Most Planstin-managed health plans do not use a provider network . That means you are free to work with any provider with out fear of any out-of-network penalties. Very few Planstin-managed health plans still use a provider network. In this case, your health plan uses the PHCS network of providers. Fair-priced healthcare & care coordination The majority of Planstin-managed health plans use an innovative healthcare pricing strategy called fair-priced healthcare. This strategy does not require the use of a provider network, and instead relies on a care coordination team to help you work with your provider, make appointments, and locate providers that work well with your benefits. To learn more about fair-priced healthcare, click here . To learn more about care coordination click here .
Preventive Core is a health plan that focuses on preventive care. This health plan meets ACA requirements for minimum essential coverage (otherwise known as MEC). Fair-priced healthcare This health plan uses an innovative healthcare pricing strategy called fair-priced healthcare. To learn more about fair-priced healthcare, click here . Care coordination Preventive Core health plans have no network restrictions and include care coordination services to help you make appointments and locate providers that work well with your benefits. To learn more about care coordination click here . To view information about your Preventive Core health plan, click here and select your specific plan name.
Most Planstin-managed health plans do not use a provider network, which means that you can choose any provider that you like. Very few Planstin-managed health plans still require members to see in-network providers. If your health plan does use a network, you can find a provider following the instructions below. 1.) Visit planstin.com/phcs 2.) Search for a provider You can search by name, specialty, facility type, National Provider Identifier Number (NPI#), or license number. Note: When selecting a provider, contact the provider’s office to verify that they are still in-network. Why In Network? Very few Planstin-managed plans still require members to see in-network providers. Those that do, use PHCS to keep rates low while directing members to high-quality care.
Attention: Do your benefits include a Teladoc Health membership? If you are unsure, call Planstin’s Benefit Advocacy team at 888-920-7526 for more help understanding your plan details. You can register on Teladoc.com or using the Teladoc Health app on your phone (see the steps below). You must register with the information that you provided to us upon enrollment (i.e. name, zip code, DOB, and email address). Once registered, you will enter medical information and then you can request a visit with a provider. Please note: A spouse cannot register for the primary employee. You will need to add your spouse and children to the account after you have already registered. Register for Teladoc Health Step 1 Click HERE and complete the online form Select your health plan—confirm the Planstin option Create username, password, and security questions Click “Complete Registration” Helpful Tips Wait 24 hours after receiving your Planstin welcome email to register for Teladoc Health. If you have difficulty registering online, try registering with the mobile App. Step 2 Complete your registration using the same information you used to enroll in your health plan. Make sure you use the primary subscriber information—not a dependent’s information. Step 3 You will be automatically matched with a benefits provider, simply confirm the selection and click “continue.” If you experience issues, please contact a Benefit Advocate at 888-920-7526 . There’s an App for that! You can enroll through the Teladoc Health mobile app. Simply download the Teladoc Health app through the Google Play Store or App Store. The registration process is the same as the online Teledoc Health registration.
If you have a health plan that covers preventive care, it may depend on how the doctor bills for your visit. For example, if you discuss specific health issues during an annual preventive visit, your doctor might bill an additional appointment for an office visit or sick visit, leading to a copay or full payment required for the additional visit. Also, it is important to note that n ot all procedures or tests recommended by your doctor will qualify as preventive care under the Affordable Care Act (ACA).
Preventive Basic health plans are now known as Preventive Core health plans. Click here to visit the Preventive Core article.
