WebSCHEDULE OF BENEFITS PROMINENCE PREFERRED HEALTH INSURANCE COMPANY, INC. SMALL GROUP EMPLOYER PLAN PROMINENCE PPO SILVER IN-NETWORK1a OUT-OF-NETWORK1 • $0 Copay CYD/50% Coinsurance • $150 Copay CYD/50% Coinsurance • $0 Copay CYD/50% Coinsurance • $0 Copay CYD/50% Coinsurance • CYD/30% Coinsurance … WebPROMINENCE PPO GOLD The Deductible is a set amount of covered charges occurring each Calendar Year which must be paid by the Member before benefits are payable under this Plan. Copays and Coinsurance do not count towards the Deductible. COINSURANCE IN-NETWORK: 20% Coinsurance OUT-OF-NETWORK: 50% Coinsurance
Fully Insured Health Plans Prominence Administrative Services
WebInformation change: In-network providers submit this form to update agency information (TIN, NPI, address, etc.) Contact Us: Please contact the PHCN team with any questions at: Phone: (888) 705-5274. Our Utilization Management (UM) department applies nationally recognized utilization criteria and regionally developed medical policies and standards of … WebIf you do not pay your deductible or co-pay upon registration, you will be billed for those amounts, regardless of what your insurance pays on your total hospital bill. For detailed information about UMC's billing and collections policies, please contact our team directly at t 702-383-2347 on weekdays from 8 a.m. to 4 p.m. diy baby toys pinterest
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WebProminence Plus (HMO) H5945, Plans 001 (Carson City, Churchill, Douglas, Lyon, Storey) and 002 (Washoe) This is a summary of health and drug services covered by Prominence Health Plan for January 1, 2024 through December 31, 2024. The benefit information provided is a summary of what we cover and what you pay. WebHospital Billing: 305-243-2900 Physicians’ Billing: 305-243-2900 Sylvester Comprehensive Cancer Center: 305-689-7079 UHealth Tower: 305-689-3923 You also may contact your health plan to determine if UHealth physicians are included on the provider list. Commercial Plans Insurance Exchange (HIX) Medicare Advantage Medicaid Mental Health Dental Vision WebPlus, national network access provides out-of-state coverage for those employees who reside outside of Nevada or for members while traveling. POS Combines the low out-of-pocket expenses of an HMO, greater freedom to choose a PPO provider, and complete flexibility to choose any licensed care provider, all in a three-tier benefit package. crafty grandma