The postal ZIP or zone code in the mailing address of the provider being identified. If Humana fails to develop and maintain satisfactory relationships with the providers of care to its members, the companys business may be adversely affected. 1 - 2) December 31 Prior Year Net . a dentist, Get Recently enacted health insurance reform, including The Patient Protection and Affordable Care Act and The Health Care and Education Reconciliation Act of 2010, could have a material adverse effect on Humanas results of operations, including restricting revenue, enrollment and premium growth in certain products and market segments, restricting the companys ability to expand into new markets, increasing the company's medical and operating costs by, among other things, requiring a minimum benefit ratio on insured products (and particularly how the ratio may apply to Medicare plans), lowering the companys Medicare payment rates and increasing the companys expenses associated with a non-deductible federal premium tax and other assessments; financial position, including the company's ability to maintain the value of its goodwill; and cash flows. Humana Sites, For The country code in the location address of the provider being identified. The first line mailing address of the provider being identified. Payment Policies. Statement, Disclaimers & Health Plan/Payer Organization Name (Legal Business Name), Health Plan/Payer Business Telephone Number, Health Plan/Payer Business E-Mail Address, Health Plan/Payer Business Mailing Address First Line, Health Plan/Payer Business Mailing Address City Name, Health Plan/Payer Business Mailing Address State Name, Health Plan/Payer Business Mailing Address Zip Code. quote, Find an The telephone number associated with the location address of the provider being identified. Company Profile Page. For information about IHCP policies, procedures, and billing guidance (including information about electronic transactions), access these IHCP reference documents. Industry: Health insurance carriers Printer Friendly View Address: 500 12TH St Ste 350 Oakland, CA, 94607-5204 United States See other locations The Indiana State Plan provides specifics on how Medicaid is implemented and governed in Indiana. All rights reserved. a doctor, Enroll The date that a record was last updated or changed. Iselin, New Jersey . Redfin Corporation. in to Go365.com, Corporate Gainwell Technologies has been contracted with the state of Indiana since 1991. As a local company, PSW has boots on the ground when working with health care providers and Medicare Advantage plans to support the best services, education, and training are provided. We are an independent education, research, and technology company. BOUGHT WITH REDFIN JUN 14, 2022. Please do not include any confidential or personal information, such as protected health information, social security number, or tax ID. To learn more about the health plan programs, contact the following customer service departments: Sign up for email and/or text notices of Medicaid and other FSSA news, reminders, and other important Requirements, full accessibility rights Any new coverage you get during this time will start on January 1, 2021. This data element may contain the same information as ''Provider location address postal code''. $e_ofvZp$QH"}wWWo>H!qyJ The first name of the authorized official, The title or position of the authorized official. There are additional restrictions to join an MSA plan, and enrollment is generally for a full calendar year unless you meet certain exceptions. (Catholic Medical Center) Unity Health Plan Ins. The HMO , https://www.tdi.texas.gov/hmo/profiles/95962.html, Health (8 days ago) Web500 W Main. var s = document.getElementsByTagName('script')[0]; Physician Case Management Referral. [14] [15] [16] 2008-2019 [ edit] Filing Date: October 29, 2013. This address cannot include a Post Office box. We are not compensated for Medicare plan enrollments. Nearby homes similar to 1521 Arcadian Lily have recently sold between $257K to $257K at an average of $170 per square foot. X - The primary taxonomy switch is Not Answered; Y - The taxonomy is the primary taxonomy (there can be only one per NPI record); N - The taxonomy is not the primary taxonomy. TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult. Doctor, Health & Well-being Speak to a PSW Agent today to learn more about your eligibility and options for our Medicare Advantage plans. OAKLAND Arcadian Health Plan Inc., H5619 Dual Eligible Medicare Zero Cost Sharing Special Needs Plan Model of Care Score: 90.00% 3-Year Approval January 1, 2012 to December 31, 2014 _____ Target Population Arcadian Health Plan (AHP) offers Dual Eligible Special Needs Plans (D-SNP) serving QMB individuals living in the state of Maine. Settings, Start voice The City name in the mailing address of the provider being identified. Arcadia Value-based Managed Care Services Login or find a doctor on secure.arcadia.io You can find the login to our member or provider portal as well as registration, password help, and our find a provider systems. During this time, you have several options: enroll in, leave or switch your Medicare Advantage health plan. For more information contact the plan. STATEMENT AS OF SEPTEMBER 30, 2021 OF THE Arcadian Health Plan, Inc. ASSETS Current Statement Date 4 1 Assets 2 Nonadmitted Assets 3 Net Admitted Assets (Cols. Indiana Health Coverage Programs works with four health plans to serve as managed care entities for the Hoosier Healthwise, Hoosier Care Connect and Healthy Indiana Plan programs. 800-523-0023 Open 24 hours a day Commercial customer service For eligibility/benefits and claims inquiries 800-4-HUMANA (800-448-6262) Open 8 a.m. to 8 p.m. Eastern time, Monday through Friday Medicare customer service For eligibility/benefits and claims inquiries 800-457-4708 Open 8 a.m. to 8 p.m. Eastern time, Monday through Friday Disclaimer for Dual Eligible (Medicare/Medicaid) Special Needs Plan (SNP): This plan is available to anyone who has both Medical Assistance from the State and Medicare. E-Mail. a pharmacy, Compare NCQA accredits and certifies a wide range of health care organizations and manages the evolution of HEDIS, the performance measurement tool used by more than 90 percent of the nations health plans. religion. http://www.insuranceproviders.com/companies/arcadian-health-plan-inc/. PSW licensed agents can answer your questions on Medicare, Medicare Advantage and the specific health plans we offer. OAKLAND, CA PK ! For more information on your Medicare coverage, please be sure to seek legal, medical, pharmaceutical, or financial advice from a licensed professional or telephone Medicare at 1-800-633-4227. Humana estimates the costs of its benefit expense payments, and designs and prices its products accordingly, using actuarial methods and assumptions based upon, among other relevant factors, claim payment patterns, medical cost inflation, and historical developments such as claim inventory levels and claim receipt patterns. % Responsibility, Internet Privacy Brokers, For The offices are examples of subparts that could have their own NPIs if the main location determines that they should. var cx = 'partner-pub-9185979746634162:fhatcw-ivsf'; Medicare Advantage Plans must offer emergency coverage outside of the plans service area (but not outside the U.S.). Important information to all providers and software developers that communicate via electronic data interchange (EDI) format and direct data entry (DDE). Medicare beneficiaries with higher incomes may be required to pay both a Medicare Part B and Medicare Part D Income Related Monthly Adjustment Amount (IRMAA). All rights reserved | Email: [emailprotected], Abington jefferson health physician directory, White mountain community health conway nh. The company's principal . about Medicaid, How <> 3 Beds. Ft. 12435 Jacobs Pond, San Antonio, TX 78253-5505. Locations Primary 500 12th Street, Suite 350 Oakland,. Secondary Claims: YES: . Clinical Guidelines. 1-800-454-3730. Medicare evaluates plans based on a 5-Star rating system. If Humana does not design and price its products properly and competitively, if the premiums Humana charges are insufficient to cover the cost of health care services delivered to its members, or if its estimates of benefit expenses are inadequate, Humanas profitability could be materially adversely affected. Health Plan/Payer Business Mailing Address First Line. The Health Insurance Portability and Accountability Act (HIPAA) of 1996 contains Portability, Medicaid Integrity Program/Fraud and Abuse, and Administrative Simplification. If one of our plans is not the best fit, dont worry well connect you with other options. It is located in the south of Middle Franconia, 50 kilometres south of Nuremberg. AR812. STATEMENT AS OF MARCH 31, 2021 OF THE Arcadian Health Plan, Inc. ASSETS Current Statement Date 4 1 Assets 2 Nonadmitted Assets 3 Net Admitted Assets (Cols. Medicare pays a fixed amount for your care every month to the companies offering Medicare Advantage Plans. Contact the Medicare plan for more information. The Medicare Program rates all health and prescription drug plans each year, based on a plans quality and performance. To receive notices, you must subscribe. The HRA assesses the member's health status and acuity level which, in turn, guides clinical interventions and development of the individualized care plan (ICP). Humana is involved in various legal actions and governmental and internal investigations, including without limitation, an ongoing internal investigation and litigation and government requests for information related to certain aspects of its Florida subsidiary operations, any of which, if resolved unfavorably to the company, could result in substantial monetary damages. an eye doctor, Learn So can the benefits and costs of Medicare Advantage plans. 2.5 Baths. ARCADIAN HEALTH PLAN Pay & Benefits reviews Review this company. The HMO Alias list is an Excel spreadsheet. PSWs mission is to support the physician-patient relationship in the independent practice of medicine through fair contracting, responsible resource utilization and prudently adopted innovations in health care delivery. Industry Hospital & Health Care Revenue $9.2M Employees 111 Founded in Headquarters Oakland, CA Website Organization Type Private Is This Your Company? Humanas business may be materially adversely impacted by CMSs adoption of the new coding set for diagnoses. The fax number associated with the location address of the provider being identified. D-SNP health plans offer care coordination and provide supplemental benefits to their beneficiaries. Its important to check with your doctor to confirm which Medicare Advantage plans they are accepting. The two main types of Star Ratings are: Some of the areas Medicare reviews for these ratings include: While star ratings provide an overall value, the ratings alone are only one piece of information to consider before choosing the Medicare Advantage plan that works best for you. A field cannot contain all special characters. A landfill site, also known as a tip, dump, rubbish dump, garbage dump, or dumping ground, is a site for the disposal of waste materials. Provider Relations Phone Number. Ratings by category. Give us a call at 360-943-4337 opt. NOTE: ZIP code plus 4-digit extension, if available. Alphabetical Listing of HMO Profiles Arcadian Health Plan, Inc. Arcadian Health Plan, Inc. Company Alias [Doing Business As (dba)] This is the name or names of the company under which the company does business. ARCADIAN HEALTH PLAN, INC. NPI is 1598910549. Each Medicare Advantage Plan has different premiums and costs for services, so its important to compare plans in your area and understand plan costs and benefits before you join.