For UHS SmartShare, there is a 90-day waiting period before any Medical Expense Need may be eligible for sharing. 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. Sharing eligibility for a members medical expenses will be determined by their Effective Date, which will also become the members anniversary date with UHF. Frances Catherine Baxley, M.D. More details about this are on the back of your membership card. PDF PHCS Practitioner Only Network - My Benefits Portal 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& Is completing a health questionnaire required after enrolling in a UHS program? Multiplan or PHCS | Mental Health Coverage | Zencare Zencare *** 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. Through PNOA Provider Relations and Account Management departments, roster updates and claim inquiries are handled promptly and efficiently by our professionally trained staff. endobj PHCS-Practitioner-and-Ancillary-Only Appeal Rights. endstream 9\E(\8relv6>B(/i E"|&/.Gjx$!y'tYiCR'Q1| [{e(p6)x8IZk(hj9+4V%YA=~R If you choose to leave, we ask you to give us 30-days advance notice to help accommodate other sharing members. Hospital4 None - Sharing of eligible expenses is available for any accredited hospital in the United States. Each individual or family chooses the program that best fits them. LinkedIn Twitter. 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. Universal Health Fellowship (UHF) is a not-for-profit health care sharing ministry established on the principles of the Unitarian Universalist Church. We also feature significant fixed fee arrangements. <] /BitsPerComponent 1/Interpolate false/SMask 12 0 R/Length 2>> Within the Client Portal, healthcare payors that purchase MultiPlan's services can: Submit service inquiries at your convenience. We also feature significant fixed fee arrangements. PDF Uhs1 Uhs2 Uhs3 Uhs4 Uhs5 Uhs6 10 0 obj we make it easier for you to quickly identify the most informative profiles on Doctor.com. Sarah Alexander, M.D. Access sample communications for your participants. /StructTreeRoot 5 0 R Ancillary Services13 Multiplan/PHCS Practitioner and Ancillary Network -- Sharing of physician and ancillary service expenses is available only for In Network providers. UHSM medical sharing eligibility extends to qualifying costs at the more than 1.2 million doctors, hospitals, and specialists in this network. Please consult your state tax laws to determine if you may be subject to an individual mandate. How does my medical provider receive reimbursement? ]OJbZ KJpU{|',3-'r3x|98E`e ndEIf:5v;E.# 12 0 obj 9 0 obj But the two entities have different provider networks for their insurance company clients. All Universal HealthShare programs includeunlimited 24-hour telemedicine with $0 consultation fees. Im interested in introducing health sharing to my clients. endobj www.universalhealthfellowship.org is using a security service for protection against online attacks. % 5 0 obj PHCS is the leading PPO provider network and the largest in the nation. 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. endstream endobj startxref 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. endobj 9 0 obj endobj insurance, payment options, etc. NTWK. Do I have to pay for Telemedicine consultations? Then, sharing begins immediately for Primary Care, Urgent Care, and Specialty Care office visit charges. provider's profile, including items like having a photo, a biography, All you need to do is make your monthly voluntary sharing contributions. We will ask you and each family member to complete an online Health Questionnaire to become eligible for sharing. <> endobj 800-482-8770; sales@optimedhealth.com; Solutions . All related medical bills are treated as part of the same Medical Incident. <> UHF relies on voluntary contributions from members who choose to help each other without using insurance. We include Teladoc services and an optional wellness program from Vitality , so you can keep your members healthy and productive. Schedule an appointment with Sarah Alexander at NorthShore. How to find a PHCS Practitioner Only Network provider We can help you find the provider of your choice. No, there are no annual enrollment periods for Universal HealthShare. endobj Please enable JavaScript on your browser and try again. Is MultiPlan the same as PHCS? What hospitals can I use with Universal HealthShare? Physical Address. Always confirm network participation and provide your WeShare Member ID card prior to scheduling an appointment and before services are rendered. <> endobj Annual Preventive and Wellness Care also does not have a waiting period. Fifty-five 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. 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. PDF PHCS Network - MultiPlan 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 4 0 obj 315 0 obj 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. With the PHCS Physicians network you and your members get: Enhanced plan features Reducing your overall health care expenses is what we strive for. 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. 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. 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. 1 0 obj For other medical needs, review your Sharing Guidelines or call the customer service number on your membership card. You may receive in- and out-patient hospital-based services from any facility you prefer. 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. . website and services to function. You may receive in- and out-patient hospital-based services from any facility you prefer. endobj Back to Resources Footer. The sharing programs, services, publications, and any materials given should never be considered a substitute for an insurance policy. 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) 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). 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 endstream See your Member ID card for details.) Any changes made to their sharing program will typically become effective on the anniversary date. 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. You will be redirected once the validation is complete. 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. 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. Provider Network of America, LLC 2023. 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. I have employees who are interested in health sharing. With the fourth membership year, a condition is no longer considered pre-existing. Lifestyle considerations include: The date when membership in your UHS program begins is called your Effective Date. The service requires full cookie support in order to view this website. 2. group name. In todays health care environment, consumer needs are complex and continuously shifting. <>/Font<>/ProcSet[/PDF/Text]>>/StructParents 1/TrimBox[0.0 0.0 612.0 792.0]/Type/Page>> endobj Many states have published legal notices to inform their constituents about sharing organizations. 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. Preferred Health Professionals, LLC offers several different PPO networks. Provider Network of America - Your Provider Network Solution PNOA contracts directly with our Providers to deliver competitive discounts and maximize savings for patients who utilize in-network Providers and facilities. 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. Her services comprise general consultations, annual check-ups, physical and gynecological examinations, and treatment for common ailments. %%EOF Frances Catherine Baxley, M.D. | NorthShore Non-Sharable Amounts (NSA) 8 Per Individual Member8 Monthly sharing contributions and fees are non-refundable.
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