)`'v{}Nz;_Vkg5He$RXo=-J/# &yEvW2Qz. Customer Care. What is the Waiting Period for UHS SmartShare? Always call your provider in advance to confirm that they are a current member of Multiplan/PHCS before you incur medical expenses. * Network and State are mandatory and you may enter in any other search options too. But the two entities have different provider networks for their insurance company clients. The PHCS Network consistently achieves superior savingsincluding a Network-Based Solutions:national average savings over 40% for practitioner and ancillary facility claims. - With the PHCS Practitioner and Ancillary network. Once you leave UHF, your ability to share medical expenses will end. provider's profile, including items like having a photo, a biography, WeShare, a program of Unite Health Share Ministries (UHSM), is a religious organization facilitating the sharing of medical expenses. 800-482-8770; sales@optimedhealth.com; Solutions . There are up to seven sharing programs available through Universal Health Fellowship, each with different contribution and monthly sharing levels or amounts. With UHS, there are no copayments as there are with traditional insurance products, but there are per-visit consultation fees that are not sharable. 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. we make it easier for you to quickly identify the most informative profiles on Doctor.com. Is there a required minimum timeframe for membership? endobj No, there are no annual enrollment periods for Universal HealthShare. Ancillary Services13 Multiplan/PHCS Practitioner and Ancillary Network -- Sharing of physician and ancillary service expenses is available only for In Network providers. The sharing programs, services, publications, and any materials given should never be considered a substitute for an insurance policy. 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. www.universalhealthfellowship.org is using a security service for protection against online attacks. www.universalhealthfellowship.org is using a security service for protection against online attacks. 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. ), 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. 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. PNOA Delivers Access to More Than: 2,500+ Hospitals Nationwide 25,000+ Ancillary Facilities 525,000+ We will ask you and each family member to complete an online Health Questionnaire to become eligible for sharing. Each individual or family chooses the program that best fits them. <>/Metadata 582 0 R/ViewerPreferences 583 0 R>> Fifty-five ), All other PHCS networks(Note: Follow the instructions on the page to select the network that appears on your Member ID card. The PHCS Network consistently achieves superior savingsincluding a national average savings over 40% for practitioner and ancillary facility claims. Also, most in-patient and out-patient services (such as surgeries and hospital admissions) require pre-notification by calling customer service. 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. endobj stream 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. I have questions about UHFs health sharing programs. UHSM medical sharing eligibility extends to qualifying costs at the more than 1.2 million doctors, hospitals, and specialists in this network. All you need to do is make your monthly voluntary sharing contributions. All related medical bills are treated as part of the same Medical Incident. 5 0 obj 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. - With the PHCS Practitioner and Ancillary network endstream 98 0 obj <>stream 315 0 obj Acadia-St. Landry Hospital. by providers with Doctor.com accounts when editing their profile on Doctor.com. Does PHCS cover couples therapy? 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: Find information about our services. 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. endobj 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. PHCS Network 1 of 24 SB 282 ACT 354 CONSUMERS RIGHT TO KNOW ACT - PHYSICIANS WEB LISTING. Offered through our partnership with FlexCare, telemedicine gives you immediate access to board-certified doctors. fn>Cu;|=lGJ5tiBOC3Q- Kr8yl5[Xl= Is completing a health questionnaire required after enrolling in a UHS program? Im interested in health sharing for me and maybe my family. This waiting period does not apply to the Office Visit charge for Primary Care, Pediatric Care, Specialty Care or Urgent Care visits. LinkedIn Twitter. You may receive in- and out-patient hospital-based services from any facility you prefer. <> These charges are sharable when you become an eligible member and pay a consultation fee for the office visit. I want Universal Health Fellowship to contact me, I agree with the Universal Health Fellowship. <> FACILITY: CRED ID; Name of Physician TITLE: National Provider Identifier (NPI) Specialty. 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. 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. [{e(p6)x8IZk(hj9+4V%YA=~R 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. To look up providers within the Multiplan/PHCS network, visit this link. %PDF-1.4 % 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. 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. endobj <>stream UHF has branded its health care cost sharing program Universal HealthShare (UHS). Copyright 2019-2022 Universal Health Fellowship. If you have an emergency, seek immediate medical help. You can speak to a telemedicine professional via a phone call, through a mobile app, or online video. What hospitals can I use with Universal HealthShare? Comprehensive and high-quality provider networks. 1-800-482-8770. customercare@optimedhealth.com. Examples include CA, MA, NJ, RI, VT, and DC. 4 0 obj 12662043. You will always remain responsible for your medical bills, and you may be treated as a cash paying patient. 1 0 obj Sarah Alexander, M.D. 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. endobj Hospital4 None - Sharing of eligible expenses is available for any accredited hospital in the United States. >>endobj Please enable cookies on your browser and try again. Significant Access and Savings With the PHCS Network in your cost management strategy, you give your MultiPlan Solutions: 316 0 obj <> Emergency Room visits are shared up to two incidents per Program Year at $100 per incident. 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. 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). 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 $50,000. PHCS Practitioner Only Network* for employees of: *Please note, you may use the network search tool for physicians (including primary care physicians, specialists, and providers such as physical, occupational, and speech therapists). With the fourth membership year, a condition is no longer considered pre-existing. A few states have enacted an individual mandate requiring residents to have minimum essential health insurance coverage (an Individual Mandate) and imposing a financial penalty on those who have no qualified health insurance and have not qualified for an exemption (a State Tax Penalty). 1600 W Broadway Rd., STE 300, Tempe, AZ 85282, For Employers, TPAs, Insurance Carriers and Health Care Providers, Through Analytics, Cost Management and Aggressive Discounts. If it is not an emergency, you will be required to contact customer service before any hospital admission as part of the pre-notification process. For providers that do not, you can submit the itemized bill to Universal HealthShare and sharing funds will be sent directly to you. Provider Network of America (PNOA) is a nationwide, direct, contracted provider network. hWmo6+b;"@ADcZ4~QkN8xGkk)'J)'/"BXH4xTAD!1ZNPPQ(ID)T:JYah0bjUIu{hW`8_NM9NOs!@4U6:/WBu^e*{y;j&eZm?>/gdrZ-7us2U{1.>W/YuV~VeQ@NwU}u,;RdofJ`\ Y,DdXozvOegN''iQ:L. "@$Ka@$c}$/^{oM"{@4JLiW@]q 5 2 0 obj 2. group name. PreferredOne How are my monthly contributions distributed for sharing? %PDF-1.7 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. <> endobj You may be subject to a new application fee if you wish to rejoin the Fellowship. Many states have published legal notices to inform their constituents about sharing organizations. 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. % It is both a care management company and a network-based insurance company. A PPO consists of a select network of health care providers under contract to serve member employees and their families for a reduced fee. We use cookies and limited processing of your personal information for our Any changes made to their sharing program will typically become effective on the anniversary date. 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. Through PNOA Provider Relations and Account Management departments, roster updates and claim inquiries are handled promptly and efficiently by our professionally trained staff. You may receive in- and out-patient hospital-based and facility services from any provider you prefer. stream Thats why PNOA provides flexible cost containment solutions with simple implementation and robust administration tools. 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. <> You must be a member of Universal Health Fellowship to join our sharing programs. Our teams of industry experts are trained to develop contracts that are mutually beneficial for the patient, the payer and the Provider. ]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. Monthly sharing contributions and fees are non-refundable. Non-Sharable Amounts (NSA) 8 Per Individual Member8 PNOA contracts directly with our Providers to deliver competitive discounts and maximize savings for patients who utilize in-network Providers and facilities. <> endobj K= n0iiZ63c[mc3:f}S[4mnNOa2(A w6mY| eQ]PP?Uzr.o-,~`],{?ysY$8B5Pn5\EcU)];DehFTy`jbm< For UHS SmartShare, there is a 90-day waiting period before any Medical Expense Need may be eligible for sharing. 1 0 obj MultiPlan owns PHCS. Then, sharing begins immediately for Primary Care, Urgent Care, and Specialty Care office visit charges. 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) /ViewerPreferences <> Sales . With the PHCS Physicians network you and your members get: Enhanced plan features Reducing your overall health care expenses is what we strive for. 11 0 obj /Pages 3 0 R All Rights Reserved. For other medical needs, review your Sharing Guidelines or call the customer service number on your membership card. PHCS-Practitioner-and-Ancillary-Only Appeal Rights. These fees vary depending on the type of service your receiving and the UHS program youre enrolled in. When does my sharing program membership begin? Total number of Providers on Doctor.com who Accept Multiplan PHCS: Most popular medical specialty of providers who accept Multiplan PHCS: Multiplan PHCS providers listed on Doctor.com have been practicing for an average of: Average ProfilePoints score for Providers who take Multiplan PHCS: Average Overall User Rating for providers who take Multiplan PHCS. While every effort is made to ensure that we provide current, accurate data, provider information changes frequently. Many clients prefer to see their therapists online via a secure online platform, as it makes mental health treatment convenient and more accessible. To become eligible to receive sharing, every family member must complete the Health Questionnaire in the member portal. Universal HealthShare uses the Multiplan/PHCS Practitioner & Ancillary Network with over 700,000 practitioners nationwide. Frances Catherine Baxley, M.D. HealthSmart's online provider directory is provided for reference purposes only. hb``g``je`a` @1V a5DfNCI,DV7bYH?:yNH20T<7=_!&x -.f`o@ 6%g <> <] /BitsPerComponent 1/Interpolate false/SMask 12 0 R/Length 2>> No, sharing and insurance are very different. A Medical Incident is a medically diagnosed condition and all medical treatment(s) received and medical expenses incurred relating to that condition. 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. When you have an eligible medical expense (a Medical Need), sharing funds from other members can be used to help you meet that expense. Always call your provider in advance to confirm that they are a current member of Multiplan/PHCS before you incur medical expenses. <> Her services comprise general consultations, annual check-ups, physical and gynecological examinations, and treatment for common ailments. Annual Preventive and Wellness Care also does not have a waiting period. % 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. Provider Network of America (PNOA) is a nationwide, direct, contracted provider network. (Non-Sharable amounts or NSA do not apply to UHS SmartShare programs.). 9\E(\8relv6>B(/i E"|&/.Gjx$!y'tYiCR'Q1| If you choose to leave, we ask you to give us 30-days advance notice to help accommodate other sharing members. In addition to your monthly sharing contribution you will be charged a one-time non-refundable application fee of $75 and ongoing monthly membership dues, currently $15 per month, to join and remain a member of Universal Health Fellowship.
