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. The service requires full cookie support in order to view this website. 1 0 obj [{e(p6)x8IZk(hj9+4V%YA=~R Payors > MultiPlan %PDF-1.7 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 3 0 obj Most states with an Individual Mandate have an exemption from the State Tax Penalty for members of HCSMs that meet state requirements (a State Exemption). 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. PHCS-Practitioner-and-Ancillary-Only - Optimed 98 0 obj <>stream Copyright 2019-2022 Universal Health Fellowship. Any changes made to their sharing program will typically become effective on the anniversary date. Members can access the Sharing Guidelines by logging into their Member Portals. Universal HealthShare uses the Multiplan/PHCS Practitioner & Ancillary Network with over 700,000 practitioners nationwide. PHCS Practitioner & Ancillary Only Connection Dental Network HEALTH LINK NETWORK Our network partner in Eastern Missouri, HealthLink provides employers coverage throughout Missouri. 9 0 obj Unite Health Share Ministries and WeShare. How much will I pay for Universal HealthShare? 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. To keep members sharing contributions low, UHS SmartShare offers limited sharing with fixed fee amounts. UHSM medical sharing eligibility extends to qualifying costs at the more than 1.2 million doctors, hospitals, and specialists in this network. In non-emergency situations, consider telemedicine. PDF PHCS Network - MultiPlan we make it easier for you to quickly identify the most informative profiles on Doctor.com. 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. 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. endobj Im interested in health sharing for me and maybe my family. How are my monthly contributions distributed for sharing? stream 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. PDF PHCS Practitioner Only Network - My Benefits Portal 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's profile, including items like having a photo, a biography, PDF PHCS Network and Limited Benefit Plans - MultiPlan 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. You may receive in- and out-patient hospital-based services from any facility you prefer. 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) 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. I have employees who are interested in health sharing. * Network and State are mandatory and you may enter in any other search options too. For a faster response, please call us directly at 888-666-8135. See your Member ID card for details. 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. FACILITY: CRED ID; Name of Physician TITLE: National Provider Identifier (NPI) Specialty. . Always confirm network participation and provide your WeShare Member ID card prior to scheduling an appointment and before services are rendered. insurance, payment options, etc. Sarah Alexander, M.D. | NorthShore Schedule an appointment with Sarah Alexander at NorthShore. The monthly membership dues will be added to your monthly sharing contribution. <> Does PHCS cover couples therapy? Please consult the Sharing Guidelines for details. Healthcare Highways PLUS Network* for employees of: *Outside of Oklahoma, members may use the Private Healthcare Systems network. When can I begin sharing medical expenses? PHCS offers the same coverage and benefits for online therapy and in-person therapy. PDF PHCS Network - MultiPlan Is completing a health questionnaire required after enrolling in a UHS program? endobj This waiting period does not apply to the Office Visit charge for Primary Care, Pediatric Care, Specialty Care or Urgent Care visits. Back to Resources Footer. 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 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. stream Multiplan or PHCS | Mental Health Coverage | Zencare Zencare * Plans in CO will be available for October 1, 2021, and later effective dates. These charges are sharable when you become an eligible member and pay a consultation fee for the office visit. We include Teladoc services and an optional wellness program from Vitality , so you can keep your members healthy and productive. <>/A10<>/A11<>/A3<>/A5<>/A8<>/Pa0<>/Pa10<>/Pa2<>/Pa3<>/Pa4<>/Pa5<>/Pa7<>/Pa8<>>> endobj fn>Cu;|=lGJ5tiBOC3Q- Kr8yl5[Xl= This process is automatic. NMR+\5S\o()M~&Et"c(\e"Y~9edwU)eg#YN *2,sy)tg#Yn,n[D'KmyegY~9L2E,sD?\xgY~9. is a specialist that offers services and treatment options in Cardiology. FAQs - Universal Health Fellowship 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. PHCS VDHP All other PHCS networks (Note: Follow the instructions on the page to select the network that appears on your Member ID card.) 0 If you choose to leave, we ask you to give us 30-days advance notice to help accommodate other sharing members. Please enable cookies on your browser and try again. HOW DO I FIND OUT IF MY DOCTOR IS IN THE PHCS PRACTIONER ONLY NETWORK? The sharing program you choose will determine your monthly sharing contribution. - With the PHCS Practitioner and Ancillary network. ), All other PHCS networks(Note: Follow the instructions on the page to select the network that appears on your Member ID card. Its the fastest, most convenient, and often the lowest cost way to access medical care. No, there are no annual enrollment periods for Universal HealthShare. website and services to function. Preferred Provider Organization (PPO) is todays most widely-utilized managed health care plan. hbbd```b``"A$9d 5 L.3!7`v8Z 6 0 obj When you have an eligible medical expense (a Medical Need), sharing funds from other members can be used to help you meet that expense. <> We will ask you and each family member to complete an online Health Questionnaire to become eligible for sharing. endobj UHSM medical sharing eligibility extends to qualifying costs at the more than 1.2 million doctors, hospitals, and specialists in this network. www.universalhealthfellowship.org is using a security service for protection against online attacks. <> endobj PDF With the PHCS Practitioner and Ancillary network Also, most in-patient and out-patient services (such as surgeries and hospital admissions) require pre-notification by calling customer service. PHCS PPO Network - WeShare Healthcare More details about this are on the back of your membership card. "@$Ka@$c}$/^{oM"{@4JLiW@]q 5 <> MultiPlan owns PHCS. /ViewerPreferences <> ), PHCS Practitioner & Ancillary Only Network(Note: you may also have access to the MultiPlan Practitioner & Ancillary Only Network. 7 0 obj PNOA Delivers Access to More Than: 2,500+ Hospitals Nationwide 25,000+ Ancillary Facilities 525,000+ 12 0 obj Lifestyle considerations include: The date when membership in your UHS program begins is called your Effective Date. All rights reserved. Provider Search Annual Maximum Limit is $27,500 per year inclusive of all services shared. endobj (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 Frances Catherine Baxley, M.D. | NorthShore HPI | Find a Provider - Health Plans Inc. 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. Our teams of industry experts are trained to develop contracts that are mutually beneficial for the patient, the payer and the Provider. Sales . 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. PDF Uhs1 Uhs2 Uhs3 Uhs4 Uhs5 Uhs6 11 0 obj 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. A PPO consists of a select network of health care providers under contract to serve member employees and their families for a reduced fee. Provider Network of America (PNOA) is a nationwide, direct, contracted provider network. PHCS is the leading PPO provider network and the largest in the nation. 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. Comprehensive and high-quality provider networks. 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. 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. 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. 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.

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