Start with our Member Resource Center to find resources to help you achieve your health goals. Participants and their eligible dependents can get their adult annual well-care visit 100% covered by the PHBP at these conveniently locatedmulti-specialtygroup practices. Documentation from the physician and paystub must be submitted with a completed application signed by the participant and the employer. Anyone can experience lower back pain at any time even if you don't have a prior injury or any risk factors. In addition to hospital and out-of-network coverage, non-Medicare eligible retirees and their families that live in all states will have access toin-network medical, physician and surgical benefits. Affinity - All Products Accepted except Exchange. This benefit is in addition to Workers Compensation and provides income replacement, up to 15 weeks, if you are taken directly to the hospital and admitted because of an on-the-job injury. Accepted Insurances | Catholic Health - CHSLI Labs & Appointments Toggle Labs & Appointments, Billing & Insurance Toggle Billing & Insurance, Diseases & Conditions Toggle Diseases & Conditions, OnDemand Testing Toggle OnDemand Testing, Testing by Disease & Condition Toggle Testing by Disease & Condition, Testing & Services For Toggle Testing & Services For, Hospitals & Physician Systems Toggle Hospitals & Physician Systems, Managed Care Health Plans Toggle Managed Care Health Plans, Lab Data Integrations & Tools Toggle Lab Data Integrations & Tools, Employee Wellness & Testing Toggle Employee Wellness & Testing, Government & Education Toggle Government & Education, Therapeutic Indications Toggle Therapeutic Indications, Development Phase Toggle Development Phase, Compounds & Molecules Toggle Compounds & Molecules. Please check with the specific doctor you are seeking care and verify eligibility and coverage with your insurance company. (877-768-8462), Mount Sinai South Nassau Participating Insurance Plans, The Empire Plan New York State Employees and Participating Agencies (NOTE: United Health Care Insurance Company of New York provides Medical coverage), The City of New York Plan (NOTE: GHI provides Medical coverage), BlueCross/BlueShield Federal Employee Program, All Commercial HMO, PPO and Self-Insured Plans, HMO, PPO, Self-Insured Plans and Medicare HMO, Commercial, NON PAR WITH UnitedHealthcare Community Plan, Medicaid HMO, Child Health Plus Plans, United Dual Complete, Compass, UNITED HEALTHCARE EXCHANGE, UNITED HEALTH CORE/CHARTER, Mount Sinai South Nassaus Cardiologists and Interventional Specialists, Prostate Cancer Symptoms, Tests & Diagnosis, Center for Sleep Wellness Contact / Inquiry Form, Division of Trauma & Surgical Critical Care, Freestanding Emergency Department at Long Beach, Mount Sinai South Nassau Oceanside, Family Medicine, Mount Sinai Doctors - Bellmore, Interventional GI, Joint Replacement Class at Mount Sinai South Nassau, Neonatal Intensive Care Services, Level II NICU, Watch the Mount Sinai South Nassau Maternity Tour, Pediatrics and Maternity Visiting Policies, Mount Sinai Doctors - Oceanside, Radiology, Mount Sinai Doctors - Rockville Centre, PET/CT Radiology, Weight Loss Surgery Frequently Asked Questions, Mount Sinai South Nassau Hospital Non-Participating Insurance Plans, Mount Sinai South Nassau Employed Physician Participating Insurance Plans, Mount Sinai South Nassau Employed Physician Non-Participating Insurance Plans, Plan Participation for Oceanside and Long Beach Emergency Rooms, Outpatient Laboratory Participating Plans, Updates from the Mount Sinai Health System, COVID-19 Vaccination Information and Resources, Truth About Prescription Weight Loss Drugs, Truth About the Tridemic: Don't Delay Vaccines, Truth About Government & COVID-19 Testing, Long Beach Medical Arts Pavilion (Mount Sinai Doctors - Long Beach), Oceanside Campus Central Utility Plant & Emergency Electrical Infrastructure, FEMA Environmental Assessment(s) Finding of No Significant Impact, Womens Health at Mount Sinai South Nassau, Federal No Surprises Act Balance Bill Protections, Protecciones De La Ley De Proteccin Contra Facturacin Del Saldo Inesperada, Plan Participation for Employed Physicians Except Neonatology & Oceanside ER, Mount Sinai South Nassau Non-Participating Insurance Plans, Patient Guide to Patient Satisfaction Surveys and Ratings, can check the listing of our labs participating insurance companies here. In this case, you can make a request to override the rule that only allows the first fill and one refill for a maintenance drug at a local pharmacy. In addition, where specified in our plan summaries, Tier 1 providers/facilities must be used in NY/NJ for the below services: A: If you or your dependent need to use a provider outside of the New York and New Jersey area, you will use the Tier 2 CIGNA network to find in-network providers and facilities. Member Login - Brighton Health Plan Solutions At Mount Sinai South Nassau, we participate in Medicare, Medicaidand most HMOs and commercial insurance plans. All retirees who have not become eligible for Medicare or who have non-Medicare eligible dependents should receive a card pertaining to the Preferred Provider Organization ("PPO") in their state. k}Z@fr&*Mae1d*C+}t:jQIB>bN,{]Q'$U1!V|KN]7?MPJI" N!io[c-IM b&;BZB Zc?Qn[;lx}BpN[:/uzQWM6\Sp?Wt VGBx9 *'p A: 2022 benefit guides are available on the myBenefits site. How long can I remain covered under the PHBP Medical Plan?

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