You may go to any of our network providers in this directory; however, some services may require prior authorization. 711. When your annual out-of-pocket costs exceed $6,350. Enrollment in HealthTeam Advantage depends on contract renewal. Glassdoor provides our best prediction for total . Generally, you must get your health care services from your PCP. Featuring benefits with copays as low as $0 and peace of mind for South Florida Medicare beneficiaries. The virtual provider will identify if you need to see an in-person doctor for treatment. For any questions about the information contained in this directory, please call our member services department toll-free at 1-800-222-8600, seven days a week, from 8 a.m. to 8 p.m. TTY users should call 711. To sign up as a user, you must have been given an access code by your administrator. 2021, and 2022. TTY users should call 711. Health (5 days ago) This is a private computer system and is the property of HealthSun Health Plans, Inc. For example, you can enter the city where your provider is located or you , https://www.horizonnjhealth.com/findadoctor, Health (4 days ago) WebHealthcare Provider Access - HealthSun Health Plans. Additionally, HealthSun has received an overall CMS Star Rating of 5 . April 1 to September 30, Monday to Friday, Our Address 7800 McCloud Road, Suite 100 Greensboro, NC 27409. For any questions about the information contained in the directory or this addedum, Our hours of operation are Monday through Friday, 8am to 8pm. This means that some providers may no longer be in our network or there may be newer providers in our network that are not yet listed. You should always try to get urgently needed services from network providers when you are in the plans service area. You can change your PCP by logging in to MyPeoplesHealth at www.mypeopleshealth.com or by calling member services. HealthSun Health Plans is a South Florida Medicare Advantage Plan. Please note:The provider network may change at any time. Health (1 days ago) You can request a hard copy of the Directory to be mailed to you at any time by calling our Member Services , https://www.health-improve.org/healthsun-health-plans-provider-directory/, Health (6 days ago) WebMembers may enroll in the plan only during specific times of the year. Our hours of operation are Monday through Friday, 8am to 8pm. U.S. News does not have a relationship with, or receive remuneration from HealthSun Health Plans, Inc.. For additional information about this plan(s), please contact HealthSun Health Plans, Inc.. What to Consider When Shopping for Medicare, HealthSun HealthAdvantage Plan H5431-012 (HMO), $0 per day for days 1 through 20 / $55 per day for days 21 through 100, Best Continuing Care Retirement Community (CCRC), Best Medicare Advantage Plan Companies 2023, Medicare Advantage Plus Prescription Drug Plans in Florida, Medicare Advantage Plus Prescription Drug Plans in 33004 (Broward County), HealthSun Health Plans, Inc. Medicare Advantage Plus Prescription Drug Plans in Florida, Find Continuing Care Retirement Communites, California Do Not Sell My Personal Information Request. Deploy serverless functions with aws lambda, manage microsoft azure active directory resources, provision a load balancer in google cloud, and more. The parishes in our service area are listed below: Peoples Health Choices 65 Greater New Orleans and Baton Rouge Area: Ascension, East Baton Rouge, East Feliciana, Iberville, Jefferson, Livingston, Orleans, St. Charles, St. Helena and West Baton Rouge parishes, Peoples Health Choices 65 Northshore: St. Tammany, Tangipahoa and Washington parishes, Peoples Health Choices 65 Southland: Assumption, Lafourche, St. Mary and Terrebonne parishes, Peoples Health Choices 65 Rural Southeast: Plaquemines, Pointe Coupee, St. Bernard, St. James, St. John the Baptist, and West Feliciana parishes, Peoples Health Choices Gold:Acadia, Bossier, Caddo, Calcasieu, Cameron, Evangeline, Iberia, Lafayette, Ouachita, St. Landry, St. Martin and Vermilion parishes, Peoples Health Secure Health:Acadia, Ascension, Assumption, Bossier, Caddo, Calcasieu, Cameron, East Baton Rouge, East Feliciana, Evangeline, Iberia, Iberville, Jefferson, Lafayette, Lafourche, Livingston, Orleans, Ouachita, Plaquemines, Pointe Coupee, St. Bernard, St. Charles, St. Helena, St. James, St. John the Baptist, St. Landry, St. Martin, St. Mary, St. Tammany, Tangipahoa, Terrebonne, Vermilion, Washington, West Baton Rouge and West Feliciana parishes, Peoples Health Secure Choice: Allen, Avoyelles, Beauregard, Bienville, Caldwell, Catahoula,Claiborne, Concordia, DeSoto, East Carroll, Franklin, Grant, Jackson, Jefferson Davis, LaSalle,Lincoln, Madison, Morehouse, Natchitoches, Rapides, Red River, Richland, Sabine, Tensas,Union, Vernon, Webster, West Carroll and Winn parishes, Peoples Health Secure Complete: Acadia, Allen, Ascension, Assumption, Avoyelles, Beauregard, Bienville, Bossier, Caddo, Calcasieu, Caldwell, Cameron, Catahoula, Claiborne, Concordia, De Soto, East Baton Rouge, East Carroll, East Feliciana, Evangeline, Franklin, Grant, Iberia, Iberville, Jackson, Jefferson, Jefferson Davis, Lafayette, Lafourche, LaSalle, Lincoln, Livingston, Madison, Morehouse, Natchitoches, Orleans, Ouachita, Plaquemines, Pointe Coupee, Rapides, Red River, Richland, Sabine, St. Bernard, St. Charles, St. Helena, St. James, St. John the Baptist, St. Landry, St. Martin, St. Mary, St. Tammany, Tangipahoa, Tensas, Terrebonne, Union, Vermilion, Vernon, Washington, Webster, West Baton Rouge, West Carroll, West Feliciana and Winn parishes, Peoples Health Choices: Acadia, Allen, Ascension, Assumption, Avoyelles, Beauregard, Bienville, Bossier, Caddo, Calcasieu, Caldwell, Cameron, Catahoula, Claiborne, Concordia, De Soto, East Baton Rouge, East Carroll, East Feliciana, Evangeline, Franklin, Grant, Iberia, Iberville, Jackson, Jefferson, Jefferson Davis, Lafayette, Lafourche, LaSalle, Lincoln, Livingston, Madison, Morehouse, Natchitoches, Orleans, Ouachita, Plaquemines, Pointe Coupee, Rapides, Red River, Richland, Sabine, St. Bernard, St. Charles, St. Helena, St. James, St. John the Baptist, St. Landry, St. Martin, St. Mary, St. Tammany, Tangipahoa, Tensas, Terrebonne, Union, Vermilion, Vernon, Washington, Webster, West Baton Rouge, West Carroll, West Feliciana and Winn parishes, Peoples Health Patriot: Acadia, Allen, Ascension, Assumption, Avoyelles, Beauregard, Bienville, Bossier, Caddo, Calcasieu, Caldwell, Cameron, Catahoula, Claiborne, Concordia, De Soto, East Baton Rouge, East Carroll, East Feliciana, Evangeline, Franklin, Grant, Iberia, Iberville, Jackson, Jefferson, Jefferson Davis, Lafayette, Lafourche, LaSalle, Lincoln, Livingston, Madison, Morehouse, Natchitoches, Orleans, Ouachita, Plaquemines, Pointe Coupee, Rapides, Red River, Richland, Sabine, St. Bernard, St. Charles, St. Helena, St. James, St. John the Baptist, St. Landry, St. Martin, St. Mary, St. Tammany, Tangipahoa, Tensas, Terrebonne, Union, Vermilion, Vernon, Washington, Webster, West Baton Rouge, West Carroll, West Feliciana and Winn parishes. Sign In Register . The provider and pharmacy network may change at any time. Member Services Toll Free. To access HealthSun Health Plans' online provider directory, you can visit www.HealthSun.com. For a searchable Commercial Directory (i.e. Health (Just Now) Provider Services: 877-999-7776 Member Services Toll Free: 877-336-2069 TTY: 877-206-0500 Fax: Limitations and exclusions may apply. You will receive notice when necessary. Official Website / Pagina Oficial. Contact the plan for more information. Your PCP can offer most of your care. Call HealthSun Health Plans at 1-877-336-2069 (TTY 1-877-206-0500). To request a hard copy of Peoples Health's provider directory, please call our member service department at toll-free at 1-800-222-8600, seven days a week, from 8 a.m. to 8 p.m. TTY users should call 711. Providers may have been added or removed from our network since this directory was last updated, or some providers may have changed whether they are accepting new patients. With the exception of emergency care and urgently needed care, it may cost more to get care from out-of-network providers. Are non-credentialed providers adding another layer of complexity to your billing process? Provider Directory - HealthSun Health Plans Health (1 days ago)2022 Provider Directory Addendum. The Best Healthsun Provider Directory 2022 . For prescription drug on formulary at in-network pharmacy. To request access, contact your provider services executive or call the CarePlus Provider Operations inquiry line at 1-866-220-5448, Monday - Friday, 8 a.m. - 5 p.m., Eastern time. Current Members. Main Office Toll Free. Carisk Partners, Inc., is a specialty risk transfer, care-coordination company servicing insurers, government entities, self-insured plan sponsors and other managed care organizations. Provider Look-Up / Buscar Proveedores. Provider search results will display in alphabetical order by provider name. HealthSun complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability or sex. Provider Forms Provider Portal Access To apply for access to the portal, please complete application provided below. The provider and pharmacy network may change at any time. For an explanation of the data sources used in the Practitioner directory (name, discipline/provider type, specialty, organizational affiliations, board certification, accepting new patients, and languages spoken) and Hospital/CMHC directory (facility name, location, and accreditation status), please click here. Get help as quickly as possible. HealthSun Health Plans is a South Florida Medicare Advantage Plan. You can also set up services yourself by getting care from any provider in our network. Not affiliated with or endorsed by any government agency. This directory is updated weekly. Provider Directory To locate a practitioner or facility, please utilize the links below. ET, seven days a week, or April 1September 30, 8 a.m. to 8 p.m. 877-336-2069. Contact Us - Your South Florida Medicare Provider - HealthSun. Peoples Health Choices 65 (HMO), Peoples Health Choices Gold, Peoples Health Secure Choice (HMO D-SNP), Peoples Health Secure Health (HMO D-SNP) and Peoples Health Secure Complete (HMO D-SNP) members:You must use network providers except in emergency or urgent care situations or for out-of-area renal dialysis. Provider Services: 877-999-7776: Member Services Toll Free: 877-336-2069: TTY: 877-206-0500: Fax: 305-234-9275: Hours of Operation. 2022 BENEFITS. ET. Search Healthsun Health Plan PayerID HESUN and find the complete info about Healthsun Health Plan Insurance Type, LOB, ENR, RTE, RTS, ERA, SEC, Customer Service Number and more . If an out-of-network provider sends you a bill asking you to pay for covered services, you should. Call 911 for help or go to the nearest emergency room or hospital. Availability of TTY Services and Foreign Language Interpretation when Prospective Members Call the Drug Plan, Member Complaints and Changes in the Drug Plan's Performance, Complaints about the Drug Plan (More Stars Are Better because It Means Fewer Complaints), Improvement (if Any) in the Drug Plan's Performance, Plan Provides Accurate Drug Pricing Information for Medicare's Plan Finder Website, Taking Blood Pressure Medication as Directed, Taking Cholesterol Medication as Directed, Members Who Had a Pharmacist (or Other Health Professional) Help Them Understand and Manage Their Medications, The Plan Makes Sure Members with Diabetes Take the Most Effective Drugs to Treat High Cholesterol. Find a Doctor For Members Find information and forms you need to help manage your healthcare decisions. If your organization HAS access and you would like join their group. See the Evidence of Coverage for information on costs, benefits and authorization requirements. Peoples Health Group Medicare (HMO-POS) members: You can use network providers or out-of-network providers. The provider website (PWS) Update your directory listing CarePlus members use our provider directories to select and contact physicians and other healthcare providers. In addition to local providers that support telehealth (virtual visits), you can also visit the following provider that offers virtual care: 2022 Peoples Health - All Rights Reserved. You will receive notice when necessary. Provider Services. Search by location, name, specialty, or condition. Find Providers, Hospitals, Medications and Pharmacies for 2022, Find Providers, Hospitals, Medications and Pharmacies for 2023, Over-the-Counter Health & Wellness Items | 2023, Over-the-Counter Health & Wellness Items | 2022, Model of Care for Special Needs Plans (SNPs), Treating Patients in Our Preferred Provider Organization (PPO) Plans. Main Office Toll Free. You can search for network providers in this directory using our provider search tools Physician Search, Hospital Search, Other Provider Search, Routine Vision Providers and Fitness Centers. Benefits may vary by carrier and location. The directory provides this information. Provider Portal For all other drugs, you pay 25% for generic drugs and 25% for brand-name drugs. University of Miami), please click, For a searchable Medicaid Directory, please click, For a searchable Medicare Directory, please click, For an explanation of the data sources used in the Practitioner directory (name, discipline/provider type, specialty, organizational affiliations, board certification, accepting new patients, and languages spoken) and Hospital/CMHC directory (facility name, location, and accreditation status), please click. Provider Directory - Your South Florida Medicare Provider Health (1 days ago) You can request a hard copy of the Directory to be mailed to you at any time by calling our Member Services Department at 877-336-2069. Health (Just Now) Provider Services: 877-999-7776 Member Services Toll Free: 877-336-2069 TTY: 877-206-0500 Fax: 305-234-9275. Also, its possible that your PCP might leave our network of providers and you would have to find a new PCP. Examples of PCPs are internal medicine, general practice and family practice doctors. TTY. Our hours of operation are Monday through Friday, 8am to 8pm. 33 salaries (for 28 job titles) Updated 10/8/2022. You may also refer to your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services. Our staff uses nationally recognized criteria to make sure the service is appropriate for both your condition and the setting (e.g., inpatient, outpatient, etc.). The network providers in this directory have agreed to provide you with your health care services. App Verification . You may choose a new PCP, who is accepting new patients, from any of the providers listed in the Physician Search. Please contact Medicare.gov or 1-800- MEDICARE (TTY users should call 1-877-486-2048) 24 hours a day/7 days a week to get information on all of your options. 877.905.9216. HealthSun Health Plans 9250 W. Flagler Street HealthSun Fields marked with an asterisk ( *) are required. Our clinical staff will review your providers request and make a decision. Call HealthSun Health Plans at 1-877-336-2069 (TTY 1-877-206-0500). We do not offer every plan available in your area. Urgently needed services may be furnished by network providers or by out-of-network providers when network providers are temporarily unavailable or inaccessible. For plans with Part D Coverage: You may be able to get Extra Help to , https://health.usnews.com/medicare/healthsun-health-plans-inc-medicare-plans, Health (9 days ago) WebProvider Directory HealthSun Health Plans. Monthly Drug Premium *Included in Monthly Plan Premium. 2022 MIAMI DADE BENEFITS. Main Office Toll Free. The Directory is for Miami-Dade County, Broward County and Palm Beach County. . To get detailed information about your health care coverage, please see the Evidence of Coverage. This directory provides information about Peoples Health current network providers. Skip to content . You do not need to get approval or a referral first from your PCP. University of Miami), please click here. 2022 Carisk Partners. This means your provider needs to get approval from us before giving you the services. A free inside look at Healthsun Health Plans salary trends based on 33 salaries wages for 28 jobs at Healthsun Health Plans. You can request a , https://healthsun.com/provider-directory/, Health (1 days ago) WebOur Provider Compliance Alerts provide information and reminders to HealthSun Providers. 877-207-4900. If you have questions about your Peoples Health plan or require assistance selecting a PCP, please call our member services department toll-free at 1-800-222-8600, seven days a week, from 8 a.m. to 8 p.m. TTY users should call 711. Your credentials will not work until you receive approval from HealthSun. Emergency care can always be obtained in or out of the service area from the nearest available provider. To access HealthSun Health Plans' online provider directory, you can visit www.HealthSun.com. TTY Users. We highly recommend you to consult this site regularly for information on new Compliance Alerts and other information , Health (2 days ago) WebYour health deserves a five-star plan. To access HealthSun Health Plans' online provider directory, you can visit www.HealthSun.com. Referrals from your PCP Peoples Health offers plans in all Louisiana parishes. For a searchable Commercial Directory (i.e. If you obtain routine care from out-of-network providers, neither Medicare nor Peoples Health will be responsible for the costs. Call HealthSun Health Plans at 1-877-336-2069 (TTY 1-877-206-0500). Sign In Register Provider Services: 877-999-7776: Member Services Toll Free: 877-336-2069: TTY: 877 , Health (3 days ago) WebProvider Directory - HealthSun Health Plans. 2022 Provider Directory Addendum Changes in our provider network - updated 10/07/2022 Download this resource The provider and pharmacy network may change at any time. For any questions about the information contained in this directory, please call our Member Service Department at 1-877-336-2069, 8am to 8pm. You can request a hard copy of the Directory to be mailed to you at any time by calling our Member Services Department at 877-336-2069. You will receive notice when necessary. Main Office. Our hours of operation are Monday through Friday, 8am to 8pm. Healthsun Provider Lookup - health-improve.org. ET. Provider Services: 877-999-7776: Member Services Toll Free: 877-336-2069: TTY: 877-206-0500: Fax: 305-234-9275: Hours of Operation. 8 a.m. - 8 p.m. University of Miami), please click here. Go to our main website to download an application. You will receive notice when necessary. Our . Health (1 days ago) 2022 Provider Directory Addendum. Find Covid-19 Information for Members and Providers. YMULTI-PLAN_22_167_M, 2022 Coverage of Self-Administered Drugs in Outpatient Settings, 2022 Printable Provider / Pharmacy Directory, HealthTeam Advantage Diabetes & Heart Care HMO CSNP Plan 2023, HealthTeam Advantage Diabetes & Heart Care HMO CSNP Plan 2022, Nondiscrimination Notice & Accessibility Requirements. 305-234-9292. Salaries posted anonymously by Healthsun Health Plans employees. HealthSun Health Plans | 1,094 followers on LinkedIn. $10.35 copay or 5% (whichever costs more), Diagnostic radiology services (e.g., MRI), Prosthodontics, other oral/maxillofacial surgery, other services, Outpatient group therapy visit with a psychiatrist, Outpatient individual therapy visit with a psychiatrist, Physical therapy and speech and language therapy visit, Durable medical equipment (e.g., wheelchairs, oxygen), Prosthetics (e.g., braces, artificial limbs). Any information we provide is limited to those plans we do offer in your area. We're New Jersey's #1 choice for health insurance. If you want to switch providers, call UnitedHealthcare Customer Service toll free at 1-800-950-9355, 8 a.m. - 8 p.m. local time, 7 days a week. During October through March, we are available 7 days a week from 8am to 8pm. Telephone. 877-999-7776. New User. 2023 Medical Plans; 2023 Premium Contribution Calculator; Plans. How this plan performs in coverage of conditions, screenings, customer service and more. Please call our member services department toll-free at 1-800-222-8600, seven days a week, from 8 a.m. to 8 p.m. TTY users should call 711. 877-336-2069. All rights reserved. Your relationship with your PCP is an important one because your PCP is responsible for the coordination of your health care and is also responsible for your routine health care needs. Call a Licensed HealthTeam Advantage Sales Agent. You have successfully applied to the HealthSun Health Plans Provider Portal. Provider Services. Call HealthSun Health Plans at 1-877-336-2069 (TTY 1-877-206-0500). Copyright 2022 HealthTeam Advantage All rights reserved. Call: 1.877.336.2069 TTY: 711 or write: info@healthsun.com For more options and for hours of operation, visit our Contact page HealthSun Health Plans is an HMO plan with a Medicare Contract and a Medicaid contract with the State of Florida Agency for Health Care Administration. Need prior authorization an overall CMS Star Rating of 5 stars any questions about the contained Five-Star, Health ( 1 days ago ) 2022 provider directory, you pay %. Followers on LinkedIn, pharmacy network may change at any time by name. To follow-up with your Health care services 2023 Medicare Star Rating 5 out of the month after you your! Do offer in your area services from network providers with the exception of emergency care and urgently needed from! 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