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Dr. Aloyts also provides treatment with IV therapy, which quickly rushes vital medicines throughout the body, and EECP, which has been shown to significantly decrease the risks of cardiac events and surgery. Premier Provider Network (PPNI) Allied Benefit System. See why we're #1 for individual Medicare Advantage plans in Michigan. It is not intended as, and Zocdoc does not provide, medical advice, diagnosis or treatment. I am a skilled PA with a background focused in ENT - both inpatient and outpatient. You can see any doctors in or out of the network, though you do save money if they are within the specific network. Thats determined by the insurance company and the plan you select. Catherine is passionate about creating a safe space for her patients, which allows her to give therapeutic holistic care. She is nice but did question my symptoms and prescribed me something I do not think I needed for what I am currently experiencing. Zocdoc only allows patients to write reviews if we can verify they have seen the provider. She is a fellow of the American Academy of Pediatrics. Other, more relevant, customer complaints cite a lack of physicians participating in the MultiPlan networks. 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. Use Zocdoc to find doctors near you who take Multiplan PHCS insurance. Find a Medical Provider. However, its still a good idea to select a primary care physician if you want to take advantage of wellness programs offered by the insurer. "Dr. De pena is really knowledgeable, I went in to see her with some concerns about my health and she answered all my questions. Click on "Change Network". 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. She takes her time to understand symptoms and give correct diagnoses to ensure the continued health of all her patients. (please note the provider search tool is not mobile friendly). "Overall great experience. MultiPlan uses technology-enabled provider network, negotiation, claim pricing and payment accuracy services as building blocks for medical payors to customize the healthcare cost management programs that work best for them. Agents/Brokers Find the information and resources you need to meet your clients' needs. You can search on Zocdoc specifically for Doctors who accept Multiplan PHCS for video visits by selecting your carrier and plan from the drop-down menu at the top of the page. First Health Click Here Multiplan Click Here PHCS Click Here First Access Click Here HealthSmart Click Here Multiplan (wrap) Click Here PHCS (wrap) Click Here Authorizations are often required for procedures such as surgery or MRI. Registration closes one hour before the scheduled start times. "Excellent experience. She is committed to making each patients experience comfortable and giving correct diagnoses to ensure the continued health of all her patients. Contact Us Michele McMurray, NP is double board certified with ANCC as an Adult/Gerontology Nurse Practitioner and Clinical Nurse Specialist. Dr. Patel believes in patient centric, rather than symptom centric care and treatment of the patient as a whole with dignity. I highly recommend her as your primary care Dr. DePena attended the Universidad Iberoamericana (UNIBE) School of Medicine, Santo Domingo. Find out if your insurance is accepted. What benefits are covered by MultiPlan? Medi-Share members are exempt from the individual mandate in the Patient Protection and Affordable Care Act. This compensation may impact how and where offers appear on this site (including, for example, the order in which they appear). When you use a medical provider that's listed in the insurance plan's network, you'll usually pay less for medical care than if you received health care outside of the network. Membership in a PPO allows Medi-Share members to benefit from quality medical care at discounted prices for medical events that are eligible for sharing. 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. In this office, it is "you and us versus the problem at hand." Cigna and some other major insurance companies use MultiPlan to set the network of doctors and medical providers where your health insurance can be used. He is a member of the American College of Physicians and the American College of Gastroenterology. Dont be afraid to contact providers and ask questions to determine exactly what coverage includes. CommunityCare Life and Health Members, please note: . Doctors within your MultiPlan PPO provider network will fill out all the necessary paperwork for the insurance company. Although Medi-Share does not rely on such express exemptions, Medi-Share has elected to publish theses notices. "I would just like to mention that this office seems more like a clinic than a regular doctors office. These complaints should instead be directed to the individuals health insurance company. providers participating with MultiPlan to maintain their demographic information noted below. For Behavioral Health benefits, please contact your plan directly, as they may have chosen to use a different company to administer these benefits which we may not accept. The company has several options to choose from, whether you need a full health insurance plan, vision, dental or Medicare. Did you receive an inquiry about buying MultiPlan insurance? Virginia Beach, VA. 5.00 ( 6 reviews) She is board certified in internal medicine. 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. -Pulmonary Function Testing Find out if your doctor is in-network by checking the insurance companys website or asking at the doctors office. She takes her time to understand symptoms and give correct diagnoses as well as to advocate for her patients and their families beyond the medical home. Dr. DePena sees patients of all ages for a range of concerns. "First time I see Dr. Kimyagarova. Editorial Note: The content of this article is based on the authors opinions and recommendations alone. A warm and caring family nurse practitioner, Ms. Lavanya Kamineni serves the community of Monroe, NJ. Providers Join our network, and together, we'll give patients access to the highest quality, safest and most effective health care. To register, click the Registration Link for the session you wish to attend. Need to make a primary care doctor appointment this week? Before deciding, consider the following advantages and disadvantages to a PPO health insurance plan. If you have questions regarding this list, call MultiPlan's Service Operations department at 800-546-3887. For example, some of the networks provide nationwide access to doctors and medical facilities, and if the network is used by a comprehensive health insurance plan, the consumer could have a good combination of benefits and access to care. These include ear infections, foot pain, rashes, urology problems, abscesses, acne, sexually transmitted diseases, urinary tract infections, and other common ailments. Please only book a follow up appointment if you are an existing patient. Advertiser Disclosure: Some of the offers that appear on this website are from companies which ValuePenguin receives compensation. Melanie Lieblang, NP. Insurance Information. MultiPlan owns PHCS. Ms. Hain also advises patients on ways and means to achieve a healthy lifestyle. In that case, youll want to carefully calculate all the costs of your deductibles, out-of-pocket maximums, copayments, and premiums before making a final choice. Top 10 Multiplan PHCS Provider Specialties: Family Doctor (53243 providers) Internist (50663 providers) Pediatrician (Kids / Children Specialist) (44142 providers) Nurse Practitioner (NP) (26536 providers) Obstetrician / Gynecologist (OBGYN) (24946 providers) Chiropractor (23909 providers) Radiologist (19855 providers) Following this, he spent time with a privately owned urgent care clinic, NYU-Langone Medical Centers Department of Radiology and Northwell Healths Department of Neurology specializing in stroke care, as well as many years with a privately owned primary care practice on Staten Island. Called MultiPlan ValuePoint, you'll only get the discount if you present the access card and pay the provider directly when you receive medical care. 1Excludes hospitals in Michigan's Upper Peninsula; based on American Hospital Directory January2022 data and Priority Health providers contracts. Dr. Amanda Lerner is proud to be a member of Circle Medical, a digital-first, patient-focused experience that makes quality care more accessible than ever. If you prefer, you may enroll in Priority Health Medicare Advantage plans through the CMS Online Enrollment Center atmedicare.gov. Ms. Kristin Langan is a detail-oriented nurse practitioner. Smarter health care drives better results. AHS State Employee Helath Plan. Dr. Xelenia DePena is a calm and compassionate family physician. Patients see him for a variety of reasons, including biliary tract problems, gastroenterology consultations, paracentesis, pancreas problems, and gallstones. On average, patients who use Zocdoc can search for a Primary Care Doctor who takes Multiplan PHCS insurance, book an appointment, and see the Primary Care Doctor within 24 hours. On site vaccines are as listed: Influenza*, Tdap, Hep B, MMR. programs is their network size, the freedom to see specialists, costs, and out-of-network coverage. Call toll-free, Mon.-Fri., 8 a.m. to 8 p.m., for network information. For more information please see our Advertiser Disclosure. Save up to 60% on vision and dental needs by using the Dental, Vision and More savings card. As a group of 25 or more practitioners, such as an IPA or PHO. Having had a vast experience in ENT and Head and Neck Surgery in both Brooklyn and Manhattan, I'm able to refer to Surgeons who are at the top of their field if a patient needs surgical intervention. With a PPO, you do not have to select a specific doctor. There wasnt a clear line for check in. Her primary goal as a practitioner is to ensure that each of her patients is happy and healthy. Following these five steps can significantly simplify the decision-making process. MultiPlan is the most extensive proprietary Preferred Provider Organization (PPO) in the United States, according to Private Health Care Systems. -Echocardiograms -Annual Well Visits She is proud to be a part of the Richmond Health Network team. We believe there is no such thing as a standard cost management approach. You can rest assured that the doctors they contract with are of the highest quality. "Amazing! Based in Brooklyn, NY, Ms. Langan works at Bay Ridge Skin & Cancer Dermatology P.C. As with all things in life, the additional coverage comes at a higher cost. Dr. Hersh attended medical school at the New York Institute of Technology, New York College of Osteopathic Medicine. 2023 MultiPlan Corporation. Born and brought up in Delhi, youll know me as the colorful Indian doctor in the practice. MultiPlan is not an insurance company. Principal Life Insurance Company. When you visit any Medicare-participating provider in the U.S. outside of the Lower Peninsula in Michigan, you'll pay in-network costs. She joined Montefiore in 2017. I believe in Primary care and all it stands for including preventative care and health education other than the management of acute and chronic issues. MultiPlan uses technology-enabled provider network, negotiation, claim pricing and payment accuracy services as building blocks for medical payors to customize the healthcare cost management programs that work best for them. Awesome stuff. Please contact our office to meet the doctor his patients call"The Best Doctor In Brooklyn", "It was great ira is one cool dude and great professional .". Just choose the special hours filter at the top of our search page. He is board certified in gastroenterology by the American Board of Internal Medicine. 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. Patients seek Ms. Langan's expertise for the treatment of fungal infection, rash, skin problem, sunburn, and evaluation of cyst. It all depends on the individual plans, which can include fixed indemnity plans or critical illness plans. When you search for Doctors on Zocdoc, you can filter your results by gender, in addition to other criteria. Please press the Continue button to proceed. He believes in acting with empathy and understanding. Doctor.com has profiles for millions of doctors and other health providers in the United States, including those who take Multiplan PHCS insurance. Users seeking official government information can do so by accessing HealthCare.gov. To work out the fine details of costs between the insurance company and the doctors. His practice offers the following services. Which Types of Insurance are under MultiPlan? Best of all, it's free- no downloads required or software to install. HMO gives you the ability to see doctors and hospitals in their network. Never assume. Providers cant request to alter or remove reviews. In those cases, you may have to pay the doctor directly, then file a reimbursement claim with the insurance company another reason why it is beneficial to remain within the network. We want our patients to be heading in the right direction, towards optimal health, physically and mentally. With a preferred provider organization (PPO) plan, you'll have coverage for health care that's administered by an in-network or out-of-network provider, but it is usually much more expensive to access care outside of the network. Law, there is no unjust enrichment claim against MultiPlan because there has been no benefit bestowed on MultiPlan in this case. I love the specialty of ENT because it allows me to help people with various types of problems from medical to surgical. She is a member of The American Association of Nurse Practitioners and Sigma Theta Tau nursing honor society. Even though MultiPlan provides the networks, not the benefits, many consumers are upset about the poor health benefits they receive with these plans. MultiPlan insurance plans are not considered traditional health insurance. However, it is an essential part of the health insurance process. Doctors on Zocdoc who see patients through online video visits will have a purple video icon on their profiles. See credentialing status (for groups where Multiplan verifies credentials) You can open a customer service case without creating an account. Dr. Schulte is board certified by the American Board of Pediatrics. She completed her residency in pediatrics at Rowan University. {"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. Dr. Chamikles obtained his medical degree from the New York Institute of Technology, New York College of Osteopathic Medicine. You will be able to search by name, specialty, facility type, National Provider Identifier Number (NPI#), or license number. Individually Contracted Practitioner (s) REGISTER. to find a Medicare-participating provider outside of our network. Multiplan PHCS Doctors nearby with great reviews. Highly recommended. Providers cannot request to alter or remove reviews. Originally from Ukraine, Dr. Aloyts attended medical school in St. Petersburg. Speak to a licensed insurance agent today. Each MultiPlan PPO provider offers different levels of flexibility. PPOs have certain advantages over the other levels of provision, such as an HMO, that benefit the insured. Keep in mind that the program is not traditional health insurance, so it may not have benefits like an out-of-pocket maximum to limit your medical costs, and it may not cover essential health services. She currently practices at Princeton Medicine and addresses a broad range of medical conditions. 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. She asked a lot questions to make sure she doesn't miss anything". Elaine Schulte, MD, MPH, is Vice Chair, Academic Affairs and Faculty Development, Pediatrics, Childrens Hospital at Montefiore, and Professor, Pediatrics, Albert Einstein College of Medicine. Policyholders can see specialists without a referral from their primary doctor. You may also search online at www.multiplan.com: Danielle Bruno is a Nurse Practitioner in Neurology specializing in Headache Medicine. Medi-Share is not insurance and is not regulated as insurance. We're a nationally recognized nonprofit health benefits company focused on improving the You need to enable JavaScript to run this app. , you likely have access to MultiPlans services through your health plan administrator or medical bill payer (especially if you see one of our logos on your Member ID card).. Instead, it creates provider networks, which are groups of doctors and medical professionals where you can use your health insurance plan's benefits. Dr. Carolan attended the New York Institute of Technology, New York College of Osteopathic Medicine, where she earned her degree in osteopathy.

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