<> PHCS health insurance is a private health system and was recently acquired by MultiPlan. K= n0iiZ63c[mc3:f}S[4mnNOa2(A w6mY| eQ]PP?Uzr.o-,~`],{?ysY$8B5Pn5\EcU)];DehFTy`jbm< 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) A full breakdown of points can be seen How are my monthly contributions distributed for sharing? Our teams of industry experts are trained to develop contracts that are mutually beneficial for the patient, the payer and the Provider. endstream endobj startxref I have employees who are interested in health sharing. Non-Sharable Amounts (NSA) 8 Per Individual Member8 Always call your provider in advance to confirm that they are a current member of Multiplan/PHCS before you incur medical expenses. To read notices from all states that have issued them, click here. 1 0 obj <] /BitsPerComponent 1/Interpolate false/SMask 12 0 R/Length 2>> Within the Client Portal, healthcare payors that purchase MultiPlan's services can: Submit service inquiries at your convenience. Major Medical; GAP Group Supplemental; Limited Medical & MEC; Hospital4 None - Sharing of eligible expenses is available for any accredited hospital in the United States. What makes UHS SmartShare different from the standard UHS programs? This waiting period does not apply to the Office Visit charge for Primary Care, Pediatric Care, Specialty Care or Urgent Care visits. 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. Exceptions to NSA include Primary Care, Urgent Care, and Specialist Care office visits. Healthcare Highways PLUS Network* for employees of: *Outside of Oklahoma, members may use the Private Healthcare Systems network. 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. Provider Network of America, LLC 2023. 9 0 obj ), 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. What is the Waiting Period for UHS SmartShare? ), All other PHCS networks(Note: Follow the instructions on the page to select the network that appears on your Member ID card. Provider Network of America (PNOA) is a nationwide, direct, contracted provider network. Annual Preventive and Wellness Care also does not have a waiting period. Is living a healthy lifestyle important to the Fellowship? stream 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. With the PHCS Physicians network you and your members get: Enhanced plan features Reducing your overall health care expenses is what we strive for. <>/Font<>/ProcSet[/PDF/Text]>>/StructParents 1/TrimBox[0.0 0.0 612.0 792.0]/Type/Page>> endobj Lifestyle considerations include: The date when membership in your UHS program begins is called your Effective Date. 3 0 obj %%EOF To look up providers within the Multiplan/PHCS network, visit this link. Sarah Alexander, M.D. Unite Health Share Ministries and WeShare. % Examples include CA, MA, NJ, RI, VT, and DC. <> (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 In non-emergency situations, consider telemedicine. We also feature significant fixed fee arrangements. Preferred Health Professionals, LLC offers several different PPO networks. It is a not-for-profit HCSM (Health Care Sharing Ministry) that enables members to help each other with their medical needs. 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. All you need to do is make your monthly voluntary sharing contributions. /Type /Catalog Comprehensive and high-quality provider networks. Wide-ranging availability that meets any network needs. Back to Resources Footer. MultiPlan owns PHCS. If you have an emergency, seek immediate medical help. UHF has branded its health care cost sharing program Universal HealthShare (UHS). Once you leave UHF, your ability to share medical expenses will end. All related medical bills are treated as part of the same Medical Incident. ), PHCS Practitioner & Ancillary Only Network(Note: you may also have access to the MultiPlan Practitioner & Ancillary Only Network. 2 0 obj 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. Surgical costs are shared up to $2,750 per day for two surgical procedures per year (subject to the annual limit of $27,500). To keep members sharing contributions low, UHS SmartShare offers limited sharing with fixed fee amounts. Universal Health Fellowship (UHF) is a not-for-profit health care sharing ministry established on the principles of the Unitarian Universalist Church. The sharing programs, services, publications, and any materials given should never be considered a substitute for an insurance policy. 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. 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. No, there are no annual enrollment periods for Universal HealthShare. *** Many states have published legal notices to inform their constituents about sharing organizations. No, sharing and insurance are very different. 74 verified reviews. Offered through our partnership with FlexCare, telemedicine gives you immediate access to board-certified doctors. What hospitals can I use with Universal HealthShare? Fifty-five 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. <> endobj We're currently processing your request and we'll be in touch soon. <> endobj <> endobj Annual Maximum Limit is $27,500 per year inclusive of all services shared. 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. By showing providers with higher ProfilePoints first, UHF relies on voluntary contributions from members who choose to help each other without using insurance. PHCS VDHP All other PHCS networks (Note: Follow the instructions on the page to select the network that appears on your Member ID card.) How much will I pay for Universal HealthShare? Her services comprise general consultations, annual check-ups, physical and gynecological examinations, and treatment for common ailments. Preferred Provider Organization (PPO) is todays most widely-utilized managed health care plan. A PPO consists of a select network of health care providers under contract to serve member employees and their families for a reduced fee. Members can access the Sharing Guidelines by logging into their Member Portals. Please enable cookies on your browser and try again. For example, over 90% of the practitioners in the PHCS Network are contracted under a fixed fee schedule arrangement. Always call your provider in advance to confirm that they are a current member of Multiplan/PHCS before you incur medical expenses. 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 $15 per month, to join and remain a member of Universal Health Fellowship. Please consult your state tax laws to determine if you may be subject to an individual mandate. - With the PHCS Practitioner and Ancillary network. Do I have to pay for Telemedicine consultations? * Network and State are mandatory and you may enter in any other search options too. www.universalhealthfellowship.org is using a security service for protection against online attacks. PHCS Practitioner Plus Ancillary Network * Multiplan Practitioner Plus Ancillary Network * for employees of: AG RX V-Soft Consulting Standlee Hay Company, Inc. *Please note, you may use the network search tool for professional (physicians) and ancillary (chiropractors, laboratories, physical therapists, etc) providers. Then, sharing begins immediately for Primary Care, Urgent Care, and Specialty Care office visit charges. PHCS, which stands for Private Healthcare Systems, is not an insurance company. Although not a health insurance provider, PHCS is a Preferred Provider Organization (PPO) network. With UHS, there are no copayments as there are with traditional insurance products, but there are per-visit consultation fees that are not sharable. HOW DO I FIND OUT IF MY DOCTOR IS IN THE PHCS PRACTIONER ONLY NETWORK? Any changes made to their sharing program will typically become effective on the anniversary date. 9\E(\8relv6>B(/i E"|&/.Gjx$!y'tYiCR'Q1| Is completing a health questionnaire required after enrolling in a UHS program? 316 0 obj Gain access to our online claim entry tool. PHCS Practitioner & Ancillary Only Network (Note: you may also have access to the MultiPlan Practitioner & Ancillary Only Network. * Plans in CO will be available for October 1, 2021, and later effective dates. Does PHCS cover couples therapy? 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 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 endobj 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. 7 0 obj Flexible repricing solutions that streamline claims administration and payment processing through a series of automated tools, including electronic submissions. If you choose to leave, we ask you to give us 30-days advance notice to help accommodate other sharing members. xMO@0IR For providers that do not, you can submit the itemized bill to Universal HealthShare and sharing funds will be sent directly to you.
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