AMERIPLAN DENTAL AND HEALTH FAQS
AMERIPLAN DENTAL AND HEALTH FAQS
Are AmeriPlan providers reimbursed by AmeriPlan for their services?
No. As with all of our Ameriplan health programs, the provider receives the full discounted fee from the member at the time services are rendered.
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:
The provider gets paid at the time of care. Many insurance plans take up to 120 days for payment.
Office administrative costs are reduced. No paperwork to complete, file and follow up on.
Ameriplan Providers may receive a net increase in revenue to the practice versus insurance (HMO or PPO).
The Ameriplan provider is part of an affiliation of like-minded professionals, without being “under the thumb” of managed care.
AmeriPlan provides members with quality, discounted healthcare.
Yes. Members receive four (4) cards; two AmeriPlan MED Plus ID Cards and two AmeriPlan Dental Plus cards to be used by approved household members.
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.
Can AmeriPlan programs be contracted on an annual basis and cancelled at any time?
Yes.
Does an AmeriPlan program include hearing tests and hearing aids?
Yes. Hearing Services will be included in the AmeriPlan Dental Plus program.
Can AmeriPlan be used in conjunction with health insurance plans?
Yes, but it is at the Ameriplan 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.
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 Hospital Advocacy Program.
Can you briefly describe the Hospital Advocacy Program?
The Hospital Advocacy program is designed to help members with their medical bills whenever a single hospital visit totals $2,500. (For the insured, this means the amount you are personally responsible for, aside from your deductible.) Charges can be incurred from multiple providers. The patient advocate negotiates on behalf of the patient and pursues a wide range of options, from government entitlement programs to payment plans. There is a waiting period of three business days from the active date of your membership to utilize this program.
Does the AmriPlan member have a choice of which hospital will be used?
Yes.
** Are prior hospital bills accepted?
Yes. prior hospital bills can be negotiated for $250 non-refundable fee.
* If you cannot find the answer to your question on this page, please contact oue Live Help Desk 1-877-280-0933 Monday thru Thursday between 8 am to 5 pm and Friday 8 am to 4 pm Central Time Zone. AmeriPlan Website