1 / 5

Health Partners Network Network Coordination Team

Health Partners Network Network Coordination Team . Laura Peifer 801-566-6606 laura@wiseprovider.net Mike Mackey 801-860-4444 mmackey@wiseprovider.net. Bonnie Hansen 801-566-6608 Bonnie @ wiseprovider.net. Reinsurance Carriers.

chapa
Télécharger la présentation

Health Partners Network Network Coordination Team

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Health Partners Network Network Coordination Team Laura Peifer 801-566-6606 laura@wiseprovider.net Mike Mackey 801-860-4444 mmackey@wiseprovider.net Bonnie Hansen 801-566-6608 Bonnie@wiseprovider.net

  2. Reinsurance Carriers Companion LifeTom Thompson480-882-8840tthompson@isu-inc.net East Coast UnderwritersChristine Brown864-596-5183 cbrown@ecumgu.com HCCDean Holgate714-432-6572hdean@hcclife.com IISIJim Henry415-398-6603 x223jim-henry@iisnet.com INGTodd Tyson888-757-0610todd.tyson@us.ing.com Intermediary Insurance Nicholas Morisco727-580-9620nmorisco@tampabay.rr.com IOA REKen Drake765-381-3850kdrake@ioare.com Majestic UnderwritersRhonda Brown877-587-6060rbrown@majestiuw.com Marlton RiskJack Muller610-384-7095muller627@comcast.net MRMLarry Nordin860-291-3059lnordin@mrm-mgu.com Mutual of OmahaEliane Olson619-698-5370eliane.olson@mutualofomaha.com Perico LifeRob Henderson303-228-9428rhenderson@perico.com RE Moulton Inc.Marty Byrnes303-688-5289marty-byrnes@remoultoninc.com Reinsurance Services Co.Allen Engen763-497-0804aengen@reservco.com StarlineElizabeth Midtlien612-455-8323emidtlien@starlinegroup.com Summit ReJon Anderson260-469-3002janderson@summit-re.com Sun LifeJoan Nichols800-432-1102 x2274joan.nichols@sunlife.com SymetraScott Willardson619-497-1346scott.willardson@symetra.com

  3. Plan Design Feature Requirements • PPO deductible must be twice the deductible or at least $200 more • PPO out-of-pocket maximum must be twice the HPN OOP or at least $1,000 more • PPO coinsurance must be twice the HPN and at a minimum must apply to every type of service where an HPN provider is contracted • PPO hospital admission copayment is required in addition to the required PPO coinsurance and must be at least $500 per admission • PPO emergency room copayment is required in addition to the required PPO coinsurance and must be at least $100 more per visit • PPO Primary Care office visit copayment must be $15 more • PPO Specialist office visit copayment must be $20 more • All copayments and deductibles are excluded from the out-of-pocket maximum • OON claims must be paid to the patient • OON claims must be paid at a maximum allowable fee schedule equivalent to PPO reimbursement level Information contained herein is proprietary and may not be copied or distributed without the prior written consent of Imagine Health, Inc.

  4. Sample Plan Design Information contained herein is proprietary and may not be copied or distributed without the prior written consent of Imagine Health, Inc.

  5. Network Composition View and print copies of the provider network www.healthpartnersnetwork.net Information contained herein is proprietary and may not be copied or distributed without the prior written consent of Imagine Health, Inc.

More Related