phcs practitioner and ancillary only phcs practitioner and ancillary only

Is living a healthy lifestyle important to the Fellowship? 316 0 obj *** Medical services subject to meeting the NSA include inpatient, outpatient, and diagnostic services. - With the PHCS Practitioner and Ancillary network All rights reserved. PHCS-Practitioner-and-Ancillary-Only - Optimed /ViewerPreferences <> 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. Then, sharing begins immediately for Primary Care, Urgent Care, and Specialty Care office visit charges. For example, over 90% of the practitioners in the PHCS Network are contracted under a fixed fee schedule arrangement. This process is automatic. Please consult your state tax laws to determine if you may be subject to an individual mandate. 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. PHCS Practitioner & Ancillary Only Connection Dental Network HEALTH LINK NETWORK Our network partner in Eastern Missouri, HealthLink provides employers coverage throughout Missouri. 12 0 obj 2022 Unite Health Share Ministries and WeShare. PNOA welcomes new health care Providers to join our community! Universal HealthShare programs are not insurance and Universal Health Fellowship is not an insurance company. 10 0 obj It provides networks of doctors, hospitals and medical professionals, like its parent company, MultiPlan. . Annual Preventive and Wellness Care also does not have a waiting period. K= n0iiZ63c[mc3:f}S[4mnNOa2(A w6mY| eQ]PP?Uzr.o-,~`],{?ysY$8B5Pn5\EcU)];DehFTy`jbm< /Pages 3 0 R Its the fastest, most convenient, and often the lowest cost way to access medical care. 9 0 obj Once you leave UHF, your ability to share medical expenses will end. UHF relies on voluntary contributions from members who choose to help each other without using insurance. provider's profile, including items like having a photo, a biography, 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. <> 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. Members > MultiPlan . What is the Waiting Period for UHS SmartShare? NMR+\5S\o()M~&Et"c(\e"Y~9edwU)eg#YN *2,sy)tg#Yn,n[D'KmyegY~9L2E,sD?\xgY~9. 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. 1 0 obj MultiPlan owns PHCS. 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? Ancillary Services13 Multiplan/PHCS Practitioner and Ancillary Network -- Sharing of physician and ancillary service expenses is available only for In Network providers. <> Monthly sharing contributions and fees are non-refundable. 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. Sarah Alexander, M.D. other professional services may be or have been provided at or through the facility by physicians and other healthcare practitioners who do not . endobj %PDF-1.7 MultiPlan: Customer Complaints and Reviews - ValuePenguin More details about this are on the back of your membership card. 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. No, there are no annual enrollment periods for Universal HealthShare. Our teams of industry experts are trained to develop contracts that are mutually beneficial for the patient, the payer and the Provider. 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). Unite Health Share Ministries and WeShare. UHSM medical sharing eligibility extends to qualifying costs at the more than 1.2 million doctors, hospitals, and specialists in this network. % What hospitals can I use with Universal HealthShare? When does my sharing program membership begin? Exceptions to NSA include Primary Care, Urgent Care, and Specialist Care office visits. Hospital4 None - Sharing of eligible expenses is available for any accredited hospital in the United States. >>endobj Payors > MultiPlan The sharing program you choose will determine your monthly sharing contribution. 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 Click hereto learn more. Access sample communications for your participants. PHCS offers the same coverage and benefits for online therapy and in-person therapy. PDF PHCS Practitioner Only Network - My Benefits Portal PDF Uhs1 Uhs2 Uhs3 Uhs4 Uhs5 Uhs6 4 0 obj Comprehensive and high-quality provider networks. ), PHCS Practitioner & Ancillary Only Network(Note: you may also have access to the MultiPlan Practitioner & Ancillary Only Network. PNOA is committed to providing professional services to our contracted providers with our sophisticated administrative system and experienced staff. Non-Sharable Amounts (NSA) 8 Per Individual Member8 endobj By showing providers with higher ProfilePoints first, 6 0 obj 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. 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. Although not a health insurance provider, PHCS is a Preferred Provider Organization (PPO) network. we make it easier for you to quickly identify the most informative profiles on Doctor.com. PHCS is the leading PPO provider network and the largest in the nation. To become eligible to receive sharing, every family member must complete the Health Questionnaire in the member portal. Lifestyle considerations include: The date when membership in your UHS program begins is called your Effective Date. How much will I pay for Universal HealthShare? www.universalhealthfellowship.org is using a security service for protection against online attacks. Im interested in health sharing for me and maybe my family. What is the purpose of the UHS Sharing Guidelines? 9\E(\8relv6>B(/i E"|&/.Gjx$!y'tYiCR'Q1| You may be subject to a new application fee if you wish to rejoin the Fellowship. 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 - With the PHCS Practitioner and Ancillary network. 2. group name. HOW DO I FIND OUT IF MY DOCTOR IS IN THE PHCS PRACTIONER ONLY NETWORK? 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. ), All other PHCS networks(Note: Follow the instructions on the page to select the network that appears on your Member ID card. For providers that do not, you can submit the itemized bill to Universal HealthShare and sharing funds will be sent directly to you. Doctors who accept Multiplan PHCS Insurance | Doctor.com Back to Resources Footer. We will ask you and each family member to complete an online Health Questionnaire to become eligible for sharing. All related medical bills are treated as part of the same Medical Incident. I want Universal Health Fellowship to contact me, I agree with the Universal Health Fellowship. PreferredOne A full breakdown of points can be seen <> 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. The sharing programs, services, publications, and any materials given should never be considered a substitute for an insurance policy. ), 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. Universal HealthShare uses the Multiplan/PHCS Practitioner & Ancillary Network with over 700,000 practitioners nationwide. It is a not-for-profit HCSM (Health Care Sharing Ministry) that enables members to help each other with their medical needs. See your Member ID card for details.) )`'v{}Nz;_Vkg5He$RXo=-J/# &yEvW2Qz. Summary of the Transparency in Coverage (TiC) Rule and No Surprises Act under the Consolidated Appropriations Act, 2021 (CAA), In-network rates for covered items and services, Out-of-network allowed amounts and billed charges for covered items and services, Currently the requirement for MRF Pharmacy data has been deferred. Copyright document.write(new Date().getFullYear()) Preferred Health Professionals | All Rights Reserved, 1) Provider network termination notices to members for Continuity of Care on 1/1/2022, 4) Qualified Payment Amounts (QPA) on 1/1/2022. endobj Core Value Access is only available in CA in the following markets: Los Angeles, Santa Ana, San Diego, Santa Barbara, Fresno Not available in the Dallas, TX market. To keep members sharing contributions low, UHS SmartShare offers limited sharing with fixed fee amounts. Im interested in introducing health sharing to my clients. These fees vary depending on the type of service your receiving and the UHS program youre enrolled in. endobj No, sharing and insurance are very different. Our national network provides access to more than 2,500 hospitals, 25,000 ancillary facilities, and over 525,000 professional providers. Copyright 2019-2022 Universal Health Fellowship. 7 0 obj How does my medical provider receive reimbursement? 0 %PDF-1.4 % Members can access the Sharing Guidelines by logging into their Member Portals. "@$Ka@$c}$/^{oM"{@4JLiW@]q 5 To look up providers within the Multiplan/PHCS network, visit this link. You may receive in- and out-patient hospital-based services from any facility you prefer. Gain access to our online claim entry tool. <> endobj You may receive in- and out-patient hospital-based services from any facility you prefer. PHCS PPO Network - WeShare Healthcare * Network and State are mandatory and you may enter in any other search options too. The PHCS Network consistently achieves superior savingsincluding a national average savings over 40% for practitioner and ancillary facility claims. website and services to function. 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 3 0 obj 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. Sales . Flexible repricing solutions that streamline claims administration and payment processing through a series of automated tools, including electronic submissions. Provider Network of America - Your Provider Network Solution Networks - Preferred Health Professionals See your Member ID card for details. For example, over 94% of the practitioners in the PHCS Network are contracted under a fixed fee schedule arrangement. <> endobj If you choose to leave, we ask you to give us 30-days advance notice to help accommodate other sharing members. <>/A10<>/A11<>/A3<>/A5<>/A8<>/Pa0<>/Pa10<>/Pa2<>/Pa3<>/Pa4<>/Pa5<>/Pa7<>/Pa8<>>> endobj <> www.universalhealthfellowship.org is using a security service for protection against online attacks. Physical Address. 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. 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& Offered through our partnership with FlexCare, telemedicine gives you immediate access to board-certified doctors. 74 verified reviews. [{e(p6)x8IZk(hj9+4V%YA=~R Schedule an appointment with Sarah Alexander at NorthShore. /Type /Catalog 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. The monthly membership dues will be added to your monthly sharing contribution. Acadia-St. Landry Hospital. <>/Font<>/ProcSet[/PDF/Text]>>/StructParents 1/TrimBox[0.0 0.0 612.0 792.0]/Type/Page>> endobj Many clients prefer to see their therapists online via a secure online platform, as it makes mental health treatment convenient and more accessible. /StructTreeRoot 5 0 R Emergency Room visits are shared up to two incidents per Program Year at $100 per incident. What are individual mandates and state exemptions? % %PDF-1.7 Wide-ranging availability that meets any network needs. UHF has branded its health care cost sharing program Universal HealthShare (UHS). Frances Catherine Baxley, M.D. You will be redirected once the validation is complete. Universal HealthShare uses the Multiplan/PHCS Practitioner & Ancillary Network with over 700,000 practitioners nationwide. 98 0 obj <>stream FACILITY: CRED ID; Name of Physician TITLE: National Provider Identifier (NPI) Specialty. For other medical needs, review your Sharing Guidelines or call the customer service number on your membership card. PHCS Network 1 of 24 SB 282 ACT 354 CONSUMERS RIGHT TO KNOW ACT - PHYSICIANS WEB LISTING. endobj PNOA contracts directly with our Providers to deliver competitive discounts and maximize savings for patients who utilize in-network Providers and facilities. 800-482-8770; sales@optimedhealth.com; Solutions . xMO@0IR 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: Find information about our services. Doctor.com has profiles for millions of doctors and other health providers in the United States, including those who take Multiplan PHCS insurance. Preferred Health Professionals, LLC offers several different PPO networks. 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. endobj is a specialist that offers services and treatment options in Cardiology. 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). Does PHCS cover couples therapy? 315 0 obj All Rights Reserved. 3 0 obj 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. Preferred Provider Organization (PPO) is todays most widely-utilized managed health care plan. <>/Metadata 582 0 R/ViewerPreferences 583 0 R>> PDF PHCS Network and Limited Benefit Plans - MultiPlan You may receive in- and out-patient hospital-based services from any facility you prefer. All you need to do is make your monthly voluntary sharing contributions. stream endobj 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. HPI | Find a Provider - Health Plans Inc. hb``g``je`a` @1V a5DfNCI,DV7bYH?:yNH20T<7=_!&x -.f`o@ 6%g 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. For a faster response, please call us directly at 888-666-8135. www.universalhealthfellowship.org is using a security service for protection against online attacks. What makes UHS SmartShare different from the standard UHS programs? 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. To look up providers within the Multiplan/PHCS network, visit this link. <> A member may use any of the PPO network providers, at his or her discretion, and receive maximum plan benefits. 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. It is both a care management company and a network-based insurance company. You must be a member of Universal Health Fellowship to join our sharing programs. 9 0 obj Is MultiPlan the same as PHCS? Also, most in-patient and out-patient services (such as surgeries and hospital admissions) require pre-notification by calling customer service. 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. PHCS Insurance Reviews 2022: Is it legit or a scam? - Blog Hng PDF With the PHCS Practitioner and Ancillary network PHCS health insurance is a private health system and was recently acquired by MultiPlan. Provider Network of America, LLC 2023. PDF PHCS Network - MultiPlan 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. But the two entities have different provider networks for their insurance company clients. PDF PHCS Network - MultiPlan Thats why PNOA provides flexible cost containment solutions with simple implementation and robust administration tools. 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. In non-emergency situations, consider telemedicine. endobj Please enable cookies on your browser and try again. WeShare, a program of Unite Health Share Ministries (UHSM), is a religious organization facilitating the sharing of medical expenses. For more general inquiries, call 877-987-1233. We also feature significant fixed fee arrangements. Annual Maximum Limit is $27,500 per year inclusive of all services shared. fn>Cu;|=lGJ5tiBOC3Q- Kr8yl5[Xl= Provider Network of America (PNOA) is a nationwide, direct, contracted provider network. %%EOF <> 2 0 obj Examples include CA, MA, NJ, RI, VT, and DC. 11 0 obj 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). 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. How do I know whether a medical provider is in-network with Universal HealthShare? CITY: STATE ZIP: Business Phone Number PHCS. 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. 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. ]OJbZ KJpU{|',3-'r3x|98E`e ndEIf:5v;E.# 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. Please note, you may use the network search tool for professional (physicians) and ancillary (chiropractors, laboratories, physical therapists, etc) providers. (Non-Sharable amounts or NSA do not apply to the UHS SmartShare program.). <> Is there a required minimum timeframe for membership? Her services comprise general consultations, annual check-ups, physical and gynecological examinations, and treatment for common ailments. While every effort is made to ensure that we provide current, accurate data, provider information changes frequently. The service requires full JavaScript support in order to view this website. When can I begin sharing medical expenses? 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. Surgical costs are shared up to $2,750 per day for two surgical procedures per year (subject to the annual limit of $27,500). stream 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). How to find a PHCS Practitioner Only Network provider We can help you find the provider of your choice. Ambulance use is shared up to two incidents per Program Year at $500 per incident. Through PNOA Provider Relations and Account Management departments, roster updates and claim inquiries are handled promptly and efficiently by our professionally trained staff. 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. Sharing eligibility for a members medical expenses will be determined by their Effective Date, which will also become the members anniversary date with UHF. Sarah Alexander, M.D. | NorthShore If you have an emergency, seek immediate medical help. You will always remain responsible for your medical bills, and you may be treated as a cash paying patient. * Plans in CO will be available for October 1, 2021, and later effective dates. by providers with Doctor.com accounts when editing their profile on Doctor.com. 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 > <>stream <>/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. 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. Best Multiplan PHCS OB-GYNs Near Me | Zocdoc All Universal HealthShare programs includeunlimited 24-hour telemedicine with $0 consultation fees. 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. The PHCS Network consistently achieves superior savingsincluding a Network-Based Solutions:national average savings over 40% for practitioner and ancillary facility claims. UHSM medical sharing eligibility extends to qualifying costs at the more than 1.2 million doctors, hospitals, and specialists in this network. We include Teladoc services and an optional wellness program from Vitality , so you can keep your members healthy and productive. Customer Care. 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.