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AmeriPlan® USA Provider Faq's

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Providers Frequently Asked Question (FAQ)

Who is AmeriPlan?
How much will it cost to join your network?
How do I benefit from being an AmeriPlan network provider?
How long will my agreement be in effect?
Can I follow my established office policies and practice philosophy?
How long does the credentialing process take?
What if I am affiliated with another plan?
How are AmeriPlan members enrolled?
How will AmeriPlan members know I am a participating network provider?
What if a patient needs specialized care?
What about after-hours emergency care?

Ameriplan FAQ Who is AmeriPlan?

AmeriPlan is a Discount Medical Plan Organization (DMPO). We arrange for our members to have access to medical, dental, vision, chiropractic pharmaceutical providers who have agreed to offer their services at negotiated discounts off their usual and customary fees.

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Ameriplan FAQ How much does it cost to join your network?

There is no charge to you for participating as an AmeriPlan network provider.

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Ameriplan FAQ How do I benefit from being an AmeriPlan network provider?

Our ongoing member enrollment campaign can provide you with a consistent source of new patient opportunities. In addition, AmeriPlan's mass purchasing power has enabled us to offer our participating providers, their employees and their families a program of plans, services and benefits that will save them money each and every time they are used.

We are also pleased to be able to offer free Dental Plus memberships to all participating healthcare office staff members and their households. These memberships include discounted fees for dental, vision, prescription and chiropractic services. In addition you can purchase our other plans such as MED Plus at significantly reduced cost to you.

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Ameriplan FAQ How long will my agreement be in effect?

Your initial agreement with AmeriPlan is in effect for one year from the date the agreement is signed and will automatically renew until formal notification of withdrawal from the plan is received from you.

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Ameriplan FAQ Can I follow my established office policies and practice philosophy?

AmeriPlan programs do not restrict your methods or philosophies of treatment - those remain strictly between you and your patients. Nor are you required to alter your office policies in any way. We only ask that you charge plan members according to our fee schedule.

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Ameriplan FAQ How long does the credentialing process take?

After we receive all required forms and credentials, it will take no more than 3 business days for you to be listed as a participating provider on our website.

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Ameriplan FAQ What if I am affiliated with another plan?

Your participation as an AmeriPlan provider is not affected by your participation in other plans. Coordination of benefits is left to your discretion.

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Ameriplan FAQ How are AmeriPlan members enrolled?

Most AmeriPlan members have made a personal commitment to take control of their healthcare by signing up as a member independent from any associations. However, we also promote our programs to small to mid size business owners and their employees.

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Ameriplan FAQ How will AmeriPlan members know I am a participating network provider?

AmeriPlan members have access to all AmeriPlan healthcare professional's locations and phone numbers through the AmeriPlan website, www.ameriplanusa.com. Or they may call AmeriPlan Customer Support to find network providers closest to them.

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Ameriplan FAQ What if a patient needs specialized care?

If a provider cannot or does not wish to perform a specialty procedure for a plan member he should, when possible, refer the patient to an appropriate participating specialist in his area so that the patient will receive discounted fees for service. If the member goes to a non-participating specialist he will pay the specialist's usual and customary fees. Healthcare providers do not need to obtain our approval to refer a patient to an AmeriPlan specialist.

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Ameriplan FAQ What about after-hours emergency care?

Participating providers that offer after-hours care will be compensated in accordance with the plan fee schedule. As with regular treatment, you will be paid directly by the patient.

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AMERIPLAN® PLANS ARE NOT INSURANCE DISCLOSURE:

These Plans are NOT Insurance or Medicare Prescription Drug Plans. Membership in these plans entitles you to discounts for certain medical services and prescription drugs by providers who have agreed to participate in these discount plans. These plans do NOT make payments directly to the provider of medical services and prescription drugs. The plans' members are obligated to pay for all healthcare services, but will receive a discount from those healthcare providers who have contracted with these discount plans.
The name, address and specialty of the discount medical and prescription drug program providers in your service area are available before purchase and upon request by logging on to http://www.ameriplanusaprovidersearch.com or call the AmeriPlan® Consumer Information Center at 1-800-647-8421.
AmeriPlan® Corporation - 5700 Democracy Drive, Plano, TX 75024
U.S. Chamber of Commerce Member 2012

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