<>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Ancillary Services13 Multiplan/PHCS Practitioner and Ancillary Network -- Sharing of physician and ancillary service expenses is available only for In Network providers. PHCS VDHP All other PHCS networks (Note: Follow the instructions on the page to select the network that appears on your Member ID card.) 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. Annual Maximum Limit is $27,500 per year inclusive of all services shared. To look up providers within the Multiplan/PHCS network, visit this link. Fifty-five insurance, payment options, etc. Frances Catherine Baxley, M.D. 2 0 obj Thats why PNOA provides flexible cost containment solutions with simple implementation and robust administration tools. 3 0 obj This process is automatic. We include Teladoc services and an optional wellness program from Vitality , so you can keep your members healthy and productive. ]OJbZ KJpU{|',3-'r3x|98E`e ndEIf:5v;E.# Please consult your state tax laws to determine if you may be subject to an individual mandate. How are my monthly contributions distributed for sharing? PHCS Practitioner & Ancillary Only Network (Note: you may also have access to the MultiPlan Practitioner & Ancillary Only Network. 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 > NMR+\5S\o()M~&Et"c(\e"Y~9edwU)eg#YN *2,sy)tg#Yn,n[D'KmyegY~9L2E,sD?\xgY~9. Healthcare Highways PLUS Network* for employees of: *Outside of Oklahoma, members may use the Private Healthcare Systems network. Acadia-St. Landry Hospital. 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. The PHCS Network consistently achieves superior savingsincluding a Network-Based Solutions:national average savings over 40% for practitioner and ancillary facility claims. % When you have an eligible medical expense (a Medical Need), sharing funds from other members can be used to help you meet that expense. Although not a health insurance provider, PHCS is a Preferred Provider Organization (PPO) network. PHCS offers the same coverage and benefits for online therapy and in-person therapy. All Rights Reserved. PNOA contracts directly with our Providers to deliver competitive discounts and maximize savings for patients who utilize in-network Providers and facilities. 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. You can speak to a telemedicine professional via a phone call, through a mobile app, or online video. Im interested in introducing health sharing to my clients. Unite Health Share Ministries and WeShare. The monthly membership dues will be added to your monthly sharing contribution. 316 0 obj PHCS is the leading PPO provider network and the largest in the nation. <> You may be subject to a new application fee if you wish to rejoin the Fellowship. 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). <> * Network and State are mandatory and you may enter in any other search options too. (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 endobj 41 0 obj <> endobj <> You may receive in- and out-patient hospital-based services from any facility you prefer. Annual Preventive and Wellness Care also does not have a waiting period. 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. Is completing a health questionnaire required after enrolling in a UHS program? I have questions about UHFs health sharing programs. Once you leave UHF, your ability to share medical expenses will end. The sharing programs, services, publications, and any materials given should never be considered a substitute for an insurance policy. Customer Care. With the PHCS Physicians network you and your members get: Enhanced plan features Reducing your overall health care expenses is what we strive for. Ambulance use is shared up to two incidents per Program Year at $500 per incident. /ViewerPreferences <> Any changes made to their sharing program will typically become effective on the anniversary date. 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. Non-Sharable Amounts (NSA) 8 Per Individual Member8 All you need to do is make your monthly voluntary sharing contributions. Universal HealthShare uses the Multiplan/PHCS Practitioner & Ancillary Network with over 700,000 practitioners nationwide. For more general inquiries, call 877-987-1233. 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. 7 0 obj *** We also feature significant fixed fee arrangements. /Type /Catalog Its available 24/7 with a $0 consultation fee. we make it easier for you to quickly identify the most informative profiles on Doctor.com. stream A PPO consists of a select network of health care providers under contract to serve member employees and their families for a reduced fee. PNOA is committed to providing professional services to our contracted providers with our sophisticated administrative system and experienced staff. We will ask you and each family member to complete an online Health Questionnaire to become eligible for sharing. 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. 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. <> 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 Is there a required minimum timeframe for membership? Schedule an appointment with Sarah Alexander at NorthShore. All Universal HealthShare programs includeunlimited 24-hour telemedicine with $0 consultation fees. 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& 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. 9 0 obj endobj To look up providers within the Multiplan/PHCS network, visit this link. 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 $50,000. fn>Cu;|=lGJ5tiBOC3Q- Kr8yl5[Xl= Preferred Provider Organization (PPO) is todays most widely-utilized managed health care plan. Provider Network of America, LLC 2023. Universal HealthShare members are a community of people who participate in voluntary health sharing of eligible medical expenses and accept our Statement of Shared Faith and Beliefs. 6 0 obj )`'v{}Nz;_Vkg5He$RXo=-J/# &yEvW2Qz. 800-482-8770; sales@optimedhealth.com; Solutions . You will always remain responsible for your medical bills, and you may be treated as a cash paying patient. For example, over 90% of the practitioners in the PHCS Network are contracted under a fixed fee schedule arrangement. With UHS, there are no copayments as there are with traditional insurance products, but there are per-visit consultation fees that are not sharable. Always confirm network participation and provide your WeShare Member ID card prior to scheduling an appointment and before services are rendered. How much will I pay for Universal HealthShare? 74 verified reviews. 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. /StructTreeRoot 5 0 R Copyright 2019-2022 Universal Health Fellowship. endobj These charges are sharable when you become an eligible member and pay a consultation fee for the office visit. It provides networks of doctors, hospitals and medical professionals, like its parent company, MultiPlan. For providers that do not, you can submit the itemized bill to Universal HealthShare and sharing funds will be sent directly to you. PHCS health insurance is a private health system and was recently acquired by MultiPlan. Sarah Alexander, M.D. provider's profile, including items like having a photo, a biography, We're currently processing your request and we'll be in touch soon. Through PNOA Provider Relations and Account Management departments, roster updates and claim inquiries are handled promptly and efficiently by our professionally trained staff. Comprehensive and high-quality provider networks. How to find a PHCS Practitioner Only Network provider We can help you find the provider of your choice. Surgical costs are shared up to $2,750 per day for two surgical procedures per year (subject to the annual limit of $27,500). 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. More details about this are on the back of your membership card. 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 makes UHS SmartShare different from the standard UHS programs? The service requires full cookie support in order to view this website. For other medical needs, review your Sharing Guidelines or call the customer service number on 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. You can use any hospital anywhere in the continental U.S.A. What hospitals can I use with Universal HealthShare? endobj Please consult the Sharing Guidelines for details. NTWK. Find information about our services. Click hereto learn more. 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. 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. website and services to function. With the fourth membership year, a condition is no longer considered pre-existing. endstream endobj startxref 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. 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. 1 0 obj Is MultiPlan legit? 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. PHCS, which stands for Private Healthcare Systems, is not an insurance company. Access sample communications for your participants. <>/Font<>/ProcSet[/PDF/Text]>>/StructParents 1/TrimBox[0.0 0.0 612.0 792.0]/Type/Page>> endobj other professional services may be or have been provided at or through the facility by physicians and other healthcare practitioners who do not . <> Our teams of industry experts are trained to develop contracts that are mutually beneficial for the patient, the payer and the Provider. (Non-Sharable amounts or NSA do not apply to UHS SmartShare programs.). UHSM medical sharing eligibility extends to qualifying costs at the more than 1.2 million doctors, hospitals, and specialists in this network. endobj %%EOF Universal HealthShare uses the Multiplan/PHCS Practitioner & Ancillary Network with over 700,000 practitioners nationwide. We use cookies and limited processing of your personal information for our 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. %PDF-1.7 You will be redirected once the validation is complete. When can I begin sharing medical expenses? Members can access the Sharing Guidelines by logging into their Member Portals. endobj <> endobj Always call your provider in advance to confirm that they are a current member of Multiplan/PHCS before you incur medical expenses. . WeShare, a program of Unite Health Share Ministries (UHSM), is a religious organization facilitating the sharing of medical expenses. 2022 Unite Health Share Ministries and WeShare. FACILITY: CRED ID; Name of Physician TITLE: National Provider Identifier (NPI) Specialty. Within the Client Portal, healthcare payors that purchase MultiPlan's services can: Submit service inquiries at your convenience. www.universalhealthfellowship.org is using a security service for protection against online attacks. <> endobj Universal HealthShare programs are not insurance and Universal Health Fellowship is not an insurance company. 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. K= n0iiZ63c[mc3:f}S[4mnNOa2(A w6mY| eQ]PP?Uzr.o-,~`],{?ysY$8B5Pn5\EcU)];DehFTy`jbm< 3 0 obj Offered through our partnership with FlexCare, telemedicine gives you immediate access to board-certified doctors. A member may use any of the PPO network providers, at his or her discretion, and receive maximum plan benefits. 98 0 obj <>stream You may receive in- and out-patient hospital-based services from any facility you prefer. stream Monthly sharing contributions and fees are non-refundable. stream 9 0 obj Medical services subject to meeting the NSA include inpatient, outpatient, and diagnostic services. "@$Ka@$c}$/^{oM"{@4JLiW@]q 5 Emergency Room visits are shared up to two incidents per Program Year at $100 per incident. 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. [{e(p6)x8IZk(hj9+4V%YA=~R ProfilePoints measure the overall completeness of a 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. endstream All rights reserved. HealthSmart's online provider directory is provided for reference purposes only. A Medical Incident is a medically diagnosed condition and all medical treatment(s) received and medical expenses incurred relating to that condition. In non-emergency situations, consider telemedicine. But the two entities have different provider networks for their insurance company clients. /Pages 3 0 R 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. Yes, PHCS covers online therapy services. You must be a member of Universal Health Fellowship to join our sharing programs.
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