Why Join Health First Medical Group?

Size: px
Start display at page:

Download "Why Join Health First Medical Group?"

Transcription

1 Why Join Health First Medical Group? At Health First Medical Group we are dedicated to our patients. We strive to help them find answers and support their needs to manage illness and stay healthy. Our team delivers exceptional quality care and supports our patients in both their emotional and health needs. We recognize the patient experience is not only when they are in our offices, but throughout their journey to a healthier person. An essential division of Health First s Integrated Delivery Network (IDN), Health First Medical Group provides community, specialty and hospital care. Our physicians work together to create seamless integrated care for our patients. With Health First Medical Group, you have the resources of a system with a team that supports your needs. What is an IDN? An IDN links care services and providers like our physicians, fitness centers, clinics, outpatient services, urgent care centers, hospitals and others into a unified system that shares information and resources to get people the right care at the right time for the right duration; no more, no less. Our goals for the IDN and for Brevard are lofty, but achievable. Health First s goal is to perform in the top 10% nationally in safety, quality of care, customer experience and cost efficiency. The measures we are using are objective and we compare ourselves to other health systems across the country. We will not be average. We will be exceptional. Who is Health First? Health First is a health care IDN located on Central Florida s east coast. We serve patients and their families, members, and clients from Brevard and Indian River Counties. As a notfor-profit IDN ahead of the current health care curve, Health First provides comprehensive services and care, spanning: Health Insurance: Medicare, Commercial, Individuals and Families Four Hospitals, including Birth Suites, a Mother/Baby Unit and a Level II Neonatal ICU Medical Group Prevention and Wellness Services Four Fitness Centers Diagnostic and Laboratory Services Aging Services Home Care and Hospice 1

2 At Health First, we provide high-quality, efficiently delivered care and by the year 2020, we intend to be performing consistently in the top 10 percent nationally in quality/no harm, stewardship and customer experience. These three areas are principle measures of key outcomes in health care. Our strategy for achievement includes the following elements: Continuos Quality Improvement Engagement First Dollar Risk Lean Culture Physician Network Sustainable Growth Foundational Facts: Stability Leadership Recognition Health First has a rich history and a bright future as a strong IDN. Our Board of Trustees consists of dedicated men and women with extraordinary talents, experience, and awards in many fields, including community service. The System Executive Leadership Team is comprised of exceptional individuals, many with long careers with prestigious healthcare organizations. The management team is matrixed with a system focus on quality, safety, customer experience, strategic growth and stewardship. The system employs approximately 7,800 associates. Among Health First s greatest strengths are the wide spectrum of services offered and the remarkable diversity and dedication of the highly skilled, compassionate professionals who provide them. A Brief History Health First s roots run deep in Brevard, dating back to 1937 when Brevard Hospital first opened in Melbourne with 27 beds. Now known as Health First s Holmes Regional Medical Center, the hospital is Brevard s largest with 514 beds. Health First s Cape Canaveral Hospital opened in 1962 with 44 beds and has since grown to 150 beds. Health First s Palm Bay Hospital opened in 1992 as a satellite of Holmes Regional with 60 beds and now has 152 beds. Health First was formed in August of 1995 when Holmes Regional Medical Center, Palm Bay Hospital, and Cape Canaveral Hospital joined together to create a not-for-profit Integrated Delivery Network and fulfill a common mission of improving the health of the community. Health First Health Plans launched in 1996 with commercial and Medicare plans. Health First Physicians opened its doors in 1995 and merged with another physician group, Melbourne Internal Medicine Associates (MIMA), in 2013 to form the largest medical group in Brevard County. Health First s Viera Hospital opened in 2011 with 84 inpatient rooms and the ability to expand. 2

3 Health Insurance Products Facilities Professionals Services Health First Health Plans opened in Brevard County in 1996 and expanded to Indian River County in We offer highly-rated health insurance plans with award-winning customer service: Group HMO, POS and High Deductible Plans Health First Health Plans operates the community s only locally-based HMO. Group and Individual/Family PPO Plans Medicare Advantage Plans Medicare Prescription Drug Plans Medicare Supplement Policies Rankings: Excellent Accreditation from the National Committee for Quality Assurance (NCQA) for our Medicare Advantage Plans. Our Medicare Advantage plans ranked #2 in Florida and #46 in the U.S., according to NCQA s Medicare Health Insurance Plan Rankings, Our Commercial HMO plans ranked #3 in Florida and #133 in the U.S., according to NCQA s Private Health Insurance Plan Rankings, Health First Health Plans serves more than 127,400 members and is proud to offer a quality provider network for Brevard, Flagler, Indian River and Volusia Counties with more than 1,100 physicians and the area s premier hospitals. In 2013, Health First Health Plans partnered with Florida Hospital (another health system) to create a private label product in the Florida Hospital market using the name Florida Hospital with the infrastructure of Health First Health Plans. Florida Hospital Care Advantage offers the same health insurance products as Health First Health Plans. Hospitals Health First has four hospitals on the Space Coast in Brevard County divided into a tertiary hospital division, Health First s Holmes Regional Medical Center, and community hospitals division, Health First s Cape Canaveral, Health First s Palm Bay and Health First s Viera hospital. Health First s Cape Canaveral Hospital Accreditation by The Joint Commission Joint Commission Top Performer for Key Quality Measures Primary Stroke Center Certification by The Joint Commission Leapfrog Group Hospital Safety Score of A Earned 4 Stars (out of 5) for Patient Experience from Centers for Medicare & Medicaid Services (CMS) Met Florida Hospital Association/Hospital Engagement Network Partnership for Patients 40/20 Goals Accreditation by the American College of Radiology (ACR) in CT, MRI, Mammography, Nuclear 3

4 Medicine, and Stereotactic Breast Biopsy Accredited by International Commission for Accreditation of Echo Laboratories (ICAEL) Certified by the College of American Pathologists (CAP) Blood Gas Laboratory Health First s Holmes Regional Medical Center (in Melbourne) Health First s Holmes Regional Medical Center is Health First s flagship tertiary care medical center and the largest hospital in Brevard County. The Heart Center at Holmes Regional Medical Center performs more cardiac procedures than all other hospitals in Brevard. As the area s leader in Heart & Vascular Services, the Center features all private rooms, state-of-the-art cardiac catheterization suites and adjoining pre- and post-procedure recovery areas. A roof-top landing site for the Health First s First Flight EC135 medical helicopter has dedicated elevator access to the Level II Trauma Center and Emergency Department at The Heart Center. The Trauma Center at Holmes Regional Medical Center is the only state-accredited Level II Trauma Center serving Brevard and Indian River Counties. Offering 24/7 trauma and critical care services 365 days a year, the Trauma Center serves as the designated treatment facility should NASA astronauts need emergency care after aborting a lift-off. Health First s Palm Bay Hospital Health First s Palm Bay Hospital is a full-service, acute care hospital offering a broad spectrum of healthcare services including, but not limited to, diagnostic cardiopulmonary services, inpatient and outpatient surgery and critical care. It features an emergency department with seven private treatment rooms, two trauma care beds, an eight-bed Intensive Care Unit, eight telemetry beds for cardiac monitoring, and four operating suites. Health First s Viera Hospital Health First s Viera Hospital opened in 2011 as a digital hospital with expansion capabilities to serve Brevard County s growing population. Viera Health Park s plan includes Health First s Viera Hospital, the Health First Viera Medical Plaza which contains a Diagnostic Center, the Space Coast Cancer Center and the Viera Sports Medicine & Orthopedic Center, and the 68,000 square foot Health First Viera Pro-Health and Fitness Center. Health First VitalWatch (eicu ) Intensive Care Unit (ICU) patients at all four hospitals additionally benefit from our remote elcu VitalWatch 24/7 monitoring system, Central Florida s only electronic Intensive Care Unit. Provided without charge to patients, VitalWatch does not replace the patient s personal physician or nursing care, but adds another layer of support to ensure the best possible outcomes. With a telemedicine concept developed in 1997 by physicians from Johns Hopkins University, Health First s system was the 4

5 first eicu program in the southeastern United States and the eighth operating system installed in the U.S. Medical Group Health First employs approximately 283 (as of June 2015) physicians and 105 mid-levels (Advanced Registered Nurse Practitioners and Physician Assistants) in 45 specialties practicing in our community. It is the largest multi-specialty medical group in Brevard County with a total of 388 providers. Physicians are also based at the four hospitals. Health First Medical Group also operates Health First Now, five urgent care centers across Brevard providing quick accessible health care for life s minor illnesses. Outpatient & Wellness Health First s compassionate care extends well beyond our hospitals: Health First Pro-Health & Fitness Centers Committed to helping members be healthy and fit, fully equipped centers are located in Melbourne, Merritt Island, Palm Bay and Viera with membership at one providing access to all Health First Diagnostics Advanced technology and services for high-quality diagnosis of injury and disease and injury Health First Family Pharmacy Local, full-service pharmacy offering mail order, retail and specialty medication Health First Medical Equipment Providing 24/7 equipment and technology services for everyday living Health First Medical Rehabilitation Improving life through outpatient occupational, physical and speech therapy Health First Wound Care & Hyperbarics Advanced options for treating chronic and slowhealing wounds Health First Sleep Centers Brevard County s only accredited hospital-based sleep center offering advanced diagnoses and treatments Health First Home Care Making the transition from hospital to home a smooth one Health First Home Companions Providing extra support in the home Health First Private Duty Providing private nursing care, companionship, sitters, and live-in assistance Health First Aging Services Dedicated to improving the health and well-being of seniors by increasing the availability of high-quality geriatric care services across the care continuum. These services include: Eldercare A free, online, information, referral, and care-coordination resource for older adults and those who care about them The Center for Family Caregivers Providing much-needed support to the families of elders in need 5

6 East Central Florida Memory Disorder Clinic Providing support for memory loss, Alzheimer s Disease, and other cognitive impairment DriveABLE Providing driving assessments Health First Medicare Plans Insurance options Critical Systems Technology Providing in-home monitoring services Hospice of Health First Providing care for terminally ill individuals. Hospice of Health First enables patients to remain at home during much or all of their illness. Hospice provides palliative care and facilitates being surrounded by family and friends, living life as fully and comfortably as possible. In 2004, Hospice of Health First provided an additional option with the opening of the William Childs Hospice House, an eight-bed home environment which has since grown to 16 beds. R

Medical Center of the South

Medical Center of the South Page 1 of 6 Medical Center For more than a decade, Webster s position as the Medical Center has been fueled by impressive, new, state of the art facilities, powered by more than 2,200 physicians who perform

More information

We are growing to better serve you

We are growing to better serve you We are growing to better serve you Message from Robert L. Lord, Jr. Martin Health System President and CEO Founded in 1939, Martin Health System has a rich history of providing care to residents of the

More information

Corporate Partners Program

Corporate Partners Program Mercy Health Foundation St. Louis Mercy Health Foundation 615 S. New Ballas Road St. Louis, MO 63141 Office: 314-251-1800 Fax: 314-251-1801 mercyhealthfoundation.stl@mercy.net Corporate Partners Program

More information

Floyd Healthcare Management Inc. Community Benefits Summary

Floyd Healthcare Management Inc. Community Benefits Summary Floyd Healthcare Management Inc. Community Benefits Summary FY 2013 Floyd Healthcare Management Inc. Community Benefits Summary for FY 2013 The Floyd healthcare system, which, for the purposes of this

More information

The future of healthcare, today.

The future of healthcare, today. Born out of His Highness Sheikh Mohammed Bin Rashid Al Maktoum s vision of a healthier nation, Valiant Clinic, a multi-disciplinary outpatient clinic, is the trusted leader in providing internationally

More information

ELDER MEDICAL CARE. Elder Medical. Counseling & Support. Hospice. Care. Care

ELDER MEDICAL CARE. Elder Medical. Counseling & Support. Hospice. Care. Care ELDER MEDICAL CARE Counseling & Support Elder Medical Care Hospice Care Mission To provide counseling, support and care to anyone with a serious illness, so they may live life to the fullest. Vision We

More information

ABOUT THE CONE HEALTH NETWORK OF SERVICES

ABOUT THE CONE HEALTH NETWORK OF SERVICES THE MOSES H. CONE MEMORIAL HOSPITAL (536 beds) Critical Care Services All system ICU patients are monitored with the help an electronic ICU monitoring system (VISICU ). Emergency Services Medical Intensive

More information

Skilled, tender care for all stages of aging

Skilled, tender care for all stages of aging Skilled, tender care for all stages of aging No Regrets As we age, we all need personal, medical and emotional care. Geer Village supports seniors and their families through all the stages of aging with

More information

INPATIENT ACUTE REHABILITATION HOSPITAL LIMITATIONS, SCOPE AND INTENSITY OF CARE

INPATIENT ACUTE REHABILITATION HOSPITAL LIMITATIONS, SCOPE AND INTENSITY OF CARE INPATIENT ACUTE REHABILITATION HOSPITAL LIMITATIONS, SCOPE AND INTENSITY OF CARE Bacharach Institute for Rehabilitation offers a number of in and outpatient rehabilitation programs and services designed

More information

IV. Benefits and Services

IV. Benefits and Services IV. Benefits and A. HealthChoice Benefits This table lists the basic benefits that all MCOs must offer to HealthChoice members. Review the table carefully as some benefits have limits, you may have to

More information

Trinity Health Physician Opportunity

Trinity Health Physician Opportunity Trinity Health Physician Opportunity Mercy Physician Network (MPN) Posting #THMHS 909 SPECIALTY HOSPITAL LOCATION GROUP PRACTICE PRACTICE MODEL STATUS Nurse Practitioner Family Medicine or Internal Medicine

More information

Your Plan Explained. MetLife. UnitedHealthcare Group Medicare Advantage (PPO) Group Number: 12359

Your Plan Explained. MetLife. UnitedHealthcare Group Medicare Advantage (PPO) Group Number: 12359 2016 Your Plan Explained MetLife UnitedHealthcare Group Medicare Advantage (PPO) Effective: January 1, 2016 through December 31, 2016 Group Number: 12359 Benefit highlights MetLife 12359 Effective January

More information

Trinity Health Physician Opportunity Mercy Physician Network (MPN) Posting #THMPH 558

Trinity Health Physician Opportunity Mercy Physician Network (MPN) Posting #THMPH 558 Trinity Health Physician Opportunity Mercy Physician Network (MPN) Posting #THMPH 558 SPECIALTY HOSPITAL LOCATION GROUP PRACTICE PRACTICE MODEL STATUS Family Medicine Mercy Physician Network (MPN) Nazareth

More information

NEIGHBORHOOD HEALTH PARTNERSHIP POS SUMMARY OF BENEFITS

NEIGHBORHOOD HEALTH PARTNERSHIP POS SUMMARY OF BENEFITS XV-2 $30/$60/$200/$1,000/80% R NEIGHBORHOOD HEALTH PARTNERSHIP POS SUMMARY OF BENEFITS A quick glance at this Summary of Benefits will introduce you to the Point of Service (POS) Plan you have with Neighborhood

More information

Summary of Benefits Full PPO Savings Two-Tier Embedded Deductible 1500/2700/3000

Summary of Benefits Full PPO Savings Two-Tier Embedded Deductible 1500/2700/3000 Summary of Benefits Full PPO Savings Two-Tier Embedded Deductible 1500/2700/3000 Group Plan PPO Savings Benefit Plan This Summary of Benefits shows the amount you will pay for Covered Services under this

More information

CO-PAYMENT BOOK Las Vegas Blvd. South Suite 107 Las Vegas, NV

CO-PAYMENT BOOK Las Vegas Blvd. South Suite 107 Las Vegas, NV CO-PAYMENT BOOK 1901 Las Vegas Blvd. South Suite 107 Las Vegas, NV 89104 702-733-9938 www.culinaryhealthfund.org Revised January 2018 (Replaces Co-Payment Book dated June 2017) TABLE OF CONTENTS 4 5 6

More information

Community Health Needs Assessment Supplement

Community Health Needs Assessment Supplement 2016 Community Health Needs Assessment Supplement June 30, 2016 Mission Statement, Core Values, and Guiding Social Teachings We, St. Francis Medical Center and Trinity Health, serve together in the spirit

More information

WILLIS KNIGHTON MEDICAL CENTER S2763 NON GRANDFATHERED PLAN BENEFIT SHEET

WILLIS KNIGHTON MEDICAL CENTER S2763 NON GRANDFATHERED PLAN BENEFIT SHEET BENEFIT SHEET GENERAL PLAN INFORMATION Coordination of Benefits Customized COB Dependents Children birth to 26 Filing Limit 12 months For employees that work in a WKHS location within the primary HealthPlus

More information

Floyd Healthcare Management Inc. Community Benefits Summary for FY 2011

Floyd Healthcare Management Inc. Community Benefits Summary for FY 2011 Floyd Healthcare Management Inc. Community Benefits Summary for FY 2011 The Floyd healthcare system, which includes Floyd Medical Center, Floyd Behavioral Health Center, Floyd Primary Care, Floyd Urgent

More information

Caldwell Medical Center Departments

Caldwell Medical Center Departments Caldwell Medical Center Departments Surgery Medical / Surgery Same Day Surgery Lab Education Administration Special Care Unit Women s Center Admission Emergency Services Radiology Cardiac Rehab Admission

More information

Introduction to Tift Regional Health System

Introduction to Tift Regional Health System Introduction to Tift Regional Health System Introduction Welcome to Tift Regional Health System! Each year Tift Regional hosts over 1000 students from all disciplines who find our hospital and other service

More information

Medical Management. G.2 At a Glance. G.3 Procedures Requiring Prior Authorization. G.5 How to Contact or Notify Medical Management

Medical Management. G.2 At a Glance. G.3 Procedures Requiring Prior Authorization. G.5 How to Contact or Notify Medical Management G.2 At a Glance G.3 Procedures Requiring Prior Authorization G.5 How to Contact or Notify Medical Management G.6 When to Notify Medical Management G.11 Case Management Services G.14 Special Needs Services

More information

PRESTIGE CARE AND REHABILITATION OF REEDWOOD QUALITY CARE. Guided by a Compassionate Heart. Your Transition to Home Experts

PRESTIGE CARE AND REHABILITATION OF REEDWOOD QUALITY CARE. Guided by a Compassionate Heart.  Your Transition to Home Experts PRESTIGE CARE AND REHABILITATION OF REEDWOOD QUALITY CARE Guided by a Compassionate Heart www.prestigecare.com Your Transition to Home Experts Prestige Care and Rehabilitation of Reedwood offers a broad

More information

San Francisco Department of Public Health Barbara A. Garcia, MPA Director of Health

San Francisco Department of Public Health Barbara A. Garcia, MPA Director of Health Overview San Francisco Department of Public Health Medical Respite Fact Sheet December 18, 2017 The Medical Respite program has provided essential post-hospital care to homeless clients in San Francisco

More information

Co C as a t s Pro r v o i v nce nc G eneral Hospi s tal Le L v e e v l 5 R 5 e R fe f rr r al a F ac a i c lity *** 9/2/2015 1

Co C as a t s Pro r v o i v nce nc G eneral Hospi s tal Le L v e e v l 5 R 5 e R fe f rr r al a F ac a i c lity *** 9/2/2015 1 Coast Province General Hospital Level 5 Referral Facility *** 9/2/2015 1 Background Coast Province General Hospital was founded in 1908 as the Native Civil Hospital in the Makadara area of Mombasa Island.

More information

GIC Employees/Retirees without Medicare

GIC Employees/Retirees without Medicare GIC Active Employees & Retirees without Medicare 7/1/18 GIC Employees/Retirees without Medicare HMO Summary of Benefits Chart This chart provides a summary of key services offered by your Health New England

More information

SITE PROFILE CORNER BROOK

SITE PROFILE CORNER BROOK SITE PROFILE CORNER BROOK Western Memorial Regional Hospital 1 Brookfield Avenue P.O. Box 2005 Corner Brook, NL A2H 6J7 709-637-5000 Site Information: Western Memorial Regional Hospital (WMRH), located

More information

BCBSAZ Individual HMO Portfolio ZCS Plan Attachment Neighborhood Network On Exchange

BCBSAZ Individual HMO Portfolio ZCS Plan Attachment Neighborhood Network On Exchange BCBSAZ Individual HMO Portfolio ZCS Plan Attachment Neighborhood Network On Exchange 21016 0118 Suite E PLAN NETWORK Your Plan Network is the Neighborhood Network. The BCBSAZ provider directory of Neighborhood

More information

We can never insure one-hundred percent of the population against one-hundred percent of the hazards and vicissitudes of life. Franklin D.

We can never insure one-hundred percent of the population against one-hundred percent of the hazards and vicissitudes of life. Franklin D. Medicare Explained We can never insure one-hundred percent of the population against one-hundred percent of the hazards and vicissitudes of life. Franklin D. Roosevelt comments on signing The Social Security

More information

Choice PPO Retired Employees Health Program Non-Medicare Eligible Retired Members

Choice PPO Retired Employees Health Program Non-Medicare Eligible Retired Members Choice PPO Retired Employees Health Program Non-Medicare Eligible Retired Members DEDUCTIBLE (per calendar year) Annual in-network deductible must be paid first for the following services: Imaging, hospital

More information

Summary of Benefits Platinum Full PPO 0/10 OffEx

Summary of Benefits Platinum Full PPO 0/10 OffEx Blue Shield of California is an independent member of the Blue Shield Association Summary of Benefits Platinum Full PPO 0/10 OffEx Group Plan PPO Benefit Plan This Summary of Benefits shows the amount

More information

Fiscal Year 2017 Statistical Profile

Fiscal Year 2017 Statistical Profile Fiscal Year 2017 Statistical Profile Oct. 1, 2016 - Sept. 30, 2017 We re on a journey to transform the health care experience for our patients and their families. is the largest and most comprehensive

More information

Trinity Health Physician Opportunity

Trinity Health Physician Opportunity Trinity Health Physician Opportunity Mercy Health System (MHS) Posting #THMPH 1526 SPECIALTY HOSPITAL LOCATION GROUP PRACTICE PRACTICE MODEL STATUS Psychiatry Department Chair Mercy Health System Mercy

More information

The Medicare Hospice Benefit. What Does It Mean to You and Your Patients?

The Medicare Hospice Benefit. What Does It Mean to You and Your Patients? The Medicare Hospice Benefit What Does It Mean to You and Your Patients? The Medicare Hospice Benefit By the time Congress established the Medicare Hospice Benefit in 1982, hundreds of organizations in

More information

Comprehensive Cardiac Care Program

Comprehensive Cardiac Care Program PrograM Comprehensive Cardiac Care Program Empowering you to strengthen your heart. Trust in Our Care The Comprehensive Cardiac Care Program is physician directed and focused on assisting patients achieve

More information

Medicare & Medicare Supplemental Insurance (Medigap)

Medicare & Medicare Supplemental Insurance (Medigap) Elder Law Basics Medicare & Medicare Supplemental Insurance (Medigap) Steven A. Kass, Esq., CELA Law Office of Steven A. Kass, PC 105 Maxess Road, Suite N116 Melville, New York 11747 What is Medicare?

More information

Highlights of your Health Care Coverage

Highlights of your Health Care Coverage Highlights of your Health Care Coverage Any deductibles, copays, and coinsurance percentages shown are amounts for which you're responsible. Medical Benefits apply after the calendar-year deductible is

More information

Summary of Benefits [Silver Access+ HMO 1750/55 OffEx] [Silver Local Access+ HMO 1750/55 OffEx]

Summary of Benefits [Silver Access+ HMO 1750/55 OffEx] [Silver Local Access+ HMO 1750/55 OffEx] Blue Shield of California is an independent member of the Blue Shield Association Summary of Benefits [Silver Access+ HMO 1750/55 OffEx] [Silver Local Access+ HMO 1750/55 OffEx] Group Plan HMO Benefit

More information

Address of Proposed site: 800 MLK Drive Lumberton, NC 28358

Address of Proposed site: 800 MLK Drive Lumberton, NC 28358 Southeastern Regional Medical Center Request for Proposal Architectural and Engineering Services Restoration of the A.J. Robinson Medical Clinic Phase I November 10, 2017 I. Introduction A. Project Description

More information

Summary of Benefits Platinum Trio HMO 0/25 OffEx

Summary of Benefits Platinum Trio HMO 0/25 OffEx Blue Shield of California is an independent member of the Blue Shield Association Summary of Benefits Platinum Trio HMO 0/25 OffEx Group Plan HMO Benefit Plan This Summary of Benefits shows the amount

More information

Summary of Benefits CCPOA (Basic) Custom Access+ HMO

Summary of Benefits CCPOA (Basic) Custom Access+ HMO Blue Shield of California is an independent member of the Blue Shield Association Summary of Benefits CCPOA (Basic) Custom Access+ HMO CCPOA Effective January 1, 2019 HMO Benefit Plan This Summary of Benefits

More information

MEDIMASTER GUIDE. MediMaster Guide. Positively Aging /M.O.R.E The University of Texas Health Science Center at San Antonio

MEDIMASTER GUIDE. MediMaster Guide. Positively Aging /M.O.R.E The University of Texas Health Science Center at San Antonio MEDIMASTER GUIDE MediMaster Guide 25 Appendix: MediMaster Guide MEDICARE What is Medicare? Medicare is a hospital insurance program in the U.S. that pays for inpatient hospital care, skilled nursing facility

More information

CLOSING THE TELEHEALTH GAP. February 8, 2018

CLOSING THE TELEHEALTH GAP. February 8, 2018 CLOSING THE TELEHEALTH GAP February 8, 2018 INTRODUCING TODAY S PANEL SHAWN FARRELL VP Business Development Avizia MARTY DOERFLER, MD Senior Vice President of Clinical Strategy and Development Northwell

More information

BCBSNC Provider Application for Participation

BCBSNC Provider Application for Participation BCBSNC Provider Application for Participation This application is to be used if you wish to become a participating provider facility with BCBSNC. This application is not a contract. Please follow the applicable

More information

Blue Cross Premier Bronze

Blue Cross Premier Bronze An individual PPO health plan from Blue Cross Blue Shield of Michigan. You will have a broad choice of doctors and hospitals within BCBSM s unsurpassed statewide PPO network including nationwide coverage.

More information

Irvine Unified School District ASO PPO /50

Irvine Unified School District ASO PPO /50 An Independent member of the Blue Shield Association Irvine Unified School District ASO PPO 500 90/50 Benefit Summary (For groups of 300 and above) (Uniform Health Plan Benefits and Coverage Matrix) THIS

More information

Schedule of Benefits

Schedule of Benefits Schedule of Benefits ANTHEM Small Business Health Options Program (SHOP) This is a brief schedule of benefits. Refer to your Anthem Certificate of Coverage (Booklet) for complete details on benefits, conditions,

More information

Let s talk about Hope. Regional Hospice and Home Care of Western Connecticut

Let s talk about Hope. Regional Hospice and Home Care of Western Connecticut Let s talk about Hope Regional Hospice and Home Care of Western Connecticut Hospice is about hope. There are many aspects of hope in the care Regional Hospice and Home Care of Western CT provides. Hope

More information

Blue Shield of California

Blue Shield of California An independent member of the Blue Shield Association City of San Jose Custom ASO PPO 100 90/70 Active Employees Benefit Summary (For groups of 300 and above) (Uniform Health Plan Benefits and Coverage

More information

STATEMENT OF PURPOSE August Provided to the Care Quality Commission to comply with The Health & Social Care Act (2008)

STATEMENT OF PURPOSE August Provided to the Care Quality Commission to comply with The Health & Social Care Act (2008) 1. Trust Profile STATEMENT OF PURPOSE August 2015 Provided to the Care Quality Commission to comply with The Health & Social Care Act (2008) 1.1 Worcestershire Acute Hospitals NHS Trust was formed on 1

More information

2007 Community Service Plan

2007 Community Service Plan 2007 Community Service Plan 169 Riverside Drive Binghamton, NY 607-798-5111 www.lourdes.com MESSAGE from the CEO Dear Friends, Providing community benefit is an important part of our Mission. It represents

More information

2016 Partners in Learning Host Sites

2016 Partners in Learning Host Sites 2016 Partners in Learning Host Sites Please see Host Site Description Grid for a complete list of learning opportunities for each location. Site#1 Wuestoff medical Center, Melbourne, FL Host: Rich Egan,

More information

Place of Service Code Description Conversion

Place of Service Code Description Conversion Place of Conversion CMS Place of Code Place of Name The place of service field indicates where the services were performed Possible values include: Code Description Inpatient Outpatient Office Home 5 Independent

More information

Medical Management. G.2 At a Glance. G.2 Procedures Requiring Prior Authorization. G.3 How to Contact or Notify Medical Management

Medical Management. G.2 At a Glance. G.2 Procedures Requiring Prior Authorization. G.3 How to Contact or Notify Medical Management G.2 At a Glance G.2 Procedures Requiring Prior Authorization G.3 How to Contact or Notify G.4 When to Notify G.7 Case Management Services G.10 Special Needs Services G.12 Health Management Programs G.14

More information

HEALTH PLAN BENEFITS AND COVERAGE MATRIX

HEALTH PLAN BENEFITS AND COVERAGE MATRIX HEALTH PLAN BENEFITS AND COVERAGE MATRIX THIS MATRIX IS INTENDED TO BE USED TO HELP YOU COMPARE COVERAGE BENEFITS AND IS A SUMMARY ONLY. THE EVIDENCE OF COVERAGE AND PLAN CONTRACT SHOULD BE CONSULTED FOR

More information

Florida Managed Medical Assistance Program:

Florida Managed Medical Assistance Program: Florida Managed Medical Assistance Program: Program Overview Agency for Health Care Administration Division of Medicaid Table of Contents Why Are Changes Being Made to Florida s Medicaid Program?... 3

More information

Director of Medical Staff Services South Shore Hospital

Director of Medical Staff Services South Shore Hospital Director of Medical Staff Services South Shore Hospital South Weymouth, Massachusetts Position Specification August 2013 Summary South Shore Hospital (SSH) is looking for a Director of Medical Staff Services

More information

2016 Summary of Benefits

2016 Summary of Benefits 2016 Summary of Benefits Health Net Jade (HMO SNP) Kern, Los Angeles and Orange counties, CA Benefits effective January 1, 2016 H0562 Health Net of California, Inc. H0562_2016_0175 CMS Accepted 09082015

More information

Descriptions: Provider Type and Specialty

Descriptions: Provider Type and Specialty Descriptions: Provider Type and Specialty PROVIDER TYPE/SPECIALTY ADULT PRIMARY CARE Provides care for adults by treating common health problems, performing check-ups and providing prevention services.

More information

Effective Use of Existing Licensed Healthcare Infrastructure During a Crisis or Catastrophe

Effective Use of Existing Licensed Healthcare Infrastructure During a Crisis or Catastrophe Effective Use of Existing Licensed Healthcare Infrastructure During a Crisis or Catastrophe Kathy McCanna, Program Manager-Office of Medical Facilities Connie Belden, Team Leader-Office of Medical Facilities

More information

Senior Services. A Guide to Holy Cross Health's Services for Seniors and Caregivers

Senior Services. A Guide to Holy Cross Health's Services for Seniors and Caregivers Senior Services A Guide to Holy Cross Health's Services for Seniors and Caregivers senior services Table of Contents Seniors Emergency Center 2 Surgical Care 3 Special Services for Hospitalized Seniors

More information

Alpert Medical School of Brown University Clinical Psychology Internship Training Program Rotation Description

Alpert Medical School of Brown University Clinical Psychology Internship Training Program Rotation Description Rotation Title: Neuropsychology Track Neuropsychological Assessment Rotation Location: VA Medical Center Rotation Supervisor(s): Stephen Correia, Ph.D. (Primary Supervisor) Megan Spencer, Ph.D. Donald

More information

RSNA EMPLOYEE BENEFIT TRUST PLAN II S2502 NON GRANDFATHERED PLAN BENEFIT SHEET

RSNA EMPLOYEE BENEFIT TRUST PLAN II S2502 NON GRANDFATHERED PLAN BENEFIT SHEET BENEFIT SHEET GENERAL PLAN INFORMATION Coordination of Benefits Standard COB Dependents Children birth to age 26 Filing Limit 1 year from date of service Mailing Address & PPO Company. Remit claims to:

More information

Explorer Plan (HMO-POS) SunSaver Plan (HMO-POS)

Explorer Plan (HMO-POS) SunSaver Plan (HMO-POS) January 1, 2015 December 31, 2015 Explorer Plan SunSaver Plan SECTION I INTRODUCTION This booklet gives you a summary of what we cover and what you pay. It doesn't list every service that we cover or list

More information

WCA Hospital FAQ (Frequently Asked Questions) Document For Media.

WCA Hospital FAQ (Frequently Asked Questions) Document For Media. A Health Care System Including the JONES MEMORIAL HEALTH CENTER Division The WOMAN S CHRISTIAN ASSOCIATION OF JAMESTOWN, NEW YORK WCA Hospital FAQ (Frequently Asked Questions) Document For Media. What

More information

Community Health Needs Assessment for Corning Hospital: Schuyler, NY and Steuben, NY:

Community Health Needs Assessment for Corning Hospital: Schuyler, NY and Steuben, NY: Community Health Needs Assessment for Corning Hospital: Schuyler, NY and Steuben, NY: November 2012 Approved February 20, 2013 One Guthrie Square Sayre, PA 18840 www.guthrie.org Page 1 of 18 Table of Contents

More information

PROFESSIONAL SERVICES. 1199SEIU VIP Premier (HMO) Medicare INPATIENT HOSPITAL SERVICES. 1199SEIU VIP Premier (HMO) Medicare

PROFESSIONAL SERVICES. 1199SEIU VIP Premier (HMO) Medicare INPATIENT HOSPITAL SERVICES. 1199SEIU VIP Premier (HMO) Medicare PROFESSIONAL SERVICES PCP office visits Specialist office visits Annual physical exam/preventive care Physical, speech & occupational therapy Flu and pneumonia vaccinations Diagnostic services including

More information

Medicare Advantage 2014 Precertification Requirements

Medicare Advantage 2014 Precertification Requirements Medicare Advantage 2014 Precertification Requirements (Effective for Jan 1, 2014 to June 30, 2014) The precertification requirements filed with the Centers for Medicare & Medicaid Services remain in effect

More information

Explorer Plan (HMO-POS) SunSaver Plan (HMO-POS)

Explorer Plan (HMO-POS) SunSaver Plan (HMO-POS) January 1, 2016 December 31, 2016 Explorer Plan SunSaver Plan SECTION I INTRODUCTION This booklet gives you a summary of what we cover and what you pay. It doesn't list every service that we cover or list

More information

GLOBAL HEALTH ADVANTAGE 2 to 20

GLOBAL HEALTH ADVANTAGE 2 to 20 GLOBAL HEALTH ADVANTAGE 2 to 20 Benefits Proposal Prepared specially for Marathon Petroleum Effective Date: 01/01/2018 112336 8/17 Offered by: Cigna Health and Life Insurance Company, Connecticut General

More information

HOME BANK - S2395 NON-GRANDFATHERED CONSUMER DRIVEN HEALTH PLAN BENEFIT SHEET

HOME BANK - S2395 NON-GRANDFATHERED CONSUMER DRIVEN HEALTH PLAN BENEFIT SHEET CONSUMER DRIVEN HEALTH PLAN BENEFIT SHEET GENERAL PLAN INFORMATION Coordination of Benefits Standard COB Dependents Children birth to 26 180 days from incurred Filing Limit date, except when 180 days would

More information

SUMMARY OF BENEFITS. Cigna-HealthSpring. Advantage SMS (HMO) H January 1, December 31, Cigna H4407_16_32690 Accepted

SUMMARY OF BENEFITS. Cigna-HealthSpring. Advantage SMS (HMO) H January 1, December 31, Cigna H4407_16_32690 Accepted SUMMARY OF BENEFITS January 1, 2016 - December 31, 2016 Cigna-HealthSpring Advantage SMS (HMO) H4407-011 2015 Cigna H4407_16_32690 Accepted SECTION I - INTRODUCTION TO SUMMARY OF BENEFITS This booklet

More information

HPHC Insurance Company, Inc. THE HPHC INSURANCE COMPANY DEDUCTIBLE TIERED COPAYMENT PPO PLAN MAINE

HPHC Insurance Company, Inc. THE HPHC INSURANCE COMPANY DEDUCTIBLE TIERED COPAYMENT PPO PLAN MAINE ID: MD0000003250 X Schedule of s HPHC Insurance Company, Inc. THE HPHC INSURANCE COMPANY DEDUCTIBLE TIERED COPAYMENT PPO PLAN MAINE This Schedule of s summarizes your benefits under the The HPHC Insurance

More information

FREEDOM BLUE PPO R CO 307 9/06. Freedom Blue PPO SM Summary of Benefits and Other Value Added Services

FREEDOM BLUE PPO R CO 307 9/06. Freedom Blue PPO SM Summary of Benefits and Other Value Added Services FREEDOM BLUE PPO R9943 2007 CO 307 9/06 Freedom Blue PPO SM Summary of Benefits and Other Value Added Services Introduction to Summary of Benefits for Freedom Blue January 1, 2007 - December 31, 2007 California

More information

National Imaging Associates, Inc. (NIA) 1 Medical Specialty Solutions

National Imaging Associates, Inc. (NIA) 1 Medical Specialty Solutions National Imaging Associates, Inc. (NIA) 1 Medical Specialty Solutions Provider Training/Presented by: Name: Kevin Apgar 1 National Imaging Associates, Inc. (NIA) is a subsidiary of Magellan Healthcare,

More information

Benefits and Premiums are effective January 01, 2018 through December 31, 2018 PLAN DESIGN AND BENEFITS PROVIDED BY AETNA LIFE INSURANCE COMPANY

Benefits and Premiums are effective January 01, 2018 through December 31, 2018 PLAN DESIGN AND BENEFITS PROVIDED BY AETNA LIFE INSURANCE COMPANY Benefits and Premiums are effective January 01, 2018 through December 31, 2018 PLAN FEATURES Network & Out-of- Annual Deductible This is the amount you have to pay out of pocket before the plan will pay

More information

Corporate Information for Patient Referrals & Charges effective 1 April 2017

Corporate Information for Patient Referrals & Charges effective 1 April 2017 Corporate Information for Patient Referrals & Charges effective 1 April 2017 Our team Family physicians with special training in rehabilitation and community geriatrics Visiting specialists to complement

More information

Your Out-of-Pocket Type of Service

Your Out-of-Pocket Type of Service Calendar Year Deductible (CYD) 1 $3,000 single/ 3x family Out-of-Pocket Maximum - Deductibles and copays all accrue towards the out-of-pocket $6,200 single/ 2x family maximum. With respect to family plans,

More information

Yes, for all plans, see or call for a list of network providers.

Yes, for all plans, see   or call for a list of network providers. Important Questions (Massachusetts ) (New England ) (National ) What is the overall $0.00 Are there other s for specific? Is there an out of pocket limit on my expenses? What is not included in the out

More information

OMC Strategic Plan Final Draft. Dear Community, Working together to provide excellence in health care.

OMC Strategic Plan Final Draft. Dear Community, Working together to provide excellence in health care. Dear Community, Working together to provide excellence in health care. This mission statement, established nearly two decades ago, continues to be fulfilled by our employees and medical staff. This mission

More information

The Laurels of Athens Area Hospitals

The Laurels of Athens Area Hospitals The Laurels of Athens Area Hospitals The Athens area is relatively segmented in terms of Medicare hospital discharge shares. O Bleness Memorial Hospital holds a 23% market share, but this is almost entirely

More information

BAY PARK HOSPITAL. CLIENT: ProMedica

BAY PARK HOSPITAL. CLIENT: ProMedica ProMedica Master Planning and Functional Programming 240,000 SF BAY PARK HOSPITAL The ProMedica System is a major integrated healthcare delivery system located in Northern Ohio and Southern Michigan. The

More information

Your Out-of-Pocket Type of Service

Your Out-of-Pocket Type of Service Calendar Year Deductible (CYD) 1 $0 single/ 3x family Out-of-Pocket Maximum - Deductibles, coinsurance and copays all accrue toward the outof-pocket maximum. With respect to family plans, an individual

More information

Magellan Healthcare 1 Medical Specialty Solutions

Magellan Healthcare 1 Medical Specialty Solutions Magellan Healthcare 1 Medical Specialty Solutions Horizon NJ Health 1 National Imaging Associates, Inc. is a subsidiary of Magellan Healthcare, Inc. Magellan Healthcare Training 2 Magellan Healthcare Agenda

More information

VANTAGE HEALTH PLAN FACILITY CREDENTIALING APPLICATION

VANTAGE HEALTH PLAN FACILITY CREDENTIALING APPLICATION VANTAGE HEALTH PLAN FACILITY CREDENTIALING APPLICATION GENERAL INFORMATION Primary Practice Facility Location The type of application being submitted: Please choose facility type (check all that apply):

More information

Inova. Alexandria Hospital

Inova. Alexandria Hospital Inova Alexandria Hospital About Us Inova Alexandria Hospital was founded in 1872 to meet the healthcare needs of the Alexandria community. Originally situated in the heart of Old Town Alexandria, the hospital

More information

T M A V e r s i o n TABLE OF CONTENTS PART DEFINITIONS

T M A V e r s i o n TABLE OF CONTENTS PART DEFINITIONS (a) General. 1 (b) Specific definitions. 1 Abortion. 1 Absent treatment. 1 Abuse. 1 Abused dependent. 1 Accidental injury. 2 Active duty. 2 Active duty member. 2 Activities of daily living. 2 Acupuncture.

More information

Gold Access+ HMO 500/35 OffEx

Gold Access+ HMO 500/35 OffEx An Independent Member of the Blue Shield Association Gold Access+ HMO 500/35 OffEx Benefit Summary (For groups 1 to 100) (Uniform Health Plan Benefits and Coverage Matrix) Blue Shield of California Effective

More information

Blue Shield Gold 80 HMO 0/30 + Child Dental INF

Blue Shield Gold 80 HMO 0/30 + Child Dental INF Blue Shield Gold 80 HMO 0/30 + Child Dental INF Benefit Summary (For groups 1 to 100) (Uniform Health Plan Benefits and Coverage Matrix) Blue Shield of California Effective January 1, 2017 THIS MATRIX

More information

January 1, 2015 December 31, Maintenance Organization (HMO) offered by HEALTHNOW NEW YORK INC. with a Medicare contract)

January 1, 2015 December 31, Maintenance Organization (HMO) offered by HEALTHNOW NEW YORK INC. with a Medicare contract) BLUECROSS BLUESHIELD SENIOR BLUE 601 (HMO), BLUECROSS BLUESHIELD SENIOR BLUE HMO SELECT (HMO) AND BLUECROSS BLUESHIELD SENIOR BLUE HMO 651 PARTD (HMO) (a Medicare Advantage Health Maintenance Organization

More information

KY Medicaid Co-pays. Acute admissions medical Per admission diagnoses $0 Acute health care related to. Per admission substance abuse and/or for

KY Medicaid Co-pays. Acute admissions medical Per admission diagnoses $0 Acute health care related to. Per admission substance abuse and/or for This is a list of current covered services and co-pays. Except for the Pharmacy Non-Preferred co-pay, co-pays do not apply to the following: Non-KCHIP children Children under 19 in foster care Pregnant

More information

Home Health. Improving Patient Outcomes & Reducing Readmissions. Home Health: Improving Outcomes & Reducing Readmissions

Home Health. Improving Patient Outcomes & Reducing Readmissions. Home Health: Improving Outcomes & Reducing Readmissions Home Health Improving Patient Outcomes & Reducing Readmissions Home Health: Improving Outcomes & Reducing Readmissions Benefits of Home Health Care Scientific evidence proves people heal more quickly,

More information

Covered Services List

Covered Services List CAREPLUS Covered Services List For CeltiCare Health with MassHealth CarePlus Coverage This is a list of all covered services and benefits for MassHealth CarePlus enrolled in CeltiCare Health. The list

More information

AMGA Webinar: MSSP Final Rule. Scott Hines, MD Chief Quality Officer Crystal Run Healthcare July 16, 2015

AMGA Webinar: MSSP Final Rule. Scott Hines, MD Chief Quality Officer Crystal Run Healthcare July 16, 2015 AMGA Webinar: MSSP Final Rule Scott Hines, MD Chief Quality Officer Crystal Run Healthcare July 16, 2015 Crystal Run Healthcare Physician owned MSG in NY State, founded 1996 >350 providers, >30 locations

More information

Medicaid Fundamentals. John O Brien Senior Advisor SAMHSA

Medicaid Fundamentals. John O Brien Senior Advisor SAMHSA Medicaid Fundamentals John O Brien Senior Advisor SAMHSA Medicaid Fundamentals Provides medical benefits to groups of low-income people with no medical insurance or inadequate medical insurance. Federally

More information

Classic Plan (HMO-POS) Value Plan (HMO) Rewards Plan (HMO)

Classic Plan (HMO-POS) Value Plan (HMO) Rewards Plan (HMO) January 1, 2016 December 31, 2016 Classic Plan Value Plan Rewards Plan SECTION I INTRODUCTION This booklet gives you a summary of what we cover and what you pay. It doesn't list every service that we cover

More information

Basic Covered Benefits and Services

Basic Covered Benefits and Services Basic Covered Benefits and A prior authorization is when UnitedHealthcare Community Plan gives the doctor permission to perform certain services. Bed Liners Coverage Covered for members age 4 and up; Prior

More information

Summary of Benefits. January 1, 2018 December 31, Providence Medicare Dual Plus (HMO SNP)

Summary of Benefits. January 1, 2018 December 31, Providence Medicare Dual Plus (HMO SNP) Summary of Benefits January 1, 2018 December 31, 2018 Providence Medicare Dual Plus (HMO SNP) This plan is available in Clackamas, Multnomah and Washington counties in Oregon for members who are eligible

More information

Your Health Matters...

Your Health Matters... Fall 2012 Your Health Matters... Our Services 24 Hour Emergency Care A New Campus: Made possible by a community of patience, perseverance, and a strong partnership! Same Day Care Acute Care Skilled Care

More information

Health Alliance. Utilization Management Changes Overview. Maxine Wallner Director Provider Services. February 2017

Health Alliance. Utilization Management Changes Overview. Maxine Wallner Director Provider Services. February 2017 Health Alliance Utilization Management Changes Overview February 2017 Maxine Wallner Director Provider Services Agenda Decision Overview Utilization Management Program Changes Expansions and modifications

More information