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
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*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
®
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®
®
AMERIPLAN IS NOT INSURANCE
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®
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
®
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®
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
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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
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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