phcs practitioner and ancillary only

A full breakdown of points can be seen /Pages 3 0 R <> stream [{e(p6)x8IZk(hj9+4V%YA=~R Universal HealthShare uses the Multiplan/PHCS Practitioner & Ancillary Network with over 700,000 practitioners nationwide. Im interested in health sharing for me and maybe my family. 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. Any changes made to their sharing program will typically become effective on the anniversary date. All related medical bills are treated as part of the same Medical Incident. Members > MultiPlan 2. group name. Copyright 2019-2022 Universal Health Fellowship. FACILITY: CRED ID; Name of Physician TITLE: National Provider Identifier (NPI) Specialty. Sales . What makes UHS SmartShare different from the standard UHS programs? 1 0 obj PHCS offers the same coverage and benefits for online therapy and in-person therapy. Within the Client Portal, healthcare payors that purchase MultiPlan's services can: Submit service inquiries at your convenience. A PPO consists of a select network of health care providers under contract to serve member employees and their families for a reduced fee. 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: To look up providers within the Multiplan/PHCS network, visit this link. You may receive in- and out-patient hospital-based and facility services from any provider you prefer. For more general inquiries, call 877-987-1233. other professional services may be or have been provided at or through the facility by physicians and other healthcare practitioners who do not . We will ask you and each family member to complete an online Health Questionnaire to become eligible for sharing. 2022 Unite Health Share Ministries and WeShare. PNOA welcomes new health care Providers to join our community! Medical services subject to meeting the NSA include inpatient, outpatient, and diagnostic services. <> Click hereto learn more. PNOA contracts directly with our Providers to deliver competitive discounts and maximize savings for patients who utilize in-network Providers and facilities. Payors > MultiPlan 6 0 obj If you have an emergency, seek immediate medical help. <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> To keep members sharing contributions low, UHS SmartShare offers limited sharing with fixed fee amounts. 1 0 obj 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. Hospital4 None - Sharing of eligible expenses is available for any accredited hospital in the United States. Provider Search You may receive in- and out-patient hospital-based services from any facility you prefer. Frances Catherine Baxley, M.D. hb``g``je`a` @1V a5DfNCI,DV7bYH?:yNH20T<7=_!&x -.f`o@ 6%g 9 0 obj Sharing eligibility for a members medical expenses will be determined by their Effective Date, which will also become the members anniversary date with UHF. Offered through our partnership with FlexCare, telemedicine gives you immediate access to board-certified doctors. PHCS VDHP All other PHCS networks (Note: Follow the instructions on the page to select the network that appears on your Member ID card.) Universal Health Fellowship (UHF) is a not-for-profit health care sharing ministry established on the principles of the Unitarian Universalist Church. PDF Uhs1 Uhs2 Uhs3 Uhs4 Uhs5 Uhs6 You can speak to a telemedicine professional via a phone call, through a mobile app, or online video. It is a not-for-profit HCSM (Health Care Sharing Ministry) that enables members to help each other with their medical needs. Im interested in introducing health sharing to my clients. Monthly sharing contributions and fees are non-refundable. 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). endobj 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. <>/A10<>/A11<>/A3<>/A5<>/A8<>/Pa0<>/Pa10<>/Pa2<>/Pa3<>/Pa4<>/Pa5<>/Pa7<>/Pa8<>>> endobj 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 Practitioner & Ancillary Only Network(Note: you may also have access to the MultiPlan Practitioner & Ancillary Only Network. The sharing program you choose will determine your monthly sharing contribution. PHCS Practitioner & Ancillary Only Network (Note: you may also have access to the MultiPlan Practitioner & Ancillary Only Network. PNOA Delivers Access to More Than: 2,500+ Hospitals Nationwide 25,000+ Ancillary Facilities 525,000+ 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. You may leave UHF at any time and you can join at any time. You may receive in- and out-patient hospital-based services from any facility 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. 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. Do I have to pay for Telemedicine consultations? Annual Maximum Limit is $27,500 per year inclusive of all services shared. 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). PDF PHCS Practitioner Only Network - My Benefits Portal 6 0 obj Also, most in-patient and out-patient services (such as surgeries and hospital admissions) require pre-notification by calling customer service. Is MultiPlan legit? %PDF-1.7 endobj PDF How Do I Find Out If My Doctor Is in The Phcs Practioner Only Network? See your Member ID card for details.) we make it easier for you to quickly identify the most informative profiles on Doctor.com. Through PNOA Provider Relations and Account Management departments, roster updates and claim inquiries are handled promptly and efficiently by our professionally trained staff. What is the purpose of the UHS Sharing Guidelines? PNOA is committed to providing professional services to our contracted providers with our sophisticated administrative system and experienced staff. endobj 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. This process is automatic. To become eligible to receive sharing, every family member must complete the Health Questionnaire in the member portal. endobj 8 0 obj Is living a healthy lifestyle important to the 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 health insurance is a private health system and was recently acquired by MultiPlan. With the PHCS Physicians network you and your members get: Enhanced plan features Reducing your overall health care expenses is what we strive for. endobj (Non-Sharable amounts or NSA do not apply to UHS SmartShare programs.). Exceptions to NSA include Primary Care, Urgent Care, and Specialist Care office visits. The PHCS Network consistently achieves superior savingsincluding a national average savings over 40% for practitioner and ancillary facility claims. PHCS-Practitioner-and-Ancillary-Only Appeal Rights. . 12 0 obj <> All Rights Reserved. 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. * Network and State are mandatory and you may enter in any other search options too. <> endobj 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 No, there are no annual enrollment periods for Universal HealthShare. You must be a member of Universal Health Fellowship to join our sharing programs. 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. 4 0 obj PDF PHCS Network - MultiPlan Please note, you may use the network search tool for professional (physicians) and ancillary (chiropractors, laboratories, physical therapists, etc) providers. Back to Resources Footer. - With the PHCS Practitioner and Ancillary network. You may be subject to a new application fee if you wish to rejoin the Fellowship. 11 0 obj PHCS Practitioner & Ancillary Only Connection Dental Network HEALTH LINK NETWORK Our network partner in Eastern Missouri, HealthLink provides employers coverage throughout Missouri.

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