Phc healthcare insurance. Get a quote online today! Partnership for Healthier Communities (PHC) is a program of Inova Health System, with additional funding support from the Virginia Health Care Foundation (VHCF), the Virginia Department of Medical Assistance (DMAS) and the Centers for Medicare & Medicaid Services (CMS). A guide of whom to contact for assistance organized by department and name with email address and direct extensions. MultiPlan, and its subsidiary PHCS, don't determine what's covered by your health insurance plan or how much you pay for medical care. However, in 1983 Congress exempted the Quickly compare health insurance plans to make an informed choice for you and your family’s specific health insurance needs. Eliance Health Solutions Eliance Health Solutions provides businesses in Lancaster County with self-funded group health insurance, corporate wellness and occupational medicine services. Conclusion PHCS insurance presents both benefits and challenges. Our staff is here to help answer your question! Please note, since Preferred Health Care is not an insurance company, all questions regarding claims payment, determination of eligibility, benefit verification or ID card distribution Feb 15, 2025 · Understand PHCS prior authorization process and requirements for smooth medical claims. Feb 11, 2022 · What type of insurance is PHCS? Private Healthcare Systems (PHCS) is a health insurance company that offers millions of members across the country coverage for medical and behavioral health care. Call: (800) 263-0067, Monday through Friday, 8:00 a. Call (833) 877-9927 to learn if it's the right health option for you today. Insurance Plans – PHC of Pinellas accepts most insurance plans including Medicare and Medicaid. What is Perferred Health Care (PHC)? PHC is a Preferred Provider Organization established over thirty eight years ago to provide you with cost-effective healthcare delivered by high-quality physicians and hospitals. Partnership HealthPlan of California is a non-profit community based health care organization that contracts with the state to administer Medi-Cal benefits through local care providers to ensure Medi-Cal recipients have access to high-quality comprehensive cost-effective health care. The short form PHCS stands for Primitive Healthcare Systems. This is the best PHCS – Private Health Care Systems phone number where you can speak to a real person and get assistance with your medical insurance issue. A PHCS logo on your health insurance card tells both you and your provider that a PHCS discount applies. Your out-of-pocket costs will be based on your plan’s in-network coinsurance levels. Multiplan and PHCS networks offer nationwide access to discounted healthcare. * To use extensions, dial the main PHCS Office number, then when it picks up, press the extension you want - no need to wait! New! Click the button below the description to CHAT LIVE (during office hours) directly with the persons listed. These include private and employer-sponsored health plans, Medicaid, Medicare Advantage, Workers’ Compensation, and Auto Medical. Utilization and Case Primary health care (PHC) is an integral part of a country’s health system and, ideally, its main focus. CLICK HERE TO PRINT COMPLETE PHC PROVIDER DIRECTORY Jun 24, 2022 · What does PHCS insurance cover? Image: What does PHCS insurance cover? PHCS insurance provides coverage for a wide range of medical services and preventive care. AHF’s Explore PHCS insurance Texas plans with wide provider access and great benefits. The problem is, whenever I call an office to make an appointment and they contact MultiPlan to check coverage, they tell the office/facility I'm not covered for behavioral health. So, you can be sure that when choosing PHC, you have a customer driven, collaborative and innovative partner in healthcare. This plan is formerly known as Positive Healthcare California. Feb 16, 2024 · This includes contracting, credentialing, developing access solutions, and negotiating discounts. In this context, PHCS forms contracts with doctors, hospitals, and other healthcare providers, who then agree to provide their services at reduced rates for patients covered by PHCS health insurance. If you are not the designated eAdmin check with your practice manager for instructions. AHF is the nation’s largest HIV health care provider. By exploring PHCS insurance reviews, potential customers can better understand what to expect, ultimately helping them choose a plan that aligns with their healthcare needs. May 4, 2023 · Plans get administrative ease without sacrificing provider access, savings, and quality for health plan members. We will file your health, auto, or workman’s comp insurance and we accept Letters of Protection (LOP). Background The 1974 Hawaii Prepaid Health Care Act (PHCA) was the first law requiring employers to provide health care benefits to employees. The PHCS and MultiPlan networks are networks of medical doctors and facilities that health plans use in order to provide a broader choice of healthcare providers offering discounted services to their members. It offers an array of group and individual plans, including PPO, HMO, POS, EPO, and high-deductible health plans. Santa Rosa Community Health (SRCH), Providence, and Partnership HealthPlan of California have finalized a collaborative effort to open a new pediatric care facility to expand access to care for children and youth of the southwest Santa Rosa community. Savings - Negotiated discounts that result in significant cost savings when you visit in-network providers, helping to maximize your benefits. Quality – MultiPlan applies rigorous criteria when credentialing providers for participation in the PHCS Network, so you can be Customized health insurance plans that are designed to protect your health, reduce stress, and support you through life's unpredictable moments. Call (833) 877-9927 for help! Health Provider Resources. Call (833) 877-9927 now for personalized assistance and quotes! PHCS Limited Benefit Plan details, pros, and coverage insights. . Voluntary Benefits, Lifestyle Benefits, Medical Discounts and Insurance. As a large provider of DME and respiratory services, we accept Medicare and Medicaid and are contracted and in-network with many insurance providers. Is MultiPlan PHCS legitimate? Significant Access and Savings With the PHCS Network, Members can choose from over 4,200 hospitals, 68,000 ancillary care facilities and 590,000 healthcare professionals nationwide, whether they seek care in their home town or across the country. What is a PHCS provider? The PHCS and MultiPlan networks are networks of medical doctors and facilities that health plans use in order to provide a broader choice of healthcare providers offering discounted services to their members. Enroll today for affordable solutions. PHCS insurance offers broad healthcare coverage nationwide. It includes all open positions, including medical, dental, behavioral health and administrative roles. Savings – Negotiated discounts that result in significant cost savings for you when you visit in-network providers, helping you to maximize your benefits. PHC represents a credentialed network of thousands of healthcare providers. Providers submitting healthcare claims electronically, please use the payor ID found on the back of the member ID card. S. They partner with Multiplan for access to its PPO network. Essential guide for patients and providers. Quality - MultiPlan applies A PHCS logo on your health insurance card tells both you and yourprovider that a PHCS discount applies. to 8:00 p. The company provides coverage for medical care, prescription drugs, vision and hearing care, mental health services and substance abuse treatment. Learn how the PHCS network works, its benefits, insurance types, and referral needs. PHC California is part of AIDS Healthcare Foundation (AHF). Within a few years of enactment, a federal appeals court held that ERISA preempted the PHCA, rendering it unenforceable. Instead, a MultiPlan network determines the doctors and medical providers that will accept Insurance Plans – PHC of Pinellas accepts most insurance plans including Medicare and Medicaid. Contracted providers cannot collect reimbursement from a PHC California Member or persons acting on behalf of a Member for any services provided, except to collect any authorized share of cost co-insurance, co-payment or deductibles when applicable. Discover the benefits of PHCS Multiplan Insurance for quality care and cost management in healthcare. We work with a wide variety of insurance carriers, benefit providers, and medical discount groups to empower consumer choice, control, and convenience. Discover PHCS eligibility and benefits to save on healthcare costs. CT scans (all diagnostic exams) abnormal MRI; and 2. Quickly compare health insurance plans to make an informed choice for you and your family’s specific health insurance needs. Compare health insurance plans, get quotes, and find affordable options for you and your family on HealthInsurance. The Centers for Medicare & Medicaid Services (CMS) and your MultiPlan network provider agreement mandates all those contracted to provide health care services to Medicare Advantage beneficiaries must complete the applicable Medicare Advantage program compliance trainings. Aug 12, 2025 · MultiPlan creates networks of doctors, hospitals and medical providers that are used by insurance companies. (For other FAQs, see Workers’ Comp or Temporary Disability Insurance) Employee’s section Who is eligible for PHC benefits? When does my health care coverage begin? If I have two jobs, which employer is to provide PHC coverage? If I already have health coverage elsewhere, do I have to be covered again by my employer’s plan? […] If you have a question about your health plan or are interested in learning more about our services, please fill out the form below or call us at 717-560-9290. The PHCS Network is designed to be used with limited benefit plans that offer a higher level of coverage. It is the first level of contact for individuals, families and communities and enables health care to be delivered as close as possible to where people live and work. PHCS insurance is a health insurance company and Preferred Provider Organization (PPO). It is also a strong advocate for people with HIV. In order to confirm the PPO network you have access to, please check for the PPO network logo on your health insurance ID card, or check with your benefit administrator. Call (833) 877-9927 to check your eligibility and provider access today. Get a quote online today! Look for the PHCS logo on your health insurance card to easily identify when a PHCS discount applies. Network-Based Services For more than 40 years, our clients have used MultiPlan’s networks to provide their members a variety of commercial, property and casualty and government-sponsored health care programs. What does PHCS stand for in health insurance? Incidentally, about 10 years ago, Preferred Health Care System (PHCS) was involved in a different arrangement that Search for a doctor, hospital, lab or other healthcare provider or facility. PHC partners with your providers and Insurance Company / Third Party Payor (TPA) to provide discounts for services. Partnership for Healthier Communities (PHC) is a program of Inova Health System, with additional funding support from the Virginia Health Care Foundation (VHCF), the Virginia Department of Medical Assistance (DMAS) and the Centers for Medicare & Medicaid Services (CMS). PHCS plans are going to be short term limited benefit plans that offer no coverage for catastrophic (they dont have a max out of pocket) Im a licensed health insurance agent that contracts with all the major carriers. Call (833) 877-9927 to check your benefits and see if your provider is in-network today. Feb 20, 2025 · Learn how PHCS Insurance operates, including its network structure, coverage options, claims process, and key considerations for policyholders. Includes billing and financial services, appointment information, and more. Member Services is closed on holidays. High Quality, Cost Effective Healthcare Preferred Health Care (PHC) is a licensed PPO in Lancaster, Chester and York Counties with strong roots in the community and a comprehensive network of providers to serve the needs of our many members. Claritev does not offer insurance, does not administer benefit plans, and does not pay claims to the doctors or facilities in our network. This is Primary Health Care's job board. m. Access patient information and check benefits eligibility online in your webECI portal. Services covered include doctor’s visits, hospital stays, lab tests, emergency room visits, prescription drugs and mental health services. May 5, 2022 · PHCS, or Private Health Care Systems, is a network of health insurance providers that offer managed care plans. Choice - Broad access to nearly 4,400 hospitals, 79,000 ancillaries and more than 700,000 healthcare professionals. Medicare Advantage: General Compliance and Fraud, Waste and Abuse Training The Centers for Medicare & Medicaid Services (CMS) and your MultiPlan network provider agreement mandates all those contracted to provide health care services to Medicare Advantage beneficiaries must complete the applicable Medicare Advantage program compliance trainings. This plan is for people who are have a prior AIDS diagnosis, have Medi-Cal and live in Los Angeles, California. Sep 27, 2025 · PHCS is a network-based insurance firm and care management company, not an insurance plan. If your health plan includes access to the PHCS network, the phone number is your go-to resource for verifying provider participation, confirming insurance eligibility, and resolving questions related to benefits, pre-authorizations, and healthcare services. Who owns PHCS network? (PHCS) today announced that MultiPlan will acquire PHCS, creating the industry's most comprehensive medical cost management provider. With over 1. PHC empowers a wide range of digital enrollment and member management solutions ranging from business process outsourcing to payment processing. That's set by the insurance company and the plan you select. MultiPlan PHCS insurance refers to a healthcare plan that uses the PHCS network from MultiPlan to offer access to discounted medical services from a large network of providers nationwide. PHC is therefore the first element of the care continuum. We will file auto insurance, health insurance, workman’s comp and accept Letters of Protection. Claritev's healthcare technology solutions and data-driven insights improve affordability, transparency, and quality across the healthcare ecosystem. The Primary Health Care (PHC) program works with clinic sites across the state to provide comprehensive primary and preventive health care to eligible men, women and children. Find out if you’re eligible for PHCS eligibility and benefits — and how to enroll today. Our goal is to bring employers, providers and health plan members together for better health and smarter health plan spending. Discover the benefits of phcs vision insurance for comprehensive eye care coverage, including routine exams and savings on eyewear expenses. Provider Nominations Jun 11, 2022 · PHCS Insurance, or Preferred Health Care System, is a health insurance plan that is managed by MultiPlan, Inc. MultiPlan provides healthcare solutions for providers, patients, and payers, offering tools and services to simplify access to quality care. What is PHCS PPO insurance? Learn how it works and what it covers. Discover everything about PHCS eligibility in 2025. PHP is the first HIV-specific special needs health plan approved by the Centers for Medicare & Medicaid Services (CMS). Members can then use providers in the PHCS network and receive discounted rates that are pre-negotiated by MultiPlan. ) Be treated with respect and recognition of your dignity and right to privacy. It operates on a vast network of healthcare providers, including primary care physicians. It looks like any other health insurance website. Learn your options—call (833) 877-9927 now for expert guidance and plan details! Sep 13, 2023 · A PPO is a type of health insurance arrangement where the insurance company has contracts with a network of “preferred” providers. Learn about health insurance coverage for CPAP machines. California PHP California PHC PHP (HMO SNP) is a Medicare Advantage Prescription Drug health plan specifically for Medicare beneficiaries who are living with HIV and reside in Los Angeles County. What does PHCS stand for MultiPlan? Private Healthcare Systems (PHCS) is a health insurance company that offers millions of members across the country coverage for medical and behavioral health care. Find PHC Providers SEARCH FOR A PHC PROVIDER SEARCH FOR A PHC ANCILLARY PROVIDER – VIEW ALL CLICK HERE TO VIEW PHC HOSPITALS The options below may take a minute or two to build. Notably, the Employee Retirement Income Security Act (ERISA) was also signed into law in 1974. Find out what’s covered, how to qualify, and tips for navigating insurance claims to get the sleep apnea treatment you need. PHCS Multiplan PPO offers broad provider access and flexible care. Quality: Rest assured knowing that MultiPlan applies rigorous criteria when credentialing providers for participation in the PHCS Network. We’re also part of an award-winning global insurer, AXA, so you can be reassured that we’re underpinned by financial strength and security. Aug 30, 2025 · Private Healthcare Systems (PHCS) is a health insurance company that offers millions of members across the United States coverage for medical and behavioral health care. Start a live chat with one of our team who will help answer any questions, guide you into the right plan, or help book a consultation. The PHCS Network includes more than one million health care providers nationwide: 920,000 practitioners, 4,800 acute care hospitals and 87,000 ancillary facilities. What insurance is PHCS? Discover how this PPO network works and what it covers. (For other FAQs, see Workers’ Comp or Temporary Disability Insurance) Employee’s section Who is eligible for PHC benefits? When does my health care coverage begin? If I have two jobs, which employer is to provide PHC coverage? If I already have health coverage elsewhere, do I have to be covered again by my employer’s plan? […] PHCS Network, your primary PPO Out of State network which delivers extensive choice and the lowest out-of-pocket costs: A PHCS logo on your health insurance ID card tells you and your provider that a PHCS discount applies. While the PHCS name still remains on some networks or insurance, today’s insurance cards have been updated with MultiPlan information: If you have a MultiPlan card, you can qualify for services or providers in the PHCS Members can access all their resources from Benefit Forms to ID Cards through our Members Page or by contacting our Care Logistics Team. PHCS offers wellness programs to help MultiPlan’s networks are used by our healthcare payers to provide access for their members to a variety of health care programs. Contact us to explore becoming a member. Payers like health insurance companies can contract with MultiPlan to gain access to the PHCS network and offer it to their members. O. PHCS offers Preferred Provider Organizations (PPO) to employers and individuals which provide comprehensive coverage. In general, applicants are not eligible for the PHC program if they are enrolled in another third-party payer, such as private health insurance, Medicaid or Medicare, TRICARE, Workers’ Compensation, Veterans Affairs Benefits, or other federal, state or local public health care coverage that provides the same services. Learn how they work, what makes them different, and what’s new in 2025. Apr 3, 2025 · PHC California is a Medi-Cal managed care plan. Call (833) 877-9927 to check your benefits and find in-network providers today. If your browser appears to stall, please wait until the data is compiled and formatted for print. We at Professional Health Care look forward to participating in your health care needs. PHCS Health Insurance offers flexible, affordable plans across the U. com. It offers consumers various options for healthcare coverage and benefits. Learn how to verify eligibility and get the best coverage. Contact this location today to confirm your providers participation. 2 million healthcare providers across the country, PHCS allows members to receive quality care without the constraints typical of Health Maintenance Organizations (HMOs). PHC Insurance is a dedicated insurance agency focused on helping carriers, sponsors, and policy holders secure the best benefits. PHC personal care tasks are Aug 1, 2023 · What does PHCS stand for in healthcare? Private Healthcare Systems (PHCS) is a health insurance company that offers millions of members across the country coverage for medical and behavioral health care. Sep 14, 2025 · What Does Phcs Stand For In Health Insurance? Private Healthcare Systems (PHCS) is a health insurance company that provides comprehensive health insurance coverage to millions of members across the country. As an insured party with PHCS Insurance, individuals are able to access one of the largest networks of over 900,000 providers throughout the United States. Information and resources for patients and visitors at PHC. The organization offers coverage along with MultiPlan, which acquired PHCS in 2006. Claims and Claims Dispute Submission: Claims PHC California P. Primary Home Care is a nontechnical, medically related personal care service that is available to eligible individuals whose health problems cause them to have limitations in performing activities of daily living, according to a practitioner's statement of medical need. The three pillars of PHC are basic health insurance, basic Jun 25, 2025 · Models are estimated for each of four categories of non-PHC spending: (1) government administration and the net cost of private health insurance, (2) non-commercial research, (3) government public health, and (4) structures and equipment. Finding affordable health insurance has never been easier! No. Box 472377 La Verne, CA 80047 Fax: (888) 235-9274 Member Services To check enrollee eligibility and schedule enrollee non-emergency transportation. Welcome to our redesigned Provider Online Services Click above to register as a new eAdmin. For questions regarding our EDI capabilities, please submit them using the Contact Us form. Call (833) 877-9927 to find the right coverage for you and your family today. Oct 23, 2025 · Balance billing PHC California Members is prohibited by law. Sep 26, 2022 · PHCS insurance is a health insurance company that offers millions of people financial support or coverage for psychological care and medical. We offer Medical Management and Case Management programs to PHCS Health Insurance is a national health insurance provider with over 40 years of experience. Preferred Health Professionals, LLC offers several different PPO networks. California PHC Positive Healthcare, AIDS Healthacre Foundation's Managed Care Division , has provided people living with HIV quality healthcare since 1995 when it started the nation's first Medi-Cal health plan for HIV-positive people living in Los Angeles It looks like any other health insurance website. PHCS – Private Health Care Systems PHCS – Private Health Care Systems main address is PO Box 1607, Des Plaines, Illinois 600171607, main phone number 800-426-5880. To electronically submit or mail a claim on behalf of a Redirect Health member on the Multiplan PHCS Network, please follow the instructions below. 3bz wqg3ndx 2yze2y dllxl ts whyv w2bklkrx vz s8um ugvgaj