AmeriPlan® USA Faq's
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Members Frequently Asked Question (FAQ),

General

Who is AmeriPlan?
How do I use a program?
What is the waiting period?
Are ongoing dental/medical problems (conditions) included?
Do members receive a fee schedule?
Will the member's privacy be protected?

Fees & Discounts

How much discount do Dental Plus members get on dental fees?
How is the discount calculated?
How much is the program membership fee? How do I pay?
How much more do the Pharmacy, Vision, Hearing and Chiropractic programs cost?

Providers

Who are the Medical, Dental, Pharmacy, Hearing, Vision, and Chiropractic Care providers?
How do I locate an AmeriPlan provider?
Are providers reimbursed by AmeriPlan for their services?
Why would a medical professional participate in the AmeriPlan Consumer driven Health Care Program Dental Plus and MED Plus?

Medical Program

Do members receive a separate card for the AmeriPlan MED Plus program?
Can the AmeriPlan programs be used with Medicare/Medicaid?
Can the AmeriPlan programs be used in conjunction with health insurance plans?
Does an AmeriPlan program include hearing tests and hearing aids?
Can AmeriPlan programs be contracted on an annual basis and cancelled at any time?

Hospital Advocacy Plus

Are there programs for emergency services?
Can you briefly describe the Medical Bill Saver Program?
What type of medical bills can be negotiated?
Are prior medical bills accepted?
What is a Personal Health Advocate?
What is Medical Travel Assistance?

Ameriplan FAQ Who is AmeriPlan?

AmeriPlan is a Discount Medical Plans Organization (DMPO). We arrange for our members to have access to medical, dental, vision, chiropractic and 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 do I use the program?

Within 10-14 days of receipt of your application at corporate headquarters in Plano, TX, you receive your Membership Identification card(s). Your Membership Guide is located in your member portal. Present your Membership ID card to any AmeriPlan provider and you will be eligible to receive discounted fees. You pay the provider at the time of service.

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Ameriplan FAQ What is the waiting period?

There is no waiting period before you can start using the Dental Plus program! And, there are instant savings, no paper work to fill out, and no limits on visits to your providers! However, you must allow 3 business days after the activation of your MED Plus membership to begin using the Hospital Advocacy program!

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Ameriplan FAQAre ongoing dental/medical problems (conditions) included?

Since AmeriPlan is not insurance or a health organization, all ongoing medical/dental problems (conditions) are accepted except for orthodontic treatment in progress.

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Ameriplan FAQ Do members receive a fee schedule?

Yes, for dental care. Dental fees vary by area.

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Ameriplan FAQ Will the member's privacy be protected?

AmeriPlan is compliant with all HIPAA regulations.

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Ameriplan FAQHow much discount do Dental Plus members get on dental fees?

Members can save 20% - 65% on all restorative and cosmetic work (fillings, crowns, braces, etc.) and up to 80% on preventative work (teeth cleaning, x-rays, etc.) performed by a general dentist. Specialist fees are discounted up to 25%.

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Ameriplan FAQ How is the discount calculated?

The rates that the provider charges are determined based upon either a set fee schedule that the provider has contracted, or as a percentage off of their billed charges. In general, discounts will vary between 15% and 50%. Labs and diagnostics will have discounts of up to 80%.

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Ameriplan FAQ How much is the program membership fee? How do I pay?

Both the Dental Plus and MED Plus membership are only $25.00 per month each for an entire household! Or, $40.00 for both memberships! A household membership includes all residents in the household including parents, children, relatives, significant others and all permanent residents of the household! Monthly payments are made only by debit or credit card. Invoicing is done only for annual memberships paid one year in advance.

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Ameriplan FAQ How much more do the Pharmacy, Vision, Hearing and Chiropractic programs cost?

The Prescription Drug program is included with both the Dental Plus and MED Plus memberships. Only Dental Plus includes the Vision and Chiropractic programs at no extra cost!

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Ameriplan FAQ Who are the Medical, Dental, Prescription Drug, Hearing, Vision and Chiropractic Care providers?

AmeriPlan has assembled one of the largest networks of providers in the country and we are constantly adding to this base. Our network has tens of thousands of medical practitioners and more than 75,000 dentists and 12,000 vision care providers, approximately 50,000 pharmacies and more than 7,500 credentialed chiropractors.

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Ameriplan FAQ How do I locate an AmeriPlan provider?

There are two ways to locate a provider:

1) A provider locator is available at www.ameriplanusaprovidersearch.com. This is particularly useful for medical providers.

2) Call Member Support toll free at 800-647-8421.

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Ameriplan FAQ Are doctors reimbursed by AmeriPlan for their services?

No. As with all of our health programs, the provider receives the full discounted fee from the member at the time services are rendered.

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Ameriplan FAQ Why would a medical professional participate in the AmeriPlan Consumer driven Health Care Program Dental Plus and MED Plus?

There are many reasons. Some of the most important are:

1) Care and treatment are put back into the healthcare provider’s hands.
2) The provider gets paid at the time of care. Many insurance plans take up to 120 days for payment.
3) Office administrative costs are reduced. No paperwork to complete, file and follow up on.
4) Providers may receive a net increase in revenue to the practice versus insurance (HMO or PPO).
5) The provider is part of an affiliation of like-minded professionals, without being "under the thumb" of managed care.
6) AmeriPlan provides members with quality, discounted healthcare.

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Ameriplan FAQ Do members receive a separate card for the AmeriPlan MED Plus program?

Yes. Members receive four (4) cards; two AmeriPlan MED Plus ID Cards and two Dental Plus cards to be used by approved household members.

Ameriplan FAQ Can the AmeriPlan programs be used with Medicare/Medicaid?

No. By accepting Medicare or Medicaid, physicians are paid a discounted amount; they cannot further discount their fees by accepting AmeriPlan.

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Ameriplan FAQ Can the AmeriPlan programs be used in conjunction with health insurance plans?

Yes, but it is at the healthcare provider’s discretion whether to accept both. A member's insurance should always be the primary form of payment. Some insurance plans require providers to agree to provide services at already discounted rates. If this is the case the provider is unable to further discount the fees and the AmeriPlan discount will not be applied.

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Ameriplan FAQ Does an AmeriPlan program include hearing tests and hearing aids?

Yes. Hearing Services will be included in the Dental Plus program.

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Ameriplan FAQ Can AmeriPlan programs be contracted on an annual basis and cancelled at any time?

Yes.

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Ameriplan FAQ Are there programs for emergency services?

Yes, emergency services may or may not be contracted with the AmeriPlan MED Plus program. Depending on the extent of the charges, these services may be eligible for the Medical Bill Saver Program.

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Ameriplan FAQ Can you briefly describe the Medical Bill Saver Program?

When first contacting Health Advocacy, an advocate will gather details on the bills and set up a case. Members will need to fill out the Health Advocate authorization form so the advocate may speak with the provider(s) on the member’s behalf (advocate will send this form to the member and it is also available on MyMemberPortal and the HA website). Once the form(s) and documentation are received, the member’s case will be assigned to a fee negotiator (the member will be notified of this step).

The member can expect to be contacted by the fee negotiator within two business days of notification. From there, the fee negotiator will contact the provider(s) to verify the outstanding balance and initiate the negotiation process. The length of a case will vary depending on the provider’s responsiveness, however members can expect to receive an update every week from the advocate.

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Ameriplan FAQ What type of medical bills can be negotiated?

Inpatient/outpatient hospital bills, dental bills, mental health bills, etc.

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Ameriplan FAQ Are prior medical bills accepted?

Yes, prior medical bills are accepted if they are $400 or more and have not been previously negotiated. If the medical bill has been previously negotiated the Medical Bill Saver can only negotiate a payment plan for the bill.

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Ameriplan FAQ What is a Personal Health Advocate?

Personal Health Advocates help you navigate through insurance and healthcare systems. Advocates can also locate doctors, specialists, hospitals, dentists and pharmacies. Advocates research treatments, resolve claims and provide medical explanations so your members can make more informed decisions.

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Ameriplan FAQ What is Medical Travel Assistance?

Members have access to a global network of practicing physicians, travel assistance personnel and emergency evacuation benefits if they suffer a serious injury or illness when traveling more than 100 miles from home.

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* If you cannot find the answer to your question on this page, please contact Customer Support at 800-647-8421 Monday thru Thursday between 8 am to 5 pm and Friday 8 am to 4 pm Central Time Zone.

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