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: WeShare, a program of Unite Health Share Ministries (UHSM), is a religious organization facilitating the sharing of medical expenses. Payors > MultiPlan This process is automatic. endobj <] /BitsPerComponent 1/Interpolate false/SMask 12 0 R/Length 2>> ), PHCS Practitioner & Ancillary Only Network(Note: you may also have access to the MultiPlan Practitioner & Ancillary Only Network. Universal HealthShare programs are not insurance and Universal Health Fellowship is not an insurance company. The sharing programs, services, publications, and any materials given should never be considered a substitute for an insurance policy. If you have an emergency, seek immediate medical help. fn>Cu;|=lGJ5tiBOC3Q- Kr8yl5[Xl= 9 0 obj Back to Resources Footer. Offered through our partnership with FlexCare, telemedicine gives you immediate access to board-certified doctors. Major Medical; GAP Group Supplemental; Limited Medical & MEC; endobj PDF UHS2 UHS4 UHS6 - Universal Health Fellowship It is a not-for-profit HCSM (Health Care Sharing Ministry) that enables members to help each other with their medical needs. Members can access the Sharing Guidelines by logging into their Member Portals. 7 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. Wide-ranging availability that meets any network needs. Our national network provides access to more than 2,500 hospitals, 25,000 ancillary facilities, and over 525,000 professional providers. PDF PHCS Network - MultiPlan 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. Once you leave UHF, your ability to share medical expenses will end. Thats why PNOA provides flexible cost containment solutions with simple implementation and robust administration tools. % For providers that do not, you can submit the itemized bill to Universal HealthShare and sharing funds will be sent directly to you. 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. website and services to function. Networks - Preferred Health Professionals ), 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. While every effort is made to ensure that we provide current, accurate data, provider information changes frequently. The PHCS Network consistently achieves superior savingsincluding a Network-Based Solutions:national average savings over 40% for practitioner and ancillary facility claims. /ViewerPreferences <> Many states have published legal notices to inform their constituents about sharing organizations. 11 0 obj Ancillary Services13 Multiplan/PHCS Practitioner and Ancillary Network -- Sharing of physician and ancillary service expenses is available only for In Network providers. * Plans in CO will be available for October 1, 2021, and later effective dates. Doctors who accept Multiplan PHCS Insurance | Doctor.com To keep members sharing contributions low, UHS SmartShare offers limited sharing with fixed fee amounts. Non-Sharable Amounts (NSA) 8 Per Individual Member8 A PPO consists of a select network of health care providers under contract to serve member employees and their families for a reduced fee. 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. The Health Questionnaire can be found in the member portal where information received is kept secure and confidential. %%EOF These fees vary depending on the type of service your receiving and the UHS program youre enrolled in. Access sample communications for your participants. 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 Find information about our services. You may be subject to a new application fee if you wish to rejoin the Fellowship. Is there a required minimum timeframe for membership? Hospital4 None - Sharing of eligible expenses is available for any accredited hospital in the United States. 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. 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. I have employees who are interested in health sharing. PHCS offers the same coverage and benefits for online therapy and in-person therapy. This waiting period does not apply to the Office Visit charge for Primary Care, Pediatric Care, Specialty Care or Urgent Care visits. FAQs - Universal Health Fellowship 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. 1 0 obj 41 0 obj <> endobj 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. PDF With the PHCS Practitioner and Ancillary network 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) Sarah Alexander, M.D. | NorthShore Significant Access and Savings With the PHCS Network in your cost management strategy, you give your MultiPlan Solutions: www.universalhealthfellowship.org is using a security service for protection against online attacks. we make it easier for you to quickly identify the most informative profiles on Doctor.com. You can use any hospital anywhere in the continental U.S.A. Annual Maximum Limit is $27,500 per year inclusive of all services shared. xMO@0IR I want Universal Health Fellowship to contact me, I agree with the Universal Health Fellowship. PDF PHCS Network - MultiPlan /StructTreeRoot 5 0 R Provider Network of America (PNOA) is a nationwide, direct, contracted provider network. HealthSmart Physician/Ancillary Only Network* for employees of: *To search, select "HealthSmart Physician/Ancillary Only" from the network plan options.Please note, you may use the network search tool for professional (physicians) and ancillary (chiropractors, laboratories, physical therapists, etc) providers. ), All other PHCS networks(Note: Follow the instructions on the page to select the network that appears on your Member ID card. <> 9\E(\8relv6>B(/i E"|&/.Gjx$!y'tYiCR'Q1| endobj 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. But the two entities have different provider networks for their insurance company clients. hb``g``je`a` @1V a5DfNCI,DV7bYH?:yNH20T<7=_!&x -.f`o@ 6%g What is the purpose of the UHS Sharing Guidelines? No, sharing and insurance are very different. UHF has branded its health care cost sharing program Universal HealthShare (UHS). 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). The monthly membership dues will be added to your monthly sharing contribution. What makes UHS SmartShare different from the standard UHS programs? Although not a health insurance provider, PHCS is a Preferred Provider Organization (PPO) network. 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. <>/A10<>/A11<>/A3<>/A5<>/A8<>/Pa0<>/Pa10<>/Pa2<>/Pa3<>/Pa4<>/Pa5<>/Pa7<>/Pa8<>>> endobj The service requires full cookie support in order to view this website. Doctor.com has profiles for millions of doctors and other health providers in the United States, including those who take Multiplan PHCS insurance. - With the PHCS Practitioner and Ancillary network. HOW DO I FIND OUT IF MY DOCTOR IS IN THE PHCS PRACTIONER ONLY NETWORK? 74 verified reviews. HPI | Find a Provider - Health Plans Inc. You may receive in- and out-patient hospital-based services from any facility you prefer. UHSM medical sharing eligibility extends to qualifying costs at the more than 1.2 million doctors, hospitals, and specialists in this network. PHCS Network 1 of 24 SB 282 ACT 354 CONSUMERS RIGHT TO KNOW ACT - PHYSICIANS WEB LISTING. PDF How Do I Find Out If My Doctor Is in The Phcs Practioner Only Network? We're currently processing your request and we'll be in touch soon. 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. MultiPlan owns PHCS. Click hereto learn more. Any changes made to their sharing program will typically become effective on the anniversary date. PHCS is the leading PPO provider network and the largest in the nation. * Network and State are mandatory and you may enter in any other search options too. 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. If you choose to leave, we ask you to give us 30-days advance notice to help accommodate other sharing members. 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. 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. Always confirm network participation and provide your WeShare Member ID card prior to scheduling an appointment and before services are rendered. PHCS-Practitioner-and-Ancillary-Only - Optimed 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. There are up to seven sharing programs available through Universal Health Fellowship, each with different contribution and monthly sharing levels or amounts. <> 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. (Non-Sharable amounts or NSA do not apply to the UHS SmartShare program.). PreferredOne For a faster response, please call us directly at 888-666-8135. PDF PHCS Network and Limited Benefit Plans - MultiPlan PHCS Practitioner & Ancillary Only Connection Dental Network HEALTH LINK NETWORK Our network partner in Eastern Missouri, HealthLink provides employers coverage throughout Missouri. . For UHS SmartShare, there is a 90-day waiting period before any Medical Expense Need may be eligible for sharing. 8 0 obj Always call your provider in advance to confirm that they are a current member of Multiplan/PHCS before you incur medical expenses. Ambulance use is shared up to two incidents per Program Year at $500 per incident. PHCS VDHP All other PHCS networks (Note: Follow the instructions on the page to select the network that appears on your Member ID card.) endobj Preferred Health Professionals, LLC offers several different PPO networks. stream insurance, payment options, etc. endobj Please enable cookies on your browser and try again. Simply call 1-888-611-7427, Monday through Friday from 8 a.m. to 8 p.m. (Eastern Standard Time) and identify yourself as a health plan participant accessing PHCS Practitioner Only Network. www.universalhealthfellowship.org is using a security service for protection against online attacks. PDF Uhs1 Uhs2 Uhs3 Uhs4 Uhs5 Uhs6 PHCS-Practitioner-and-Ancillary-Only Appeal Rights. Our teams of industry experts are trained to develop contracts that are mutually beneficial for the patient, the payer and the Provider. Physical Address. It provides networks of doctors, hospitals and medical professionals, like its parent company, MultiPlan. Frances Catherine Baxley, M.D. | NorthShore If you have a question about a specific member and/or needs request, please call the number on the back of the members UHF membership card. %PDF-1.7 By showing providers with higher ProfilePoints first, PNOA contracts directly with our Providers to deliver competitive discounts and maximize savings for patients who utilize in-network Providers and facilities. You may receive in- and out-patient hospital-based services from any facility you prefer. 316 0 obj How to find a PHCS Practitioner Only Network provider We can help you find the provider of your choice. "@$Ka@$c}$/^{oM"{@4JLiW@]q 5 [{e(p6)x8IZk(hj9+4V%YA=~R other professional services may be or have been provided at or through the facility by physicians and other healthcare practitioners who do not . 3 0 obj PNOA Delivers Access to More Than: 2,500+ Hospitals Nationwide 25,000+ Ancillary Facilities 525,000+ stream NTWK. All Universal HealthShare programs includeunlimited 24-hour telemedicine with $0 consultation fees. >>endobj All rights reserved. <> endobj Her services comprise general consultations, annual check-ups, physical and gynecological examinations, and treatment for common ailments. 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 12662043. What are individual mandates and state exemptions? We also feature significant fixed fee arrangements. You may receive in- and out-patient hospital-based services from any facility you prefer. Please note, you may use the network search tool for professional (physicians) and ancillary (chiropractors, laboratories, physical therapists, etc) providers. ]OJbZ KJpU{|',3-'r3x|98E`e ndEIf:5v;E.# /Pages 3 0 R endobj We also feature significant fixed fee arrangements. <> PHCS Insurance Reviews 2022: Is it legit or a scam? - Blog Hng MultiPlan: Customer Complaints and Reviews - ValuePenguin Health Plans Inc. | Pioneer | Health Care Providers - Search our HealthSmart's online provider directory is provided for reference purposes only. Please enable JavaScript on your browser and try again. HealthSmart Provider Lookup 3 0 obj 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. Fifty-five Please consult the Sharing Guidelines for details. 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. Sharing eligibility for a members medical expenses will be determined by their Effective Date, which will also become the members anniversary date with UHF. Sales . . K= n0iiZ63c[mc3:f}S[4mnNOa2(A w6mY| eQ]PP?Uzr.o-,~`],{?ysY$8B5Pn5\EcU)];DehFTy`jbm< Its available 24/7 with a $0 consultation fee. 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. To look up providers within the Multiplan/PHCS network, visit this link. Also, most in-patient and out-patient services (such as surgeries and hospital admissions) require pre-notification by calling customer service. To become eligible to receive sharing, every family member must complete the Health Questionnaire in the member portal.