Doctors: Private Health Care Systems (PHCS)
Provider Network: Over 525,000 healthcare professionals, and over 66,000 ancillaries
Discount Range: 20% to 45% savings
Example of Average Savings
Based on monthly snapshot - 2008
Provider Specialty |
Discount |
Allergy |
57% |
Cardiovascular |
35% |
Clinical Psychology |
19% |
Dermatology |
44% |
Diagnostic Radiology |
31% |
Emergency Medicine |
41% |
Endocrinology |
48% |
Family Practice |
32% |
Gastroenterology |
38% |
General Practice |
37% |
Gynecology |
35% |
Internal Medicine |
55% |
Laboratories |
74% |
Neurology |
49% |
Orthopedic Surgery |
35% |
Pain Management |
45% |
Pediatrics |
37% |
Physical Therapy |
44% |
Plastic Surgery |
61% |
Podiatric Surgery |
36% |
Formulated Health Plan brings a significant competitive advantage to clients
through the personalized, concierge service with which they administer their
physician discount program.
Members of Formulated Health Plan's nationwide discount program receive an
identification card and "Dear Doctor" letter in their fulfillment kit with
instructions to call the Physician Relations Department where a live
operator will provide them with a list of providers, and verify
participation of those providers. The members will then call and schedule an
appointment with the participating provider.
The Physician's Relations Department will also instruct the provider to
contact them at the time of checkout and give the CPT codes for the services
rendered. We will then communicate to the provider the PHCS allowable amount
and instruct the provider to collect this entire amount. This may be done
via phone, fax, email, or regular mail.
The live operator feature with the PHCS option ensures that the member's
experience is a positive one with very little room for error or confusion on
either the member's or the doctor's part at the time of service.
Key Features of PHCS:
- PHCS is the largest proprietary PPO in the country with nationwide access
- The live-operator feature ensures a positive member/provider experience
- Providers must pass strict credentialing criteria
- PHCS has relationships with providers associated with the majority of specialties
How to Access Your Discounts
- Locate a participating provider by calling your toll free number (see membership card)
for the name, address and phone number of a provider in your area. The Physician Relations
department will verify participating provider(s) in your area. Members may then call to
set up the appointment.
- Present your membership card when you arrive at the provider. Your membership card instructs
the provider to call or fax Physician Relations for the negotiated rate agreed upon in their
contract with PHCS.
- Remember, you are responsible for paying the hospital the entire discounted fee at the
time service is provided.