Is MagnaCare Direct Plus PPO?
MagnaCare’s extensive PPO network in New York, New Jersey, and Connecticut includes more than 200 hospitals and 220,000 healthcare provider locations. Plus, we offer innovative narrow networks in conjunction with leading health systems in all three states, offering members localized high-quality, low-cost healthcare.
How do I claim MagnaCare insurance?
For more information, call Provider Services at 800-352-6465. If a proper submission is made, MagnaCare will reach a decision on a post-service claim in 60 days, and 15 days for a pre-service claim. There are situations when additional documents are required to reach a decision.
What is a PPO in insurance?
A type of health plan that contracts with medical providers, such as hospitals and doctors, to create a network of participating providers. You pay less if you use providers that belong to the plan’s network.
What is PPO insurance?
What is Aetna MagnaCare?
MagnaCare is a health plan management company with members on the east coast, primarily New York, New Jersey, and Connecticut. Below, we have answered some of the most common questions about using health insurance to pay for drug rehab.
What is the timely filing limit for MagnaCare?
Claim reconsideration requests should be submitted within 60 days from the date of payment or denial of the original claim, unless the provider participation agreement states otherwise.
Does PPO have copay?
Because PPO plans don’t require a PCP, they offer more convenience but can also be more expensive. If you choose a copay PPO plan, you will have to pay a copay (a fixed dollar amount) each time you visit a provider. Generally, a PPO plan with a copay has lower premiums than a comparable non-copay plan.
Is a PPO worth it?
When it comes to providers, a PPO gives you more options than an HMO: While you still have the option to work with in-network physicians (preferred providers), a PPO also gives you an advantage to visit out-of-network providers and hospitals. If you can afford it, the cost is worth it; PPO plans are the most popular.
Why choose Magnacare?
A trusted partner to plan sponsors, TPAs, and carriers for more than 25 years, MagnaCare achieves exceptional value for clients and their members through highly customized, innovative healthcare solutions.
Is Health Republic Insurance of New York going out of business?
All policies issued by Health Republic Insurance of New York (“HRINY”) were terminated on November 30, 2015. On May 11, 2016, the New York State Supreme Court entered a Liquidation Order placing the company into liquidation.
How do I contact the Health Republic customer service?
If you require assistance with submitting an inquiry or unable to access the Health Republic website, please call our call center at (866) 680-0893.
How do I submit an inquiry to health Republic?
If, after reading through the Frequently Asked Questions, you still have questions, you may submit them directly using the “Submit an Inquiry” link below. If you require assistance with submitting an inquiry or unable to access the Health Republic website, please call our call center at (866) 680-0893.