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<> insurance, payment options, etc. For example, over 90% of the practitioners in the PHCS Network are contracted under a fixed fee schedule arrangement. *** UHSM medical sharing eligibility extends to qualifying costs at the more than 1.2 million doctors, hospitals, and specialists in this network. If you have an emergency, seek immediate medical help. Provider Network of America, LLC 2023. We use cookies and limited processing of your personal information for our NMR+\5S\o()M~&Et"c(\e"Y~9edwU)eg#YN *2,sy)tg#Yn,n[D'KmyegY~9L2E,sD?\xgY~9. WeShare, a program of Unite Health Share Ministries (UHSM), is a religious organization facilitating the sharing of medical expenses. Find information about our services. www.universalhealthfellowship.org is using a security service for protection against online attacks. 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. Its the fastest, most convenient, and often the lowest cost way to access medical care. ), All other PHCS networks(Note: Follow the instructions on the page to select the network that appears on your Member ID card. 316 0 obj * Network and State are mandatory and you may enter in any other search options too. For UHS SmartShare, there is a 90-day waiting period before any Medical Expense Need may be eligible for sharing. endobj What is the Waiting Period for UHS SmartShare? For providers that do not, you can submit the itemized bill to Universal HealthShare and sharing funds will be sent directly to you. Sales . 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. Monthly sharing contributions and fees are non-refundable. endstream MultiPlan: Customer Complaints and Reviews - ValuePenguin <> Surgical costs are shared up to $2,750 per day for two surgical procedures per year (subject to the annual limit of $27,500). Provider Network of America (PNOA) is a nationwide, direct, contracted provider network. <> endobj Acadia-St. Landry Hospital. Provider Network of America (PNOA) is a nationwide, direct, contracted provider network. 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. 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& 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 $15 per month, to join and remain a member of Universal Health Fellowship. No, sharing and insurance are very different. Does PHCS cover couples therapy? PDF PHCS Network - MultiPlan To become eligible to receive sharing, every family member must complete the Health Questionnaire in the member portal. . A Medical Incident is a medically diagnosed condition and all medical treatment(s) received and medical expenses incurred relating to that condition. Top 10 Multiplan PHCS Provider Specialties: Family Doctor (53185 providers) Internist (49936 providers) Pediatrician (Kids / Children Specialist) (43988 providers) Nurse Practitioner (NP) (26588 providers) Obstetrician / Gynecologist (OBGYN) (24905 providers) Chiropractor (23905 providers) Radiologist (19858 providers) 1 0 obj Networks - Preferred Health Professionals To look up providers within the Multiplan/PHCS network, visit this link. 9\E(\8relv6>B(/i E"|&/.Gjx$!y'tYiCR'Q1| <>/Metadata 582 0 R/ViewerPreferences 583 0 R>> Healthcare Highways PLUS Network* for employees of: *Outside of Oklahoma, members may use the Private Healthcare Systems network. We include Teladoc services and an optional wellness program from Vitality , so you can keep your members healthy and productive. stream I have employees who are interested in health sharing. Multiplan or PHCS | Mental Health Coverage | Zencare Zencare How does my medical provider receive reimbursement? endstream Sarah Alexander, M.D. | NorthShore HealthSmart's online provider directory is provided for reference purposes only. Im interested in introducing health sharing to my clients. website and services to function. It provides networks of doctors, hospitals and medical professionals, like its parent company, MultiPlan. HOW DO I FIND OUT IF MY DOCTOR IS IN THE PHCS PRACTIONER ONLY NETWORK? Physical Address. PDF With the PHCS Practitioner and Ancillary network With the PHCS Physicians network you and your members get: Enhanced plan features Reducing your overall health care expenses is what we strive for. 7 0 obj Payors > MultiPlan endobj endobj All Universal HealthShare programs includeunlimited 24-hour telemedicine with $0 consultation fees. 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. We're currently processing your request and we'll be in touch soon. Schedule an appointment with Sarah Alexander at NorthShore. PHCS Insurance Reviews 2022: Is it legit or a scam? - Blog Hng Click hereto learn more. Our teams of industry experts are trained to develop contracts that are mutually beneficial for the patient, the payer and the Provider. You will always remain responsible for your medical bills, and you may be treated as a cash paying patient. %PDF-1.7 % endobj Back to Resources Footer. 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. The Health Questionnaire can be found in the member portal where information received is kept secure and confidential. Frances Catherine Baxley, M.D. <> PDF Uhs1 Uhs2 Uhs3 Uhs4 Uhs5 Uhs6 Within the Client Portal, healthcare payors that purchase MultiPlan's services can: Submit service inquiries at your convenience. I have questions about UHFs health sharing programs. %%EOF (Non-Sharable amounts or NSA do not apply to the UHS SmartShare program.). 98 0 obj <>stream Any changes made to their sharing program will typically become effective on the anniversary date. How much will I pay for Universal HealthShare? But the two entities have different provider networks for their insurance company clients. 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. HPI | Find a Provider - Health Plans Inc. 12662043. endobj hb``g``je`a` @1V a5DfNCI,DV7bYH?:yNH20T<7=_!&x -.f`o@ 6%g >>endobj PDF PHCS Network - MultiPlan 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. I want Universal Health Fellowship to contact me, I agree with the Universal Health Fellowship. [{e(p6)x8IZk(hj9+4V%YA=~R stream 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. 4 0 obj Universal Health Fellowship (UHF) is a not-for-profit health care sharing ministry established on the principles of the Unitarian Universalist Church. endobj 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. Provider Search 2022 Unite Health Share Ministries and WeShare. we make it easier for you to quickly identify the most informative profiles on Doctor.com. Always confirm network participation and provide your WeShare Member ID card prior to scheduling an appointment and before services are rendered. How to find a PHCS Practitioner Only Network provider We can help you find the provider of your choice. - With the PHCS Practitioner and Ancillary network 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. <>/A10<>/A11<>/A3<>/A5<>/A8<>/Pa0<>/Pa10<>/Pa2<>/Pa3<>/Pa4<>/Pa5<>/Pa7<>/Pa8<>>> endobj ProfilePoints measure the overall completeness of a Major Medical; GAP Group Supplemental; Limited Medical & MEC; You may receive in- and out-patient hospital-based and facility services from any provider you prefer. ), 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. Examples include CA, MA, NJ, RI, VT, and DC. <> <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> NTWK. Always call your provider in advance to confirm that they are a current member of Multiplan/PHCS before you incur medical expenses. by providers with Doctor.com accounts when editing their profile on Doctor.com. 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 receive in- and out-patient hospital-based services from any facility you prefer. Do I have to pay for Telemedicine consultations? 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. PNOA Delivers Access to More Than: 2,500+ Hospitals Nationwide 25,000+ Ancillary Facilities 525,000+ Gain access to our online claim entry tool. Customer Care. How do I know whether a medical provider is in-network with Universal HealthShare? 315 0 obj . Comprehensive and high-quality provider networks. Is living a healthy lifestyle important to the Fellowship? <>/Font<>/ProcSet[/PDF/Text]>>/StructParents 1/TrimBox[0.0 0.0 612.0 792.0]/Type/Page>> endobj You can speak to a telemedicine professional via a phone call, through a mobile app, or online video. Each individual or family chooses the program that best fits them. 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: What is the purpose of the UHS Sharing Guidelines? Copyright 2019-2022 Universal Health Fellowship. We also feature significant fixed fee arrangements. PHCS health insurance is a private health system and was recently acquired by MultiPlan. PHCS Network 1 of 24 SB 282 ACT 354 CONSUMERS RIGHT TO KNOW ACT - PHYSICIANS WEB LISTING. 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. PDF How Do I Find Out If My Doctor Is in The Phcs Practioner Only Network? The monthly membership dues will be added to your monthly sharing contribution. 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. PNOA contracts directly with our Providers to deliver competitive discounts and maximize savings for patients who utilize in-network Providers and facilities. 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. www.universalhealthfellowship.org is using a security service for protection against online attacks. What hospitals can I use with Universal HealthShare? <> Many states have published legal notices to inform their constituents about sharing organizations. stream /Type /Catalog Wide-ranging availability that meets any network needs. A PPO consists of a select network of health care providers under contract to serve member employees and their families for a reduced fee. 5 0 obj Unite Health Share Ministries and WeShare. 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. 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. 12 0 obj 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. MultiPlan owns PHCS. Health Plans Inc. | Pioneer | Health Care Providers - Search our %PDF-1.4 % The sharing programs, services, publications, and any materials given should never be considered a substitute for an insurance policy. Hospital4 None - Sharing of eligible expenses is available for any accredited hospital in the United States. All rights reserved. endobj Sarah Alexander, M.D. The service requires full cookie support in order to view this website. 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. 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. Members can access the Sharing Guidelines by logging into their Member Portals. 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. Im interested in health sharing for me and maybe my family. PNOA is committed to providing professional services to our contracted providers with our sophisticated administrative system and experienced staff. PHCS-Practitioner-and-Ancillary-Only - Optimed For a faster response, please call us directly at 888-666-8135. provider's profile, including items like having a photo, a biography, Significant Access and Savings With the PHCS Network in your cost management strategy, you give your MultiPlan Solutions: <> Doctors who accept Multiplan PHCS Insurance | Doctor.com % PHCS is the leading PPO provider network and the largest in the nation. PHCS offers the same coverage and benefits for online therapy and in-person therapy. These fees vary depending on the type of service your receiving and the UHS program youre enrolled in. Also, most in-patient and out-patient services (such as surgeries and hospital admissions) require pre-notification by calling customer service. 0 We also feature significant fixed fee arrangements. - With the PHCS Practitioner and Ancillary network. You may be subject to a new application fee if you wish to rejoin the Fellowship. If you choose to leave, we ask you to give us 30-days advance notice to help accommodate other sharing members. Flexible repricing solutions that streamline claims administration and payment processing through a series of automated tools, including electronic submissions. You may receive in- and out-patient hospital-based services from any facility you prefer. We will ask you and each family member to complete an online Health Questionnaire to become eligible for sharing. <>stream Fifty-five <> No, there are no annual enrollment periods for Universal HealthShare. * Plans in CO will be available for October 1, 2021, and later effective dates. What are individual mandates and state exemptions? 10 0 obj PHCS Practitioner & Ancillary Only Connection Dental Network HEALTH LINK NETWORK Our network partner in Eastern Missouri, HealthLink provides employers coverage throughout Missouri. Members > MultiPlan Universal HealthShare programs are not insurance and Universal Health Fellowship is not an insurance company. 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. 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). Preferred Provider Organization (PPO) is todays most widely-utilized managed health care plan. /ViewerPreferences <> A full breakdown of points can be seen UHF has branded its health care cost sharing program Universal HealthShare (UHS). endobj 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. 74 verified reviews. Is MultiPlan legit? 3 0 obj For example, over 94% of the practitioners in the PHCS Network are contracted under a fixed fee schedule arrangement. 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. PHCS, which stands for Private Healthcare Systems, is not an insurance company. ), 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. Then, sharing begins immediately for Primary Care, Urgent Care, and Specialty Care office visit charges. UHF relies on voluntary contributions from members who choose to help each other without using insurance. K= n0iiZ63c[mc3:f}S[4mnNOa2(A w6mY| eQ]PP?Uzr.o-,~`],{?ysY$8B5Pn5\EcU)];DehFTy`jbm< CITY: STATE ZIP: Business Phone Number PHCS. 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. /StructTreeRoot 5 0 R Her services comprise general consultations, annual check-ups, physical and gynecological examinations, and treatment for common ailments. 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 $27,500). PHCS is the leading PPO provider network and the largest in the nation. Doctor.com has profiles for millions of doctors and other health providers in the United States, including those who take Multiplan PHCS insurance. These charges are sharable when you become an eligible member and pay a consultation fee for the office visit. %PDF-1.7 The PHCS Network consistently achieves superior savingsincluding a national average savings over 40% for practitioner and ancillary facility claims. See your Member ID card for details. "@$Ka@$c}$/^{oM"{@4JLiW@]q 5 other professional services may be or have been provided at or through the facility by physicians and other healthcare practitioners who do not . Provider Network of America - Your Provider Network Solution Please enable JavaScript on your browser and try again. When does my sharing program membership begin? 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