensive and high-quality provider networks. UHF relies on voluntary contributions from members who choose to help each other without using insurance. PHCS is the leading PPO provider network and the largest in the nation. By contracting with this network, our members benefit from pre-negotiated rates and payment processes that lead to a much smoother process and overall cost savings. Emergency Room visits are shared up to two incidents per Program Year at $100 per incident. endobj Best Multiplan PHCS OB-GYNs Near Me | Zocdoc I have questions about UHFs health sharing programs. 1 0 obj 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. It is best practice to reach out to WeShare Member Services prior to visit to ensure the provider is still in network, as this can change. 7 0 obj All Rights Reserved. All related medical bills are treated as part of the same Medical Incident. 11 0 obj HOW DO I FIND OUT IF MY DOCTOR IS IN THE PHCS PRACTIONER ONLY NETWORK? 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 2. group name. Then, sharing begins immediately for Primary Care, Urgent Care, and Specialty Care office visit charges. We ask and expect that our sharing program members will adopt and live healthy lifestyles for the benefit of themselves and other sharing members, as doing so keeps medical costs lower for all. Please consult the Sharing Guidelines for details. Lifestyle considerations include: The date when membership in your UHS program begins is called your Effective Date. In order to confirm the PPO network you have access to, please check for the PPO network logo on your health insurance ID card, or check with your benefit administrator. UHF will manage those contributions for you, distributing funds as needed to help other Universal HealthShare members with their eligible health care expenses, and to help cover the operational and administrative costs of UHF. % www.universalhealthfellowship.org is using a security service for protection against online attacks. 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. <> Preferred Provider Organization (PPO) is todays most widely-utilized managed health care plan. Does PHCS cover couples therapy? xMO@0IR For the PHCS Network, 1-800-922-4362 For PHCS Healthy Directions, 1-800-678-7427 For the MultiPlan Network, 1-888-342-7427 For the HealthEOS Network, 1-800-279-9776 For language assistance, please call 1-866-981-7427 For TTY/TTD service, please call 1-866-918-7427 Search for a provider > PDF Uhs1 Uhs2 Uhs3 Uhs4 Uhs5 Uhs6 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. Examples include CA, MA, NJ, RI, VT, and DC. Customer Care. Sales . Provider Network of America (PNOA) is a nationwide, direct, contracted provider network. /StructTreeRoot 5 0 R /ViewerPreferences <> Doctors who accept Multiplan PHCS Insurance | Doctor.com To read notices from all states that have issued them, click here. How much will I pay for Universal HealthShare? PHCS is the leading PPO provider network and the largest in the nation. But the two entities have different provider networks for their insurance company clients. To look up providers within the Multiplan/PHCS network, visit this link. (Non-Sharable amounts or NSA do not apply to UHS SmartShare programs.). 12 0 obj In addition to your monthly sharing contribution you will be charged a one-time non-refundable application fee of $75 and ongoing monthly membership dues, currently $15 per month, to join and remain a member of Universal Health Fellowship. Im interested in introducing health sharing to my clients. Networks - Preferred Health Professionals We will ask you and each family member to complete an online Health Questionnaire to become eligible for sharing. A member may use any of the PPO network providers, at his or her discretion, and receive maximum plan benefits. Membership is not offered through an insurance company, and the organization is not subject to the regulatory requirements or consumer protections of any states insurance code. stream 9\E(\8relv6>B(/i E"|&/.Gjx$!y'tYiCR'Q1| The sharing program you choose will determine your monthly sharing contribution. 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. PDF With the PHCS Practitioner and Ancillary network It provides networks of doctors, hospitals and medical professionals, like its parent company, MultiPlan. <>/Font<>/ProcSet[/PDF/Text]>>/StructParents 1/TrimBox[0.0 0.0 612.0 792.0]/Type/Page>> endobj endobj Acadia-St. Landry Hospital. Sharing eligibility for a members medical expenses will be determined by their Effective Date, which will also become the members anniversary date with UHF. When does my sharing program membership begin? >>endobj Healthcare Highways PLUS Network* for employees of: *Outside of Oklahoma, members may use the Private Healthcare Systems network. PHCS health insurance is a private health system and was recently acquired by MultiPlan. Click hereto learn more. <> <> 41 0 obj <> endobj I have employees who are interested in health sharing. 9 0 obj 9 0 obj I want Universal Health Fellowship to contact me, I agree with the Universal Health Fellowship. endobj <> The sharing programs, services, publications, and any materials given should never be considered a substitute for an insurance policy. 2 0 obj 12662043. ), 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. endobj Simply call 1-888-611-7427, Monday through Friday from 8 a.m. to 8 p.m. (Eastern Standard Time) and identify yourself as a health plan participant accessing PHCS Practitioner Only Network. Fifty-five ProfilePoints measure the overall completeness of a Her services comprise general consultations, annual check-ups, physical and gynecological examinations, and treatment for common ailments. No, there are no annual enrollment periods for Universal HealthShare. 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. endobj - With the PHCS Practitioner and Ancillary network Yes, PHCS covers online therapy services. You can use any hospital anywhere in the continental U.S.A. Please enable JavaScript on your browser and try again. Provider Network of America, LLC 2023. 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. endstream hbbd```b``"A$9d 5 L.3!7`v8Z 2022 Unite Health Share Ministries and WeShare. Do I have to pay for Telemedicine consultations? endobj You will always remain responsible for your medical bills, and you may be treated as a cash paying patient. Through PNOA Provider Relations and Account Management departments, roster updates and claim inquiries are handled promptly and efficiently by our professionally trained staff. "@$Ka@$c}$/^{oM"{@4JLiW@]q 5 Major Medical; GAP Group Supplemental; Limited Medical & MEC; endobj Gain access to our online claim entry tool. Copyright 2019-2022 Universal Health Fellowship. 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). 98 0 obj <>stream Core Value Access is only available in CA in the following markets: Los Angeles, Santa Ana, San Diego, Santa Barbara, Fresno Not available in the Dallas, TX market. PNOA is committed to providing professional services to our contracted providers with our sophisticated administrative system and experienced staff. A Medical Incident is a medically diagnosed condition and all medical treatment(s) received and medical expenses incurred relating to that condition. This waiting period does not apply to the Office Visit charge for Primary Care, Pediatric Care, Specialty Care or Urgent Care visits. %%EOF 3 0 obj 0 Surgical costs are shared up to $2,750 per day for two surgical procedures per year (subject to the annual limit of $27,500). Medical incidents have sharing limits based on each program, but a member can have as many medical incidents as medically necessary up to the per incident limit and inclusive of all charges up to the annual maximum for the program. 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. Provider Network of America (PNOA) is a nationwide, direct, contracted provider network. 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. How to find a PHCS Practitioner Only Network provider We can help you find the provider of your choice. Doctor.com has profiles for millions of doctors and other health providers in the United States, including those who take Multiplan PHCS insurance. Each individual or family chooses the program that best fits them. 6 0 obj website and services to function. Frances Catherine Baxley, M.D. Non-Sharable Amounts (NSA) 8 Per Individual Member8 PDF With the PHCS Practitioner and Ancillary network endobj CITY: STATE ZIP: Business Phone Number PHCS. If you have a question about a specific member and/or needs request, please call the number on the back of the members UHF membership card. 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). Any changes made to their sharing program will typically become effective on the anniversary date. MultiPlan: Customer Complaints and Reviews - ValuePenguin 5 0 obj While every effort is made to ensure that we provide current, accurate data, provider information changes frequently. Each of the six standard UHS programs (programs UHS 1 to 6) has a Non-Sharable Amount (NSA) that you will pay each year as an individual or family before any medical needs can be shared. Members > MultiPlan 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. Is there a required minimum timeframe for membership? PDF PHCS Network - MultiPlan hb``g``je`a` @1V a5DfNCI,DV7bYH?:yNH20T<7=_!&x -.f`o@ 6%g If you have an emergency, seek immediate medical help. You may select your Effective Date, but your first monthly contribution and any applicable fees will be due at the time you submit your application for a UHS program. Monthly sharing contributions and fees are non-refundable. <> 800-482-8770; sales@optimedhealth.com; Solutions . Health Plans Inc. | Pioneer | Health Care Providers - Search our Universal Health Fellowship (UHF) is a not-for-profit health care sharing ministry established on the principles of the Unitarian Universalist Church. For other medical needs, review your Sharing Guidelines or call the customer service number on your membership card. With the PHCS Physicians network you and your members get: Enhanced plan features Reducing your overall health care expenses is what we strive for. HealthSmart's online provider directory is provided for reference purposes only. In non-emergency situations, consider telemedicine. We also feature significant fixed fee arrangements. LinkedIn Twitter. Offered through our partnership with FlexCare, telemedicine gives you immediate access to board-certified doctors. PHCS PPO Network - WeShare Healthcare <> Im interested in health sharing for me and maybe my family. You may receive in- and out-patient hospital-based services from any facility you prefer. Payors > MultiPlan Frances Catherine Baxley, M.D. | NorthShore HealthSmart Provider Lookup Multiplan or PHCS | Mental Health Coverage | Zencare Zencare Many clients prefer to see their therapists online via a secure online platform, as it makes mental health treatment convenient and more accessible. Although not a health insurance provider, PHCS is a Preferred Provider Organization (PPO) network. Flexible repricing solutions that streamline claims administration and payment processing through a series of automated tools, including electronic submissions. See your Member ID card for details. PHCS Network 1 of 24 SB 282 ACT 354 CONSUMERS RIGHT TO KNOW ACT - PHYSICIANS WEB LISTING. Please enable cookies on your browser and try again. You may receive in- and out-patient hospital-based and facility services from any provider you prefer. PHCS-Practitioner-and-Ancillary-Only Appeal Rights. All you need to do is make your monthly voluntary sharing contributions. Its the fastest, most convenient, and often the lowest cost way to access medical care. PDF How Do I Find Out If My Doctor Is in The Phcs Practioner Only Network? PHCS offers the same coverage and benefits for online therapy and in-person therapy. Sarah Alexander, M.D. PreferredOne PHCS, which stands for Private Healthcare Systems, is not an insurance company. www.universalhealthfellowship.org is using a security service for protection against online attacks. You may receive in- and out-patient hospital-based services from any facility you prefer. Medical services subject to meeting the NSA include inpatient, outpatient, and diagnostic services. Schedule an appointment with Sarah Alexander at NorthShore. PHCS Practitioner Plus Ancillary Network* Multiplan Practitioner Plus Ancillary Network* for employees of: *Please note, you may use the network search tool for professional (physicians) and ancillary (chiropractors, laboratories, physical therapists, etc) providers. Always call your provider in advance to confirm that they are a current member of Multiplan/PHCS before you incur medical expenses. * Network and State are mandatory and you may enter in any other search options too. 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. It is not an insurance company, and neither its guidelines or its plan of operation, or any other documents of the religious organization constitute or create an insurance policy. PHCS Practitioner & Ancillary Only Connection Dental Network HEALTH LINK NETWORK Our network partner in Eastern Missouri, HealthLink provides employers coverage throughout Missouri. With the fourth membership year, a condition is no longer considered pre-existing. Universal HealthShare uses the Multiplan/PHCS Practitioner & Ancillary Network with over 700,000 practitioners nationwide. 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. . To find out if your provider is in-network, you can call PHCS toll-free at (888) 993-3227 or search online by following the instructions below: 1) Find a doctor on the web: www.multiplan.com 2) Click on 3) Check the box next to the PHCS Practitioner Only logo: The service requires full JavaScript support in order to view this website. WeShare, a program of Unite Health Share Ministries (UHSM), is a religious organization facilitating the sharing of medical expenses. % Always confirm network participation and provide your WeShare Member ID card prior to scheduling an appointment and before services are rendered. /Type /Catalog HPHC HMO for BMC HealthNet Employee Plan members, Guardian DentalGuard Preferred Select Network, HealthChoice(Note: To begin your provider search, use the contract lookup under HealthChoice Network and select SelectBen from the drop-down list. MultiPlan owns PHCS. /Pages 3 0 R Please consult your state tax laws to determine if you may be subject to an individual mandate. UHF has branded its health care cost sharing program Universal HealthShare (UHS). What is the Waiting Period for UHS SmartShare? How are my monthly contributions distributed for sharing? 3 0 obj 10 0 obj %PDF-1.7 <] /BitsPerComponent 1/Interpolate false/SMask 12 0 R/Length 2>> stream Ambulance use is shared up to two incidents per Program Year at $500 per incident. In todays health care environment, consumer needs are complex and continuously shifting. Sarah Alexander, M.D. | NorthShore <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> 1 0 obj insurance, payment options, etc. PHCS Practitioner Plus Ancillary Network * Multiplan Practitioner Plus Ancillary Network * for employees of: AG RX V-Soft Consulting Standlee Hay Company, Inc. *Please note, you may use the network search tool for professional (physicians) and ancillary (chiropractors, laboratories, physical therapists, etc) providers. All Universal HealthShare programs includeunlimited 24-hour telemedicine with $0 consultation fees. Also, most in-patient and out-patient services (such as surgeries and hospital admissions) require pre-notification by calling customer service. It is a not-for-profit HCSM (Health Care Sharing Ministry) that enables members to help each other with their medical needs. PDF PHCS Practitioner Only Network - My Benefits Portal 74 verified reviews. 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 The PHCS Network consistently achieves superior savingsincluding a Network-Based Solutions:national average savings over 40% for practitioner and ancillary facility claims. <>stream NTWK. ), All other PHCS networks(Note: Follow the instructions on the page to select the network that appears on your Member ID card. You can speak to a telemedicine professional via a phone call, through a mobile app, or online video. <> For example, over 90% of the practitioners in the PHCS Network are contracted under a fixed fee schedule arrangement. UHSM medical sharing eligibility extends to qualifying costs at the more than 1.2 million doctors, hospitals, and specialists in this network. %PDF-1.7 Universal HealthShare uses the Multiplan/PHCS Practitioner & Ancillary Network with over 700,000 practitioners nationwide. How do I know whether a medical provider is in-network with Universal HealthShare? Within the Client Portal, healthcare payors that purchase MultiPlan's services can: Submit service inquiries at your convenience. Many states have published legal notices to inform their constituents about sharing organizations. Always call your provider in advance to confirm that they are a current member of Multiplan/PHCS before you incur medical expenses. The service requires full cookie support in order to view this website. Preferred Health Professionals, LLC offers several different PPO networks. Unite Health Share Ministries and WeShare. endobj 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 We include Teladoc services and an optional wellness program from Vitality , so you can keep your members healthy and productive. If you choose to leave, we ask you to give us 30-days advance notice to help accommodate other sharing members. PHCS VDHP All other PHCS networks (Note: Follow the instructions on the page to select the network that appears on your Member ID card.) By using our site, you agree to our use of cookies and our, Pediatrician (Kids / Children Specialist), Gastroenterologist (Stomach & Bowel Specialist), Otolaryngologist (Ear, Nose & Throat - ENT), Physiatrist (Physical Medicine & Rehabilitation), Endocrinologist (Diabetes & Hormones Specialist), Rheumatologist (Joints & Arthritis Specialist), Plastic, Reconstructive, and Cosmetic Surgeon, General Practice Doctor (General Practitioner), Thoracic Surgeon (Cardiothoracic Vascular Surgeon), Hepatologist (Liver, Gallbladder & Pancreas), Medical Geneticist (Genetic & Hereditary Disease Specialist), Respiratory, Developmental, Rehabilitative and Restorative Service Providers, Physician Assistants & Advanced Practice Nursing Providers, Technologists, Technicians & Other Technical Service Providers, Behavioral Health & Social Service Providers, Magnetic Resonance Imaging (MRI) Specialist, Pharmacist Clinician (PhC)/ Clinical Pharmacist, Speech, Language and Hearing Service Providers. Ancillary Services13 Multiplan/PHCS Practitioner and Ancillary Network -- Sharing of physician and ancillary service expenses is available only for In Network providers. To keep members sharing contributions low, UHS SmartShare offers limited sharing with fixed fee amounts. PDF PHCS Network - MultiPlan provider's profile, including items like having a photo, a biography, More details about this are on the back of your membership card. You must be a member of Universal Health Fellowship to join our sharing programs. With the PHCS Network, you can offer them access to thousands of hospitals, practitioners and ancillary facilities who have agreed to significant discounts on their medical services. There are up to seven sharing programs available through Universal Health Fellowship, each with different contribution and monthly sharing levels or amounts. United Faith Ministries, Inc. is a 501(c)(3) nonprofit corporation, dba Unite Health Share Ministries or UHSM Health Share, that facilitates member-to-member sharing of medical bills. <>/A10<>/A11<>/A3<>/A5<>/A8<>/Pa0<>/Pa10<>/Pa2<>/Pa3<>/Pa4<>/Pa5<>/Pa7<>/Pa8<>>> endobj Back to Resources Footer. <> 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. Our teams of industry experts are trained to develop contracts that are mutually beneficial for the patient, the payer and the Provider. PNOA Delivers Access to More Than: 2,500+ Hospitals Nationwide 25,000+ Ancillary Facilities 525,000+ We also feature significant fixed fee arrangements. ]OJbZ KJpU{|',3-'r3x|98E`e ndEIf:5v;E.# <> www.universalhealthfellowship.org is using a security service for protection against online attacks. A full breakdown of points can be seen stream Hn)9'`v" IO6}ERHQC P?<>>|<=/,_" Y!oG\q4.~S|^qydCs!Cw{w/a3ceq=!4*r/o6ww:Po9V[E\ONzlRlQ >oo_p-11[Va'"+u4+1dYw=S,]y|XKlig \u+mX64v=| |^AI^efb!~BN#L^_H 9q//dA(k0rRCV9FisE'Iu/Dl1)bsFATh-}ey\/-TmrVf] Bn& * Plans in CO will be available for October 1, 2021, and later effective dates. K= n0iiZ63c[mc3:f}S[4mnNOa2(A w6mY| eQ]PP?Uzr.o-,~`],{?ysY$8B5Pn5\EcU)];DehFTy`jbm< 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.

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phcs practitioner and ancillary only