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Deductibles can vary significantly, and coverage doesnt take effect until the annual deductible is met. However, there are also some medical providers who have declined to participate in MultiPlan networks as a result of cost concerns. I will definitely stay with this office.". Choudhury S Hasan is a detail-oriented and trusted gastroenterologist based in Elmhurst, NY. Blue Care NetworkAdvantage (BCN) Medicare, Blue Cross Blue Shield Federal Employee Program, Blue Cross Blue Shield of Michigan(BCBSM), Blue Cross Blue Shield of Michigan(BCBSM) Medicare, Health Alliance Plan (HAP) Medicare Plans, PHP of Northern Indiana HMO/PPO (specialty services only), Private Health Care Systems (PHCS)/Multiplan, UnitedHealthcare Community Plan(Michigan Only), Report Sexual Misconduct, Discrimination and Harassment, Copyright 1995-2022 Regents of the University of Michigan. Rachel Stein Berman is a mindful and caring pediatrician serving the community of Bronx, NY. see the Primary Care Doctor within 24 hours, Multiplan PHCS Ear, Nose & Throat Doctors, Empire Blue Cross Blue Shield (Health) Doctors, EmblemHealth (formerly known as HIP) Doctors, EmblemHealth (formerly known as GHI) Doctors, Anthem Blue Cross Blue Shield Online Doctors, Medical School - Maulana Azad Medical College, Bachelor of Medicine, Bachelor of Surgery, Veterans Affairs New York Harbor Healthcare System, Bronx (Residency), Branchburg Medical Grp/Towne Centre Family Care, Medical School - St. George's University School of Medicine, Doctor of Medicine, New York Medical College, St. Josephs Hospital, Residency in Family Practice, Medical School - Universidad Iberoamericana (UNIBE) School of Medicine, Santo Domingo, AMITA Health, Saints Mary and Elizabeth Medical Center - Saint Elizabeth Campus, Residency in Family Medicine, AMITA Health, Saints Mary and Elizabeth Medical Center - Saint Elizabeth Campus (Internship), Medical School - New York Institute of Technology, New York College of Osteopathic Medicine, Doctor of Osteopathic Medicine, Saint Johns Episcopal Hospital, Residency in Family Practice, Dr. Aloyts is certified in osteopathic manipulative treatment by the American Osteopathic Board of Family Physicians, Medical School - State University of New York, Downstate Medical Center, Doctor of Medicine, Maimonides Medical Center, Internship in Internal Medicine, Maimonides Medical Center, Residency in Internal Medicine, City University of New York, College of Staten Island, Master's in Adult Health Nursing, National Commission on Certification of Physician Assistants, Pace University, Bachelor's in Physician Assistant Studies, Pace University, Master's in Business Administration, University at Buffalo, Master's in Science and Public Health, Rutgers, The State University of New Jersey, Doctorate in Family Nursing, Medical School - Grace University School of Medicine (Nevis), Doctor of Medicine, Catholic Medical Center, Residency in Internal Medicine, Catholic Medical Center, Fellowship in Gastroenterology, State University of New York, Downstate Medical Center, Bachelor's in Physician Assistant Studies, American Osteopathic Board of Family Physicians, Peninsula Hospital Center, Residency in Family Medicine, City University of New York, School of Law, Juris Doctor, Medical School - Albany Medical College, Doctor of Medicine, State University of New York, Albany, Residency in Preventive Medicine, State University of New York, Albany, Master's in Public Health, Albany Medical College, Residency in Pediatrics, Peninsula Hospital Center, Residency in Family Practice, Rutgers, The State University of New Jersey, Master's in Family Nursing, Ramapo College of New Jersey (Bachelor's), American Association of Nurse Practitioners, Advanced Practitioner Society for Hematology and Oncology, Medical School - Boston University, Doctor of Medicine, State University of New York, Downstate Medical Center, Master's in Family Nursing, State University of New York, Binghamton University (Bachelor's), Cardiovascular Disease (Internal Medicine), Jacobi Medical Center, Internship in Internal Medicine, Jacobi Medical Center, Residency in internal Medicine, Montefiore Medical Center - Moses Division Hospital, Fellowship in Cardiovascular Disease, Rowan University, Residency in Pediatrics, Jamaica Hospital Medical Center, Residency in Family Medicine, Mount Sinai Doctors - Long Island and Forest Hills, St John's Episcopal Hospital, Residency in Family Practice, NYPMG Hudson Valley - Internal Med Putnam Valley, Albert Einstein College of Medicine of Yeshiva University (Residency), Adelphi University, Master's in Adult Gerontology Nursing, International Organization Of Multiple Sclerosis Nurses, University of Pennsylvania, Master's in Nursing, Rutgers, The State University of New Jersey, Doctor of Nursing, Medical School - Rutgers, The State University of New Jersey, Doctor of Medicine, Jersey Shore University Medical Center, Residency in Internal Medicine, Boston Medical Center, Fellowship in Preventive Medicine, Maryville University, Master's in Nursing. 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. Insurance Information. 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. by providers with Doctor.com accounts when editing their profile on Doctor.com. "Overall great experience with the doctor and the nurse! 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. I have also practiced in Interventional Radiology and Vascular Surgery. If you have questions about whether a service will be authorized, please call your health plan. MultiPlan, and its subsidiary PHCS, do not determine whats covered by your health insurance plan or how much you pay for medical care. You can search for Multiplan PHCS Doctors by symptom or visit reason. Dr. Xelenia DePena is a calm and compassionate family physician. His practice offers the following services. She is committed to making each patients experience comfortable and giving correct diagnoses to ensure the continued health of all her patients. MultiPlan owns PHCS. "She was very friendly and helpful. She is a part of Community Health and Dental Care, in Barto, PA. She treats patients of all ages for a wide range of conditions. They do not provide comprehensive coverage. She is a member of The American Association of Nurse Practitioners and Sigma Theta Tau nursing honor society. Plus, 9 out of 10 primary care doctors in Michigan and all major hospital systems in the lower peninsula are in our network 1. That way, youll only see Doctors who match your preferences. The air was muggy and heavy, poor or no circulation. Speak to a licensed insurance agent today. For billing and insurance questions, please contact Patient Customer Services at: Below is a list of insurances that Michigan Medicine participates with based on Medical benefits. If your plan has access to MultiPlan, then whether you're traveling or have an eligible . If an authorization is required, University of Michigan Health System clinic staff will obtain the authorization from your health plan prior to the service. Just choose your carrier and plan from the drop-down menu at the top of the page. Managing your health insurance is easier than ever with Priority Health. Keith Kouroupos is a Physician Assistant with many years of clinical experience. The plans can provide helpful coverage in certain circumstances, such as if you need short-term health insurance or supplemental insurance. She joined Montefiore in 2017. She also offers online video visits for her patients. When you see a therapist who is in-network with Multiplan or PHCS, each session you'll pay only a copay, which typically ranges from $0-$75/session. Welcome to the MultiPlan Provider PortalThe portal lets you view and update your network-related information, manage tasks such as credentialing and track your customer service case history. health and lives of one million members across Michigan. She also holds a bachelors degree from the College of New Jersey. "I was extrememely pleased , friendly and emphatetic !". Michele McMurray, NP is double board certified with ANCC as an Adult/Gerontology Nurse Practitioner and Clinical Nurse Specialist. Registration is required for these meetings. She provides a range of primary care services, including annual physicals, annual pap smears, screening for diseases, foot consultations, and pre-surgery checkups. If you see the MultiPlan or PHCS logo on your insurance card, it means Cigna is using a provider network supplied by MultiPlan. Which Types of Insurance are under MultiPlan? Christian Care Ministry's primary preferred provider organization (PPO) is PHCS. Changes to any demographic information for providers contracted through a group must be submitted to MultiPlan on the group's letterhead by the group administrator. I am a skilled PA with a background focused in ENT - both inpatient and outpatient. Provider Directory. MultiPlan can help you find the provider of your choice. Dr. Kimyagarova has devoted her life to helping patients with complex medical problems and strives to provide them with proper advice to improve and maintain their health on a day-to-day basis. Best of all, it's free- no downloads required or software to install. Dr. Bermans public health interests include improving social determinants of health, and she passionately advocates for policies and programs that benefit vulnerable children in the US and beyond. Some PPO plans include coverage for alternative therapies such as acupuncture, naturopathy, and therapeutic massage. She asked a lot questions to make sure she doesn't miss anything". Typically, higher premiums mean lower copays and deductibles. If youre not sure which plan you have, you can use Zocdocs insurance checker to find out. These complaints should instead be directed to the individuals health insurance company. The level of comfort and care she provides is incredible not to mention the progress Ive made with my cystic acne. To get an insurance quote over the phone, call: (855) 596-3655 | Agents available 24 hours a day, 7 days a week! Dr. Hasan runs his own practice and was the Chief of Gastroenterology at Flushing Medical Center and the former Chief of Gastroenterology of St. John's Queens Hospital. She utilizes an evidence-based approach to patient care and routinely develops individualized treatment plans to accommodate her patients needs and concerns. Dr. Patel believes in patient centric, rather than symptom centric care and treatment of the patient as a whole with dignity. To work out the fine details of costs between the insurance company and the doctors. programs is their network size, the freedom to see specialists, costs, and out-of-network coverage. Zocdoc let's you see real-time availability for Multiplan PHCS Doctors. Very friendly and informative.". After approval, you will receive the benefits of having your doctor in your network. Zocdoc is a free online service that helps patients find Multiplan PHCS Doctors and book appointments instantly. As with all things in life, the additional coverage comes at a higher cost. Zocdoc lets you search specifically for a Primary Care Doctor who has appointments available before 10:00 am, or after 5:00 pm. Before deciding, consider the following advantages and disadvantages to a PPO health insurance plan. Network varies by plan. See 26 U.S.C 5000 A(d)(2)(B). You can review the disclosure required for the state in which you reside: KY, MD, PA, WI - All Other States. According to CMS National Downloadable File for Physicians, July 2022. 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. We are not an insurance company. We use the latest medical equipment and medical information. If you have questions regarding this list, call MultiPlan's Service Operations department at 800-546-3887. He has been practicing medicine in our community for almost 30 years. Providers cannot request to alter or remove reviews. Following these five steps can significantly simplify the decision-making process. However, questions about coverage or benefits should be directed to the health insurance company, which is probably the other logo on your insurance card. Adult Nurse Practitioner. If you have questions related to estimates for out-of-pocket costs, please visit our Estimates for Out-of-Pocket Costs page. When you search for Doctors on Zocdoc, you can filter your results by gender, in addition to other criteria. Get . Plus, our partnership with MultiPlan makes accessing Medicare-participating providers even easier. 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. Does the network contain physicians and other health care providers you want to see? Provider Directory. Providers cannot request to alter or remove reviews. We recommend that you check with your insurance company to confirm benefit coverage prior to scheduling an appointment. American Health Group. Awesome stuff. B = Both Complementary and Primary PPO C = Complementary PPO only P = Primary PPO only V = ValuePoint only MultiPlan PPOs have rigorous criteria when they are evaluating the providers for their network. A health care sharing option for employers. Group or PHO/Health System. Multiplan PPOs give you the opportunity of freedom. 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. Just choose the special hours filter at the top of our search page. Patients visiting Dr. Aloyts can receive a full range of medical services. MultiPlan provides access to a mixture of commercial, property & casualty, and government-sponsored health care programs such as: CoverageHaven.com is owned & operated by Rank Media Insurance Agency LLC, a privately-owned non-government entity. Even though MultiPlan provides the networks, not the benefits, many consumers are upset about the poor health benefits they receive with these plans. Dr. Sladzinska-Reyher graduated from Saint George University and completed her residency at Albert Einstein College of Medicine. Your plan also includes the Priority Health Travel Pass for out-of-area care at in-network costs, access to MultiPlan Medicare Advantage providers outside of the Lower Peninsula of Michigan, unlimited worldwide emergency and urgent care and Assist America for global travel assistance. Use Zocdoc to find doctors near you who take Multiplan PHCS insurance. No Surprises Act Update: IDR Entities Will Partially Resume Issuing Payment Determinations. Whom do I contact if I have an issue regarding copayments, deductibles, and/or premium payments? If 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. Welcome to the MultiPlan Provider PortalThe portal lets you view and update your network-related information, manage tasks such as credentialing and track your customer service case history. Note: Out-of-network/non-contracted providers are under no obligation to treat Priority Health members, except in emergency situations. Dr. Schulte is board certified by the American Board of Pediatrics. You need to enable JavaScript to run this app. NP McMurray completed her undergraduate nursing degree from Russell Sage College in Troy, NY. Call toll-free, Mon.-Fri., 8 a.m. to 8 p.m., for network information. You are free to see any doctor, but the contracted rates are with the providers within the network. Click on "Change Network". Patients also frequently seek her out for help with obesity, skin lesions, and opioid dependence. Internist. -Vascular Testing Y0056_400040062300_2023_A CMS_accepted 12212022 Last updated 12212022. Find trusted in-network doctors, covered prescriptions and get plan information. It is enjoyable to get to know patients and rewarding to get them the help they need. After practicing for 13 years as a gynecologist in Russia, she continued her medical education in the United States at the New York Institute of Technology, New York College of Osteopathic Medicine. Each review must comply with Zocdocs guidelines. "Kristin Langan is the best dermatologist I have ever been to. And they can be good or bad depending on what the consumer is looking for. Copayments usually are higher for out-of-network physicians. {"content":"In 2006, MultiPlan bought PHCS, one of its major competitors, which also furnishes national and regional provider networks. Check out our resources: Optimize your company's health plan. Private Healthcare Systems (PHCS), We believe there is no such thing as a standard cost management approach. Her primary goal as a practitioner is to ensure that each of her patients is happy and healthy. PHCS / Multiplan Provider Search. However, if you rely on a limited-benefit plan as your major source of insurance coverage, you are vulnerable to unforeseen costs if you get sick or have an accident. You may also search online at www.multiplan.com: 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. She has completed masterclass coursework on treatment of Chronic Migraine using Botox, and is active in research studies on the development of migraine and multiple sclerosis. She also treats common ailments and provides prescriptions and refills. 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.