When you have an eligible medical expense (a Medical Need), sharing funds from other members can be used to help you meet that expense. The sharing program you choose will determine your monthly sharing contribution. LinkedIn Twitter. The PHCS Network consistently achieves superior savingsincluding a Network-Based Solutions:national average savings over 40% for practitioner and ancillary facility claims. We also feature significant fixed fee arrangements. <> endobj 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. hb``g``je`a` @1V a5DfNCI,DV7bYH?:yNH20T<7=_!&x -.f`o@ 6%g endobj 10 0 obj Provider Search 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. endobj <>stream Hospital4 None - Sharing of eligible expenses is available for any accredited hospital in the United States. For a faster response, please call us directly at 888-666-8135. PHCS, which stands for Private Healthcare Systems, is not an insurance company. 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. You must be a member of Universal Health Fellowship to join our sharing programs. More details about this are on the back of your membership card. The sharing programs, services, publications, and any materials given should never be considered a substitute for an insurance policy. See your Member ID card for details. Doctors who accept Multiplan PHCS Insurance | Doctor.com PHCS Network 1 of 24 SB 282 ACT 354 CONSUMERS RIGHT TO KNOW ACT - PHYSICIANS WEB LISTING. 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). Exceptions to NSA include Primary Care, Urgent Care, and Specialist Care office visits. 800-482-8770; sales@optimedhealth.com; Solutions . You may receive in- and out-patient hospital-based services from any facility you prefer. 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. Our national network provides access to more than 2,500 hospitals, 25,000 ancillary facilities, and over 525,000 professional providers. Access sample communications for your participants. No, sharing and insurance are very different. MultiPlan: Customer Complaints and Reviews - ValuePenguin We use cookies and limited processing of your personal information for our Offered through our partnership with FlexCare, telemedicine gives you immediate access to board-certified doctors. <> 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. 7 0 obj How are my monthly contributions distributed for sharing? Copyright 2019-2022 Universal Health Fellowship. Doctor.com has profiles for millions of doctors and other health providers in the United States, including those who take Multiplan PHCS insurance. Then, sharing begins immediately for Primary Care, Urgent Care, and Specialty Care office visit charges. PNOA contracts directly with our Providers to deliver competitive discounts and maximize savings for patients who utilize in-network Providers and facilities. 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& % % For UHS SmartShare, there is a 90-day waiting period before any Medical Expense Need may be eligible for sharing. We will ask you and each family member to complete an online Health Questionnaire to become eligible for sharing. <> endobj 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>> 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. For example, over 90% of the practitioners in the PHCS Network are contracted under a fixed fee schedule arrangement. 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). HealthSmart Provider Lookup Fifty-five FAQs - Universal Health Fellowship 6 0 obj stream <] /BitsPerComponent 1/Interpolate false/SMask 12 0 R/Length 2>> All Rights Reserved. These charges are sharable when you become an eligible member and pay a consultation fee for the office visit. Sales . is a specialist that offers services and treatment options in Cardiology. 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. Physical Address. The monthly membership dues will be added to your monthly sharing contribution. When can I begin sharing medical expenses? We also feature significant fixed fee arrangements. PreferredOne ), 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. stream Sarah Alexander, M.D. 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. Although not a health insurance provider, PHCS is a Preferred Provider Organization (PPO) network. endobj >>endobj 3 0 obj 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 ), PHCS Practitioner & Ancillary Only Network(Note: you may also have access to the MultiPlan Practitioner & Ancillary Only Network. FACILITY: CRED ID; Name of Physician TITLE: National Provider Identifier (NPI) Specialty. 316 0 obj 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. hbbd```b``"A$9d 5 L.3!7`v8Z I have employees who are interested in health 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. 6 0 obj 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. www.universalhealthfellowship.org is using a security service for protection against online attacks. Always call your provider in advance to confirm that they are a current member of Multiplan/PHCS before you incur medical expenses. What is the purpose of the UHS Sharing Guidelines? Flexible repricing solutions that streamline claims administration and payment processing through a series of automated tools, including electronic submissions. Examples include CA, MA, NJ, RI, VT, and DC. Yes, PHCS covers online therapy services. 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. 12 0 obj 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) 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. - With the PHCS Practitioner and Ancillary network It is a not-for-profit HCSM (Health Care Sharing Ministry) that enables members to help each other with their medical needs. /StructTreeRoot 5 0 R 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). 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? <> ProfilePoints measure the overall completeness of a To become eligible to receive sharing, every family member must complete the Health Questionnaire in the member portal. endobj Healthcare Highways PLUS Network* for employees of: *Outside of Oklahoma, members may use the Private Healthcare Systems network. Is MultiPlan legit? What is the Waiting Period for UHS SmartShare? You may leave UHF at any time and you can join at any time. 98 0 obj <>stream 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. Does PHCS cover couples therapy? 9 0 obj Universal HealthShare programs are not insurance and Universal Health Fellowship is not an insurance company. 2. group name. by providers with Doctor.com accounts when editing their profile on Doctor.com. Significant Access and Savings With the PHCS Network in your cost management strategy, you give your MultiPlan Solutions: 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. Preferred Health Professionals, LLC offers several different PPO networks. Universal HealthShare uses the Multiplan/PHCS Practitioner & Ancillary Network with over 700,000 practitioners nationwide. Lifestyle considerations include: The date when membership in your UHS program begins is called your Effective Date. Preferred Provider Organization (PPO) is todays most widely-utilized managed health care plan. Many states have published legal notices to inform their constituents about sharing organizations. <> ), 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. Schedule an appointment with Sarah Alexander at NorthShore. HOW DO I FIND OUT IF MY DOCTOR IS IN THE PHCS PRACTIONER ONLY NETWORK? A PPO consists of a select network of health care providers under contract to serve member employees and their families for a reduced fee. <>/Metadata 582 0 R/ViewerPreferences 583 0 R>> Also, most in-patient and out-patient services (such as surgeries and hospital admissions) require pre-notification by calling customer service. 0 endstream Emergency Room visits are shared up to two incidents per Program Year at $100 per incident. To keep members sharing contributions low, UHS SmartShare offers limited sharing with fixed fee amounts. To look up providers within the Multiplan/PHCS network, visit this link. UHF relies on voluntary contributions from members who choose to help each other without using insurance. PHCS Practitioner & Ancillary Only Connection Dental Network HEALTH LINK NETWORK Our network partner in Eastern Missouri, HealthLink provides employers coverage throughout Missouri. To read notices from all states that have issued them, click here. The PHCS Network consistently achieves superior savingsincluding a national average savings over 40% for practitioner and ancillary facility claims. PDF PHCS Network and Limited Benefit Plans - MultiPlan PHCS health insurance is a private health system and was recently acquired by MultiPlan. No, there are no annual enrollment periods for Universal HealthShare. To look up providers within the Multiplan/PHCS network, visit this link. The service requires full cookie support in order to view this website. endobj When does my sharing program membership begin? PNOA Delivers Access to More Than: 2,500+ Hospitals Nationwide 25,000+ Ancillary Facilities 525,000+ <> <> 1-800-482-8770. customercare@optimedhealth.com. endstream Back to Resources Footer. . For example, over 94% of the practitioners in the PHCS Network are contracted under a fixed fee schedule arrangement. website and services to function. 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. If you choose to leave, we ask you to give us 30-days advance notice to help accommodate other sharing members. For other medical needs, review your Sharing Guidelines or call the customer service number on your membership card. PDF UHS2 UHS4 UHS6 - Universal Health Fellowship PHCS VDHP All other PHCS networks (Note: Follow the instructions on the page to select the network that appears on your Member ID card.) "@$Ka@$c}$/^{oM"{@4JLiW@]q 5 Universal Health Fellowship (UHF) is a not-for-profit health care sharing ministry established on the principles of the Unitarian Universalist Church. Im interested in introducing health sharing to my clients. Within the Client Portal, healthcare payors that purchase MultiPlan's services can: Submit service inquiries at your convenience. Acadia-St. Landry Hospital. endobj <> Medical services subject to meeting the NSA include inpatient, outpatient, and diagnostic services. PHCS Insurance Reviews 2022: Is it legit or a scam? - Blog Hng I have questions about UHFs health sharing programs. UHSM medical sharing eligibility extends to qualifying costs at the more than 1.2 million doctors, hospitals, and specialists in this network. What are individual mandates and state exemptions? Major Medical; GAP Group Supplemental; Limited Medical & MEC; All Universal HealthShare programs includeunlimited 24-hour telemedicine with $0 consultation fees. Payors > MultiPlan Once you leave UHF, your ability to share medical expenses will end. %%EOF 12662043. You may receive in- and out-patient hospital-based services from any facility you prefer. 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. Best Multiplan PHCS OB-GYNs Near Me | Zocdoc fn>Cu;|=lGJ5tiBOC3Q- Kr8yl5[Xl= Universal HealthShare uses the Multiplan/PHCS Practitioner & Ancillary Network with over 700,000 practitioners nationwide. We're currently processing your request and we'll be in touch soon. PDF With the PHCS Practitioner and Ancillary network *** Provider Network of America - Your Provider Network Solution - With the PHCS Practitioner and Ancillary network. 5 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. Ancillary Services13 Multiplan/PHCS Practitioner and Ancillary Network -- Sharing of physician and ancillary service expenses is available only for In Network providers. Multiplan or PHCS | Mental Health Coverage | Zencare Zencare Gain access to our online claim entry tool. PDF Uhs1 Uhs2 Uhs3 Uhs4 Uhs5 Uhs6 With the fourth membership year, a condition is no longer considered pre-existing. PHCS-Practitioner-and-Ancillary-Only - Optimed Members can access the Sharing Guidelines by logging into their Member Portals. 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. You may be subject to a new application fee if you wish to rejoin the Fellowship. All related medical bills are treated as part of the same Medical Incident. Health Plans Inc. | Pioneer | Health Care Providers - Search our For providers that do not, you can submit the itemized bill to Universal HealthShare and sharing funds will be sent directly to you. Sarah Alexander, M.D. | NorthShore Frances Catherine Baxley, M.D. | NorthShore Monthly sharing contributions and fees are non-refundable. 41 0 obj <> endobj 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.

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