Physical Address. 10 0 obj Its available 24/7 with a $0 consultation fee. Schedule an appointment with Sarah Alexander at NorthShore. You may be subject to a new application fee if you wish to rejoin the Fellowship. stream www.universalhealthfellowship.org is using a security service for protection against online attacks. Ancillary Services13 Multiplan/PHCS Practitioner and Ancillary Network -- Sharing of physician and ancillary service expenses is available only for In Network providers. K= n0iiZ63c[mc3:f}S[4mnNOa2(A w6mY| eQ]PP?Uzr.o-,~`],{?ysY$8B5Pn5\EcU)];DehFTy`jbm< Please enable JavaScript on your browser and try again. How do I know whether a medical provider is in-network with Universal HealthShare? >>endobj These charges are sharable when you become an eligible member and pay a consultation fee for the office visit. Universal HealthShare programs are not insurance and Universal Health Fellowship is not an insurance company. Always call your provider in advance to confirm that they are a current member of Multiplan/PHCS before you incur medical expenses. 3 0 obj Provider Network of America, LLC 2023. 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. 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: 316 0 obj Examples include CA, MA, NJ, RI, VT, and DC. Is completing a health questionnaire required after enrolling in a UHS program? 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. MultiPlan owns PHCS. All related medical bills are treated as part of the same Medical Incident. Provider Network of America (PNOA) is a nationwide, direct, contracted provider network. 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 I want Universal Health Fellowship to contact me, I agree with the Universal Health Fellowship. No, sharing and insurance are very different. Preferred Provider Organization (PPO) is todays most widely-utilized managed health care plan. In non-emergency situations, consider telemedicine. 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. <>/Metadata 582 0 R/ViewerPreferences 583 0 R>> by providers with Doctor.com accounts when editing their profile on Doctor.com. The PHCS Network consistently achieves superior savingsincluding a national average savings over 40% for practitioner and ancillary facility claims. You must be a member of Universal Health Fellowship to join our sharing programs. UHF has branded its health care cost sharing program Universal HealthShare (UHS). Emergency Room visits are shared up to two incidents per Program Year at $100 per incident. Summary of the Transparency in Coverage (TiC) Rule and No Surprises Act under the Consolidated Appropriations Act, 2021 (CAA), In-network rates for covered items and services, Out-of-network allowed amounts and billed charges for covered items and services, Currently the requirement for MRF Pharmacy data has been deferred. With the PHCS Network, you can offer them access to thousands of hospitals, practitioners and ancillary facilities who have agreed to significant discounts on their medical services. HPHC HMO for BMC HealthNet Employee Plan members, Guardian DentalGuard Preferred Select Network, HealthChoice(Note: To begin your provider search, use the contract lookup under HealthChoice Network and select SelectBen from the drop-down list. 7 0 obj <>stream Is MultiPlan the same as PHCS? A full breakdown of points can be seen We use cookies and limited processing of your personal information for our If you choose to leave, we ask you to give us 30-days advance notice to help accommodate other sharing members. "@$Ka@$c}$/^{oM"{@4JLiW@]q 5 Her services comprise general consultations, annual check-ups, physical and gynecological examinations, and treatment for common ailments. 6 0 obj All Universal HealthShare programs includeunlimited 24-hour telemedicine with $0 consultation fees. 2. group name. Please consult the Sharing Guidelines for details. PNOA is committed to providing professional services to our contracted providers with our sophisticated administrative system and experienced staff. Sharing eligibility for a members medical expenses will be determined by their Effective Date, which will also become the members anniversary date with UHF. PNOA Delivers Access to More Than: 2,500+ Hospitals Nationwide 25,000+ Ancillary Facilities 525,000+ endstream By showing providers with higher ProfilePoints first, HealthSmart's online provider directory is provided for reference purposes only. 4 0 obj 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 is the leading PPO provider network and the largest in the nation. endobj 1 0 obj %%EOF What are individual mandates and state exemptions? 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. 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. We also feature significant fixed fee arrangements. * Plans in CO will be available for October 1, 2021, and later effective dates. 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 there a required minimum timeframe for membership? What hospitals can I use with Universal HealthShare? All you need to do is make your monthly voluntary sharing contributions. other professional services may be or have been provided at or through the facility by physicians and other healthcare practitioners who do not . Also, most in-patient and out-patient services (such as surgeries and hospital admissions) require pre-notification by calling customer service. It provides networks of doctors, hospitals and medical professionals, like its parent company, MultiPlan. FACILITY: CRED ID; Name of Physician TITLE: National Provider Identifier (NPI) Specialty. Doctor.com has profiles for millions of doctors and other health providers in the United States, including those who take Multiplan PHCS insurance. With UHS, there are no copayments as there are with traditional insurance products, but there are per-visit consultation fees that are not sharable. Lifestyle considerations include: The date when membership in your UHS program begins is called your Effective Date. * Network and State are mandatory and you may enter in any other search options too. UHSM medical sharing eligibility extends to qualifying costs at the more than 1.2 million doctors, hospitals, and specialists in this network. 5 0 obj 12 0 obj Major Medical; GAP Group Supplemental; Limited Medical & MEC; 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. Preferred Health Professionals, LLC offers several different PPO networks. 11 0 obj 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. 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. 315 0 obj 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). Yes, PHCS covers online therapy services. endobj In todays health care environment, consumer needs are complex and continuously shifting. stream Universal HealthShare uses the Multiplan/PHCS Practitioner & Ancillary Network with over 700,000 practitioners nationwide. WeShare, a program of Unite Health Share Ministries (UHSM), is a religious organization facilitating the sharing of medical expenses. <>/A10<>/A11<>/A3<>/A5<>/A8<>/Pa0<>/Pa10<>/Pa2<>/Pa3<>/Pa4<>/Pa5<>/Pa7<>/Pa8<>>> endobj All rights reserved. PHCS Practitioner & Ancillary Only Connection Dental Network HEALTH LINK NETWORK Our network partner in Eastern Missouri, HealthLink provides employers coverage throughout Missouri. If you have an emergency, seek immediate medical help. ProfilePoints measure the overall completeness of a Ambulance use is shared up to two incidents per Program Year at $500 per incident. . 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. PHCS VDHP All other PHCS networks (Note: Follow the instructions on the page to select the network that appears on your Member ID card.) 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. <> - With the PHCS Practitioner and Ancillary network. 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 > I have questions about UHFs health sharing programs. (Non-Sharable amounts or NSA do not apply to the UHS SmartShare program.). /Pages 3 0 R 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. insurance, payment options, etc. 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-and-Ancillary-Only Appeal Rights. 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). 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. <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> 71 0 obj <>/Filter/FlateDecode/ID[<45EB451CDD69B445990CC61D0CE630DC>]/Index[41 58]/Info 40 0 R/Length 135/Prev 278879/Root 42 0 R/Size 99/Type/XRef/W[1 3 1]>>stream <> Access sample communications for your participants. The PHCS Network consistently achieves superior savingsincluding a Network-Based Solutions:national average savings over 40% for practitioner and ancillary facility claims. xMO@0IR - With the PHCS Practitioner and Ancillary network 800-482-8770; sales@optimedhealth.com; Solutions . Please enable cookies on your browser and try again. PNOA welcomes new health care Providers to join our community! . Acadia-St. Landry Hospital. See your Member ID card for details. 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. 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. Each individual or family chooses the program that best fits them. endstream You will be redirected once the validation is complete. 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. <> 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& Many clients prefer to see their therapists online via a secure online platform, as it makes mental health treatment convenient and more accessible. All Rights Reserved. What is the purpose of the UHS Sharing Guidelines? With the fourth membership year, a condition is no longer considered pre-existing. LinkedIn Twitter. 3 0 obj The monthly membership dues will be added to your monthly sharing contribution. 2022 Unite Health Share Ministries and WeShare. 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. Is living a healthy lifestyle important to the Fellowship? What makes UHS SmartShare different from the standard UHS programs? Fifty-five Wide-ranging availability that meets any network needs. /ViewerPreferences <> 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. is a specialist that offers services and treatment options in Cardiology. hb``g``je`a` @1V a5DfNCI,DV7bYH?:yNH20T<7=_!&x -.f`o@ 6%g To look up providers within the Multiplan/PHCS network, visit this link. But the two entities have different provider networks for their insurance company clients. 74 verified reviews. You will always remain responsible for your medical bills, and you may be treated as a cash paying patient. endstream endobj startxref Please note, you may use the network search tool for professional (physicians) and ancillary (chiropractors, laboratories, physical therapists, etc) providers. What is the Waiting Period for UHS SmartShare? 1-800-482-8770. customercare@optimedhealth.com. To read notices from all states that have issued them, click here. Within the Client Portal, healthcare payors that purchase MultiPlan's services can: Submit service inquiries at your convenience. With the PHCS Physicians network you and your members get: Enhanced plan features Reducing your overall health care expenses is what we strive for. This waiting period does not apply to the Office Visit charge for Primary Care, Pediatric Care, Specialty Care or Urgent Care visits. For providers that do not, you can submit the itemized bill to Universal HealthShare and sharing funds will be sent directly to you. I have employees who are interested in health sharing. For more general inquiries, call 877-987-1233. Monthly sharing contributions and fees are non-refundable. 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. NMR+\5S\o()M~&Et"c(\e"Y~9edwU)eg#YN *2,sy)tg#Yn,n[D'KmyegY~9L2E,sD?\xgY~9. See your Member ID card for details.) <> endobj For UHS SmartShare, there is a 90-day waiting period before any Medical Expense Need may be eligible for sharing. While every effort is made to ensure that we provide current, accurate data, provider information changes frequently. <> Although not a health insurance provider, PHCS is a Preferred Provider Organization (PPO) network. Then, sharing begins immediately for Primary Care, Urgent Care, and Specialty Care office visit charges. PHCS, which stands for Private Healthcare Systems, is not an insurance company. 41 0 obj <> endobj For a faster response, please call us directly at 888-666-8135. CITY: STATE ZIP: Business Phone Number PHCS. PHCS Practitioner & Ancillary Only Network (Note: you may also have access to the MultiPlan Practitioner & Ancillary Only Network. % You may receive in- and out-patient hospital-based services from any facility you prefer. 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. Annual Preventive and Wellness Care also does not have a waiting period. 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. It is both a care management company and a network-based insurance company. we make it easier for you to quickly identify the most informative profiles on Doctor.com. Unite Health Share Ministries and WeShare. 6 0 obj <] /BitsPerComponent 1/Interpolate false/SMask 12 0 R/Length 2>> *** Offered through our partnership with FlexCare, telemedicine gives you immediate access to board-certified doctors. <>/Font<>/ProcSet[/PDF/Text]>>/StructParents 1/TrimBox[0.0 0.0 612.0 792.0]/Type/Page>> endobj ), 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 We will ask you and each family member to complete an online Health Questionnaire to become eligible for sharing. Medical services subject to meeting the NSA include inpatient, outpatient, and diagnostic services. Annual Maximum Limit is $27,500 per year inclusive of all services shared. endobj For example, over 90% of the practitioners in the PHCS Network are contracted under a fixed fee schedule arrangement. You can speak to a telemedicine professional via a phone call, through a mobile app, or online video. 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. <> The service requires full cookie support in order to view this website. PHCS health insurance is a private health system and was recently acquired by MultiPlan. <> How to find a PHCS Practitioner Only Network provider We can help you find the provider of your choice. 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. 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. A Medical Incident is a medically diagnosed condition and all medical treatment(s) received and medical expenses incurred relating to that condition. endobj <> 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. /Type /Catalog %PDF-1.7 Its the fastest, most convenient, and often the lowest cost way to access medical care. endobj Find information about our services. Non-Sharable Amounts (NSA) 8 Per Individual Member8 To look up providers within the Multiplan/PHCS network, visit this link. When you have an eligible medical expense (a Medical Need), sharing funds from other members can be used to help you meet that expense. ), 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. We also feature significant fixed fee arrangements. Members can access the Sharing Guidelines by logging into their Member Portals. (Non-Sharable amounts or NSA do not apply to UHS SmartShare programs.). Sarah Alexander, M.D. 9 0 obj 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. fn>Cu;|=lGJ5tiBOC3Q- Kr8yl5[Xl= 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).
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