DISCLOSURES TO CONS UMERS:
Transcription
DISCLOSURES TO CONS UMERS:
DISCLOSURES TO CONSUMERS: These discount medical plans are NOT health insurance or a MediCare Prescription Drug Plan. Membership in these programs entitles you to discounts for certain medical services and prescription drugs by providers who have agreed to participate in these discount programs. These programs do NOT make payments directly to the providers of medical services and prescription drugs. The programs’ members are obligated to pay for all healthcare services, but will receive a discount from those healthcare providers who have contracted with these discount programs. The name, address and specialty of the discount medical and prescription drug program providers in your service area are available before purchase and upon request by logging on to www.ameriplanusaprovidersearch.com or call the AmeriPlan® Consumer Information Center at 1-800-647-8421. AmeriPlan® Corporation 5700 Democracy Drive, Plano, Texas 75024 A Discount Medical Plan Organization For more information, contact AmeriPlan Associate: Page 1. © 2014 AmeriPlan® Corporation. All rights reserved. AM 07.14 page 2. *24 Hour access to a Doctor by Phone or Email • AmeriPlanMD Plus - “like having a Doctor in the family” • AROUND THE CLOCK 24/7 PHYSICIAN ACCESS • CONVENIENT QUALITY CARE IS ONLY A CLICK OR CALL AWAY • NATIONWIDE ALTERNATIVE TO IN-OFFICE DOCTOR VISITS • INCLUDES DIAGNOSTIC CONSULTATIONS ...YOU CAN CALL OR EMAIL ONE OF OUR DOCTORS 24/7 FOR DIAGNOSIS AND A PRESCRIPTION FOR ONLY $17.50 PER CALL ....SAVE 50% OFF THE $35 REGULAR CHARGE PER CALL • INFORMATION MEDICAL CONSULTATIONS are UNLIMITED (by telephone or e-mail for medical information and general advice) • Call or email a physician, without long waits at the doctor’s office • Obtain information, recommendations, and prescription medication, when appropriate • Store and share your medical history and personal health records • No enrollment periods, insurance forms, or denials based on pre-existing conditions AmeriPlanMD Plus Frequently Asked Questions What is Telemedicine? The use of information technology including the telephone, the Internet and personal computers, for diagnosing, treating and monitoring patients. Telemedicine is adding a new dimension to modern healthcare. These advances are not only making care more accessible and convenient, they are also helping to raise the quality and contain the costs of medical care. What is the AmeriPlanMD Plus Program? AmeriPlanMD Plus connects members 24 hours, 7 days a week via telephone and email with U.S.-based, licensed physicians and boardcertified specialists. It is a convenient and affordable alternative that increases access to physician care, while lowering healthcare costs. Who does AmeriPlanMD Plus provide Benefits? AmeriPlanMD Plus offers benefits to anyone who might need or want to speak to a doctor, conveniently and affordably. AmeriPlanMD Plus benefits are for individual members and large groups to contain escalating healthcare costs. What are the different types of consultation services offered? There are two different types of consultation: InformatIonal ConsultatIons (by telephone or emaIl) and dIagnostIC ConsultatIons. InformatIonal ConsultatIons: Convenient, 24/7 telephone or email access to physicians for general advice and recommendations regarding routine medical conditions. dIagnostIC ConsultatIons: Comprehensive telephone medical consultation, often resulting in diagnosis and specific treatment recommendations. Medications may be prescribed as appropriate. Does AmeriPlanMD Plus offer access to both informational and diagnostic medical consultations by telephone to physicians in all US states? Presently, AmeriPlanMD Plus offers access to informational medical consultations by telephone and secure email to physicians in all US states; and access to diagnostic medical consultations by telephone to physicians in all US states, except Oklahoma. If someone has a pre-existing condition, can he/she still be a member? “It’s like having a doctor in the family” *Administered by AmeriDoc Yes. This is not insurance, so there are no exclusions or access denials because of pre-existing conditions. There are no additional fees if the member has a pre-existing condition. MDPlus MDPlus ® page 3. ® ® AMERIPLAN IS NOT INSURANCE page 4. ® AMERIPLAN IS NOT INSURANCE Instant Savings On Prescription Drugs Hospital Confinement Patient Advocacy • Nationwide Network • MORE THAN 56,000 PARTICIPATING RETAIL AND INDEPENDENT PHARMACY LOCATIONS* • Save 10% - 85% on most brand name and generic prescription drugs** • Save on over the counter medications, smoking cessation aids and diabetes supplies • Mail order pharmacy option available Example of savings on most Generic and Name Brand Prescriptions Drug Name Dosage Days Supply Retail Cost Naproxen 375 MG Tramadol HCL 50 MG 10 30 $330.90 $71.30 $11.10 $4.60 97% 94% 40 MG 30 $119.90 $8.10 93% 5 MG 30 $67.70 $5.09 92% Ranitidine HCL 300 MG 30 $337.10 $32.60 90% .3% Ear 7 $74.50 $10.10 86% 5 MG Drops 30 $25.90 $3.90 85% 30 MG 30 $91.70 $19.10 79% 5-325 8 $30.90 $7.20 77% 60 MG 30 $28.50 $7.80 73% Nitrostat .4 MG 20 $33.30 $12.30 63% Atorvastatin Calcium 20 MG 30 $157.90 $62.80 60% Fexofenadine HCL 60 MG 90 $210.80 $94.1 55% Pantoprazole Sodium Diazepam Ofloxacin Prednisone Lisinopril OxycodoneAcetaminophen Armour Thyroid AmeriPlan AmeriPlan Cost Savings • When hospitalized and the anticipated charges exceed $2,500.00 an advocate will be assigned to you. • An advocate will negotiate the best discount on the hospital bill and work out a payment plan on the balance. • Depending on your financial situation, and if you are eligible, your advocate will apply for financial assistance from various groups to pay off the hospital balance, on your behalf. • Throughout the process your advocate will keep you updated on the status of your case. • There is only a three business day waiting period from the active date of your plan to utilize this program. NOTE: Pharmacy discounts are NOT insurance services or a MediCare Prescription Drug Plan and are NOT intended as a substitute for insurance *Discounts are available only at participating pharmacies. **You may not receive a savings on some high-volume or maintenance type drugs since these medications may have already been reduced at the pharmacy level *Historically the average discounts negotiated have been greater than 80% off of the hospital’s total charges. MDPlus ® page 5. AMERIPLAN IS NOT INSURANCE page 6. ® AMERIPLAN IS NOT INSURANCE Instant Savings On Dental • Nationwide Network • Over 75,000 Dentists • No Paperwork MDPlus • No Waiting ® ® • No Limits On Visits Or Services • No Age Restrictions • Ongoing Dental Problems Accepted • Can Change Dentists Anytime • Oral Exams • X-Rays • Teeth Cleaning • Filings and Crowns • Orthodontics (braces) • Cosmetic Dentistry included • Specialists included, (where available) Example of savings on the most utilized dental procedures: Sample General Dentist Procedures* Dental Office Fees** up to AmeriPlan® AmeriPlan® Fees Savings Up To Exams D0150 - Initial Oral Exam D0120 - Periodic Oral Exam X-Rays D0210 - Intraoral Complete Series Cleaning D1110 - Regular Teeth Cleaning $120 $32 $ 68 $13 73% 81% $167 $50 70% $46 61% $117 (Light Scaling & Polishing) Fillings Amalgam Filling (Silver Colored) D2140 - 1 Surface $182 $45 75% Composite Filling (Tooth Colored) D2330 - 1 Anterior Surface $209 $70 67% Root Canal (Excluding Final Restoration) D3310 - Anterior D2750 - Porcelain Crown $933 $375 60% $1,408 $ 550 61% 64% 63% (w/High Noble Metal) Orthodontic Treatment (Braces*) by General Dentist D8080 - Child (under age 19) $6,205 $2,250 D8090 - Adult (age 19 and over) $6,518 $2,400 * Current Dental Terminology © 2011 American Dental Association, All Rights Reserved **National Dental Advisory Service 2011 Different fees may apply in different areas of your state For the appropriate fees for your area, go to www.ameriplanusaprovidersearch.com or call 1-800-647-8421 Page 7. AMERIPLAN IS NOT INSURANCE page 8. AMERIPLAN IS NOT INSURANCE Testimonials Testimonials AmeriPlanMD Plus is awesome. I have used the services for both myself and my son during times at which we just couldn’t make into a doctor’s office. Calling in and giving your medical history assessment is easy. After describing symptoms to the nurse and being told a doctor would call me back within an hour, 15-30 minutes later I received that call. The doctor took all of 5 minutes to make the diagnosis and recommend the prescription drug that he would call in for me at my local Wal-Mart pharmacy. The entire experience from that initial call to actually going to Wal-Mart to pick up my Rx was about 2 hours! AmeriPlanMD Plus is one of the best add on's AmeriPlan could have made. Hassle free and low cost when I needed it the most, Thanks AmeriPlanMD Plus ! Erin F., Plano, TX My blood pressure medication is usually $100/mo. but got started with Ameriplan, and only pay $30/mo. for my blood pressure medicine!!! Thank you Ameriplan!! Shannon H., Durham, NC A few weeks ago,I was very sick, running fever and just feeling terrible, but I had no current doctor. My doctor’s office had just suddenly closed down their practice, and knowing from all my symptoms that I probably had a sinus infection, I did not want to pay the higher fee to go to an urgent care facility. I had forgotten that I had AmeriPlanMD Plus with my AmeriPlan membership until someone reminded me… so this was great. As it turned out I wouldn’t have to go anywhere for treatment. I called AmeriPlanMD Plus , and since it was my first time using it, there were several minutes of questioning to complete my profile, but once that was done, I was informed a physician would call me back within 2 hours. It was no longer than that when the doctor did call, and I was very impressed with his professional manner and the questions he asked to diagnose my ailment. I was also impressed that in addition to an antibiotic, he also prescribed an additional medicine that he said would work cohesively with the antibiotic to hasten a recovery. I have sinus infections frequently, and no other doctor has ever mentioned taking the other medication that the AmeriPlanMD Plus doctor prescribed. And above all, he made me feel very at ease and stressed that I should not hesitate to call him back if I wasn’t better soon. AmeriPlanMD Plus is SO convenient and is a fantastic way to talk to a doctor and get treated! Katy V., The Colony , Tx I was paying $119 for my prescriptions. With AmeriPlan, I saved $76. WOW! I plan to share AmeriPlan with everyone! Robbie M., Abiliene, TX Page 10. We have been using our Ameriplan prescription benefit a lot lately and have been saving a lot! My husband received a prescription from our Dr. that he takes on a monthly basis. We were so pleased when we gave the script to our pharmacist and she said this will be $120.00 but with your discount thru AmeriPlanMD Plus you will only be paying $44.00! A savings of $76 a month. Thank You Ameriplan!! My daughter went to the dentist to get her teeth cleaned which only was $47.00. She was REALLY smiling big after that!! Tammy R., Royal Oak, MI This past Christmas I gave my three adult grandchildren dental checkups. They had no dental plans and had not been to a dentist in some time. The AmeriPlan program saved me $134 on Sarah’s services and $370 for Tommy, a total savings of $504. Having been on corporate dental plans for years, I had no idea what a benefit AmeriPlan could be to my family. I was surprised and delighted at the savings. L.Royals - Carrollton, Tx L. Royals, , TX I was between doctors from when I had insurance to a transfer to medicare. My doctor would not take medicare. Called in to AmeriDoc, told the very helpful lady what I needed. She was pleasant and very professional. The doctor called me back within half an hour. Gave her the facts, my blood pressure readings, what meds I took. She called in a 90 day supply to Walgreens. Picked them up and saved $238.00 from retail. Way to go AmeriDoc. I used Ameriplan to call in the Rx. I used Ameriplan to get 1 of the meds (was cheaper than medicare) Used Medicare for the other. Total out-of-pocket cost $56.00. A case where Ameriplan was used along with my medicare. The AmeriDoc is awesome... Thomas S., ,NY AMERIPLAN IS NOT INSURANCE