DISCLOSURES TO CONS UMERS:

Transcription

1 DISCLOSURES TO CONS UMERS: 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 or call the AmeriPlan Consumer Information Center at AmeriPlan Corporation 5700 Democracy Drive Plano, Texas A Discount Medical Plan Organization For more information, contact AmeriPlan Healthcare Associate: Appointment Time/Date Date Time Cell# page AmeriPlan Healthcare. All rights reserved. AH page 2.

2 TELE-MEDICINE - 24 Hour access to a Medical Doctor DOCTOR DISCOUNTS - Instant Savings on in office doctors visits AmeriDoc - 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 Nationwide Network Primary Care Physicians: - General Practitioner - Family Practitioner - Internists - Nurse Practitioner - Physician's Assistant Medical Specialists - Allergy & Immunology - Cardiology - Gastroenterology INCLUDES DIAGNOSTIC CONSULTATIONS...YOU CAN CALL OR 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 for medical information and general advice) Call or 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 - Dermatology General Surgery Neurology Obstetrics/Gynecology Ophthalmology Orthopedics Pediatrics Podiatry Psychiatry Urology Cosmetic Surgery Services - 20% discount with pricing guarantee NO AGE RESTRICTIONS NO PRE-AUTHORIZATION FOR TREATMENT REQUIRED ALL ONGOING MEDICAL PROBLEMS ARE ACCEPTED No enrollment periods, insurance forms, or denials based on pre-existing conditions Example of savings on most procedures in a general physician s* office (family physician) and laboratory fees: Sample General Physician Procedures* and Lab Sevices New Patient Physician*/Lab Fees up to** AmeriPlan Fees AmeriPlan Savings Intermediate Visit $227 $ % Extended Visit $331 $ % Limited Visit $136 $72 47% Intermediate Visit $204 $ % $93 $45 51% $39 $31 21% Established Patient Laboratory Fees It s like having a doctor in the family. Lipid Panel (Cholesterol, HDL, LDL, Triglycerides) CBC (Complete Blood Count) * Specialists fees will be slightly higher. ** Physicians fee reference Different fees may apply in different areas of your state. HEALTHCARE page 3. page 4.

3 HOSPITAL CONFINEMENT - Patient Advocacy When hospitalized and the anticipated charges exceed $2, 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. DENTAL DISCOUNTS - Instant Savings Nationwide Network Extractions and Root Canals Over 75,000 Dentists Dentures and Implants No Paperwork Dental Surgery No Waiting Cosmetic & Orthodontia (braces) 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 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 *Historically the average discounts negotiated have been greater than 80% off of the hospital s total charges. MEDICAL DISCOUNTS - Instant Savings National diagnostic imaging and radiology network that provides discounts of up to 70% on all imaging and radiographic services such as MRI s and Cat-Scans. Substantial discounts on all laboratory services of up to over 80% on all lab tests such as lipid panels, blood tests and comprehensive metabolic panels. Discounts of up to 50% on LASIK surgery at anationwide network of Board Certified Ophthalmologists. Industry leader in providing individuals and families with discounted diabetic testing supplies. D Initial Oral Exam $120 $32 73% D Periodic Oral Exam $ 68 $13 81% $167 $50 70% $117 $46 61% Amalgam Filling (Silver Colored) D Surface $182 $45 75% Composite Filling (Tooth Colored) D Anterior Surface $ 209 $70 67% X-Rays D Intraoral Complete Series Cleaning D Regular Teeth Cleaning (Light Scaling & Polishing) Fillings Root Canal (Excluding Final Restoration) $933 $375 60% $1,408 $ % D Child (under age 19) $6,205 $2,250 64% D Adult (age 19 and over) $6,518 $2,400 63% D Anterior D Porcelain Crown (w/high Noble Metal) Orthodontic Treatment (Braces*) by General Dentist * 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 or call page 5. page 6.

4 VISION DISCOUNTS - Instant Savings CHIROPRACTIC DISCOUNTS - Instant Savings Nationwide Network Over 12,000 Optical Providers SAVE FROM 20% to 60% on all frames, lenses, tints, scratchresistant coatings and ultra-violet protection SAVE FROM 10% TO 50% on ophthalmology eye exams and LASIK surgery with certain providers in selected markets SPECIAL SAVINGS FROM 10% TO 40% ON REPLACEMENT CONTACT LENSES including daily wear, extended wear, disposable, tinted, bifocals and gas permeable (mail order) ADDITIONAL DISCOUNTS on designer non-prescription sunglasses with the world s largest online optical store (Internet Only) MORE THAN 7,500 PARTICIPATING DOCTORS FREE INITIAL CONSULTATION 50% SAVINGS on all diagnostic services and required x-rays 30% SAVINGS on treatment and most other services including massage NO LIMIT on number of visits 30-DAY UNCONDITIONAL money-back guarantee on all merchandise WELLNESS PROGRAMS - Instant Savings LIFE-LINE SCREENING: - Stroke / Carotid Artery Screening - Abdominal Aortic Aneurysm (AAA) Screening - Peripheral Arterial Disease (PAD) Screening - Osteoporosis Screening STOP-SMOKING WORKSHOP- 40% OFF PRESCRIPTION DISCOUNTS - Instant Savings 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 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 highvolume or maintenance type drugs since these medications may have already been reduced at the pharmacy level. HEALTHCARE Page 7. HEARING DISCOUNTS - Instant Savings A nationwide network of hearing care professionals comprised of top researchers, technology providers and patient practices Over 1,700 hearing centers and over 4,000 professionals are in our network Save 25% - 40% on hearing services Save 40% on hearing aids An additional 2,500 audiologists & 750 auditory physicians are available through our partner network - Ear Professionals International Corporation PODIATRY DISCOUNTS - Instant Savings Foot and ankle specialists provide comprehensive management, through medical or surgical methods, of a wide variety of problems that affect foot and ankle function page 8.

5 AmeriPlan Healthcare AmeriPlan Healthcare offers a medical program specifically for business owners and employees at highly discounted rates. We understand the need to provide employers and their employees with medical access that is affordable as well as beneficial. NO QUALIFYING FOR EXISTING CONDITIONS NO WAITING PERIODS NO LIMITS NO EXCLUSIONS NO DEDUCTIBLE AmeriPlan Corporation...the nation's premier Discount Medical Plan Organization, saving its members hundreds of millions of dollars in discount healthcare benefits since AmeriPlan is the largest discounted fee-for-services program of its type in the country. Our track record of success in providing access to affordable discount healthcare speaks for itself. We know our business. Members and providers...the AmeriPlan network is strong and growing! 75,000 + Dental Providers 30,000 + Medical Providers 7,500 + Chiropratic Providers 56,000 + Retail Pharmacies 12,000 + Optical Providers 4,000 + Hearing Care Providers Are you following the latest trends and statistics? AmeriPlan Healthcare is positioned within the marketplace to take advantage of the biggest demand for our type of healthcare in decades.for AmeriPlan Healthcare members and providers, this presents the opportunity of a lifetime! Page 10.