Is PHCS real insurance?

Asked by: Janick Jast I  |  Last update: February 11, 2022
Score: 4.8/5 (30 votes)

PHCS health insurance is a private health system and was recently acquired by MultiPlan. Although not a health insurance provider, PHCS is a Preferred Provider Organization (PPO) network. ... Their services are offered to health insurers and not to individuals as they do not sell insurance or provide medical services.

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. They partner with Multiplan for access to its PPO network.

Is MultiPlan PHCS legitimate?

MultiPlan is not a health insurance company and does not sell insurance directly or indirectly through agents or brokers. MultiPlan is not affiliated with anyone or any entity that claims to be selling MultiPlan health plans or insurance policies.

What does PHCS mean on my insurance card?

healthcare professionals. → Savings – Negotiated discounts that result in. significant cost savings for you when you visit in- network providers, helping you to maximize your benefits. A PHCS logo on your health insurance card tells both you and your provider that a PHCS discount applies.

What is PHCS health Network?

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.

PHCS MultiPlan

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How do I know if I qualify for PHCS insurance?

  1. (800) 557-5471.
  2. Members under 12 years of age call PHC's Care Coordination Department at (800) 809- 1350.

How do I get PHCS insurance?

Find a PHCS Network Provider

Simply call (888) 371-7427 Monday through Friday from 8 a.m. to 8 p.m. (Eastern Standard Time) and identify yourself as a health plan participant accessing PHCS Network for Limited Benefit plans.

How do I cancel my PHCS insurance?

Termination. How can I terminate my participation in the PHCS Network and/or the MultiPlan Network? Submit your request on letterhead with the contract holder's signature via fax at 781-487-8273, via email at or via mail to MultiPlan, Attn: Registrar, 16 Crosby Drive, Bedford, MA 01730.

What is Kaiser PHCS?

The PHCS Network for KPIC consists of doctors, hospitals, specialists, laboratories, and physical therapists nationwide. Out-of-pocket costs. You will probably have lower out-of-pocket costs than in the Non-Participating Tier (such as a deductible, coinsurance, and a copay).

What is the largest PPO network in the US?

MultiPlan is the nation's oldest and largest independent Preferred Provider Organization (PPO) network offering nationwide access to more than 4,200 hospitals, 90,000 ancillary care facilities and 450,000 physicians and specialists.

Is MultiPlan part of UnitedHealthcare?

Five healthcare organizations including insurers UnitedHealthcare and Humana, Optum, Quest Diagnostics and MultiPlan are launching a blockchain pilot to help payers tackle mandated provider directories. UnitedHealthcare and Optum are both part of UnitedHealth Group.

Who owns MultiPlan Inc?

Nation's Largest Independent PPO Poised for Growth New York, NY – MultiPlan, Inc. and The Carlyle Group yesterday completed the previously announced acquisition by Carlyle of MultiPlan, the largest independent PPO in America.

Who uses MultiPlan?

MultiPlan's networks are used by our clients to provide access for their members to a variety of commercial, property & casualty, and government sponsored health care programs.

What insurances does MultiPlan cover?

What insurances are under MultiPlan?
  • Private and Employer-Sponsored Health Plans.
  • Medicaid.
  • Medicare Advantage.
  • Workers' Compensation.
  • Auto Medical.

Does MultiPlan cover vision?

MultiPlan, Inc. Eye Examination calendar year $10 Covered in full. Includes dilation when professionally indicated. Clear glass or plastic lenses in any single vision, bifocal, trifocal or lenticular prescription.

Does Kaiser accept Phcs insurance?

Through the Participating Provider Tier, you have access to PHCS Network for Kaiser Permanente Insurance Company (KPIC) nationwide. ... Kaiser Permanente Providers and Hospitals are not contracted under the PPO plan and would be considered and processed under the non-participating provider tier.

How does Kaiser HMO work?

An HMO plan is based on a network of hospitals, doctors, and other health care providers that agree to coordinate care within a network in return for a certain payment rate for their services. ... An HMO generally only covers care received from the plan's contracted providers, known as “in-network” providers.

What is a Kaiser PPO plan?

Glossary. Your Preferred Provider Organization (PPO) Plan with Kaiser Permanente is not just health coverage — it's a partnership in health. You can choose any licensed physician to provide care nationwide. Online features let you manage most of your care around the clock.

What is PHCS claims address?

If you're a PHCS provider please send all claims to:

Eagan, MN 55121.

What type of company is MultiPlan?

MultiPlan, Inc. provides healthcare cost management solutions. The Company specializes in providing claim cost management solutions for controlling the financial risks associated with medical bills.

What is PPO good for?

A PPO is generally a good option if you want more control over your choices and don't mind paying more for that ability. It would be especially helpful if you travel a lot, since you would not need to see a primary care physician.

How do I join a MultiPlan Network?

(Note that to apply to join our networks, these forms must be accompanied by a completed and signed MultiPlan provider contract.) For questions about our credentialing process or joining our networks, call our Service Operations Department at 1-800-950-7040.

What does MultiPlan Inc do?

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. We believe there is no such thing as a standard cost management approach.

Is MultiPlan a public company?

As a public company, MultiPlan will have greater strategic and financial flexibility, making it better equipped to expand organically, through adjacent acquisitions and by investing in new technologies.