The sharing programs, services, publications, and any materials given should never be considered a substitute for an insurance policy. For providers that do not, you can submit the itemized bill to Universal HealthShare and sharing funds will be sent directly to you. With the PHCS Physicians network you and your members get: Enhanced plan features Reducing your overall health care expenses is what we strive for. We use cookies and limited processing of your personal information for our Yes, PHCS covers online therapy services. All rights reserved. 3 0 obj Flexible repricing solutions that streamline claims administration and payment processing through a series of automated tools, including electronic submissions. endstream endobj startxref www.universalhealthfellowship.org is using a security service for protection against online attacks. 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. LinkedIn Twitter. [{e(p6)x8IZk(hj9+4V%YA=~R You will always remain responsible for your medical bills, and you may be treated as a cash paying patient. It is both a care management company and a network-based insurance company. This waiting period does not apply to the Office Visit charge for Primary Care, Pediatric Care, Specialty Care or Urgent Care visits. (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 endobj UHSM medical sharing eligibility extends to qualifying costs at the more than 1.2 million doctors, hospitals, and specialists in this network. 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. Copyright 2019-2022 Universal Health Fellowship. hbbd```b``"A$9d 5 L.3!7`v8Z How are my monthly contributions distributed for sharing? Click hereto learn more. 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. What is the Waiting Period for UHS SmartShare? 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. By showing providers with higher ProfilePoints first, %PDF-1.7 Do I have to pay for Telemedicine consultations? 800-482-8770; sales@optimedhealth.com; Solutions . Im interested in introducing health sharing to my clients. <> 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). Sarah Alexander, M.D. endstream 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. <>/Font<>/ProcSet[/PDF/Text]>>/StructParents 1/TrimBox[0.0 0.0 612.0 792.0]/Type/Page>> endobj While every effort is made to ensure that we provide current, accurate data, provider information changes frequently. PHCS VDHP All other PHCS networks (Note: Follow the instructions on the page to select the network that appears on your Member ID card.) Sharing eligibility for a members medical expenses will be determined by their Effective Date, which will also become the members anniversary date with UHF. Sales . Customer Care. To keep members sharing contributions low, UHS SmartShare offers limited sharing with fixed fee amounts. Fifty-five 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). . The PHCS Network consistently achieves superior savingsincluding a national average savings over 40% for practitioner and ancillary facility claims. For more general inquiries, call 877-987-1233. Find information about our services. 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. Gain access to our online claim entry tool. Ancillary Services13 Multiplan/PHCS Practitioner and Ancillary Network -- Sharing of physician and ancillary service expenses is available only for In Network providers. <> A member may use any of the PPO network providers, at his or her discretion, and receive maximum plan benefits. Medical services subject to meeting the NSA include inpatient, outpatient, and diagnostic services. 3 0 obj Within the Client Portal, healthcare payors that purchase MultiPlan's services can: Submit service inquiries at your convenience. These fees vary depending on the type of service your receiving and the UHS program youre enrolled in. PreferredOne You may receive in- and out-patient hospital-based services from any facility you prefer. UHF relies on voluntary contributions from members who choose to help each other without using insurance. 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. Please consult the Sharing Guidelines for details. 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. PHCS Practitioner & Ancillary Only Connection Dental Network HEALTH LINK NETWORK Our network partner in Eastern Missouri, HealthLink provides employers coverage throughout Missouri. The sharing program you choose will determine your monthly sharing contribution. <>/A10<>/A11<>/A3<>/A5<>/A8<>/Pa0<>/Pa10<>/Pa2<>/Pa3<>/Pa4<>/Pa5<>/Pa7<>/Pa8<>>> endobj 11 0 obj endobj stream (Non-Sharable amounts or NSA do not apply to the UHS SmartShare program.). * Network and State are mandatory and you may enter in any other search options too. 316 0 obj For other medical needs, review your Sharing Guidelines or call the customer service number on your membership card. Provider Network of America, LLC 2023. You may leave UHF at any time and you can join at any time. <> Many states have published legal notices to inform their constituents about sharing organizations. PHCS is the leading PPO provider network and the largest in the nation.