All related medical bills are treated as part of the same Medical Incident. Sharing eligibility for a members medical expenses will be determined by their Effective Date, which will also become the members anniversary date with UHF. Health Plans Inc. | Pioneer | Health Care Providers - Search our hbbd```b``"A$9d 5 L.3!7`v8Z 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. 41 0 obj <> endobj website and services to function. Doctors who accept Multiplan PHCS Insurance | Doctor.com I have questions about UHFs health sharing programs. 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. %%EOF Lifestyle considerations include: The date when membership in your UHS program begins is called your Effective Date. More details about this are on the back of your membership card. 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. Is living a healthy lifestyle important to the Fellowship? Copyright 2019-2022 Universal Health Fellowship. Emergency Room visits are shared up to two incidents per Program Year at $100 per incident. 3 0 obj You can speak to a telemedicine professional via a phone call, through a mobile app, or online video. 12662043. You may receive in- and out-patient hospital-based and facility services from any provider you prefer. 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 $50,000. FACILITY: CRED ID; Name of Physician TITLE: National Provider Identifier (NPI) Specialty. Universal HealthShare programs are not insurance and Universal Health Fellowship is not an insurance company. PDF PHCS Practitioner Only Network - My Benefits Portal Each of the six standard UHS programs (programs UHS 1 to 6) has a Non-Sharable Amount (NSA) that you will pay each year as an individual or family before any medical needs can be shared. HealthSmart's online provider directory is provided for reference purposes only. 800-482-8770; sales@optimedhealth.com; Solutions . This process is automatic. (140 ratings) NorthShore Medical Group Family Medicine, Women's Health, Pediatrics Make an appointment View availability and book 847.657.3540 Profile Locations Ratings Insurance Find Other Doctors Annual Preventive and Wellness Care also does not have a waiting period. Click hereto learn more. I have employees who are interested in health sharing. Summary of the Transparency in Coverage (TiC) Rule and No Surprises Act under the Consolidated Appropriations Act, 2021 (CAA), In-network rates for covered items and services, Out-of-network allowed amounts and billed charges for covered items and services, Currently the requirement for MRF Pharmacy data has been deferred. Payors > MultiPlan Acadia-St. Landry Hospital. 4 0 obj To keep members sharing contributions low, UHS SmartShare offers limited sharing with fixed fee amounts. )`'v{}Nz;_Vkg5He$RXo=-J/# &yEvW2Qz. Preferred Health Professionals, LLC offers several different PPO networks. A PPO consists of a select network of health care providers under contract to serve member employees and their families for a reduced fee. For providers that do not, you can submit the itemized bill to Universal HealthShare and sharing funds will be sent directly to you. The sharing programs, services, publications, and any materials given should never be considered a substitute for an insurance policy. 1-800-482-8770. customercare@optimedhealth.com. endobj Monthly sharing contributions and fees are non-refundable. Examples include CA, MA, NJ, RI, VT, and DC. PreferredOne stream 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. Frances Catherine Baxley, M.D. | NorthShore We include Teladoc services and an optional wellness program from Vitality , so you can keep your members healthy and productive. Doctor.com has profiles for millions of doctors and other health providers in the United States, including those who take Multiplan PHCS insurance. 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. With the PHCS Physicians network you and your members get: Enhanced plan features Reducing your overall health care expenses is what we strive for. 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 %PDF-1.4 % PDF PHCS Network - MultiPlan While every effort is made to ensure that we provide current, accurate data, provider information changes frequently. HOW DO I FIND OUT IF MY DOCTOR IS IN THE PHCS PRACTIONER ONLY NETWORK? Many states have published legal notices to inform their constituents about sharing organizations. www.universalhealthfellowship.org is using a security service for protection against online attacks. You will always remain responsible for your medical bills, and you may be treated as a cash paying patient. PHCS Network 1 of 24 SB 282 ACT 354 CONSUMERS RIGHT TO KNOW ACT - PHYSICIANS WEB LISTING. Its available 24/7 with a $0 consultation fee. /Pages 3 0 R stream <> Always call your provider in advance to confirm that they are a current member of Multiplan/PHCS before you incur medical expenses. 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 Is there a required minimum timeframe for membership? I want Universal Health Fellowship to contact me, I agree with the Universal Health Fellowship. Hospital4 None - Sharing of eligible expenses is available for any accredited hospital in the United States. <> endobj ), All other PHCS networks(Note: Follow the instructions on the page to select the network that appears on your Member ID card. 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. It provides networks of doctors, hospitals and medical professionals, like its parent company, MultiPlan. With the fourth membership year, a condition is no longer considered pre-existing. Find information about our services. <> PHCS-Practitioner-and-Ancillary-Only - Optimed 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. 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. WeShare, a program of Unite Health Share Ministries (UHSM), is a religious organization facilitating the sharing of medical expenses. <] /BitsPerComponent 1/Interpolate false/SMask 12 0 R/Length 2>> The service requires full cookie support in order to view this website. Do I have to pay for Telemedicine consultations? 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. 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. <> All Rights Reserved. We're currently processing your request and we'll be in touch soon. 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. PHCS-Practitioner-and-Ancillary-Only Appeal Rights. We will ask you and each family member to complete an online Health Questionnaire to become eligible for sharing. You may be subject to a new application fee if you wish to rejoin the Fellowship. Significant Access and Savings With the PHCS Network in your cost management strategy, you give your MultiPlan Solutions: UHSM medical sharing eligibility extends to qualifying costs at the more than 1.2 million doctors, hospitals, and specialists in this network. Offered through our partnership with FlexCare, telemedicine gives you immediate access to board-certified doctors. You may receive in- and out-patient hospital-based services from any facility you prefer. 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 %PDF-1.7 PNOA welcomes new health care Providers to join our community! Non-Sharable Amounts (NSA) 8 Per Individual Member8 /ViewerPreferences <> (Non-Sharable amounts or NSA do not apply to UHS SmartShare programs.). Back to Resources Footer. Networks - Preferred Health Professionals Physical Address. 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. 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. UHSM medical sharing eligibility extends to qualifying costs at the more than 1.2 million doctors, hospitals, and specialists in this network. It is both a care management company and a network-based insurance company. 12 0 obj . 1 0 obj 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. hb``g``je`a` @1V a5DfNCI,DV7bYH?:yNH20T<7=_!&x -.f`o@ 6%g Members can access the Sharing Guidelines by logging into their Member Portals. You will be redirected once the validation is complete. How much will I pay for Universal HealthShare? UHF relies on voluntary contributions from members who choose to help each other without using insurance. * Plans in CO will be available for October 1, 2021, and later effective dates. ]OJbZ KJpU{|',3-'r3x|98E`e ndEIf:5v;E.# PDF With the PHCS Practitioner and Ancillary network Always confirm network participation and provide your WeShare Member ID card prior to scheduling an appointment and before services are rendered. Our national network provides access to more than 2,500 hospitals, 25,000 ancillary facilities, and over 525,000 professional providers. Each individual or family chooses the program that best fits them. endstream These fees vary depending on the type of service your receiving and the UHS program youre enrolled in. If you choose to leave, we ask you to give us 30-days advance notice to help accommodate other sharing members. 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). Is completing a health questionnaire required after enrolling in a UHS program? Provider Network of America (PNOA) is a nationwide, direct, contracted provider network. 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. What is the Waiting Period for UHS SmartShare? Is MultiPlan the same as PHCS? HealthSmart Physician/Ancillary Only Network* for employees of: *To search, select "HealthSmart Physician/Ancillary Only" from the network plan options.Please note, you may use the network search tool for professional (physicians) and ancillary (chiropractors, laboratories, physical therapists, etc) providers. For example, over 94% of the practitioners in the PHCS Network are contracted under a fixed fee schedule arrangement. All Universal HealthShare programs includeunlimited 24-hour telemedicine with $0 consultation fees. PHCS PPO Network - WeShare Healthcare FAQs - Universal Health Fellowship *** Although not a health insurance provider, PHCS is a Preferred Provider Organization (PPO) network. PHCS Practitioner & Ancillary Only Connection Dental Network HEALTH LINK NETWORK Our network partner in Eastern Missouri, HealthLink provides employers coverage throughout Missouri. * Network and State are mandatory and you may enter in any other search options too. <>/Font<>/ProcSet[/PDF/Text]>>/StructParents 1/TrimBox[0.0 0.0 612.0 792.0]/Type/Page>> endobj For UHS SmartShare, there is a 90-day waiting period before any Medical Expense Need may be eligible for sharing. You may receive in- and out-patient hospital-based services from any facility you prefer. >>endobj 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. MultiPlan: Customer Complaints and Reviews - ValuePenguin Unite Health Share Ministries and WeShare. 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). ProfilePoints measure the overall completeness of a <>stream 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. PDF PHCS Network - MultiPlan Provider Network of America - Your Provider Network Solution 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. Universal HealthShare uses the Multiplan/PHCS Practitioner & Ancillary Network with over 700,000 practitioners nationwide. stream NMR+\5S\o()M~&Et"c(\e"Y~9edwU)eg#YN *2,sy)tg#Yn,n[D'KmyegY~9L2E,sD?\xgY~9. 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 $12,000 Non-Sharable Amount (NSA) for 3 or more8 316 0 obj No, sharing and insurance are very different. endobj 9\E(\8relv6>B(/i E"|&/.Gjx$!y'tYiCR'Q1| We also feature significant fixed fee arrangements. No, there are no annual enrollment periods for Universal HealthShare. Provider Network of America, LLC 2023. 9 0 obj Is MultiPlan legit? K= n0iiZ63c[mc3:f}S[4mnNOa2(A w6mY| eQ]PP?Uzr.o-,~`],{?ysY$8B5Pn5\EcU)];DehFTy`jbm< Yes, PHCS covers online therapy services. You may leave UHF at any time and you can join at any time. 5 0 obj 2022 Unite Health Share Ministries and WeShare. 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. CITY: STATE ZIP: Business Phone Number PHCS. Members > MultiPlan Many clients prefer to see their therapists online via a secure online platform, as it makes mental health treatment convenient and more accessible. Ancillary Services13 Multiplan/PHCS Practitioner and Ancillary Network -- Sharing of physician and ancillary service expenses is available only for In Network providers. <> Fifty-five How does my medical provider receive reimbursement? <> For other medical needs, review your Sharing Guidelines or call the customer service number on your membership card. Once you leave UHF, your ability to share medical expenses will end. 2 0 obj What hospitals can I use with Universal HealthShare? Always call your provider in advance to confirm that they are a current member of Multiplan/PHCS before you incur medical expenses. 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. 6 0 obj Major Medical; GAP Group Supplemental; Limited Medical & MEC; <> - With the PHCS Practitioner and Ancillary network For more general inquiries, call 877-987-1233. 10 0 obj 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 > Then, sharing begins immediately for Primary Care, Urgent Care, and Specialty Care office visit charges. PDF Uhs1 Uhs2 Uhs3 Uhs4 Uhs5 Uhs6 endobj 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. Healthcare Highways PLUS Network* for employees of: *Outside of Oklahoma, members may use the Private Healthcare Systems network. fn>Cu;|=lGJ5tiBOC3Q- Kr8yl5[Xl= All you need to do is make your monthly voluntary sharing contributions. 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. Provider Network of America (PNOA) is a nationwide, direct, contracted provider network. ), 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. endobj PHCS Practitioner & Ancillary Only Network (Note: you may also have access to the MultiPlan Practitioner & Ancillary Only Network. PHCS is the leading PPO provider network and the largest in the nation. endobj ), PHCS Practitioner & Ancillary Only Network(Note: you may also have access to the MultiPlan Practitioner & Ancillary Only Network. PDF PHCS Network and Limited Benefit Plans - MultiPlan 315 0 obj For example, over 90% of the practitioners in the PHCS Network are contracted under a fixed fee schedule arrangement. Its the fastest, most convenient, and often the lowest cost way to access medical care. 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. But the two entities have different provider networks for their insurance company clients. Multiplan or PHCS | Mental Health Coverage | Zencare Zencare

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