Copyright 2019-2022 Universal Health Fellowship. 1 0 obj 12662043. Ancillary Services13 Multiplan/PHCS Practitioner and Ancillary Network -- Sharing of physician and ancillary service expenses is available only for In Network providers. /Type /Catalog Surgical costs are shared up to $2,750 per day for two surgical procedures per year (subject to the annual limit of $27,500). The PHCS Network consistently achieves superior savingsincluding a Network-Based Solutions:national average savings over 40% for practitioner and ancillary facility claims. PHCS offers the same coverage and benefits for online therapy and in-person therapy. endstream endobj startxref Non-Sharable Amounts (NSA) 8 Per Individual Member8 is best practice to reach out to WeShare Member Services prior to visit to ensure the provider is still in network, as this can change. <> stream "@$Ka@$c}$/^{oM"{@4JLiW@]q 5 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 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. If you have an emergency, seek immediate medical help. Always confirm network participation and provide your WeShare Member ID card prior to scheduling an appointment and before services are rendered. To become eligible to receive sharing, every family member must complete the Health Questionnaire in the member portal. endstream 11 0 obj [{e(p6)x8IZk(hj9+4V%YA=~R 2022 Unite Health Share Ministries and WeShare. 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. 3 0 obj Universal HealthShare uses the Multiplan/PHCS Practitioner & Ancillary Network with over 700,000 practitioners nationwide. How does my medical provider receive reimbursement? PNOA contracts directly with our Providers to deliver competitive discounts and maximize savings for patients who utilize in-network Providers and facilities. 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. You can use any hospital anywhere in the continental U.S.A. 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 $50,000. It is not an insurance company, and neither its guidelines or its plan of operation, or any other documents of the religious organization constitute or create an insurance policy. PHCS-Practitioner-and-Ancillary-Only Appeal Rights. 1-800-482-8770. customercare@optimedhealth.com. If you choose to leave, we ask you to give us 30-days advance notice to help accommodate other sharing members. Total number of Providers on Doctor.com who Accept Multiplan PHCS: Most popular medical specialty of providers who accept Multiplan PHCS: Multiplan PHCS providers listed on Doctor.com have been practicing for an average of: Average ProfilePoints score for Providers who take Multiplan PHCS: Average Overall User Rating for providers who take Multiplan PHCS. ), Privacy PolicySurprise Medical Bills Transparency in Coverage - Machine Readable Files Translation Disclaimer Sitemap, Corporate Headquarters1500 West Park Drive, Suite 330Westborough, MA 01581Directions, Phone: 508-752-2480Toll-free: 800-532-7575Fax: 508-754-9664, Health Plans, Inc. is a Harvard Pilgrim company, PHCS Practitioner & Ancillary Only Network. Whether a self-funded employer, TPA, insurance carrier, Taft-Hartley Trust plan, Native American Tribe or cost containment company, PNOA provides an extensive Provider Network that can produce substantial savings. (Non-Sharable amounts or NSA do not apply to UHS SmartShare programs.). >>endobj Sarah Alexander, M.D. *** 5 0 obj 9\E(\8relv6>B(/i E"|&/.Gjx$!y'tYiCR'Q1| I want Universal Health Fellowship to contact me, I agree with the Universal Health Fellowship. You will be redirected once the validation is complete. For more general inquiries, call 877-987-1233. The Health Questionnaire can be found in the member portal where information received is kept secure and confidential. Does PHCS cover couples therapy? All Universal HealthShare programs includeunlimited 24-hour telemedicine with $0 consultation fees. Click hereto learn more. fn>Cu;|=lGJ5tiBOC3Q- Kr8yl5[Xl= 6 0 obj All Rights Reserved. Annual Maximum Limit is $27,500 per year inclusive of all services shared. When you have an eligible medical expense (a Medical Need), sharing funds from other members can be used to help you meet that expense. PHCS Practitioner & Ancillary Only Connection Dental Network HEALTH LINK NETWORK Our network partner in Eastern Missouri, HealthLink provides employers coverage throughout Missouri. For providers that do not, you can submit the itemized bill to Universal HealthShare and sharing funds will be sent directly to you. Flexible repricing solutions that streamline claims administration and payment processing through a series of automated tools, including electronic submissions. How to find a PHCS Practitioner Only Network provider We can help you find the provider of your choice. 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. NTWK. You may leave UHF at any time and you can join at any time. 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. Wide-ranging availability that meets any network needs. We use cookies and limited processing of your personal information for our For UHS SmartShare, there is a 90-day waiting period before any Medical Expense Need may be eligible for sharing. PHCS VDHP All other PHCS networks (Note: Follow the instructions on the page to select the network that appears on your Member ID card.) www.universalhealthfellowship.org is using a security service for protection against online attacks. <> Annual Preventive and Wellness Care also does not have a waiting period. Fifty-five Examples include CA, MA, NJ, RI, VT, and DC. endobj How are my monthly contributions distributed for sharing? Is MultiPlan legit? No, sharing and insurance are very different. PNOA is committed to providing professional services to our contracted providers with our sophisticated administrative system and experienced staff. 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. 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. These charges are sharable when you become an eligible member and pay a consultation fee for the office visit. %PDF-1.7 8 0 obj <> 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. Gain access to our online claim entry tool. Healthcare Highways PLUS Network* for employees of: *Outside of Oklahoma, members may use the Private Healthcare Systems network. We also feature significant fixed fee arrangements. With UHS, there are no copayments as there are with traditional insurance products, but there are per-visit consultation fees that are not sharable. 0 Also, most in-patient and out-patient services (such as surgeries and hospital admissions) require pre-notification by calling customer service. )`'v{}Nz;_Vkg5He$RXo=-J/# &yEvW2Qz. There are up to seven sharing programs available through Universal Health Fellowship, each with different contribution and monthly sharing levels or amounts. <> ), PHCS Practitioner & Ancillary Only Network(Note: you may also have access to the MultiPlan Practitioner & Ancillary Only Network. Is MultiPlan the same as PHCS? ProfilePoints measure the overall completeness of a Im interested in health sharing for me and maybe my family. * Plans in CO will be available for October 1, 2021, and later effective dates. PHCS is the leading PPO provider network and the largest in the nation. Im interested in introducing health sharing to my clients. No, there are no annual enrollment periods for Universal HealthShare. PNOA welcomes new health care Providers to join our community! In todays health care environment, consumer needs are complex and continuously shifting. <> We will ask you and each family member to complete an online Health Questionnaire to become eligible for sharing. UHF has branded its health care cost sharing program Universal HealthShare (UHS). <> endobj 74 verified reviews. 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). Thats why PNOA provides flexible cost containment solutions with simple implementation and robust administration tools. I have employees who are interested in health sharing. 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. 6 0 obj Our national network provides access to more than 2,500 hospitals, 25,000 ancillary facilities, and over 525,000 professional providers. 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. Many states have published legal notices to inform their constituents about sharing organizations. 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 <> 9 0 obj 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. 1 0 obj we make it easier for you to quickly identify the most informative profiles on Doctor.com. For example, over 94% of the practitioners in the PHCS Network are contracted under a fixed fee schedule arrangement. 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). /StructTreeRoot 5 0 R The service requires full JavaScript support in order to view this website. Back to Resources Footer. 2 0 obj Offered through our partnership with FlexCare, telemedicine gives you immediate access to board-certified doctors. Sales . PHCS, which stands for Private Healthcare Systems, is not an insurance company. is a specialist that offers services and treatment options in Cardiology. 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. Then, sharing begins immediately for Primary Care, Urgent Care, and Specialty Care office visit charges. 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. UHF relies on voluntary contributions from members who choose to help each other without using insurance. The monthly membership dues will be added to your monthly sharing contribution. Schedule an appointment with Sarah Alexander at NorthShore. What are individual mandates and state exemptions? Exceptions to NSA include Primary Care, Urgent Care, and Specialist Care office visits. Doctor.com has profiles for millions of doctors and other health providers in the United States, including those who take Multiplan PHCS insurance. %PDF-1.4 % It is a not-for-profit HCSM (Health Care Sharing Ministry) that enables members to help each other with their medical needs. All related medical bills are treated as part of the same Medical Incident. <> While every effort is made to ensure that we provide current, accurate data, provider information changes frequently. The PHCS Network consistently achieves superior savingsincluding a national average savings over 40% for practitioner and ancillary facility claims. What makes UHS SmartShare different from the standard UHS programs? stream 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. But the two entities have different provider networks for their insurance company clients. 7 0 obj Customer Care. K= n0iiZ63c[mc3:f}S[4mnNOa2(A w6mY| eQ]PP?Uzr.o-,~`],{?ysY$8B5Pn5\EcU)];DehFTy`jbm< Is there a required minimum timeframe for membership? You may receive in- and out-patient hospital-based services from any facility you prefer. Universal HealthShare programs are not insurance and Universal Health Fellowship is not an insurance company. It is both a care management company and a network-based insurance company. Find information about our services. 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. Lifestyle considerations include: The date when membership in your UHS program begins is called your Effective Date. I have questions about UHFs health sharing programs. Although not a health insurance provider, PHCS is a Preferred Provider Organization (PPO) network. Do I have to pay for Telemedicine consultations? 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. 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. 2. group name. www.universalhealthfellowship.org is using a security service for protection against online attacks. WeShare, a program of Unite Health Share Ministries (UHSM), is a religious organization facilitating the sharing of medical expenses. Please enable cookies on your browser and try again. - With the PHCS Practitioner and Ancillary network Acadia-St. Landry Hospital. 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 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& <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> A PPO consists of a select network of health care providers under contract to serve member employees and their families for a reduced fee. Preferred Health Professionals, LLC offers several different PPO networks. . (Non-Sharable amounts or NSA do not apply to the UHS SmartShare program.). UHSM medical sharing eligibility extends to qualifying costs at the more than 1.2 million doctors, hospitals, and specialists in this network. 10 0 obj * Network and State are mandatory and you may enter in any other search options too. <>/Metadata 582 0 R/ViewerPreferences 583 0 R>> www.universalhealthfellowship.org is using a security service for protection against online attacks. Medical incidents have sharing limits based on each program, but a member can have as many medical incidents as medically necessary up to the per incident limit and inclusive of all charges up to the annual maximum for the program. Once you leave UHF, your ability to share medical expenses will end. <> 12 0 obj Through PNOA Provider Relations and Account Management departments, roster updates and claim inquiries are handled promptly and efficiently by our professionally trained staff. Physical Address. When does my sharing program membership begin? xMO@0IR All rights reserved. Yes, PHCS covers online therapy services. endobj Within the Client Portal, healthcare payors that purchase MultiPlan's services can: Submit service inquiries at your convenience. endobj PreferredOne 315 0 obj Major Medical; GAP Group Supplemental; Limited Medical & MEC; 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). <> endobj LinkedIn Twitter. 9 0 obj 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. All you need to do is make your monthly voluntary sharing contributions. Emergency Room visits are shared up to two incidents per Program Year at $100 per incident. %%EOF 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) Please consult your state tax laws to determine if you may be subject to an individual mandate. Universal HealthShare uses the Multiplan/PHCS Practitioner & Ancillary Network with over 700,000 practitioners nationwide. % endobj <> The sharing program you choose will determine your monthly sharing contribution. We include Teladoc services and an optional wellness program from Vitality , so you can keep your members healthy and productive. 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. 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. Unite Health Share Ministries and WeShare. endobj More details about this are on the back of your membership card. A member may use any of the PPO network providers, at his or her discretion, and receive maximum plan benefits. Provider Network of America (PNOA) is a nationwide, direct, contracted provider network. endstream It provides networks of doctors, hospitals and medical professionals, like its parent company, MultiPlan. - With the PHCS Practitioner and Ancillary network. 98 0 obj <>stream Monthly sharing contributions and fees are non-refundable. ]OJbZ KJpU{|',3-'r3x|98E`e ndEIf:5v;E.# Members can access the Sharing Guidelines by logging into their Member Portals. stream 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. PHCS health insurance is a private health system and was recently acquired by MultiPlan. Hospital4 None - Sharing of eligible expenses is available for any accredited hospital in the United States. <> When can I begin sharing medical expenses? PHCS is the leading PPO provider network and the largest in the nation. Simply call 1-888-611-7427, Monday through Friday from 8 a.m. to 8 p.m. (Eastern Standard Time) and identify yourself as a health plan participant accessing PHCS Practitioner Only Network. 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. endobj You may receive in- and out-patient hospital-based and facility services from any provider you prefer. Frances Catherine Baxley, M.D. 4 0 obj What hospitals can I use with Universal HealthShare? endobj By showing providers with higher ProfilePoints first, Sharing eligibility for a members medical expenses will be determined by their Effective Date, which will also become the members anniversary date with UHF. 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. Always call your provider in advance to confirm that they are a current member of Multiplan/PHCS before you incur medical expenses. Please note, you may use the network search tool for professional (physicians) and ancillary (chiropractors, laboratories, physical therapists, etc) providers. % hb``g``je`a` @1V a5DfNCI,DV7bYH?:yNH20T<7=_!&x -.f`o@ 6%g