Is MultiPlan the same as PHCS? 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. Ambulance use is shared up to two incidents per Program Year at $500 per incident. 10 0 obj By showing providers with higher ProfilePoints first, If you are unsure of your plan's network, contact your employer, call HPI, orlog in to My Plan after your effective date to access your specific network search tool. How do I know whether a medical provider is in-network with Universal HealthShare? HOW DO I FIND OUT IF MY DOCTOR IS IN THE PHCS PRACTIONER ONLY NETWORK? HPHC HMO for BMC HealthNet Employee Plan members, Guardian DentalGuard Preferred Select Network, HealthChoice(Note: To begin your provider search, use the contract lookup under HealthChoice Network and select SelectBen from the drop-down list. Monthly sharing contributions and fees are non-refundable. endstream www.universalhealthfellowship.org is using a security service for protection against online attacks. More details about this are on the back of your membership card. It is a not-for-profit HCSM (Health Care Sharing Ministry) that enables members to help each other with their medical needs. "@$Ka@$c}$/^{oM"{@4JLiW@]q 5 We will ask you and each family member to complete an online Health Questionnaire to become eligible for sharing. Customer Care. 6 0 obj No, sharing and insurance are very different. Through PNOA Provider Relations and Account Management departments, roster updates and claim inquiries are handled promptly and efficiently by our professionally trained staff. This process is automatic. fn>Cu;|=lGJ5tiBOC3Q- Kr8yl5[Xl= 12662043. 98 0 obj <>stream These charges are sharable when you become an eligible member and pay a consultation fee for the office visit. Significant Access and Savings With the PHCS Network in your cost management strategy, you give your MultiPlan Solutions: 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. Comprehensive and high-quality provider networks. )`'v{}Nz;_Vkg5He$RXo=-J/# &yEvW2Qz. 9\E(\8relv6>B(/i E"|&/.Gjx$!y'tYiCR'Q1| 3 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. We also feature significant fixed fee arrangements. 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. Im interested in introducing health sharing to my clients. A member may use any of the PPO network providers, at his or her discretion, and receive maximum plan benefits. 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. PNOA welcomes new health care Providers to join our community! 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. 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). Preferred Provider Organization (PPO) is todays most widely-utilized managed health care plan. Also, most in-patient and out-patient services (such as surgeries and hospital admissions) require pre-notification by calling customer service. PHCS Practitioner & Ancillary Only Network (Note: you may also have access to the MultiPlan Practitioner & Ancillary Only Network. Always confirm network participation and provide your WeShare Member ID card prior to scheduling an appointment and before services are rendered. How are my monthly contributions distributed for sharing? 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. insurance, payment options, etc. <> 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. 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 > UHSM medical sharing eligibility extends to qualifying costs at the more than 1.2 million doctors, hospitals, and specialists in this network. CITY: STATE ZIP: Business Phone Number PHCS. %%EOF All related medical bills are treated as part of the same Medical Incident. Universal Health Fellowship (UHF) is a not-for-profit health care sharing ministry established on the principles of the Unitarian Universalist Church. ), 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 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. endobj 1-800-482-8770. customercare@optimedhealth.com. You can speak to a telemedicine professional via a phone call, through a mobile app, or online video. 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. Exceptions to NSA include Primary Care, Urgent Care, and Specialist Care office visits. hb``g``je`a` @1V a5DfNCI,DV7bYH?:yNH20T<7=_!&x -.f`o@ 6%g Does PHCS cover couples therapy? Find information about our services. Provider Network of America, LLC 2023. 1 0 obj 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. Universal HealthShare programs are not insurance and Universal Health Fellowship is not an insurance company. 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. But the two entities have different provider networks for their insurance company clients. These fees vary depending on the type of service your receiving and the UHS program youre enrolled in. 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. Many states have published legal notices to inform their constituents about sharing organizations. website and services to function. If you choose to leave, we ask you to give us 30-days advance notice to help accommodate other sharing members. Preferred Health Professionals, LLC offers several different PPO networks. The monthly membership dues will be added to your monthly sharing contribution. <> Many clients prefer to see their therapists online via a secure online platform, as it makes mental health treatment convenient and more accessible. Lifestyle considerations include: The date when membership in your UHS program begins is called your Effective Date. www.universalhealthfellowship.org is using a security service for protection against online attacks. * Network and State are mandatory and you may enter in any other search options too. Yes, PHCS covers online therapy services. <> 9 0 obj - With the PHCS Practitioner and Ancillary network WeShare, a program of Unite Health Share Ministries (UHSM), is a religious organization facilitating the sharing of medical expenses. 2. group name. ), PHCS Practitioner & Ancillary Only Network(Note: you may also have access to the MultiPlan Practitioner & Ancillary Only Network. Always call your provider in advance to confirm that they are a current member of Multiplan/PHCS before you incur medical expenses. How much will I pay for Universal HealthShare? You may receive in- and out-patient hospital-based services from any facility you prefer. 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& To look up providers within the Multiplan/PHCS network, visit this link. Its the fastest, most convenient, and often the lowest cost way to access medical care. Then, sharing begins immediately for Primary Care, Urgent Care, and Specialty Care office visit charges. 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 What are individual mandates and state exemptions? Offered through our partnership with FlexCare, telemedicine gives you immediate access to board-certified doctors. Physical Address. PHCS is the leading PPO provider network and the largest in the nation. LinkedIn Twitter. Annual Maximum Limit is $27,500 per year inclusive of all services shared. FACILITY: CRED ID; Name of Physician TITLE: National Provider Identifier (NPI) Specialty. <> endobj stream Please consult your state tax laws to determine if you may be subject to an individual mandate. When does my sharing program membership begin? 315 0 obj <> PHCS offers the same coverage and benefits for online therapy and in-person therapy. It is both a care management company and a network-based insurance company. PHCS-Practitioner-and-Ancillary-Only Appeal Rights. While every effort is made to ensure that we provide current, accurate data, provider information changes frequently. <> endobj NTWK. We include Teladoc services and an optional wellness program from Vitality , so you can keep your members healthy and productive. The Health Questionnaire can be found in the member portal where information received is kept secure and confidential. 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. 316 0 obj Sales . stream We also feature significant fixed fee arrangements. Back to Resources Footer. With the fourth membership year, a condition is no longer considered pre-existing. Although not a health insurance provider, PHCS is a Preferred Provider Organization (PPO) network. * Plans in CO will be available for October 1, 2021, and later effective dates. Its available 24/7 with a $0 consultation fee. See your Member ID card for details. 3 0 obj <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> . A full breakdown of points can be seen /StructTreeRoot 5 0 R endstream endobj startxref 6 0 obj 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 Any changes made to their sharing program will typically become effective on the anniversary date. 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. <>/Metadata 582 0 R/ViewerPreferences 583 0 R>> You can use any hospital anywhere in the continental U.S.A. hWmo6+b;"@ADcZ4~QkN8xGkk)'J)'/"BXH4xTAD!1ZNPPQ(ID)T:JYah0bjUIu{hW`8_NM9NOs!@4U6:/WBu^e*{y;j&eZm?>/gdrZ-7us2U{1.>W/YuV~VeQ@NwU}u,;RdofJ`\ Y,DdXozvOegN''iQ:L. All Universal HealthShare programs includeunlimited 24-hour telemedicine with $0 consultation fees. Major Medical; GAP Group Supplemental; Limited Medical & MEC; If you have an emergency, seek immediate medical help. [{e(p6)x8IZk(hj9+4V%YA=~R - With the PHCS Practitioner and Ancillary network. Annual Preventive and Wellness Care also does not have a waiting period. PNOA is committed to providing professional services to our contracted providers with our sophisticated administrative system and experienced staff. 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. Ancillary Services13 Multiplan/PHCS Practitioner and Ancillary Network -- Sharing of physician and ancillary service expenses is available only for In Network providers. Click hereto learn more. A PPO consists of a select network of health care providers under contract to serve member employees and their families for a reduced fee. <> 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. 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. Unite Health Share Ministries and WeShare. <> 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. is a specialist that offers services and treatment options in Cardiology. 11 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. Thats why PNOA provides flexible cost containment solutions with simple implementation and robust administration tools. To read notices from all states that have issued them, click here. Universal HealthShare uses the Multiplan/PHCS Practitioner & Ancillary Network with over 700,000 practitioners nationwide. endobj The PHCS Network consistently achieves superior savingsincluding a Network-Based Solutions:national average savings over 40% for practitioner and ancillary facility claims. *** Examples include CA, MA, NJ, RI, VT, and DC. 1 0 obj You will always remain responsible for your medical bills, and you may be treated as a cash paying patient. You may receive in- and out-patient hospital-based services from any facility you prefer. What is the Waiting Period for UHS SmartShare? we make it easier for you to quickly identify the most informative profiles on Doctor.com. 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. 0 Sharing eligibility for a members medical expenses will be determined by their Effective Date, which will also become the members anniversary date with UHF. 8 0 obj You must be a member of Universal Health Fellowship to join our sharing programs. <] /BitsPerComponent 1/Interpolate false/SMask 12 0 R/Length 2>> With the PHCS Physicians network you and your members get: Enhanced plan features Reducing your overall health care expenses is what we strive for. Our teams of industry experts are trained to develop contracts that are mutually beneficial for the patient, the payer and the Provider. In todays health care environment, consumer needs are complex and continuously shifting. 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. Within the Client Portal, healthcare payors that purchase MultiPlan's services can: Submit service inquiries at your convenience. A Medical Incident is a medically diagnosed condition and all medical treatment(s) received and medical expenses incurred relating to that condition. The service requires full JavaScript support in order to view this website. MultiPlan owns PHCS. endobj In non-emergency situations, consider telemedicine. (Non-Sharable amounts or NSA do not apply to the UHS SmartShare program.). stream All rights reserved. 800-482-8770; sales@optimedhealth.com; Solutions . 41 0 obj <> endobj 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)
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