Its the fastest, most convenient, and often the lowest cost way to access medical care. <> We also feature significant fixed fee arrangements. Always call your provider in advance to confirm that they are a current member of Multiplan/PHCS before you incur medical expenses. 1-800-482-8770. customercare@optimedhealth.com. Its available 24/7 with a $0 consultation fee. 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. 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. 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 other professional services may be or have been provided at or through the facility by physicians and other healthcare practitioners who do not . 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). All related medical bills are treated as part of the same Medical Incident. <>stream <] /BitsPerComponent 1/Interpolate false/SMask 12 0 R/Length 2>> 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 5 0 obj PHCS Practitioner & Ancillary Only Connection Dental Network HEALTH LINK NETWORK Our network partner in Eastern Missouri, HealthLink provides employers coverage throughout Missouri. How to find a PHCS Practitioner Only Network provider We can help you find the provider of your choice. By using our site, you agree to our use of cookies and our, Pediatrician (Kids / Children Specialist), Gastroenterologist (Stomach & Bowel Specialist), Otolaryngologist (Ear, Nose & Throat - ENT), Physiatrist (Physical Medicine & Rehabilitation), Endocrinologist (Diabetes & Hormones Specialist), Rheumatologist (Joints & Arthritis Specialist), Plastic, Reconstructive, and Cosmetic Surgeon, General Practice Doctor (General Practitioner), Thoracic Surgeon (Cardiothoracic Vascular Surgeon), Hepatologist (Liver, Gallbladder & Pancreas), Medical Geneticist (Genetic & Hereditary Disease Specialist), Respiratory, Developmental, Rehabilitative and Restorative Service Providers, Physician Assistants & Advanced Practice Nursing Providers, Technologists, Technicians & Other Technical Service Providers, Behavioral Health & Social Service Providers, Magnetic Resonance Imaging (MRI) Specialist, Pharmacist Clinician (PhC)/ Clinical Pharmacist, Speech, Language and Hearing Service Providers. 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. Universal HealthShare programs are not insurance and Universal Health Fellowship is not an insurance company. Although not a health insurance provider, PHCS is a Preferred Provider Organization (PPO) network. Offered through our partnership with FlexCare, telemedicine gives you immediate access to board-certified doctors. To look up providers within the Multiplan/PHCS network, visit this link. 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. 2. group name. Does PHCS cover couples therapy? You may receive in- and out-patient hospital-based services from any facility you prefer. Significant Access and Savings With the PHCS Network in your cost management strategy, you give your MultiPlan Solutions: insurance, payment options, etc. Doctor.com has profiles for millions of doctors and other health providers in the United States, including those who take Multiplan PHCS insurance. Sarah Alexander, M.D. When does my sharing program membership begin? The PHCS Network consistently achieves superior savingsincluding a national average savings over 40% for practitioner and ancillary facility claims. Is MultiPlan legit? PNOA contracts directly with our Providers to deliver competitive discounts and maximize savings for patients who utilize in-network Providers and facilities. 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. 12 0 obj ), 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. When can I begin sharing medical expenses? <>/A10<>/A11<>/A3<>/A5<>/A8<>/Pa0<>/Pa10<>/Pa2<>/Pa3<>/Pa4<>/Pa5<>/Pa7<>/Pa8<>>> endobj <> How much will I pay for Universal HealthShare? endobj Gain access to our online claim entry tool. 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. %%EOF <> Non-Sharable Amounts (NSA) 8 Per Individual Member8 4 0 obj /Type /Catalog Our national network provides access to more than 2,500 hospitals, 25,000 ancillary facilities, and over 525,000 professional providers. HOW DO I FIND OUT IF MY DOCTOR IS IN THE PHCS PRACTIONER ONLY NETWORK? 7 0 obj (Non-Sharable amounts or NSA do not apply to the UHS SmartShare program.). (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 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: Comprehensive and high-quality provider networks. 2022 Unite Health Share Ministries and WeShare. There are up to seven sharing programs available through Universal Health Fellowship, each with different contribution and monthly sharing levels or amounts. website and services to function. PHCS, which stands for Private Healthcare Systems, is not an insurance company. In todays health care environment, consumer needs are complex and continuously shifting. Universal Health Fellowship (UHF) is a not-for-profit health care sharing ministry established on the principles of the Unitarian Universalist Church. You may be subject to a new application fee if you wish to rejoin the Fellowship. We also feature significant fixed fee arrangements. www.universalhealthfellowship.org is using a security service for protection against online attacks. This process is automatic. fn>Cu;|=lGJ5tiBOC3Q- Kr8yl5[Xl= /StructTreeRoot 5 0 R Surgical costs are shared up to $2,750 per day for two surgical procedures per year (subject to the annual limit of $27,500). Most other eligible medical service expenses can be shared after you have paid eligible medical expenses in a cumulative amount equal to the applicable Annual Non-Sharable Amount (NSA), and after you have satisfied any applicable waiting periods. Top 10 Multiplan PHCS Provider Specialties: Family Doctor (53185 providers) Internist (49936 providers) Pediatrician (Kids / Children Specialist) (43988 providers) Nurse Practitioner (NP) (26588 providers) Obstetrician / Gynecologist (OBGYN) (24905 providers) Chiropractor (23905 providers) Radiologist (19858 providers) What makes UHS SmartShare different from the standard UHS programs? What is the purpose of the UHS Sharing Guidelines? 9\E(\8relv6>B(/i E"|&/.Gjx$!y'tYiCR'Q1| FACILITY: CRED ID; Name of Physician TITLE: National Provider Identifier (NPI) Specialty. Always call your provider in advance to confirm that they are a current member of Multiplan/PHCS before you incur medical expenses. Sales . For more general inquiries, call 877-987-1233. Provider Network of America, LLC 2023. 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. Customer Care. 10 0 obj 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 All you need to do is make your monthly voluntary sharing contributions. [{e(p6)x8IZk(hj9+4V%YA=~R endobj 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. 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). WeShare, a program of Unite Health Share Ministries (UHSM), is a religious organization facilitating the sharing of medical expenses. We include Teladoc services and an optional wellness program from Vitality , so you can keep your members healthy and productive. It is both a care management company and a network-based insurance company. 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. We ask and expect that our sharing program members will adopt and live healthy lifestyles for the benefit of themselves and other sharing members, as doing so keeps medical costs lower for all. 3 0 obj To become eligible to receive sharing, every family member must complete the Health Questionnaire in the member portal. LinkedIn Twitter. Members can access the Sharing Guidelines by logging into their Member Portals. 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. PHCS is the leading PPO provider network and the largest in the nation. provider's profile, including items like having a photo, a biography, To read notices from all states that have issued them, click here. 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. A member may use any of the PPO network providers, at his or her discretion, and receive maximum plan benefits. Preferred Provider Organization (PPO) is todays most widely-utilized managed health care plan. For example, over 94% of the practitioners in the PHCS Network are contracted under a fixed fee schedule arrangement. All Rights Reserved. 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). How does my medical provider receive reimbursement? You may receive in- and out-patient hospital-based and facility services from any provider you prefer. <> The service requires full cookie support in order to view this website. 316 0 obj The sharing programs, services, publications, and any materials given should never be considered a substitute for an insurance policy. Is completing a health questionnaire required after enrolling in a UHS program? endobj HealthSmart's online provider directory is provided for reference purposes only. We use cookies and limited processing of your personal information for our A full breakdown of points can be seen 6 0 obj The sharing program you choose will determine your monthly sharing contribution. we make it easier for you to quickly identify the most informative profiles on Doctor.com. What is the Waiting Period for UHS SmartShare? 800-482-8770; sales@optimedhealth.com; Solutions . For other medical needs, review your Sharing Guidelines or call the customer service number on your membership card. endstream - With the PHCS Practitioner and Ancillary network. For UHS SmartShare, there is a 90-day waiting period before any Medical Expense Need may be eligible for sharing. Healthcare Highways PLUS Network* for employees of: *Outside of Oklahoma, members may use the Private Healthcare Systems network. endobj 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. It provides networks of doctors, hospitals and medical professionals, like its parent company, MultiPlan. <> Sharing eligibility for a members medical expenses will be determined by their Effective Date, which will also become the members anniversary date with UHF. Universal HealthShare uses the Multiplan/PHCS Practitioner & Ancillary Network with over 700,000 practitioners nationwide. %PDF-1.7 . The PHCS Network consistently achieves superior savingsincluding a Network-Based Solutions:national average savings over 40% for practitioner and ancillary facility claims. Thats why PNOA provides flexible cost containment solutions with simple implementation and robust administration tools. Once you leave UHF, your ability to share medical expenses will end. With the fourth membership year, a condition is no longer considered pre-existing. See your Member ID card for details. 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. Please note, you may use the network search tool for professional (physicians) and ancillary (chiropractors, laboratories, physical therapists, etc) providers. Examples include CA, MA, NJ, RI, VT, and DC. Hospital4 None - Sharing of eligible expenses is available for any accredited hospital in the United States. stream Please consult your state tax laws to determine if you may be subject to an individual mandate. /ViewerPreferences <> ), All other PHCS networks(Note: Follow the instructions on the page to select the network that appears on your Member ID card. <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> %PDF-1.7 Ancillary Services13 Multiplan/PHCS Practitioner and Ancillary Network -- Sharing of physician and ancillary service expenses is available only for In Network providers. Im interested in health sharing for me and maybe my family. PNOA Delivers Access to More Than: 2,500+ Hospitals Nationwide 25,000+ Ancillary Facilities 525,000+ Within the Client Portal, healthcare payors that purchase MultiPlan's services can: Submit service inquiries at your convenience. With the PHCS Physicians network you and your members get: Enhanced plan features Reducing your overall health care expenses is what we strive for. 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. is a specialist that offers services and treatment options in Cardiology. stream 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& What hospitals can I use with Universal HealthShare? Is there a required minimum timeframe for membership? 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. If you have an emergency, seek immediate medical help. UHSM medical sharing eligibility extends to qualifying costs at the more than 1.2 million doctors, hospitals, and specialists in this network. Each individual or family chooses the program that best fits them. 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. We're currently processing your request and we'll be in touch soon. These fees vary depending on the type of service your receiving and the UHS program youre enrolled in. Our teams of industry experts are trained to develop contracts that are mutually beneficial for the patient, the payer and the Provider. 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. 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. It is a not-for-profit HCSM (Health Care Sharing Ministry) that enables members to help each other with their medical needs. . Lifestyle considerations include: The date when membership in your UHS program begins is called your Effective Date. You may receive in- and out-patient hospital-based services from any facility you prefer. 1 0 obj 11 0 obj PHCS is the leading PPO provider network and the largest in the nation. Is living a healthy lifestyle important to the Fellowship? 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 will be redirected once the validation is complete. 0 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. For a faster response, please call us directly at 888-666-8135. These charges are sharable when you become an eligible member and pay a consultation fee for the office visit. %PDF-1.4 % <> Also, most in-patient and out-patient services (such as surgeries and hospital admissions) require pre-notification by calling customer service. I want Universal Health Fellowship to contact me, I agree with the Universal Health Fellowship. <> Do I have to pay for Telemedicine consultations? www.universalhealthfellowship.org is using a security service for protection against online attacks. UHF relies on voluntary contributions from members who choose to help each other without using insurance. 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. Schedule an appointment with Sarah Alexander at NorthShore. % 8 0 obj * Plans in CO will be available for October 1, 2021, and later effective dates. endstream endobj startxref If you choose to leave, we ask you to give us 30-days advance notice to help accommodate other sharing members. endobj endobj by providers with Doctor.com accounts when editing their profile on Doctor.com. You may leave UHF at any time and you can join at any time. ), 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. Provider Network of America (PNOA) is a nationwide, direct, contracted provider 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. More details about this are on the back of your membership card. Physical Address. 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 > Flexible repricing solutions that streamline claims administration and payment processing through a series of automated tools, including electronic submissions. 3 0 obj Is MultiPlan the same as PHCS? You will always remain responsible for your medical bills, and you may be treated as a cash paying patient. MultiPlan owns PHCS. (Non-Sharable amounts or NSA do not apply to UHS SmartShare programs.). A Medical Incident is a medically diagnosed condition and all medical treatment(s) received and medical expenses incurred relating to that condition. We will ask you and each family member to complete an online Health Questionnaire to become eligible for sharing. Monthly sharing contributions and fees are non-refundable. xMO@0IR While every effort is made to ensure that we provide current, accurate data, provider information changes frequently. This waiting period does not apply to the Office Visit charge for Primary Care, Pediatric Care, Specialty Care or Urgent Care visits. PHCS Practitioner & Ancillary Only Network (Note: you may also have access to the MultiPlan Practitioner & Ancillary Only Network. Ambulance use is shared up to two incidents per Program Year at $500 per incident. 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 a presence in all 50 states, PNOA has achieved aggressive discounts with all Provider types in an effort to service its large membership base. To keep members sharing contributions low, UHS SmartShare offers limited sharing with fixed fee amounts. You can use any hospital anywhere in the continental U.S.A. <> endobj Please enable JavaScript on your browser and try again. Wide-ranging availability that meets any network needs. 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. No, there are no annual enrollment periods for Universal HealthShare. Many states have published legal notices to inform their constituents about sharing organizations. Unite Health Share Ministries and WeShare. 6 0 obj Annual Maximum Limit is $27,500 per year inclusive of all services shared. In non-emergency situations, consider telemedicine. What are individual mandates and state exemptions? Then, sharing begins immediately for Primary Care, Urgent Care, and Specialty Care office visit charges. See your Member ID card for details.) You can speak to a telemedicine professional via a phone call, through a mobile app, or online video. The monthly membership dues will be added to your monthly sharing contribution. <>/Metadata 582 0 R/ViewerPreferences 583 0 R>> Major Medical; GAP Group Supplemental; Limited Medical & MEC; Whether a self-funded employer, TPA, insurance carrier, Taft-Hartley Trust plan, Native American Tribe or cost containment company, PNOA provides an extensive Provider Network that can produce substantial savings. 315 0 obj PNOA welcomes new health care Providers to join our community! Medical services subject to meeting the NSA include inpatient, outpatient, and diagnostic services. UHSM medical sharing eligibility extends to qualifying costs at the more than 1.2 million doctors, hospitals, and specialists in this network. )`'v{}Nz;_Vkg5He$RXo=-J/# &yEvW2Qz. PreferredOne Please consult the Sharing Guidelines for details. /Pages 3 0 R Always confirm network participation and provide your WeShare Member ID card prior to scheduling an appointment and before services are rendered. Preferred Health Professionals, LLC offers several different PPO networks. PHCS health insurance is a private health system and was recently acquired by MultiPlan. 98 0 obj <>stream endobj 12662043. UHF has branded its health care cost sharing program Universal HealthShare (UHS). NTWK. 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. How do I know whether a medical provider is in-network with Universal HealthShare? endobj The service requires full JavaScript support in order to view this website. 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.