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Danielle has expertise in the treatment of headache disorders including diagnosis, treatment, and management of Migraine and all headache types. MultiPlan PPO policies typically include a broader spectrum of services than HMO plans. Find Multiplan PHCS Therapists/Counselors & Providers with verified reviews. As a group of 25 or more practitioners, such as an IPA or PHO. This provider only sees patients w/ in-network benefits or accepts self-pay. If you see the MultiPlan or PHCS logo on your insurance card, it means Cigna is using a provider network supplied by MultiPlan. (please note the provider search tool is not mobile friendly) Telehealth Access Medi-Share members voluntarily share each other's medical expenses in accordance with guidelines adopted by the members and administered by CCM. Just choose the special hours filter at the top of our search page. Our most comprehensive program offering a seamless health care experience. Christian Care Ministry's primary preferred provider organization (PPO) is PHCS. we make it easier for you to quickly identify the most informative profiles on Doctor.com. Find out if your insurance is accepted. "I was extrememely pleased , friendly and emphatetic !". 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. So expect a wait to see him, but also expect a speedy diagnosis. Centura Spine Care Montrose. It is important to remember that MultiPlan is not an insurance company, meaning it does not determine what is covered. "First time I see Dr. Kimyagarova. Policyholders can see specialists without a referral from their primary doctor. PHCS, which stands for Private Healthcare Systems, is not an insurance company. The content provided here and elsewhere on the Zocdoc site or mobile app is provided for general informational purposes only. Dr. DePena sees patients of all ages for a range of concerns. She provides prescriptions and refills, flu shots, annual physical examinations, gynecological examinations, general consultations, and aids with family planning. Internist. very professional , very nice and helpful.". She is proud to be a part of the Richmond Health Network team. This means MultiPlan and PHCS do not provide benefits, nor do they pay medical claims. insurance, payment options, etc. doctor.". She utilizes an evidence-based approach to patient care and routinely develops individualized treatment plans to accommodate her patients needs and concerns. A healthy person may prefer to pay lower premiums if they dont visit a healthcare facility very often. Helpful for new patient onboarding process and finding a slew of doctors/specialists when moving to a new area. Dr. Schulte is board certified by the American Board of Pediatrics. programs is their network size, the freedom to see specialists, costs, and out-of-network coverage. 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. She is board certified by the American Board of Pediatrics and the American Board of Preventive Medicine. I'm proficient in Medical Spanish for ENT purposes. website and services to function. She then completed an internship and a residency in family medicine at AMITA Health, Saints Mary and Elizabeth Medical Center - Saint Elizabeth Campus. - Click to view our privacy policy. Would highly recommend.". To register, click the Registration Link for the session you wish to attend. She currently practices at Princeton Medicine and addresses a broad range of medical conditions. While Multiplan is the largest provider of PPOs in America, it is not the only one. What benefits are covered by MultiPlan? In most cases, you will not have to worry about filing any claims with your insurance company for the services you receive. Click on "Change Network". Please press the Continue button to proceed. 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. Register for an account For No Surprises Act First time visitor? She also offers online video visits for her patients. MultiPlans team of experts helps healthcare payors manage the cost of care, improve their competitiveness and inspire positive change. Dr. Sladzinska-Reyher graduated from Saint George University and completed her residency at Albert Einstein College of Medicine. You can review the disclosure required for the state in which you reside: KY, MD, PA, WI - All Other States. Once the nomination is received, your doctor will be contacted and asked if they would care to join the network. Phone: (631) 439-0600 Call. CoverageHaven.com is not affiliated with or endorsed by any government website entity or publication. It is not intended as, and Zocdoc does not provide, medical advice, diagnosis or treatment. She has created clinical guidelines and educational programs for pediatricians and adoption agencies and has given numerous national presentations on adoption, physician leadership and professional development. ACA Marketplace plans for individuals, families and small businesses. Unlike PPO plans, HMO plans cover appointments ONLY in its set network and give you a limited amount of freedom to see a non-network provider. If you prefer, you may enroll in Priority Health Medicare Advantage plans through the CMS Online Enrollment Center atmedicare.gov. 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. Dont be afraid to contact providers and ask questions to determine exactly what coverage includes. She joined Montefiore in 2017. You may want to ask about the out-of-pocket maximum, if the coverage includes newborn care, or find out details about prescriptions. 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. She is proud to have the opportunity to serve the adult and geriatric community at 1058 Forest Avenue alongside the other primary care providers and specialists. Dr. Hasan is devoted to ensuring the longevity of his patients health and developing long-lasting relationships with them. HMO gives you the ability to see doctors and hospitals in their network. Most PPO plans will cover preventative care and screenings, prescriptions, routine checkups, treatment from specialists, outpatient surgery, emergency care, and hospitalization. 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. His clinical interests include the management of Type 2 Diabetes, Stroke and Preventative Care. providers participating with MultiPlan to maintain their demographic information noted below. Average Overall User Rating for Providers in Connecticut who take Multiplan PHCS: 4 (out of 5) Doctor.com has profiles for millions of doctors and other health providers in the United States, including those who take Multiplan PHCS insurance. If you have questions regarding this list, call MultiPlan's Service Operations department at 800-546-3887. It is enjoyable to get to know patients and rewarding to get them the help they need. Editorial Note: The content of this article is based on the authors opinions and recommendations alone. It provides networks of doctors, hospitals and medical professionals, like its parent company, MultiPlan. If you have a certain condition or disease, does the network have physicians or specialists to treat the condition. As a result, many of the complaints lodged against MultiPlan with the Better Business Bureau (BBB) concern the lack of benefits and certain services not being covered. This can mean savings for you in the long run as long as you stay within the network. She is a fellow of the American Academy of Pediatrics. "Great communication. All other bookings are subject to cancellation. MultiPlan Corporation ("MultiPlan" or the "Company") (NYSE: MPLN), a leading value-added provider of data analytics and technology-enabled end-to-end cost management, payment and revenue integrity solutions to the U.S. healthcare industry, today reported financial results for the fourth quarter and full year ended December 31, 2022. 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). All rights reserved. First Health- Tower Life (Clear Channel Communications) Principal Financial. My medical needs were addressed and my whole health needs were met too,". Y0056_400040062300_2023_A CMS_accepted 12212022 Last updated 12212022. Choudhury Hasan is a very pleasant doctor, and so is his staff. MultiPlan is the most extensive proprietary Preferred Provider Organization (PPO) in the United States, according to Private Health Care Systems. 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. Patients see him for a variety of reasons, including biliary tract problems, gastroenterology consultations, paracentesis, pancreas problems, and gallstones. Keith Kouroupos is a Physician Assistant with many years of clinical experience. She is also certified by the American Board of Family Medicine. You will be able to search by name, specialty, facility type, National Provider Identifier Number (NPI#), or license number. "Overall great experience. Shelley Carolan is a considerate and dependable pediatrician caring for the Haverstraw, NY community. "She was very nice & thorough. Use Zocdoc to find doctors near you who take Multiplan PHCS insurance. 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. She is a member of The American Association of Nurse Practitioners and Sigma Theta Tau nursing honor society. Plus, 9 out of 10primary care doctors in Michigan and all major hospital systems in the lower peninsula are in our network1. Wherever your client may be in their health care journey, there's a product to meet their unique needs. Limited-benefit plans are primarily designed to supplement comprehensive health care policies, not to replace them. While premiums are higher, there are deductibles. -Echocardiograms Deductibles can vary significantly, and coverage doesnt take effect until the annual deductible is met. 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. To some degree, the size and the scope of a plans network are determined by negotiations between a health insurance company and MultiPlan. You have the choice of seeing a doctor or hospital outside the network with the possibility of coverage though benefits are better if you stay within your PPO network. Instead, it creates provider networks, which are groups of doctors and medical professionals where you can use your health insurance plan's benefits. 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. Typically, youll have a copayment of about $10 when visiting doctors within the provider network. Dr. Carolan is deeply committed to the well-being of her patients. Zocdoc let's you see real-time availability for Multiplan PHCS Doctors. Check the back of your Univera Member Card for the PHCS and MultiPlan logo. She is nice but did question my symptoms and prescribed me something I do not think I needed for what I am currently experiencing. You can see any doctors in or out of the network, though you do save money if they are within the specific network. He also completed his residency in family medicine at Peninsula Hospital Center. We use cookies and limited processing of your personal information for our 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. 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. She took her time, explained all of my options even ones that were never mentioned to me before. Doctors within your MultiPlan PPO provider network will fill out all the necessary paperwork for the insurance company. We're currently processing your request and we'll be in touch soon. Same-day appointments are often available, you can search for real-time availability of Doctors who accept Multiplan PHCS insurance and make an appointment online. She was awarded the Sigma Theta Tau Educator of the year award in 2013 Get . Ms. Kamineni attended the Ramapo College of New Jersey, where she received her bachelor's degree. 2023 MultiPlan Corporation. If you visit your doctor frequently, paying higher premiums could save you long-term on copays and deductibles. Agents/Brokers Find the information and resources you need to meet your clients' needs. Patients seek Ms. Langan's expertise for the treatment of fungal infection, rash, skin problem, sunburn, and evaluation of cyst. PHCS / Multiplan Provider Search. When you search for Doctors on Zocdoc, you can filter your results by gender, in addition to other criteria. She sets the bar so high for what anyone would want in a Medical Professional. 314 S 6TH ST. MONTROSE, CO, 81401-5719 In addition to premiums, dont forget to calculate the cost of copays and annual deductibles. Is Blue Cross Blue Shield Good? unique patients through our payor partners. These include: Many customers ask if MultiPlan PPOs are generally good but remember this is not insurance. <p>Please press the Continue button to proceed.</p> <input type="submit" value="Continue" /> For Commercial Health Plans: Email registrar@multiplan.com* Fax781-487-8273 I have also practiced in Interventional Radiology and Vascular Surgery. Dr. Rosenberg studied medicine locally, earning his MD at State University of New York Downstate Medical Center at Brooklyn, and completing his residency at the Montefiore Medical Center - Moses Division. He completed a fellowship in gastroenterology at the same institution. Registration closes one hour before the scheduled start times. (TTY call711). You can consult a doctor or specialist without a note from your primary care physician.