Located in Central Pennsylvania is a regionally based managed care organization which was incorporated in 1985 as a joint venture between Altoona Hospital and a group of physician investors. The goal of this organization is to work with area employers to provide quality, cost-effective healthcare benefits for their employees and families.
Preferred Healthcare System (PHS) works through insurers and third-party administrators to provide a network of hospitals, physicians, and ancillary providers who can deliver a broad scope of healthcare services.
PHS provides this network of hospitals and physicians in a nine-county service area in South Central Pennsylvania. PHS currently has contracts with primary care hospitals and their physicians, as well as arrangements for medical services not available in this area. Please refer to the PHS Panel Provider Directory for a list of our providers.
Benefits of Participating with PHS
Freedom of Choice
PHS offers direct access to any of the physicians within our network - both primary care and specialists.
No Claim Forms
When individuals covered by PHS utilize panel providers, there are no claim forms for the patient to complete. Providers bill the insurer or third-party administrator directly, thus reducing paper work for the employer and employee. This eliminates red tape for the patient, provides less confusion and allows more flexibility for the patient.
No Balance Billing
The PHS panel providers have agreed to accept our fee schedule for reimbursement. Once the claim has been processed by the claims payor, the PHS panel provider will only bill the patient for applicable coinsurance or deductibles. The patient is not balance billed for the charges over the fee schedule that the panel providers have agreed to accept. Panel providers have made a decision to work with the area businesses through PHS by accepting the fee schedule as reimbursement in order to make healthcare more affordable.
Complete Healthcare Network
The PHS panel of regional providers includes a complete network of healthcare services, including maternity, pediatrics, orthopedics, cardiac, cancer, dialysis, and behavioral health treatment. Through PHS allied health providers, patients can receive home health, home infusion, and durable medical equipment. The PHS provider panel offers a complete network of medical services so that employees and dependents are not forced to leave this area to access providers and services.
PHS and its panel providers have a vested interest in our clients. As a locally owned, regionally based managed care system, our clients are our neighbors, our friends, and people from our community. As business people, our providers look to the local area from which to draw their patients.
No matter what the size of your firm or the needs of your employees, PHS can help you design a healthcare package suited to your current needs - flexible enough to keep pace with growth and change.
Our program can be purchased on a fully insured basis through one of the insurance companies approved to underwrite our PPO by the Pennsylvania Insurance Commission. These companies offer a variety of benefit designs and optional coverages such as group life, disability, paid prescription cards, dental, and preventive care benefits. Businesses as small as two employees to the largest area firms can select a benefit plan that will suit their needs. For larger businesses who wish to provide employee benefits on a partially or wholly self-funded basis, PHS has contracted with several third-party administrators who are capable of administering our managed care programs. When self-funding employee benefits through PHS, the reduced fee schedules and discounts pass directly to the employer thus reducing claim costs.
Take the Next Step
If your goal is to keep your benefits at an affordable level, PHS is the only healthcare provider you need. To find out more about how PHS can deliver high-quality health care benefits at a savings to employers and employees, call your broker or contact us today.
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