Learn more about out-of-state travel benefits. Patients visit her for a variety of reasons including allergy consultations, annual physical exams, arthritis, and weight loss consultation. According to the MultiPlan website, 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).. A supplementary health care sharing option for seniors. His clinical interests include the management of Type 2 Diabetes, Stroke and Preventative Care. Please only book a follow up appointment if you are an existing patient. 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. 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. 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. But the two entities have different provider networks for their insurance company clients. "Dr. De pena is really knowledgeable, I went in to see her with some concerns about my health and she answered all my questions. I love the specialty of ENT because it allows me to help people with various types of problems from medical to surgical. Currently he is working in Interfaith Medical Center, Brooklyn, New York as Acting Director of Gastroenterology.. We're a nationally recognized nonprofit health benefits company focused on improving the Melanie Lieblang, NP. This provider only sees patients w/ in-network benefits or accepts self-pay. If you are a new patient booking a follow up appointment, the appointment will be cancelled and rescheduled by the practice. 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. Other networks are designed for limited-benefit plans, appealing to beneficiaries who want to supplement existing coverage. Providers Join our network, and together, we'll give patients access to the highest quality, safest and most effective health care. She utilizes an evidence-based approach to patient care and routinely develops individualized treatment plans to accommodate her patients needs and concerns. 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. Examine specific plans from each provider to get a better overview of which plans offer you more value. Insurance Information. He has been practicing medicine in our community for almost 30 years. He is a member of the American College of Physicians and the American College of Gastroenterology. As MultiPlan does not sell health insurance, this is a question for your specific health insurance company. MultiPlan - Delivering affordability, efficiency and fairness to the US Shelley Carolan is a considerate and dependable pediatrician caring for the Haverstraw, NY community. He encourages open communication with his patients, which allows him to guide them through their treatment as active participants in their own well-being. The receptionist were clearly overwhelmed but well mannered.". You may want to ask about the out-of-pocket maximum, if the coverage includes newborn care, or find out details about prescriptions. 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. The site does not review or include all companies or all available products. She has been with Richmond University Medical Center since 2007, initially as a Nurse Educator, while completing her Masters degree and Post Masters Certificate. He takes his time to understand symptoms and give correct diagnoses to ensure the continued health of all his patients. The company has several options to choose from, whether you need a full health insurance plan, vision, dental or Medicare. Premier Provider Network (PPNI) Allied Benefit System. We recommend you check with your insurance company to confirm benefit coverage prior to scheduling an appointment. See all nearby highly-recommended providers. "Catherine was fantastic would recommend to anyone in area looking for someone nice and knowledgeable.". HMO gives you the ability to see doctors and hospitals in their 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. Zocdoc is a free online service that helps patients find Multiplan PHCS Doctors and book appointments instantly. John Prince PA-C | Physician Assistant - Surgical, Spine Surgery We believe there is no such thing as a standard cost management approach. It provides networks of doctors, hospitals and medical professionals, like its parent company, MultiPlan. What benefits are covered by MultiPlan? insurance, payment options, etc. Please note: not all transplant services shown on the OptumHealth site are covered under your insurance plan. MultiPlan is not affiliated with anyone or any entity that claims to be selling MultiPlan health plans or insurance policies. Did you receive an inquiry about buying MultiPlan insurance? Edyta Sladzinska-Reyher, MD, is an internist at NewYork-Presbyterian Medical Group Hudson Valley and has more than twenty years of experience practicing medicine. PDF MultiPlan/PHCS Client Listing - Fchn.com She is nice but did question my symptoms and prescribed me something I do not think I needed for what I am currently experiencing. As a group of 25 or more practitioners, such as an IPA or PHO. Insurance companies will contract with MultiPlan PPO, who negotiate with the doctors in the network. He also completed his residency in family medicine at Peninsula Hospital Center. ", "The office was chaotic and everyone seemed to stressed. PHCS contracts with more than 700,000 health care providers throughout the country. Phone: (631) 439-0600 Call. Affordable health care options for missionaries around the globe. Dr. Zahava Hersh serves the community of Hewlett, NY, as a trusted and reputable primary care doctor. She also treats common ailments and provides prescriptions and refills. PPOs have certain advantages over the other levels of provision, such as an HMO, that benefit the insured. Deductibles can vary significantly, and coverage doesnt take effect until the annual deductible is met. This means MultiPlan and PHCS do not provide benefits, nor do they pay medical claims. We believe there is no such thing as a standard cost management approach. There are also generally more restrictions on the number of visits, tests and treatments that will be covered. "Overall great experience with the doctor and the nurse! Health News See our high-quality Medicaid plans and understand your coverage. Find trusted in-network doctors, covered prescriptions and get plan information. If you have questions regarding this list, call MultiPlan's Service Operations department at 800-546-3887. 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. MultiPlan contracts with some of the largest health insurance companies in the country, offering them national and regional provider networks that determine where you can go for covered health services. You follow the prompts on the screen to enter your search criteria. Doctors on Zocdoc who see patients through online video visits will have a purple video icon on their profiles. 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. Our most comprehensive program offering a seamless health care experience. If your plan requires a referral, your primary care physician must provide the referral prior to services being rendered. MultiPlan contracts with some of the nations largest private insurers, including Cigna and UnitedHealthcare. If you have a participating health insurance plan and provide us with your policy information, we will file your insurance claims for you. Dr. Carolan is deeply committed to the well-being of her patients. by providers with Doctor.com accounts when editing their profile on Doctor.com. He completed a fellowship in gastroenterology at the same institution. -Nerve testing for diabetes and neuropathy Find a doctor tool for Priority Health members Dr. Kimyagarova earned her medical degree from the New York Institute of Technology, New York College of Osteopathic Medicine. Dr. Hersh attended medical school at the New York Institute of Technology, New York College of Osteopathic Medicine. Plus, 9 out of 10 primary care doctors in Michigan and all major hospital systems in the lower peninsula are in our network 1. 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. Patients see him for a variety of reasons, including biliary tract problems, gastroenterology consultations, paracentesis, pancreas problems, and gallstones. Patients visiting Dr. Aloyts can receive a full range of medical services. Frequent visits to out-of-network physicians could quickly become very costly. I'm proficient in Medical Spanish for ENT purposes. Save up to 60% on vision and dental needs by using the Dental, Vision and More savings card. The content provided here and elsewhere on the Zocdoc site or mobile app is provided for general informational purposes only. 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. 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. 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. The program is available through some employers or buying clubs. Graduating in 2005 from the Wagner College-Staten Island University Hospital Physician Assistant Program, PA Kouroupos spent his first year of clinical practice at Maimonides Medical Center in the Department of Cardiothoracic Surgery. Insurance Information | AEL Caring & answers all questions!!!! In his free time, Dr. Rosenberg takes in as much culture as he can through his favorite hobbies: reading, traveling, and seeing theater on Broadway! He attended Columbia University and Downstate Medical School and graduated both with honors. For example, a limited-benefit plan may not cover preexisting conditions or prescription drugs. There is no network. She is board certified by the American Board of Pediatrics and the American Board of Preventive Medicine. 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 .". 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. "I would just like to mention that this office seems more like a clinic than a regular doctors office. When searching for a MultiPlan PPO provider, consider your available plan options, medical needs, and premium rates. And they can be good or bad depending on what the consumer is looking for. 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. Dr. Patel believes in patient centric, rather than symptom centric care and treatment of the patient as a whole with dignity. MultiPlan and PHCS, because of their size, are able to recruit providers and other entities into their networks, requiring them to offer services at discounted rates, which are then passed on to the consumer in the form of lower medical costs. Advertiser Disclosure: Some of the offers that appear on this website are from companies which ValuePenguin receives compensation. In most cases, you will not have to worry about filing any claims with your insurance company for the services you receive. Dr. Forde is board certified by the American Board of Family Medicine and is a member of the American Academy of Family Physicians. Read verified reviews from patients and see real-time availability for every doctor, Choose your insurance to find nearby in-network doctors who accept your plan, Book appointments online and see the same great doctors in-person or with a video visit. There wasnt a clear line for check in. First Health- USI Administrators. "Great communication. I wasnt rushed and he answered all my questions and concerns.". These include ear infections, foot pain, rashes, urology problems, abscesses, acne, sexually transmitted diseases, urinary tract infections, and other common ailments. Authorizations are often required for procedures such as surgery or MRI. Our website uses cookies. Practicing as a part of Mount Sinai Doctors - Long Island and Forest Hills, Dr. Hersh is eager to help the wider community receive the care they deserve. Are there enough primary care and specialist physicians within the network to have health care options? 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) One of the best ways to start is to review a list of providers within the insurance plans network, determining, for example, whether it will be difficult or easy for you to access physicians and other providers within the plan network. 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 2023 MultiPlan Corporation. Originally from Ukraine, Dr. Aloyts attended medical school in St. Petersburg. Multiplan Network - Find a Doctor - MyBenefitsKeeper Beneficiaries complain, for example, that a MultiPlan network does not cover physicals or maternity care. Toll-free (855) 855-0863 or (734) 615-0863, Monday through Friday 8 a.m. 4 p.m. AHL Administrative Services Only (ASO) Self-Funded Plans HMO, AHL Administrative Services Only (ASO) Self-Funded Plans EPA, AHL Administrative Services Only (ASO) Self-Funded Plans EPO, AHL Administrative Services Only (ASO) Self-Funded Plans PPO, AHL CDHP Comprehensive Basic Full HAP EPA, AHL EPA (HFHS Advantage Tiered Access EPA Plan), BCN Virtual Primary Care (Specialty Care Only), U-M Domestic Student Health Insurance Plan, U-M International Student Health Insurance Plan, Prescription Blue Group PDP and Individual PDP, Traditional coverage (comprehensive major medical), Blue Cross Medicare Private Fee for Service, Optum Health / UnitedHealthcare - Community Care Network (CCN), Alliance Health and Life Personal Alliance PPO, HAP Jackson Health Network Select HMO Jackson County Employer Group only (Tier 1 for Pediatric Services only), HAP MA Primary Choice Referral from Primary Choice PCP needed, HAP Senior Plus Henry Ford Tiered Access Tier 2, HAP Senior Plus Option 1 and Option 2 (HMO-POS), HAP Senior Plus (PPO) (Options 1, 2, 3 and 4), Humana Commercial PPO products (through Cofinity network), McLaren Health Advantage PPO (Employees of McLaren Healthcare System), McLaren Health Advantage PPO (self-insured and fully-insured), McLaren Health Plan Community Point of Service (POS), McLaren Health Plan Healthy Michigan Plan HMO, Medicare Complete Care Select (HMO D-SNP), Paramount Preferred Options PPO (Through CuraNet/HAP AHL), Administrative Services Only ASO (Through CuraNet/HAP AHL), Parkview Signature Care PPO Exclusive Advanced, Parkview Signature Care PPO Exclusive Elite, Sparrow Health System Group Benefit Plan (PPO), University of Michigan Health Advantage Plus. 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.