When looking for health insurance it is very important to keep in mind that there are many companies that will try to offer you the best prices for your needs. However, not all of them are known throughout the United States and not all of them offer you the same benefits. One of the many companies offering coverage in the continental United States is Private Health Care Systems, better known as PHCS. They are the primary national PPO network and care management product of the MultiPlan company.

Before talking about PHSC it is important to know a little more about the parent company. MultiPlan was founded in 1970 and is the oldest and largest of the independent network-based cost management solutions. They have more than half a million health care providers serving about 40 million consumers. To top it all, the estimated millions of consumers have around 70 million claims that are processed through MultiPlan’s networks each year. How about that for a health insurance option?

On the other hand, Private Health Care Systems (owned by MultiPlan as stated above) has the largest proprietary Preferred Provider Organization (PPO) in the entire United States. With approximately 450,000 members attending one of 4,000 facilities, PHCS members have access to a variety of providers in the United States. They are also the first and only proprietary network to obtain five endorsements due to quality from two nationally recognized quality assurance organizations, URAC and the National Committee for Quality Assurance (NCQA).

PHCS’s job is to communicate with your providers so they will allow your network member to visit them at a lower cost. The network also has something called a “high network retention rate,” which means that once a customer selects a primary care physician (PCP), that physician will remain available for the entire health plan. Most of the people who are members of this large network include large employers such as businesses and companies, commercial insurance companies, regional managed care organizations, and outside administrators. The PHCS network offers the following to its members:

National access with excellent cost savings: No matter where members are located, they offer a variety of services from coast to coast. You can contact them at (866) 750-7427 to see how much they can save you on health care costs.

PHCS Healthy Instructions: Eliminates the need for an HMO, PPO, or POS because it pays full charges for services when a member travels or goes to school outside of the coverage area. As a member, you will be free to choose a provider within the national network, reduce your out-of-pocket costs for members with providers in the PHCS network, and call a toll-free number on your ID. card for provider information.

Quality: PHCS not only linked a variety of small networks and brought them together, but created a national network that allows them to accredit and re-accredit their providers to maintain good quality healthcare.

Private Health Care Systems is a network-based insurance and care management company. PHCS is the second largest independent care management company operating in the United States today. Their care management specialists review patient cases to ensure patients are receiving the best available treatment, as well as giving them the freedom to choose from a variety of options to suit their unique utilization review needs. You can use this care management system in the area of ​​your business where it will have the greatest impact. The basic PHCS plan includes the following utilization management products; however, it is important to note that you can add some add-on products that will be discussed below, in addition to the basic value ones.

Core value plan:

1. Review of the competition

2. Certification

3. Discharge planning

Additional supplemental modules that can be purchased:

1. Chiropractic review

2. Selective CT / MRI review

3. Podiatry review

4. Outpatient Rehabilitation Review