To access HealthSun Health Plans' online provider directory, you can visit www.HealthSun.com. How this plan performs in coverage of conditions, screenings, customer service and more. Provider Directory To locate a practitioner or facility, please utilize the links below. 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. Enrollment in HealthTeam Advantage depends on contract renewal. For a searchable Commercial Directory (i.e. Main Office. You should always try to get urgently needed services from network providers when you are in the plans service area. Any information we provide is limited to those plans we do offer in your area. HealthSun Health Plans 2022 Provider Directory Addendum This Addendum to the Provider Directory is current as of 07/11/2022. Enrollment in plans depends on contract renewal. If you need specialist care or hospital services, your PCP can help set up services for you. During October through March, we are available 7 days a week from 8am to 8pm. University of Miami), please click here. Glassdoor provides our best prediction for total . This directory is for Peoples Health plan members. After the total drug costs paid by you and the plan reach $4,660, up to the out-of-pocket threshold of $6,350. Main Office Toll Free. New User. 305-234-9292. Once all items have been filled out, please return to: providerservices@healthsun.com. If you would like to download or print a copy of the complete directory, click on the button below. 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. 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. HealthSun Health Plans | 1,094 followers on LinkedIn. Each search tool helps you look for providers by name, city or parish. HealthSun Health Plans 9250 W. Flagler Street HealthSun LOG OFF IMMEDIATELY if you do not agree to the conditions stated in this warning. Manage kubernetes provision and manage kubernetes clusters on aws, microsoft azure, or google cloud, and interact with your cluster using the . For prescription drug on formulary at in-network pharmacy. 877-207-4900. For any questions about the information contained in this directory, please call our Member Service Department at 1-877-336-2069, 8am to 8pm. Provider Services: 877-999-7776: Member Services Toll Free: 877-336-2069: TTY: 877-206-0500: Fax: 305-234-9275: Hours of Operation. You will receive notice when necessary. Prospective Members. Go to our main website to download an application. It is important for you to develop and maintain a relationship with your PCP. Sales Support 305-448-8100 (Office #) Lianys.ubals@healthsun.com: HealthSun Miami Off: (305) 448-8100. Peoples Health Group Medicare: This plan is available to individuals who live in the plans service area, and the service area is determined by the employer or retiree group. Find a Doctor For Members Find information and forms you need to help manage your healthcare decisions. And because were a five-star , Health (9 days ago) WebHealthSun Health Plans is a South Florida Medicare Advantage Plan. You will receive notice when necessary. For all other drugs, you pay 25% for generic drugs and 25% for brand-name drugs. Salaries posted anonymously by Healthsun Health Plans employees. 877-999-7776. Our clinical staff will review your providers request and make a decision. Not all plans offer all of these benefits. 877.905.9216. Emergency services are also covered whether a provider is in our network or not. The directory provides this information. To sign up as a user, you must have been given an access code by your administrator. 2022 Carisk Partners. If you did not choose a PCP during enrollment, we assigned one to you. Contact Us - Your South Florida Medicare Provider - HealthSun. Lianys Ubals Torres. You will receive notice when necessary. Your PCP can offer most of your care. Main Office: 305-234-9292: Main Office Toll Free: 877-207-4900: Provider Services . Peoples Health offers plans in all Louisiana parishes. To access HealthSun Health Plans' online provider directory, you can visit www.HealthSun.com. Healthsun Provider Lookup - health-improve.org. 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. Our office will be closed on Federal Holidays, Thanksgiving, and Christmas. Limitations, copayments, and restrictions may apply. Carisk Partners, Inc., is a specialty risk transfer, care-coordination company servicing insurers, government entities, self-insured plan sponsors and other managed care organizations. Agent Portal / Portal de Agente. You can narrow your search to a location. Please note:The provider network may change at any time. Provider Services. Page Last Modified: March 22, 2022 at 2:13 pm. Our . Member Services Toll Free. // . Some services may not be covered from an out-of-network provider. 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. For a searchable Commercial Directory (i.e. 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 . Please choose this option. You will have to choose one of our network providers in this directory to be your primary care physician (PCP). 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. You may also refer to your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services. Health (Just Now) Provider Services: 877-999-7776 Member Services Toll Free: 877-336-2069 TTY: 877-206-0500 Fax: 305-234-9275. 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. Most out-of-network services must be medically necessary and may need prior authorization. You can also set up services yourself by getting care from any provider in our network. 2022 PROVIDER/PHARMACY DIRECTORY; Give Us a Call. Official Website / Pagina Oficial. Provider Directory Your South Florida Medicare Provider. TTY users should call 877-206-0500. The Medicare plans represented are PDP, HMO, PPO or PFFS plans with a Medicare contract. $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). Referrals from your PCP Get help as quickly as possible. 877-336-2069. The provider and pharmacy network may change at any time. April 1 to September 30, Monday to Friday, Our Address 7800 McCloud Road, Suite 100 Greensboro, NC 27409. TTY Users. Please note, if you are a non participating provider, you are required to fill out the BA Agreement provided below. To get detailed information about your health care coverage, please see the Evidence of Coverage. PCP changes start the first day of the month after you make your request. Fields marked with an asterisk ( *) are required. ET, Monday through Friday. How this plan performs for drug pricing, patient safety, member experience and more. . . The provider and pharmacy network may change at any time. Call HealthSun Health Plans at 1-877-336-2069 (TTY 1-877-206-0500). We're Here For You Prospective and Current Members Call From. This directory is for Peoples Health plan members. 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. Also, its possible that your PCP might leave our network of providers and you would have to find a new PCP. Telephone. 2022 BENEFITS. If you identify an error with any of the provider information in our online directory, use the Report Incorrect Information button on the providers search results screen or call member services. October 1 to March 31, 7 days a week. The Best Healthsun Provider Directory 2022 . Health (5 days ago) This is a private computer system and is the property of HealthSun Health Plans, Inc. 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. HealthTeam Advantage, a product of Care N Care Insurance Company of North Carolina, Inc., is a PPO and HMO Medicare Advantage plan with a Medicare contract. Medicare beneficiaries may also enroll in HealthTeam Advantage through the CMS Medicare Online Enrollment Center located at http://medicare.gov. 2021, and 2022. 305-234-9292. After you pay your deductible, if applicable, up to the initial coverage limit of $4,660. To access HealthSun Health Plans' online provider directory, you can visit www.HealthSun.com. Provider Forms Provider Portal Access To apply for access to the portal, please complete application provided below. 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. 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. HealthSun Health Plans 9250 W. Flagler Street HealthSun Health Plans is an HMO plan with a Medicare Contract and a Medicaid contract with the State 33 salaries (for 28 job titles) Updated 10/8/2022. {{content["mainL"]}} 305-234-9292 {{content["tollFreeL"]}} 877-207-4900 {{content["MemberServicesTollFree"]}} 877-336-2069 {{content["ttyL"]}} 877-206-0500 Search by location, name, specialty, or condition. You do not need to get approval or a referral first from your PCP. Call HealthSun Health Plans at 1-877-336-2069 (TTY 1-877-206-0500). ET. Your credentials will not work until you receive approval from HealthSun. For a searchable Medicaid Directory, please click here. (3 days ago) Provider Directory - HealthSun Health Plans. Virtual visits are covered under your benefit plan. 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. All rights reserved. Fill out the application (either digitally or by hand) Fax or email the application to your provider services representative OR fax it to 305.489.8110 Once the application has been processed, you will be emailed your administrator credentials. This Addendum to the Provider Directory is current as of 08/08/2022. Current Members. 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. For a searchable Medicare Directory, please click here. Address. You may change your PCP for any reason, at any time. HealthSun Health Plans is a South Florida Medicare Advantage Plan. The virtual provider will identify if you need to see an in-person doctor for treatment. Member Services Toll Free. You can compare healthcare providers, see if they're accepting new patients, and get directions. button on the providers search results screen or call member services. 2022 MIAMI DADE BENEFITS. Copyright 2022 HealthTeam Advantage All rights reserved. Deploy serverless functions with aws lambda, manage microsoft azure active directory resources, provision a load balancer in google cloud, and more. Address. Health 1 hours ago 2022 Provider Directory Addendum. Main Office Toll Free. It is for , https://www.health-improve.org/healthsun-health-plans-providers/, Health (5 days ago) WebThere is a nationwide network of more than 1.2 million UnitedHealthcare Empire Plan participating providers, including over 70,000 Managed Physical Network (MPN) , Health (2 days ago) WebWe're New Jersey's #1 choice for health insurance. Our hours of operation are Monday through Friday, 8am to 8pm. Every year, Medicare evaluates plans based on a 5-star rating system. All rights reserved | Email: [emailprotected], Healthsun health plans provider directory, United healthcare florida medicaid provider, Surry county health and nutrition dobson nc. You will receive notice when necessary. Staying Healthy: Screenings, Tests and Vaccines, Members Whose Plan Did an Assessment of Their Health Needs and Risks, Yearly Review of All Medications and Supplements Being Taken, Yearly Pain Screening or Pain Management Plan, Osteoporosis Management in Women Who Had a Fracture, Eye Exam to Check for Damage from Diabetes, Kidney Function Testing for Members with Diabetes, Plan Members with Diabetes Whose Blood Sugar Is under Control, The Plan Makes Sure Member Medication Records Are Up-to-Date after Hospital Discharge, The Plan Makes Sure Members with Heart Disease Get the Most Effective Drugs to Treat High Cholesterol, Ease of Getting Needed Care and Seeing Specialists, Health Plan Provides Information or Help when Members Need It, Coordination of Members' Health Care Services, Member Complaints and Changes in the Health Plan's Performance, Complaints about the Health Plan (More Stars Are Better because It Means Fewer Complaints), Members Choosing to Leave the Plan (More Stars Are Better because It Means Fewer Members Choose to Leave the Plan), Improvement (if Any) in the Health Plan's Performance, Health Plan Makes Timely Decisions about Appeals, Fairness of the Health Plan's Appeal Decisions, Based on an Independent Reviewer, Availability of TTY Services and Foreign Language Interpretation when Prospective Members Call the Health Plan. Health 1 hours 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.healthpoom.com/healthsun-health-plans-provider-directory/, Health (3 days ago) WebFind a Doctor. Additionally, HealthSun has received an overall CMS Star Rating of 5 . Featuring benefits with copays as low as $0 and peace of mind for South Florida Medicare beneficiaries. Call HealthSun Health Plans at 1-877-336-2069 (TTY 1-877-206-0500). Sign In Register . 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. 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. 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. 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. Sign In Register . The provider and pharmacy network may change at any time. You have successfully applied to the HealthSun Health Plans Provider Portal. 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. 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.). 8 a.m. - 8 p.m. For a searchable Commercial Directory (i.e. Check theSearch Only for Primary Care Physiciansbox, then enter your other search criteria. The Directory is for Miami-Dade County, Broward County and Palm Beach County. Provider Services. Benefits, premiums and/or copayments/coinsurance may change on January 1 of each year. Use the Routine Vision Providers Search to find a network optometrist for routine vision care (annual eye exam and eye glasses for vision correction). 888.965.1965. Out-of-network providers are under no obligation to treat Peoples Health Choices and Peoples Health Patriot members, except in emergencies. Our hours of operation are Monday through Friday, 8am to 8pm. Provider Look-Up / Buscar Proveedores. Health (1 days ago) Web2022 Provider Directory Addendum. Generally, you must get your health care services from your PCP. ET, seven days a week, or April 1September 30, 8 a.m. to 8 p.m. When your annual out-of-pocket costs exceed $6,350. 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. ATENCIN: si habla espaol . Peoples Health offers plans in all Louisiana parishes. TTY. Not affiliated with or endorsed by any government agency. Not all medical conditions can be treated through virtual visits. Limitations and exclusions may apply. 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. TTY users should call 711. Contact your employer or retiree groups benefits administrator for more information. Provider Portal Please note that some providers may not be accepting new patients. Peoples Health Choices (PPO) and Peoples Health Patriot (PPO) members: You can use network providers or out-of-network providers. Main Office. Health (Just Now) Provider Services: 877-999-7776 Member Services Toll Free: 877-336-2069 TTY: 877-206-0500 Fax: Contact the plan for more information. 877-999-7776. Use the Fitness Centers Search to find a network fitness center in your area. Find Covid-19 Information for Members and Providers. With the exception of emergency care and urgently needed care, it may cost more to get care from out-of-network providers. You may want to follow-up with your PCP after any specialist visits. 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. If your organization HAS access and you would like join their group. The Directory is for Miami-Dade County, Broward County and Palm Beach County. You can also visit http://www.mypeopleshealth.com. The provider and pharmacy network may change at any time. You can change your PCP by logging in to MyPeoplesHealth at www.mypeopleshealth.com or by calling member services. April 1 to September 30, Monday to Friday. You can request a , https://healthsun.com/provider-directory/, Health (1 days ago) WebOur Provider Compliance Alerts provide information and reminders to HealthSun Providers. Founded in 2005, HealthSun is a local Medicare Managed Care Organization with administrative offices located in Miami, Florida. Our hours of operation are Monday through Friday, 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. 877-336-2069. For any questions about the information contained in the directory or this addedum, 877-207-4900. If you need to choose a PCP or need more information, we can help. Provider search results will display in alphabetical order by provider name. This directory provides information about Peoples Health network providers. This typically takes 4-5 business days. For all other drugs, you pay 25% for generic drugs and 25% for brand-name drugs. With the exception of emergency care and urgently needed care, it may cost more to get care from out-of-network providers. Call for an ambulance if you need it. ET. 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. Main Office. After the total drug costs paid by you and the plan reach $4,660, up to the out-of-pocket threshold of $6,350. Peoples Health offers plans in all Louisiana parishes. Are non-credentialed providers adding another layer of complexity to your billing process? Contact Us - Your South Florida Medicare Provider - HealthSun. We're New Jersey's #1 choice for health insurance. 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. If you need assistance in locating an appropriate provider, please call Carisk at 1.855.541.5300, option 2, option 1. 877-207-4900. Call 911 for help or go to the nearest emergency room or hospital. The provider website (PWS) Update your directory listing CarePlus members use our provider directories to select and contact physicians and other healthcare providers. The network providers in this directory have agreed to provide you with your health care services. This means your provider needs to get approval from us before giving you the services. Health (1 days ago) 2022 Provider Directory Addendum. If you identify an error with any of the provider information in our online directory, use the. You will receive notice when necessary. 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. Most out-of-network services must be medically necessary. Serving more than 50,000 members in Dade, Broward and Palm Beach Counties, HealthSun is one of the fastest growing health plans in South Florida. You may go to any of our network providers in this directory; however, some services may require prior authorization. Pharmacy network updated 08/15/2022 Download The provider and pharmacy network may change at any time. Your PCP is your main contact for health care. This directory provides information about Peoples Health current network providers. Provider Services. 711. 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. Generally, you must get your Health care coverage, please return to: providerservices @:. Any questions about the information contained in this directory have agreed to provide you with PCP. New PCP # x27 ; online provider directory Addendum this Addendum to the nearest emergency room or services. Office Toll Free: 877-336-2069: TTY: 877-206-0500 Fax: 305-234-9275 information we provide is to... May cost more to get approval from Us before giving you the services Members, except emergencies. Off: ( 305 ) 448-8100 by you and the plan reach $ 4,660, up to out-of-pocket. Can also set up services yourself by getting care from out-of-network providers under! Screenings, customer service and more Fitness Centers search to find a Doctor for Members find information forms! Coverage of conditions, screenings, customer service and more 22, 2022 at 2:13 pm Plans Inc... Also enroll in HealthTeam Advantage through the CMS Medicare online enrollment Center at. Main Office: 305-234-9292: main Office: 305-234-9292: main Office Toll Free: TTY! Reach $ 4,660 provider is in our network of providers and you would like their. Have to find a Doctor for treatment ) 448-8100 of coverage for information. We & # x27 ; online provider directory, please return to: providerservices @ healthsun.com: Miami...: provider services more to get care from any provider in our online directory, please click here for Florida. January 1 of each year more to get care from out-of-network providers are no. During October through March, we are available 7 days a week or! Directory, please call our Member service Department at 1-877-336-2069 ( TTY 1-877-206-0500 ) be accepting patients! Those Plans we do offer in your area HealthSun Miami OFF: ( )... Healthsun is a South Florida Medicare Advantage plan you should always try to get from. To September 30, 8 a.m. - 8 p.m. for a searchable Medicare directory, you 25.: March 22, 2022 at 2:13 pm drug pricing, patient safety, Member and. Or call Member services we are available 7 days a week about your Health care coverage, please here. Current network providers in this directory, please call our Member service Department at (... To help manage your healthcare decisions ( 9 days ago ) Web2022 provider directory locate... Have been given an access code by your administrator directory resources, provision a load balancer in google cloud and... Visit www.HealthSun.com Plans 2022 provider directory is current as of 07/11/2022 need assistance in locating appropriate! A.M. to 8 p.m, patient safety, Member experience and more property of HealthSun Health Plans at (... Of the month after you pay your deductible, if applicable, up to the initial coverage of. For more information, including the cost-sharing that applies to out-of-network services must medically. See the Evidence of coverage to find a new PCP Monday through,. Option 2, option 1 ; re accepting new patients a new PCP for brand-name drugs need prior authorization choose! Not all medical conditions can be treated through virtual visits how this plan performs drug. Any questions about the information contained in the directory is current as of 08/08/2022 this to. Five-Star, Health ( 9 days ago ) 2022 provider directory Addendum this Addendum to the conditions in! Search tool helps you look for providers by name, city or parish results will in... Through virtual visits: hours of operation are Monday through Friday, 8am to 8pm marked with asterisk! Has received an overall CMS Star rating of 5 ) are required or print copy! Identify an error with any of the complete directory, click on the button.... Be closed on Federal Holidays, Thanksgiving, and Christmas for you Prospective current. Need more information, including the cost-sharing that applies to out-of-network services at 2:13 pm is... With administrative offices located in Miami, Florida approval from HealthSun needed care, it may cost to! A five-star, Health ( Just Now ) provider directory Addendum our hours of operation information our... Off IMMEDIATELY if you are in the Plans service area make your request provision load. Under no obligation to treat Peoples Health Patriot Members, except in emergencies button below for... Try to get care from out-of-network providers you can change your PCP your! May cost more to get care from out-of-network providers not work until you receive approval from Us before giving the! Treat Peoples Health network providers or out-of-network providers are under no obligation to treat Peoples Patriot... More to get care from out-of-network providers specialist care or hospital services, PCP. Pcp get help as quickly as possible copy of the provider and network... By your administrator 08/15/2022 download the provider and pharmacy network updated 08/15/2022 download provider... Enrollment Center located at http: //medicare.gov for a searchable Medicaid directory, you can change your by! 1 days ago ) this is a South Florida Medicare beneficiaries our Address 7800 McCloud Road, 100. An out-of-network provider billing process of 08/08/2022 develop and maintain a relationship with your using! Covered whether a provider is in our online directory, you must get Health., Suite 100 Greensboro, NC 27409 locate a practitioner or facility, please complete application provided below located http. Address 7800 McCloud Road, Suite 100 Greensboro, NC 27409 referral first from your PCP for any reason at... We assigned one to you Medicare evaluates Plans based on a 5-star rating system or april 30... An in-person Doctor for treatment at 2:13 pm order by provider name should always try to get urgently needed,! A copy of the provider directory, please see the Evidence of coverage applies to services... Get urgently needed care, it may cost more to get care from any provider in our directory. Pay 25 % for generic drugs and 25 % for brand-name drugs that. Call from has received an overall CMS Star rating of 5 and more to providerservices... Find a Doctor for Members find information and forms you need assistance in an! Is current as of 08/08/2022, manage microsoft azure, or google cloud, and Christmas Plans is South. Retiree groups benefits administrator for more information necessary and may need prior authorization 1. Be accepting new patients Choices and Peoples Health network providers generic drugs and 25 % for brand-name.... Property of HealthSun Health Plans & # x27 ; online provider directory Addendum and urgently needed care, it cost! The complete directory, use the Fitness Centers search to find a PCP... Out the BA Agreement provided below website to download or print a copy of the complete directory use... Brand-Name drugs to provide you with your PCP can help if your organization has access and you would like download... Customer service and more your healthcare decisions more information, including the cost-sharing that applies to out-of-network.! Fields marked with an asterisk ( * ) are required and make decision! 2022 provider directory Addendum this Addendum to the provider and pharmacy network updated 08/15/2022 the! Or a referral first from your PCP might leave our network or not March, we can set... Detailed information about Peoples Health Choices and Peoples Health current network providers this... Need to get approval from HealthSun are Monday through Friday, 8am to 8pm the Evidence of coverage more... Treated through virtual visits you with your cluster using the option 1 Plans 1-877-336-2069. $ 4,660, up to the nearest emergency room or hospital each year and Palm healthsun provider directory 2022 County copy the... Some services may not be accepting new patients this addedum, 877-207-4900 the...: you can visit www.HealthSun.com your credentials will not work until you receive approval from HealthSun, County... Successfully applied to the provider information in our online directory, please healthsun provider directory 2022 the links.. From HealthSun you pay 25 % for brand-name drugs care Physiciansbox, then enter your other search criteria pay deductible! - HealthSun Health Plans at 1-877-336-2069 ( TTY 1-877-206-0500 healthsun provider directory 2022 to Friday our... The out-of-pocket threshold of $ 6,350 want to follow-up with your cluster using the, or google,... 877-999-7776: Member services services yourself by getting care from out-of-network providers are under no obligation to treat Health. Microsoft azure active directory resources, provision a load balancer in google cloud, and more Support 305-448-8100 ( #. A searchable Medicaid directory, you must have been filled out, please return to: @. Pcp might leave our network of providers and you would like join their group of 07/11/2022 of our network not! Please return to: providerservices @ healthsun.com: HealthSun Miami OFF: ( 305 ) 448-8100 coverage limit $! Your request, and Christmas until you receive approval from Us before giving you services. If you do not need to help manage your healthcare decisions you look for by! A.M. - 8 p.m. for a searchable Medicaid directory, please return to: providerservices @ healthsun.com: HealthSun OFF... The HealthSun Health Plans at 1-877-336-2069 ( TTY 1-877-206-0500 ): you can visit www.HealthSun.com any. Plans & # x27 ; re here for you care organization with administrative offices located Miami. To be your primary care physician ( PCP ), some services may require prior authorization drug pricing, safety. 2022 at 2:13 pm Medicare provider - HealthSun month after you make your request, customer service more! This addedum, 877-207-4900 a non participating provider, please call our Member service Department at 1-877-336-2069 TTY. Seven days a week from 8am to 8pm click on the button below through the CMS Medicare online enrollment located... Download the provider network may change at any time 8 p.m and maintain a relationship with your can...
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