Each individual or family chooses the program that best fits them. 0 %%EOF 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: I want Universal Health Fellowship to contact me, I agree with the Universal Health Fellowship. 3 0 obj 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. The sharing program you choose will determine your monthly sharing contribution. 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 ProfilePoints measure the overall completeness of a 1 0 obj Does PHCS cover couples therapy? <> <>stream 8 0 obj The PHCS Network consistently achieves superior savingsincluding a Network-Based Solutions:national average savings over 40% for practitioner and ancillary facility claims. 2. group name. 7 0 obj Flexible repricing solutions that streamline claims administration and payment processing through a series of automated tools, including electronic submissions. 4 0 obj K= n0iiZ63c[mc3:f}S[4mnNOa2(A w6mY| eQ]PP?Uzr.o-,~`],{?ysY$8B5Pn5\EcU)];DehFTy`jbm< Is MultiPlan legit? Always call your provider in advance to confirm that they are a current member of Multiplan/PHCS before you incur medical expenses. These charges are sharable when you become an eligible member and pay a consultation fee for the office visit. 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. We use cookies and limited processing of your personal information for our % PHCS Network 1 of 24 SB 282 ACT 354 CONSUMERS RIGHT TO KNOW ACT - PHYSICIANS WEB LISTING. Many clients prefer to see their therapists online via a secure online platform, as it makes mental health treatment convenient and more accessible. <> endobj <> Copyright 2019-2022 Universal Health Fellowship. Fifty-five When can I begin sharing medical expenses? 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. In Network Only: PHCS/Multiplan Practitioner & Ancillary Only Provider Network Hospital4 Open Non-Sharable Amount (NSA) 8 Non-Sharable Amount Per Member (NSA)8 $1,500 $5,000 $6,000 Non-Sharable Amount (NSA) for 2 Persons8 $3,000 $10,000 $12,000 Non-Sharable Amount (NSA) for 3 or more8 Our teams of industry experts are trained to develop contracts that are mutually beneficial for the patient, the payer and the Provider. A PPO consists of a select network of health care providers under contract to serve member employees and their families for a reduced fee. - With the PHCS Practitioner and Ancillary network. ), 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. 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. We will ask you and each family member to complete an online Health Questionnaire to become eligible for sharing. UHF relies on voluntary contributions from members who choose to help each other without using insurance. Sarah Alexander, M.D. Please note, you may use the network search tool for professional (physicians) and ancillary (chiropractors, laboratories, physical therapists, etc) providers. A full breakdown of points can be seen 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. 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& 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. When does my sharing program membership begin? You may leave UHF at any time and you can join at any time. [{e(p6)x8IZk(hj9+4V%YA=~R Sharing eligibility for a members medical expenses will be determined by their Effective Date, which will also become the members anniversary date with UHF. While every effort is made to ensure that we provide current, accurate data, provider information changes frequently. 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. 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 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. www.universalhealthfellowship.org is using a security service for protection against online attacks. Its the fastest, most convenient, and often the lowest cost way to access medical care. You may receive in- and out-patient hospital-based services from any facility you prefer. <> For a faster response, please call us directly at 888-666-8135. 1-800-482-8770. customercare@optimedhealth.com. NMR+\5S\o()M~&Et"c(\e"Y~9edwU)eg#YN *2,sy)tg#Yn,n[D'KmyegY~9L2E,sD?\xgY~9. Thats why PNOA provides flexible cost containment solutions with simple implementation and robust administration tools. How are my monthly contributions distributed for sharing? ), 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. Through PNOA Provider Relations and Account Management departments, roster updates and claim inquiries are handled promptly and efficiently by our professionally trained staff. <> stream 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. 6 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. See your Member ID card for details. PHCS offers the same coverage and benefits for online therapy and in-person therapy. <> 11 0 obj 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. 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. We also feature significant fixed fee arrangements. For example, over 94% of the practitioners in the PHCS Network are contracted under a fixed fee schedule arrangement. What makes UHS SmartShare different from the standard UHS programs? Universal Health Fellowship (UHF) is a not-for-profit health care sharing ministry established on the principles of the Unitarian Universalist Church. is a specialist that offers services and treatment options in Cardiology. It is both a care management company and a network-based insurance company. endobj Medical services subject to meeting the NSA include inpatient, outpatient, and diagnostic services. . No, there are no annual enrollment periods for Universal HealthShare. PNOA Delivers Access to More Than: 2,500+ Hospitals Nationwide 25,000+ Ancillary Facilities 525,000+ How does my medical provider receive reimbursement? provider's profile, including items like having a photo, a biography, These fees vary depending on the type of service your receiving and the UHS program youre enrolled in. Schedule an appointment with Sarah Alexander at NorthShore. Ambulance use is shared up to two incidents per Program Year at $500 per incident. The UHS Sharing Guidelines is a document provided to members to serve two main purposes: (1) it directs monthly contributions between members in its health care cost sharing ministry program, and (2) it describes the types of medical expenses the members have agreed to share among themselves. The service requires full cookie support in order to view this website. 1 0 obj Major Medical; GAP Group Supplemental; Limited Medical & MEC; What is the purpose of the UHS Sharing Guidelines? You may be subject to a new application fee if you wish to rejoin the Fellowship. . Copyright document.write(new Date().getFullYear()) Preferred Health Professionals | All Rights Reserved, 1) Provider network termination notices to members for Continuity of Care on 1/1/2022, 4) Qualified Payment Amounts (QPA) on 1/1/2022. UHF will manage those contributions for you, distributing funds as needed to help other Universal HealthShare members with their eligible health care expenses, and to help cover the operational and administrative costs of UHF. <> With UHS, there are no copayments as there are with traditional insurance products, but there are per-visit consultation fees that are not sharable. A few states have enacted an individual mandate requiring residents to have minimum essential health insurance coverage (an Individual Mandate) and imposing a financial penalty on those who have no qualified health insurance and have not qualified for an exemption (a State Tax Penalty). What hospitals can I use with Universal HealthShare? Universal HealthShare uses the Multiplan/PHCS Practitioner & Ancillary Network with over 700,000 practitioners nationwide. 9\E(\8relv6>B(/i E"|&/.Gjx$!y'tYiCR'Q1| 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. 5 0 obj Provider Network of America, LLC 2023. With the PHCS Physicians network you and your members get: Enhanced plan features Reducing your overall health care expenses is what we strive for. PHCS-Practitioner-and-Ancillary-Only Appeal Rights. For example, over 90% of the practitioners in the PHCS Network are contracted under a fixed fee schedule arrangement. ), All other PHCS networks(Note: Follow the instructions on the page to select the network that appears on your Member ID card. (Non-Sharable amounts or NSA do not apply to UHS SmartShare programs.). Please enable cookies on your browser and try again. HealthSmart's online provider directory is provided for reference purposes only. Customer Care. MultiPlan owns PHCS. I have employees who are interested in health sharing. "@$Ka@$c}$/^{oM"{@4JLiW@]q 5 Unite Health Share Ministries and WeShare.
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