See your Member ID card for details. It is both a care management company and a network-based insurance company. The PHCS Network consistently achieves superior savingsincluding a national average savings over 40% for practitioner and ancillary facility claims. Doctors who accept Multiplan PHCS Insurance | Doctor.com 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 Universal HealthShare uses the Multiplan/PHCS Practitioner & Ancillary Network with over 700,000 practitioners nationwide. PDF Uhs1 Uhs2 Uhs3 Uhs4 Uhs5 Uhs6 For UHS SmartShare, there is a 90-day waiting period before any Medical Expense Need may be eligible for sharing. 12662043. 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. HOW DO I FIND OUT IF MY DOCTOR IS IN THE PHCS PRACTIONER ONLY NETWORK? Universal Health Fellowship (UHF) is a not-for-profit health care sharing ministry established on the principles of the Unitarian Universalist Church. 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). A Medical Incident is a medically diagnosed condition and all medical treatment(s) received and medical expenses incurred relating to that condition. 1 0 obj 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. PHCS Network 1 of 24 SB 282 ACT 354 CONSUMERS RIGHT TO KNOW ACT - PHYSICIANS WEB LISTING. Multiplan or PHCS | Mental Health Coverage | Zencare Zencare In todays health care environment, consumer needs are complex and continuously shifting. Schedule an appointment with Sarah Alexander at NorthShore. Through PNOA Provider Relations and Account Management departments, roster updates and claim inquiries are handled promptly and efficiently by our professionally trained staff. 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. PNOA contracts directly with our Providers to deliver competitive discounts and maximize savings for patients who utilize in-network Providers and facilities. PDF PHCS Network - MultiPlan (Non-Sharable amounts or NSA do not apply to UHS SmartShare programs.). Preferred Provider Organization (PPO) is todays most widely-utilized managed health care plan. You can speak to a telemedicine professional via a phone call, through a mobile app, or online video. 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. We use cookies and limited processing of your personal information for our endstream We also feature significant fixed fee arrangements. UHF has branded its health care cost sharing program Universal HealthShare (UHS). A full breakdown of points can be seen "@$Ka@$c}$/^{oM"{@4JLiW@]q 5 endobj Provider Network of America (PNOA) is a nationwide, direct, contracted provider network. You must be a member of Universal Health Fellowship to join our sharing programs. Provider Search Universal HealthShare uses the Multiplan/PHCS Practitioner & Ancillary Network with over 700,000 practitioners nationwide. 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. By showing providers with higher ProfilePoints first, <>/A10<>/A11<>/A3<>/A5<>/A8<>/Pa0<>/Pa10<>/Pa2<>/Pa3<>/Pa4<>/Pa5<>/Pa7<>/Pa8<>>> endobj HPI | Find a Provider - Health Plans Inc. Emergency Room visits are shared up to two incidents per Program Year at $100 per incident. 41 0 obj <> endobj NTWK. Is living a healthy lifestyle important to the Fellowship? The monthly membership dues will be added to your monthly sharing contribution. Once you leave UHF, your ability to share medical expenses will end. PDF With the PHCS Practitioner and Ancillary network Members can access the Sharing Guidelines by logging into their Member Portals. 11 0 obj Our teams of industry experts are trained to develop contracts that are mutually beneficial for the patient, the payer and the Provider. endobj Sarah Alexander, M.D. Doctor.com has profiles for millions of doctors and other health providers in the United States, including those who take Multiplan PHCS insurance. With the PHCS Physicians network you and your members get: Enhanced plan features Reducing your overall health care expenses is what we strive for. I have questions about UHFs health sharing programs. PHCS Practitioner & Ancillary Only Connection Dental Network HEALTH LINK NETWORK Our network partner in Eastern Missouri, HealthLink provides employers coverage throughout Missouri. The sharing programs, services, publications, and any materials given should never be considered a substitute for an insurance policy. 6 0 obj 4 0 obj PDF PHCS Network - MultiPlan Although not a health insurance provider, PHCS is a Preferred Provider Organization (PPO) network. Medical services subject to meeting the NSA include inpatient, outpatient, and diagnostic services. PDF PHCS Practitioner Only Network - My Benefits Portal You will be redirected once the validation is complete. It is a not-for-profit HCSM (Health Care Sharing Ministry) that enables members to help each other with their medical needs. You may receive in- and out-patient hospital-based and facility services from any provider you prefer. When does my sharing program membership begin? <> Significant Access and Savings With the PHCS Network in your cost management strategy, you give your MultiPlan Solutions: PDF With the PHCS Practitioner and Ancillary network ProfilePoints measure the overall completeness of a PreferredOne Offered through our partnership with FlexCare, telemedicine gives you immediate access to board-certified doctors. Best Multiplan PHCS OB-GYNs Near Me | Zocdoc endobj 6 0 obj (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 9\E(\8relv6>B(/i E"|&/.Gjx$!y'tYiCR'Q1| Annual Preventive and Wellness Care also does not have a waiting period. 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 > 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. <> How does my medical provider receive reimbursement? 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 is committed to providing professional services to our contracted providers with our sophisticated administrative system and experienced staff. There are up to seven sharing programs available through Universal Health Fellowship, each with different contribution and monthly sharing levels or amounts. What are individual mandates and state exemptions? 1-800-482-8770. customercare@optimedhealth.com. endobj For example, over 94% of the practitioners in the PHCS Network are contracted under a fixed fee schedule arrangement. 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: 2 0 obj MultiPlan owns PHCS. Preferred Health Professionals, LLC offers several different PPO networks. 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. You may be subject to a new application fee if you wish to rejoin the Fellowship. endobj <> 98 0 obj <>stream Ambulance use is shared up to two incidents per Program Year at $500 per incident. 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. HealthSmart Provider Lookup When you have an eligible medical expense (a Medical Need), sharing funds from other members can be used to help you meet that expense. >>endobj With the fourth membership year, a condition is no longer considered pre-existing. /StructTreeRoot 5 0 R PHCS, which stands for Private Healthcare Systems, is not an insurance company. ]OJbZ KJpU{|',3-'r3x|98E`e ndEIf:5v;E.# 316 0 obj UHF relies on voluntary contributions from members who choose to help each other without using insurance. All Rights Reserved. Does PHCS cover couples therapy? How to find a PHCS Practitioner Only Network provider We can help you find the provider of your choice. 10 0 obj <> Its available 24/7 with a $0 consultation fee. endobj For example, over 90% of the practitioners in the PHCS Network are contracted under a fixed fee schedule arrangement. Non-Sharable Amounts (NSA) 8 Per Individual Member8 For more general inquiries, call 877-987-1233. website and services to function. )`'v{}Nz;_Vkg5He$RXo=-J/# &yEvW2Qz. endobj To look up providers within the Multiplan/PHCS network, visit this link. Im interested in health sharing for me and maybe my family. These fees vary depending on the type of service your receiving and the UHS program youre enrolled in. <> endobj %PDF-1.7 www.universalhealthfellowship.org is using a security service for protection against online attacks. K= n0iiZ63c[mc3:f}S[4mnNOa2(A w6mY| eQ]PP?Uzr.o-,~`],{?ysY$8B5Pn5\EcU)];DehFTy`jbm< Then, sharing begins immediately for Primary Care, Urgent Care, and Specialty Care office visit charges. - With the PHCS Practitioner and Ancillary network. www.universalhealthfellowship.org is using a security service for protection against online attacks. ), All other PHCS networks(Note: Follow the instructions on the page to select the network that appears on your Member ID card. 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. FAQs - Universal Health Fellowship [{e(p6)x8IZk(hj9+4V%YA=~R Is completing a health questionnaire required after enrolling in a UHS program? PHCS-Practitioner-and-Ancillary-Only Appeal Rights. For other medical needs, review your Sharing Guidelines or call the customer service number on your membership card. PHCS VDHP All other PHCS networks (Note: Follow the instructions on the page to select the network that appears on your Member ID card.) hbbd```b``"A$9d 5 L.3!7`v8Z 2. group name. The service requires full cookie support in order to view this website. While every effort is made to ensure that we provide current, accurate data, provider information changes frequently. 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. Back to Resources Footer. Always call your provider in advance to confirm that they are a current member of Multiplan/PHCS before you incur medical expenses. endstream endobj startxref This waiting period does not apply to the Office Visit charge for Primary Care, Pediatric Care, Specialty Care or Urgent Care visits. To keep members sharing contributions low, UHS SmartShare offers limited sharing with fixed fee amounts. 0 9 0 obj Lifestyle considerations include: The date when membership in your UHS program begins is called your Effective Date. 8 0 obj Its the fastest, most convenient, and often the lowest cost way to access medical care. Is there a required minimum timeframe for membership? UHSM medical sharing eligibility extends to qualifying costs at the more than 1.2 million doctors, hospitals, and specialists in this network. 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 315 0 obj 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. Members > MultiPlan <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Frances Catherine Baxley, M.D. | NorthShore Healthcare Highways PLUS Network* for employees of: *Outside of Oklahoma, members may use the Private Healthcare Systems network. Networks - Preferred Health Professionals <> 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. For providers that do not, you can submit the itemized bill to Universal HealthShare and sharing funds will be sent directly to you. PHCS-Practitioner-and-Ancillary-Only - Optimed stream ), 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. The sharing program you choose will determine your monthly sharing contribution. <>stream 3 0 obj endobj Provider Network of America, LLC 2023. LinkedIn Twitter. The service requires full JavaScript support in order to view this website. <] /BitsPerComponent 1/Interpolate false/SMask 12 0 R/Length 2>> Annual Maximum Limit is $27,500 per year inclusive of all services shared. Many clients prefer to see their therapists online via a secure online platform, as it makes mental health treatment convenient and more accessible. <> 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). Im interested in introducing health sharing to my clients. All rights reserved. PNOA Delivers Access to More Than: 2,500+ Hospitals Nationwide 25,000+ Ancillary Facilities 525,000+ stream 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. Do I have to pay for Telemedicine consultations? Please note, you may use the network search tool for professional (physicians) and ancillary (chiropractors, laboratories, physical therapists, etc) providers. ), 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. No, sharing and insurance are very different. MultiPlan: Customer Complaints and Reviews - ValuePenguin How are my monthly contributions distributed for sharing? You may receive in- and out-patient hospital-based services from any facility you prefer. 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. ), PHCS Practitioner & Ancillary Only Network(Note: you may also have access to the MultiPlan Practitioner & Ancillary Only Network. provider's profile, including items like having a photo, a biography,