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. With the fourth membership year, a condition is no longer considered pre-existing. /ViewerPreferences <> The sharing program you choose will determine your monthly sharing contribution. When you have an eligible medical expense (a Medical Need), sharing funds from other members can be used to help you meet that expense. 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. other professional services may be or have been provided at or through the facility by physicians and other healthcare practitioners who do not . <> 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. Preferred Health Professionals, LLC offers several different PPO networks. 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). - With the PHCS Practitioner and Ancillary network. Ancillary Services13 Multiplan/PHCS Practitioner and Ancillary Network -- Sharing of physician and ancillary service expenses is available only for In Network providers. I have employees who are interested in health sharing. CITY: STATE ZIP: Business Phone Number PHCS. Do I have to pay for Telemedicine consultations? 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. 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. Payors > MultiPlan See your Member ID card for details.) PHCS, which stands for Private Healthcare Systems, is not an insurance company. PDF How Do I Find Out If My Doctor Is in The Phcs Practioner Only Network? endstream endobj startxref 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. For a faster response, please call us directly at 888-666-8135. You may receive in- and out-patient hospital-based and facility services from any provider you prefer. Multiplan or PHCS | Mental Health Coverage | Zencare Zencare 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. Its available 24/7 with a $0 consultation fee. PDF PHCS Network - MultiPlan - With the PHCS Practitioner and Ancillary network In todays health care environment, consumer needs are complex and continuously shifting. <>/Metadata 582 0 R/ViewerPreferences 583 0 R>> endstream 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. Please enable cookies on your browser and try again. PDF PHCS Network - MultiPlan Comprehensive and high-quality provider networks. <> Is MultiPlan legit? Yes, PHCS covers online therapy services. Is completing a health questionnaire required after enrolling in a UHS program? 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. PDF PHCS Network and Limited Benefit Plans - MultiPlan Within the Client Portal, healthcare payors that purchase MultiPlan's services can: Submit service inquiries at your convenience. PreferredOne 12 0 obj 74 verified reviews. <> %PDF-1.7 41 0 obj <> endobj <> 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& Acadia-St. Landry Hospital. Flexible repricing solutions that streamline claims administration and payment processing through a series of automated tools, including electronic submissions. Exceptions to NSA include Primary Care, Urgent Care, and Specialist Care office visits. 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. Sharing eligibility for a members medical expenses will be determined by their Effective Date, which will also become the members anniversary date with UHF. HealthSmart's online provider directory is provided for reference purposes only. We also feature significant fixed fee arrangements. ), All other PHCS networks(Note: Follow the instructions on the page to select the network that appears on your Member ID card. To keep members sharing contributions low, UHS SmartShare offers limited sharing with fixed fee amounts. How are my monthly contributions distributed for sharing? 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. You may be subject to a new application fee if you wish to rejoin the Fellowship. PHCS Network 1 of 24 SB 282 ACT 354 CONSUMERS RIGHT TO KNOW ACT - PHYSICIANS WEB LISTING. All rights reserved. 12662043. These fees vary depending on the type of service your receiving and the UHS program youre enrolled in. <> While every effort is made to ensure that we provide current, accurate data, provider information changes frequently. How much will I pay for Universal HealthShare? This waiting period does not apply to the Office Visit charge for Primary Care, Pediatric Care, Specialty Care or Urgent Care visits.