phcs practitioner and ancillary only

NMR+\5S\o()M~&Et"c(\e"Y~9edwU)eg#YN *2,sy)tg#Yn,n[D'KmyegY~9L2E,sD?\xgY~9. ), 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. www.universalhealthfellowship.org is using a security service for protection against online attacks. Is completing a health questionnaire required after enrolling in a UHS program? These charges are sharable when you become an eligible member and pay a consultation fee for the office visit. <> Monthly sharing contributions and fees are non-refundable. 9 0 obj ), PHCS Practitioner & Ancillary Only Network(Note: you may also have access to the MultiPlan Practitioner & Ancillary Only Network. other professional services may be or have been provided at or through the facility by physicians and other healthcare practitioners who do not . 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. Gain access to our online claim entry tool. These fees vary depending on the type of service your receiving and the UHS program youre enrolled in. PHCS is the leading PPO provider network and the largest in the nation. 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. 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. 9\E(\8relv6>B(/i E"|&/.Gjx$!y'tYiCR'Q1| You may receive in- and out-patient hospital-based and facility services from any provider you prefer. You can speak to a telemedicine professional via a phone call, through a mobile app, or online video. The sharing programs, services, publications, and any materials given should never be considered a substitute for an insurance policy. 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. Exceptions to NSA include Primary Care, Urgent Care, and Specialist Care office visits. 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. Our national network provides access to more than 2,500 hospitals, 25,000 ancillary facilities, and over 525,000 professional providers. No, there are no annual enrollment periods for Universal HealthShare. 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. Wide-ranging availability that meets any network needs. The PHCS Network consistently achieves superior savingsincluding a national average savings over 40% for practitioner and ancillary facility claims. 1 0 obj Its the fastest, most convenient, and often the lowest cost way to access medical care. You will always remain responsible for your medical bills, and you may be treated as a cash paying patient. Each individual or family chooses the program that best fits them. Schedule an appointment with Sarah Alexander at NorthShore. Always call your provider in advance to confirm that they are a current member of Multiplan/PHCS before you incur medical expenses. By showing providers with higher ProfilePoints first, 12662043. What makes UHS SmartShare different from the standard UHS programs? hbbd```b``"A$9d 5 L.3!7`v8Z For example, over 94% of the practitioners in the PHCS Network are contracted under a fixed fee schedule arrangement. 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. <>/A10<>/A11<>/A3<>/A5<>/A8<>/Pa0<>/Pa10<>/Pa2<>/Pa3<>/Pa4<>/Pa5<>/Pa7<>/Pa8<>>> endobj % <> endobj How do I know whether a medical provider is in-network with Universal HealthShare? 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. 10 0 obj 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. endstream ), 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. PHCS is the leading PPO provider network and the largest in the nation. Through PNOA Provider Relations and Account Management departments, roster updates and claim inquiries are handled promptly and efficiently by our professionally trained staff. You may be subject to a new application fee if you wish to rejoin the Fellowship. 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. endobj insurance, payment options, etc. 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) 3 0 obj What are individual mandates and state exemptions? 0 How does my medical provider receive reimbursement? To look up providers within the Multiplan/PHCS network, visit this link. %PDF-1.4 % 41 0 obj <> endobj I want Universal Health Fellowship to contact me, I agree with the Universal Health Fellowship. Healthcare Highways PLUS Network* for employees of: *Outside of Oklahoma, members may use the Private Healthcare Systems network. ), All other PHCS networks(Note: Follow the instructions on the page to select the network that appears on your Member ID card. CITY: STATE ZIP: Business Phone Number PHCS. Once you leave UHF, your ability to share medical expenses will end. What is the Waiting Period for UHS SmartShare? * Plans in CO will be available for October 1, 2021, and later effective dates. Please enable JavaScript on your browser and try again. How much will I pay for Universal HealthShare? www.universalhealthfellowship.org is using a security service for protection against online attacks. 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 Non-Sharable Amounts (NSA) 8 Per Individual Member8 stream While every effort is made to ensure that we provide current, accurate data, provider information changes frequently. In non-emergency situations, consider telemedicine. <> All Universal HealthShare programs includeunlimited 24-hour telemedicine with $0 consultation fees. This process is automatic. We use cookies and limited processing of your personal information for our Although not a health insurance provider, PHCS is a Preferred Provider Organization (PPO) network. xMO@0IR Is there a required minimum timeframe for membership? 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. endobj 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). Offered through our partnership with FlexCare, telemedicine gives you immediate access to board-certified doctors. 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. . 316 0 obj FACILITY: CRED ID; Name of Physician TITLE: National Provider Identifier (NPI) Specialty. /StructTreeRoot 5 0 R Sharing eligibility for a members medical expenses will be determined by their Effective Date, which will also become the members anniversary date with UHF. UHF relies on voluntary contributions from members who choose to help each other without using insurance. 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. 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. 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). PNOA Delivers Access to More Than: 2,500+ Hospitals Nationwide 25,000+ Ancillary Facilities 525,000+ Her services comprise general consultations, annual check-ups, physical and gynecological examinations, and treatment for common ailments. 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. % 11 0 obj (Non-Sharable amounts or NSA do not apply to UHS SmartShare programs.). Surgical costs are shared up to $2,750 per day for two surgical procedures per year (subject to the annual limit of $27,500). Thats why PNOA provides flexible cost containment solutions with simple implementation and robust administration tools. How to find a PHCS Practitioner Only Network provider We can help you find the provider of your choice. 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. For example, over 90% of the practitioners in the PHCS Network are contracted under a fixed fee schedule arrangement. 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. PNOA contracts directly with our Providers to deliver competitive discounts and maximize savings for patients who utilize in-network Providers and facilities. A PPO consists of a select network of health care providers under contract to serve member employees and their families for a reduced fee. Please note, you may use the network search tool for professional (physicians) and ancillary (chiropractors, laboratories, physical therapists, etc) providers. Its available 24/7 with a $0 consultation fee. )`'v{}Nz;_Vkg5He$RXo=-J/# &yEvW2Qz. What is the purpose of the UHS Sharing Guidelines? WeShare, a program of Unite Health Share Ministries (UHSM), is a religious organization facilitating the sharing of medical expenses. For other medical needs, review your Sharing Guidelines or call the customer service number on your membership card. Is MultiPlan legit? Preferred Health Professionals, LLC offers several different PPO networks. 74 verified reviews. Flexible repricing solutions that streamline claims administration and payment processing through a series of automated tools, including electronic submissions. If you choose to leave, we ask you to give us 30-days advance notice to help accommodate other sharing members. UHSM medical sharing eligibility extends to qualifying costs at the more than 1.2 million doctors, hospitals, and specialists in this network. The PHCS Network consistently achieves superior savingsincluding a Network-Based Solutions:national average savings over 40% for practitioner and ancillary facility claims. The service requires full cookie support in order to view this website. This waiting period does not apply to the Office Visit charge for Primary Care, Pediatric Care, Specialty Care or Urgent Care visits. <> Many states have published legal notices to inform their constituents about sharing organizations. <> The Health Questionnaire can be found in the member portal where information received is kept secure and confidential. Comprehensive and high-quality provider networks. To read notices from all states that have issued them, click here. You will be redirected once the validation is complete. A Medical Incident is a medically diagnosed condition and all medical treatment(s) received and medical expenses incurred relating to that condition. Lifestyle considerations include: The date when membership in your UHS program begins is called your Effective Date. Members can access the Sharing Guidelines by logging into their Member Portals. To become eligible to receive sharing, every family member must complete the Health Questionnaire in the member portal. 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. stream It is a not-for-profit HCSM (Health Care Sharing Ministry) that enables members to help each other with their medical needs. 2 0 obj See your Member ID card for details. PHCS health insurance is a private health system and was recently acquired by MultiPlan. I have employees who are interested in health sharing. endobj Emergency Room visits are shared up to two incidents per Program Year at $100 per incident. endstream endobj startxref A full breakdown of points can be seen endobj by providers with Doctor.com accounts when editing their profile on Doctor.com. Hospital4 None - Sharing of eligible expenses is available for any accredited hospital in the United States. Many clients prefer to see their therapists online via a secure online platform, as it makes mental health treatment convenient and more accessible. 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. Acadia-St. Landry Hospital. endobj You may receive in- and out-patient hospital-based services from any facility you prefer. With the PHCS Physicians network you and your members get: Enhanced plan features Reducing your overall health care expenses is what we strive for. <> endobj 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. <> . Annual Preventive and Wellness Care also does not have a waiting period. 2. group name. 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. Universal HealthShare programs are not insurance and Universal Health Fellowship is not an insurance company. We also feature significant fixed fee arrangements. is a specialist that offers services and treatment options in Cardiology. Click hereto learn more. When can I begin sharing medical expenses? 2022 Unite Health Share Ministries and WeShare. All related medical bills are treated as part of the same Medical Incident. Sales . <> Ancillary Services13 Multiplan/PHCS Practitioner and Ancillary Network -- Sharing of physician and ancillary service expenses is available only for In Network providers. Back to Resources Footer. PHCS Network 1 of 24 SB 282 ACT 354 CONSUMERS RIGHT TO KNOW ACT - PHYSICIANS WEB LISTING. endobj 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. website and services to function. 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. endobj 6 0 obj Does PHCS cover couples therapy? Is MultiPlan the same as PHCS? How are my monthly contributions distributed for sharing? When you have an eligible medical expense (a Medical Need), sharing funds from other members can be used to help you meet that expense. PHCS VDHP All other PHCS networks (Note: Follow the instructions on the page to select the network that appears on your Member ID card.) 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. Fifty-five What hospitals can I use with Universal HealthShare? K= n0iiZ63c[mc3:f}S[4mnNOa2(A w6mY| eQ]PP?Uzr.o-,~`],{?ysY$8B5Pn5\EcU)];DehFTy`jbm< Copyright 2019-2022 Universal Health Fellowship. Medicare-based repricing is applied on specific procedures to allow transparency and value in how those claims are paid through our in-house and proprietary system. provider's profile, including items like having a photo, a biography, Our teams of industry experts are trained to develop contracts that are mutually beneficial for the patient, the payer and the Provider. <>stream Yes, PHCS covers online therapy services. Doctor.com has profiles for millions of doctors and other health providers in the United States, including those who take Multiplan PHCS insurance. endobj The sharing program you choose will determine your monthly sharing contribution. 1600 W Broadway Rd., STE 300, Tempe, AZ 85282, For Employers, TPAs, Insurance Carriers and Health Care Providers, Through Analytics, Cost Management and Aggressive Discounts. The monthly membership dues will be added to your monthly sharing contribution. With a presence in all 50 states, PNOA has achieved aggressive discounts with all Provider types in an effort to service its large membership base. It is both a care management company and a network-based insurance company. Each of the six standard UHS programs (programs UHS 1 to 6) has a Non-Sharable Amount (NSA) that you will pay each year as an individual or family before any medical needs can be shared. You may receive in- and out-patient hospital-based services from any facility you prefer. Always confirm network participation and provide your WeShare Member ID card prior to scheduling an appointment and before services are rendered. "@$Ka@$c}$/^{oM"{@4JLiW@]q 5 Then, sharing begins immediately for Primary Care, Urgent Care, and Specialty Care office visit charges. 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. We include Teladoc services and an optional wellness program from Vitality , so you can keep your members healthy and productive. we make it easier for you to quickly identify the most informative profiles on Doctor.com. <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Also, most in-patient and out-patient services (such as surgeries and hospital admissions) require pre-notification by calling customer service. The service requires full JavaScript support in order to view this website. 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. (Non-Sharable amounts or NSA do not apply to the UHS SmartShare program.). With UHS, there are no copayments as there are with traditional insurance products, but there are per-visit consultation fees that are not sharable. You may leave UHF at any time and you can join at any time. 8 0 obj Preferred Provider Organization (PPO) is todays most widely-utilized managed health care plan. stream When searching for providers, the results presented are for reference only; as participating physicians, hospitals, and/or healthcare providers may have changed since the online directory was last updated.

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