![]() ![]() PHP Medicare complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability or sex.įor accommodations of persons with special needs at meetings, call 844.985.0552 (TTY: 711).Įvery year, Medicare evaluates plans based on a 5-star rating system.ĪTENCIÓN: Si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Welcome, Providers and Staff You and your administrative staff can quickly and easily access member eligibility and claims status information anytime. Physician Health Plan (PHP), Medicare Advantage Priority Health, PPO/HMO. Please call our Customer Service number or see your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services The following is a list of insurance providers currently accepted at McLaren. View or Submit Claims Submit claims, find processes and access time-saving tools. View or Submit Provider Disputes & Appeals View grievance requirements and time frames and submit grievances. Out-of-network/non-contracted providers are under no obligation to treat PHP Medicare members, except in emergency situations. Provider Portal Prior Authorization View prior authorization requirements and submit authorization requests. Enrollment in a PHP Advantage plan may be limited to specific times of the year. You must continue to pay your Medicare Part B premium. To enroll in a PHP Advantage plan, you must have both Medicare Parts A and B and reside in the plan service area. ![]() Out-of-network providers are under no obligation to treat Plan members, except in emergency situations. All PHP Advantage plans include Part D drug coverage. PHP Medicare plans allow members to see out-of-network providers (non-contracted providers). Enrollment in PHP Advantage depends on contract renewal. PHP Advantage is an HMO-POS plan with a Medicare contract. Denver based Physician Health Partners (PHP) is an integrated team of physicians and health care professionals committed to supporting effective patient care throughout the health care continuum. Please leave a message, and your call will be returned the next business day. You may reach a messaging service on weekends from April 1 through Sept. ![]()
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