However, questions about coverage or benefits should be directed to the health insurance company, which is probably the other logo on your insurance card. Centura Spine Care Montrose. Ms. Langan is uncompromising in her dedication and communicates with each patient and encourages them to have a healthy lifestyle. She is a member of The American Association of Nurse Practitioners and Sigma Theta Tau nursing honor society. Who should I contact for further assistance? He must be within the specific network provided by the insurance company; if not, you will have to pay out of pocket for the services rendered. Sandra Forde is a concerned and caring family physician. Contact Us For Behavioral Health benefits, participation status may vary here at Michigan Medicine. You need to enable JavaScript to run this app. PA Kouroupos is a member of the New York State Society of Physician Assistants, holds a Masters Degree in Education from SUNY-Buffalo and has been recognized as Clinical Preceptor of the Year by the Wagner College Physician Assistant Program. My medical needs were addressed and my whole health needs were met too,". PA MOHABIR very nice and knowledgeble provider. She also holds active memberships in the American Association of Nurse Practitioners, Advanced Practitioner Society for Hematology and Oncology, and the Indian American Nurses Association. For billing and insurance questions, please contact Patient Customer Services at: 855-855-0863 or 734- 615-0863, Monday through Friday 8 a.m. - 4 p.m. Highly recommended!". ProfilePoints measure the overall completeness of a Different PPO plans will offer different coverage for various procedures and services. Dr. Forde attended the State University of New York, Downstate Medical Center, where she earned her degree in medicine. Then, choose your location. ", Dr. Ira Steinmetz, a Board Certified Internist was born and raised in the Sheepshead Bay section of Brooklyn. She completed a residency in pediatrics at the Albany Medical Center and a residency in preventive medicine at the University of Albany, New York State Department of Health. Dr. Chamikles is dedicated to helping patients receive the treatment they need so they can enjoy a positive and fulfilling lifestyle. Are there enough primary care and specialist physicians within the network to have health care options? He is certified by the National Commission on Certification of Physician Assistants. He holds himself to the highest standard of care and is dedicated to creating a positive patient experience for every individual. Dr. Zahava Hersh serves the community of Hewlett, NY, as a trusted and reputable primary care doctor. Does the network contain physicians and other health care providers you want to see? Zocdoc only allows patients to write reviews if we can verify they have seen the provider. If you see a particular doctor regularly, make sure theyre included in the PPO providers in-network. While premiums are higher, there are deductibles. Insurance Information. Virginia Beach, VA. 5.00 ( 6 reviews) MultiPlan has four types of provider networks: MultiPlan and PHCS both provide networks of medical professionals that are used by limited-benefit health insurance plans. Please press the Continue button to proceed. Every provider that appears in search is open to new patients. Affordable health care options for missionaries around the globe. "Pretty good services , the Doctor and the Medical Assistant were She is a nice physician who seems to care for her patients well being. Another difference is the coordination of benefits. Most insurers provide coverage for video visits at the same cost as in-person visits. Beneficiaries complain, for example, that a MultiPlan network does not cover physicals or maternity care. Use Zocdoc to find doctors near you who take Multiplan PHCS insurance. To work out the fine details of costs between the insurance company and the doctors. Ms. Kamineni attended the Ramapo College of New Jersey, where she received her bachelor's degree. Some PPO plans include coverage for alternative therapies such as acupuncture, naturopathy, and therapeutic massage. Wherever your client may be in their health care journey, there's a product to meet their unique needs. At Albany Medical College, Dr. Schulte served as Division Chief of General Pediatrics. Many Multiplan PHCS Doctors offer appointments on Saturdays and Sundays. Edyta Sladzinska-Reyher, MD, is an internist at NewYork-Presbyterian Medical Group Hudson Valley and has more than twenty years of experience practicing medicine. MultiPlan and PHCS networks vary in size and scope. Before you go We can connect you to a licensed insurance agent, who is ready to help. ) {"backgroundColor":"ice","content":"\u003C\/p\u003E\n\n\u003Ch3\u003EA common mistake\u003C\/h3\u003E\n\n\u003Cp\u003EIn some cases, the MultiPlan logo or the logo of its subsidiary, \u003Cspan class=\"ReactComponent--root\"\u003E\n \u003Cspan class=\"js-react-component-rendered js-react-component-Tooltip\" data-component-name=\"Tooltip\"\u003E\n \u003Cspan class=\"Root-sc-1s0tjjv iFkEyL\"\u003E\u003Cspan class=\"TriggerContent-sc-6l8ey lnQlrv Tooltip--trigger-content\"\u003E\u003Cspan\u003EPrivate Healthcare Systems (PHCS),\u003C\/span\u003E\u003C\/span\u003E\u003C\/span\u003E\n \u003C\/span\u003E\n\n \u003Cscript type=\"application\/json\" class=\"js-react-component\" data-component-name=\"Tooltip\"\u003E\n {\"content\":\"In 2006, MultiPlan bought PHCS, one of its major competitors, which also furnishes national and regional provider networks.\",\"icon\":\"\",\"label\":\"\",\"triggerText\":\"Private Healthcare Systems (PHCS),\"}\n \u003C\/script\u003E\n\u003C\/span\u003E\n appears on health insurance cards, giving enrollees the mistaken impression that MultiPlan and PHCS are insurance companies, responsible for determining the extent and provisions of health coverage.\u003C\/p\u003E\n\n\u003Cp\u003E\u003Cstrong\u003EMultiPlan and PHCS are network providers, not insurance companies.\u003C\/strong\u003E This means MultiPlan and PHCS do not provide benefits, nor do they pay medical claims.\u003C\/p\u003E\n\n\u003Cp\u003EIf you see a MultiPlan logo on your insurance card, that means you can use the MultiPlan website to search for a doctor or medical facility that will accept your insurance plan. MultiPlan is one of the largest providers of health care networks in the United States, with its networks encompassing 1.2 million health care providers. These policies have exclusions, limitations, and terms under which the policy may be continued in force or discontinued. She earned her Doctor of Nursing degree from Rutgers, The State University of New Jersey after completing her Bachelor of Science in Nursing from La Salla University where she graduated Magna Cum Laude. This provider only sees patients w/ in-network benefits or accepts self-pay. She also treats common ailments and provides prescriptions and refills. By continuing to browse, you are agreeing to our use of cookies. Both HMO and MultiPlan PPO coverage feature different advantages for policyholders. You can rest assured that the doctors they contract with are of the highest quality. Choosing the right plan to meet your needs can mean a big difference in the quality and cost of your medical care. According to CMS National Downloadable File for Physicians, July 2022. See all nearby highly-recommended providers. I am a skilled PA with a background focused in ENT - both inpatient and outpatient. By continuing to browse, you are agreeing to our use of cookies. While Multiplan is the largest provider of PPOs in America, it is not the only one. Simply call (888) 371-7427 Monday through Friday from 8 a.m. to 8 p.m. (Eastern Standard Time) and identify yourself as a health plan participant accessing PHCS Network for Limited Benefit plans. Insurance coverage for fully insured plans is provided by All Savers Insurance Company (for FL, GA, OH, UT and VA) or by UnitedHealthcare Insurance Company (for AZ, AL, AR, DC, IA, KS, MI, MN, MO, NC, NV, OK, PA, SC, TN and TX). Check out our resources. Multiplan or PHCS is a common health insurance in Florida, and individuals who have Multiplan or PHCS may wish to find therapists who are in-network with their health insurance. See 26 U.S.C 5000 A(d)(2)(B). Dr. Berman practices at the Montefiore Family Care Center. If you visit your doctor frequently, paying higher premiums could save you long-term on copays and deductibles. If you do not receive a confirmation within 24 hours of registering, or if you have questions about these education sessions, please contact us at. She joined Montefiore in 2017. He has been recognized for his work with several awards, including Castle Connellys Top Doctor. "Catherine was fantastic would recommend to anyone in area looking for someone nice and knowledgeable.". He believes in acting with empathy and understanding. by providers with Doctor.com accounts when editing their profile on Doctor.com. On Zocdoc, you can search specifically for Multiplan PHCS Doctors with availability after 5 p.m. You can use Zocdoc to find Multiplan PHCS Doctors who are highly rated by other patients. "I thought the office, staff and Dr. were efficient and kind. For sure a patient for life!". A warm and caring family nurse practitioner, Ms. Lavanya Kamineni serves the community of Monroe, NJ. If the MultiPlan Savings Program logo appears on your Cigna ID card, you may be eligible to receive discounts when using an out-of-network, non-participating health care provider that participates in the Network Savings Program. If you have questions related to estimates for out-of-pocket costs, please visit our Estimates for Out-of-Pocket Costs page. When the logo is present, your plan provides access to a national primary preferred provider organization (PPO) as a complement to Univera Healthcare's in-network list of providers. MultiPlan PPOs have rigorous criteria when they are evaluating the providers for their network. If you have a regular doctor that you see and are not in the network, you can nominate them for consideration with MultiPlan health insurance. Examine specific plans from each provider to get a better overview of which plans offer you more value. If youre not sure which plan you have, you can use Zocdocs insurance checker to find out. She utilizes an evidence-based approach to patient care and routinely develops individualized treatment plans to accommodate her patients needs and concerns. A caring physician assistant, Mr. Yarur believes in providing patients with all the information they need to make educated decisions about their health care. She is uncompromising in her dedication to the well-being of her patients. Which Types of Insurance are under MultiPlan? However, when you seek care outside your provider network, you will become responsible for collecting all required documents your insurer needs for the claims process. Patients see him for a variety of reasons, including biliary tract problems, gastroenterology consultations, paracentesis, pancreas problems, and gallstones. Medi-Share is a nonprofit health care sharing ministry of Christian Care Ministry, Inc ("CCM"). He also is a member of the American Osteopathic Association. Their website is http://www.multiplan.com Zelis Dr. Peter Rosenberg is a renowned internist and cardiologist who is proud to serve greater NYC. Patients also frequently seek her out for help with obesity, skin lesions, and opioid dependence. She then completed a master's degree in family nursing at Rutgers, the State University of New Jersey.