), PHCS Practitioner & Ancillary Only Network(Note: you may also have access to the MultiPlan Practitioner & Ancillary 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. endobj
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. K= n0iiZ63c[mc3:f}S[4mnNOa2(A w6mY| eQ]PP?Uzr.o-,~`],{?ysY$8B5Pn5\EcU)];DehFTy`jbm< Sharing eligibility for a members medical expenses will be determined by their Effective Date, which will also become the members anniversary date with UHF. 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:
Please note, you may use the network search tool for professional (physicians) and ancillary (chiropractors, laboratories, physical therapists, etc) providers. Within the Client Portal, healthcare payors that purchase MultiPlan's services can: Submit service inquiries at your convenience. HealthSmart's online provider directory is provided for reference purposes only. PHCS PPO Network - WeShare Healthcare Acadia-St. Landry Hospital. Please enable cookies on your browser and try again. 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. 10 0 obj
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How do I know whether a medical provider is in-network with Universal HealthShare? Universal HealthShare programs are not insurance and Universal Health Fellowship is not an insurance company. Click hereto learn more. HPI | Find a Provider - Health Plans Inc. 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. PNOA Delivers Access to More Than: 2,500+ Hospitals Nationwide 25,000+ Ancillary Facilities 525,000+ ), 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. 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. These charges are sharable when you become an eligible member and pay a consultation fee for the office visit. With UHS, there are no copayments as there are with traditional insurance products, but there are per-visit consultation fees that are not sharable. (140 ratings) NorthShore Medical Group Family Medicine, Women's Health, Pediatrics Make an appointment View availability and book 847.657.3540 Profile Locations Ratings Insurance Find Other Doctors Frances Catherine Baxley, M.D. | NorthShore HOW DO I FIND OUT IF MY DOCTOR IS IN THE PHCS PRACTIONER ONLY NETWORK? Also, most in-patient and out-patient services (such as surgeries and hospital admissions) require pre-notification by calling customer service. 3 0 obj We also feature significant fixed fee arrangements. More details about this are on the back of your membership card. MultiPlan owns PHCS. To become eligible to receive sharing, every family member must complete the Health Questionnaire in the member portal. Thats why PNOA provides flexible cost containment solutions with simple implementation and robust administration tools. ), 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. Once you leave UHF, your ability to share medical expenses will end. stream
These fees vary depending on the type of service your receiving and the UHS program youre enrolled in. Comprehensive and high-quality provider networks. ), All other PHCS networks(Note: Follow the instructions on the page to select the network that appears on your Member ID card. <>
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endobj 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. You may receive in- and out-patient hospital-based and facility services from any provider you prefer. PNOA welcomes new health care Providers to join our community! 9\E(\8relv6>B(/i E"|&/.Gjx$!y'tYiCR'Q1| Physical Address. This waiting period does not apply to the Office Visit charge for Primary Care, Pediatric Care, Specialty Care or Urgent Care visits. UHSM medical sharing eligibility extends to qualifying costs at the more than 1.2 million doctors, hospitals, and specialists in this network. If you have an emergency, seek immediate medical help. Sarah Alexander, M.D. PDF PHCS Network - MultiPlan FACILITY: CRED ID; Name of Physician TITLE: National Provider Identifier (NPI) Specialty. Multiplan or PHCS | Mental Health Coverage | Zencare Zencare fn>Cu;|=lGJ5tiBOC3Q-
Kr8yl5[Xl= But the two entities have different provider networks for their insurance company clients. 2. group name. All rights reserved. While every effort is made to ensure that we provide current, accurate data, provider information changes frequently. endstream
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For other medical needs, review your Sharing Guidelines or call the customer service number on your membership card. Universal HealthShare uses the Multiplan/PHCS Practitioner & Ancillary Network with over 700,000 practitioners nationwide. You may be subject to a new application fee if you wish to rejoin the Fellowship. %PDF-1.7
PHCS VDHP All other PHCS networks (Note: Follow the instructions on the page to select the network that appears on your Member ID card.) Surgical costs are shared up to $2,750 per day for two surgical procedures per year (subject to the annual limit of $27,500). <>
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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) Our national network provides access to more than 2,500 hospitals, 25,000 ancillary facilities, and over 525,000 professional providers. I have employees who are interested in health sharing. 2022 Unite Health Share Ministries and WeShare. Most states with an Individual Mandate have an exemption from the State Tax Penalty for members of HCSMs that meet state requirements (a State Exemption). 316 0 obj ]OJbZ KJpU{|',3-'r3x|98E`e
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PHCS-Practitioner-and-Ancillary-Only Appeal Rights. Is MultiPlan legit? FAQs - Universal Health Fellowship Im interested in health sharing for me and maybe my family. Provider Network of America (PNOA) is a nationwide, direct, contracted provider network. 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. To read notices from all states that have issued them, click here. PDF PHCS Network and Limited Benefit Plans - MultiPlan
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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 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. endstream
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Im interested in introducing health sharing to my clients. For providers that do not, you can submit the itemized bill to Universal HealthShare and sharing funds will be sent directly to you. UHF has branded its health care cost sharing program Universal HealthShare (UHS). 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. <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>>
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PHCS Practitioner & Ancillary Only Network (Note: you may also have access to the MultiPlan Practitioner & Ancillary Only Network. PNOA contracts directly with our Providers to deliver competitive discounts and maximize savings for patients who utilize in-network Providers and facilities. For UHS SmartShare, there is a 90-day waiting period before any Medical Expense Need may be eligible for sharing.
PHCS-Practitioner-and-Ancillary-Only - Optimed Members can access the Sharing Guidelines by logging into their Member Portals. Members > MultiPlan PreferredOne endobj
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www.universalhealthfellowship.org is using a security service for protection against online attacks. The Health Questionnaire can be found in the member portal where information received is kept secure and confidential. by providers with Doctor.com accounts when editing their profile on Doctor.com. Sales . 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. All you need to do is make your monthly voluntary sharing contributions. 2 0 obj
You will be redirected once the validation is complete. You can use any hospital anywhere in the continental U.S.A.
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endobj 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's profile, including items like having a photo, a biography, See your Member ID card for details. 8 0 obj
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How are my monthly contributions distributed for sharing? You may receive in- and out-patient hospital-based services from any facility you prefer. For a faster response, please call us directly at 888-666-8135. Non-Sharable Amounts (NSA) 8 Per Individual Member8 >>endobj 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. is a specialist that offers services and treatment options in Cardiology. PDF How Do I Find Out If My Doctor Is in The Phcs Practioner Only Network? LinkedIn Twitter. 7 0 obj
Universal Health Fellowship (UHF) is a not-for-profit health care sharing ministry established on the principles of the Unitarian Universalist Church. Our teams of industry experts are trained to develop contracts that are mutually beneficial for the patient, the payer and the Provider. 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). PHCS, which stands for Private Healthcare Systems, is not an insurance company. A PPO consists of a select network of health care providers under contract to serve member employees and their families for a reduced fee. What is the Waiting Period for UHS SmartShare? How to find a PHCS Practitioner Only Network provider We can help you find the provider of your choice. /Pages 3 0 R Provider Network of America, LLC 2023. Always call your provider in advance to confirm that they are a current member of Multiplan/PHCS before you incur medical expenses. PHCS offers the same coverage and benefits for online therapy and in-person therapy. Annual Maximum Limit is $27,500 per year inclusive of all services shared. endobj
The PHCS Network consistently achieves superior savingsincluding a Network-Based Solutions:national average savings over 40% for practitioner and ancillary facility claims. Please consult your state tax laws to determine if you may be subject to an individual mandate. What hospitals can I use with Universal HealthShare? Is there a required minimum timeframe for membership? We will ask you and each family member to complete an online Health Questionnaire to become eligible for sharing. United Faith Ministries, Inc. is a 501(c)(3) nonprofit corporation, dba Unite Health Share Ministries or UHSM Health Share, that facilitates member-to-member sharing of medical bills. 5 0 obj
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When does my sharing program membership begin? we make it easier for you to quickly identify the most informative profiles on Doctor.com. Sarah Alexander, M.D. | NorthShore Healthcare Highways PLUS Network* for employees of: *Outside of Oklahoma, members may use the Private Healthcare Systems network. 98 0 obj
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It is a not-for-profit HCSM (Health Care Sharing Ministry) that enables members to help each other with their medical needs. MultiPlan: Customer Complaints and Reviews - ValuePenguin Payors > MultiPlan )`'v{}Nz;_Vkg5He$RXo=-J/# &yEvW2Qz. Ancillary Services13 Multiplan/PHCS Practitioner and Ancillary Network -- Sharing of physician and ancillary service expenses is available only for In Network providers. [{e(p6)x8IZk(hj9+4V%YA=~R 1 0 obj Monthly sharing contributions and fees are non-refundable. . PDF Uhs1 Uhs2 Uhs3 Uhs4 Uhs5 Uhs6 Provider Search 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. 12662043. PHCS Practitioner & Ancillary Only Connection Dental Network HEALTH LINK NETWORK Our network partner in Eastern Missouri, HealthLink provides employers coverage throughout Missouri. PHCS is the leading PPO provider network and the largest in the nation. CITY: STATE ZIP: Business Phone Number PHCS. Its available 24/7 with a $0 consultation fee. 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. With the PHCS Physicians network you and your members get: Enhanced plan features Reducing your overall health care expenses is what we strive for. Gain access to our online claim entry tool. Always call your provider in advance to confirm that they are a current member of Multiplan/PHCS before you incur medical expenses. Many states have published legal notices to inform their constituents about sharing organizations. (Non-Sharable amounts or NSA do not apply to the UHS SmartShare program.). For more general inquiries, call 877-987-1233. All Universal HealthShare programs includeunlimited 24-hour telemedicine with $0 consultation fees. Doctors who accept Multiplan PHCS Insurance | Doctor.com You must be a member of Universal Health Fellowship to join our sharing programs. Flexible repricing solutions that streamline claims administration and payment processing through a series of automated tools, including electronic submissions. You may leave UHF at any time and you can join at any time. HealthSmart Provider Lookup When can I begin sharing medical expenses? You can speak to a telemedicine professional via a phone call, through a mobile app, or online video. To look up providers within the Multiplan/PHCS network, visit this link. The PHCS Network consistently achieves superior savingsincluding a national average savings over 40% for practitioner and ancillary facility claims. Lifestyle considerations include: The date when membership in your UHS program begins is called your Effective Date. 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. 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. Best Multiplan PHCS OB-GYNs Near Me | Zocdoc Frances Catherine Baxley, M.D. Provider Network of America (PNOA) is a nationwide, direct, contracted provider network. 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. Is completing a health questionnaire required after enrolling in a UHS program? Provider Network of America - Your Provider Network Solution <>
Yes, PHCS covers online therapy services. 12 0 obj
We're currently processing your request and we'll be in touch soon. 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. 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. How much will I pay for Universal HealthShare? PDF With the PHCS Practitioner and Ancillary network You may receive in- and out-patient hospital-based services from any facility you prefer. Any changes made to their sharing program will typically become effective on the anniversary date. 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.
Through PNOA Provider Relations and Account Management departments, roster updates and claim inquiries are handled promptly and efficiently by our professionally trained staff. Back to Resources Footer. 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. Examples include CA, MA, NJ, RI, VT, and DC. 74 verified reviews. No, there are no annual enrollment periods for Universal HealthShare. Copyright 2019-2022 Universal Health Fellowship. Wide-ranging availability that meets any network needs. Schedule an appointment with Sarah Alexander at NorthShore. 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. <>
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Does PHCS cover couples therapy? 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. What is the purpose of the UHS Sharing Guidelines? Significant Access and Savings With the PHCS Network in your cost management strategy, you give your MultiPlan Solutions: When you have an eligible medical expense (a Medical Need), sharing funds from other members can be used to help you meet that expense. UHSM medical sharing eligibility extends to qualifying costs at the more than 1.2 million doctors, hospitals, and specialists in this network. 1 0 obj
You may receive in- and out-patient hospital-based services from any facility you prefer. Hospital4 None - Sharing of eligible expenses is available for any accredited hospital in the United States. Access sample communications for your participants. We use cookies and limited processing of your personal information for our * Plans in CO will be available for October 1, 2021, and later effective dates. 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. Unite Health Share Ministries and WeShare. Then, sharing begins immediately for Primary Care, Urgent Care, and Specialty Care office visit charges. We also feature significant fixed fee arrangements. It is both a care management company and a network-based insurance company. ProfilePoints measure the overall completeness of a 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). 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 > The sharing program you choose will determine your monthly sharing contribution. Please consult the Sharing Guidelines for details. 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. 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. <>
Preferred Provider Organization (PPO) is todays most widely-utilized managed health care plan. 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. Health Plans Inc. | Pioneer | Health Care Providers - Search our UHF relies on voluntary contributions from members who choose to help each other without using insurance. % In non-emergency situations, consider telemedicine. Annual Preventive and Wellness Care also does not have a waiting period. I have questions about UHFs health sharing programs. Medical services subject to meeting the NSA include inpatient, outpatient, and diagnostic services. PDF With the PHCS Practitioner and Ancillary network <>
What makes UHS SmartShare different from the standard UHS programs? 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. 0
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. To look up providers within the Multiplan/PHCS network, visit this link. <>
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Is living a healthy lifestyle important to the Fellowship? See your Member ID card for details.) PHCS is the leading PPO provider network and the largest in the nation. PHCS health insurance is a private health system and was recently acquired by MultiPlan. For example, over 90% of the practitioners in the PHCS Network are contracted under a fixed fee schedule arrangement. This process is automatic. The service requires full JavaScript support in order to view this website. 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. PDF UHS2 UHS4 UHS6 - Universal Health Fellowship Each individual or family chooses the program that best fits them. %PDF-1.4
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Although not a health insurance provider, PHCS is a Preferred Provider Organization (PPO) network. Her services comprise general consultations, annual check-ups, physical and gynecological examinations, and treatment for common ailments. 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. A Medical Incident is a medically diagnosed condition and all medical treatment(s) received and medical expenses incurred relating to that condition. 3 0 obj
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A full breakdown of points can be seen *** In todays health care environment, consumer needs are complex and continuously shifting. The monthly membership dues will be added to your monthly sharing contribution. No, sharing and insurance are very different. If you choose to leave, we ask you to give us 30-days advance notice to help accommodate other sharing members.