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Health and Wellness – Doctors HealthCare Plans, Inc.

Details: According to the National Institute on Aging, yoga in particular has a lot of health benefits for older adults. Yoga combines relaxation and breathing exercises, along with physical poses. Some of its benefits include: Better balance, More flexibility, and Stronger muscles.

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Doctors HealthCare Plans, Inc. – Welcome to Doctors

Details: Mailing Address: 2020 Ponce de Leon Blvd, PH1, Coral Gables Florida, 33134. Please call Member Services at 786-460-3427 or 833 …

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2021 Medicare Advantage Plans – Doctors HealthCare …

Details: DrPlus (HMO POS SNP) is sponsored by Doctors HealthCare Plans, Inc. and the State of Florida Agency for Health Care Administration. DrPlus (HMO-POS SNP) has been approved by the National Committee for Quality Assurance (NCQA) to operate as a Special Needs Plan (SNP) until December 31, 2021 based on a review of DrPlus (HMO POS SNP) …

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What Patients Should Know About Seeking Health Care

Details: providers and facilities are preparing to re-open to all health care services. During the height of the pandemic, many organizations had postponed non-emergency, non-Covid-19 care in order to ensure capacity to care for Covid-19 patients and to preserve supplies, such as masks and ventilators. Moving

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Forms and Online Requests – Doctors HealthCare Plans, Inc.

Details: Health Risk Assessment. Doctors HealthCare Plans is focused on providing the right care to help your patients (our members) stay as healthy as possible. The Health Risk Assessment (HRA) or Health Risk Assessment Tool (HRAT) is used to survey your patients (our members) and obtain information about their health and lifestyle.

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Claims Information – Doctors HealthCare Plans, Inc.

Details: Claims . Providers must submit Claims for processing in a HIPAA-compliant 837 file format and file electronically with Availity at using the Doctors Health Care Plans, Inc. payer ID DRHCP.If unable to submit electronically, physicians and other healthcare providers can submit professional claims on a properly completed CMS 1500 form within the time frame …

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Request Provider Directory – Doctors HealthCare Plans, Inc.

Details: Mailing Address: 2020 Ponce de Leon Blvd, PH1, Coral Gables Florida, 33134. Please call Member Services at 786-460-3427 or 833-342-7463 (TTY: 711), 7 days a week 8 a.m. to 8 p.m.

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2022 Summary of Benefits

Details: This is a summary of drug and health services covered by Doctors HealthCare Plans, Inc., beginning January 1, 2022, through December 31, 2022. The Summary of Beneits does not list every service covered by the plan or list every limitation or exclusion. For a complete list of covered services, please call us and ask for the

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2020 Summary of Beneits

Details: This is a summary of drug and health services covered by Doctors HealthCare Plans, Inc., beginning January 1, 2020, through December 31, 2020. The Summary of Benefits does not list every service covered by the plan or list every limitation or exclusion. For a

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2019 ENROLLMENT KIT SUMMARY OF BENEFITS

Details: Behavioral Health (800) 424-1734 You must be enrolled in Doctors HealthCare Plans, Inc., in order to contact any of the above vendors. Below is a short description of the supplemental benefits you will receive once enrolled in this plan.

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Women: Stay Healthy at 50+

Details: Health Check out these Federal Government Web sites: Healthinder.gov. Guides and tools for healthy living, an encyclopedia of health-related topics, health news, and more. Go to: www.healthinder.gov. MedlinePlus. Health information from government agencies and health organizations, including a medical encyclopedia and health tools.

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COVID-19 – Doctors HealthCare Plans, Inc.

Details: Florida Health. For information from the Centers of Disease Control (CDC) on COVID-19, please visit: Centers for Disease Control and Prevention: About Coronavirus Disease 2019 (COVID-19) (accessed March 2020) Centers for Disease Control and Prevention: Frequently Asked Questions and Answers (accessed March 2020)

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Special Needs Plans (SNP) – Doctors HealthCare Plans, Inc.

Details: This training provides an overview of SNPs and the responsibilities physicians and other participating health care providers have for their SNP patients. The link below provides an educational presentation. If contracted providers have any questions regarding SNPs please contact your Provider Relations Representative or 305-422-9300 Prompt 2.

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2021 Summary of Benefits

Details: This is a summary of drug and health services covered by Doctors HealthCare Plans, Inc., beginning January 1, 2021, through December 31, 2021. The Summary of Beneits does not list every service covered by the plan or list every limitation or exclusion. For a complete list of covered services,

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Men: Stay Healthy at 50+

Details: Department of Health and Human Services and the U.S. Preventive Services Task Force (USPSTF). he USPSTF is an independent group of national experts in prevention and evidence-based medicine. he Task Force makes recommendations based on rigorous reviews of the scientiic evidence to help primary

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Physicians and Providers – Doctors HealthCare Plans, Inc.

Details: Physicians and Providers – Doctors HealthCare Plans, Inc. Mailing Address: 2020 Ponce de Leon Blvd, PH1, Coral Gables Florida, 33134. Please call Member Services at 786-460-3427 or 833-342-7463 (TTY: 711), 7 days a week 8 a.m. to 8 p.m.

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2020 Annual Notice of Changes

Details: To protect you, Medicare requires all health plans to limit how much you pay “out-of-pocket” during the year. This limit is called the “maximum out-of-pocket amount.” Once you reach this amount, you generally pay nothing for covered Part A and Part B services for the rest of the year. COST 2019 (THIS YEAR) 2020 (NEXT YEAR)

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Preventive Care – Doctors HealthCare Plans, Inc.

Details: Health and Wellness Education Programs. Who is covered: Members at risk for specific disease When: As prescribed by your doctor. Hepatitis C (HCV) screening . Who is covered: Members at high risk due to: Current or past history of illicit drug use, or blood transfusions prior to 1992, for adults aged 18-79 years.

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(providerportal.doctorshcp.com) eHEALTHsuite RAM

Details: Quickly access the information you need by clicking on a selection to the right after logging in. Send us an email or call 305-422-9300 option 2. User ID. Password.

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2022 Summary of Benefits

Details: This is a summary of drug and health services covered by Doctors HealthCare Plans, Inc., beginning January 1, 2022, through December 31, 2022. The Summary of Beneits does not list every service covered by the plan or list every limitation or exclusion. Depending on your level of

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(This Supplement is effective September 1, 2021 and is an

Details: Florida Agency for Health Care Administration. Enrollment in Doctors Health Care Plans, Inc. depends on contract renewal. Directorio de Proveedores del 2021 (Este suplemento es efectivo a partir del 1º de septiembre del 2021 y es una adición al Directorio de proveedores de Doctors HealthCare Plans, Inc del 1º de octubre del 2020)

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Member Health Risk Assessment GENERAL INFORMATION …

Details: Member Health Risk Assessment Below, you will find a few questions about your current health. The information provided will be treated confidentially. Our care coordinators will review this information to assess your health care needs and generate a care plan, as needed, with you and your physicians.

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Enrollment Information – Doctors HealthCare Plans, Inc.

Details: The Centers for Medicare & Medicaid Services (CMS) created its Five-Star Quality Rating System to help people with Medicare compare plans. The below information is the overall star rating Doctors HealthCare Plans, Inc. received from CMS. Information about all rated Medicare health and prescription drug plans is available from CMS at www

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Your OTC benefit can now be used at CVS Pharmacy ¡Su

Details: 1141 State Road 20 Interlachen, FL 32148 Store #3663 602 W. Main St. Inverness, FL 34450 Store #3171 4475 San Juan Ave. Jacksonville, FL 32210

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Coverage Determination – Doctors HealthCare Plans, Inc.

Details: If you or your prescriber believe that waiting 72 hours for a standard decision could seriously harm your life, health, or ability to regain maximum function, you can ask for an expedited (fast) decision. If your prescriber indicates that waiting 72 hours could seriously harm your health, we will automatically give you a decision within 24 hours.

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Grievances and Appeals – Doctors HealthCare Plans, Inc.

Details: Doctors Health Care Plans will make standard coverage determinations within 72 hours and expedited coverage determinations within 24 hours. There are several ways in which you, your appointed representative, your prescribing physician, or other prescriber can request a coverage determination.

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2021 Provider Directory – Doctors HealthCare Plans, Inc.

Details: Behavioral Health Providers: For information about Behavioral Health or substance abuse services or to request authorization for admission precertification please call Magellan Health at 800-424-1734, 24 hours a day; 7 days a week. For routine questions please call Magellan Health from Monday-Friday between 8:00 a.m. and 6:00 p.m. (Eastern Time).

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2020 DrValue FORMULARY

Details: team of health care providers, which represents the prescription therapies believed to be a necessary part of a quality treatment program. Doctors HealthCare Plans will generally cover the drugs listed in our formulary as long as the drug is medically necessary, the prescription is filled at

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Re-opening Facilities to Provide Non-emergent Non-COVID …

Details: their public health officials that they passed the Gating Criteria (symptoms, cases, and hospitals) announced on April 16, 2020, then they may proceed to Phase I, and subsequently to Phase II of re-opening. Consistent with those recommendations, facilities should check with their State and local authorities to confirm if Gating

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2021 Prescription Drug Coverage – Doctors HealthCare Plans

Details: For certain drugs, Doctors Health Care Plans limits the amount of the drug that will be covered per prescription or for a defined period of time. If you require additional quantities over the limit, your physician will need to provide a supporting statement to Doctors HealthCare Plans.

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Provider Bulletins – Doctors HealthCare Plans, Inc.

Details: Provider Bulletins. 09/2021 – Claims Disputes. 08/2021 – Level 5 Auth Required. 08/2021 – MTM Notice. 05/2021 – Targeted Case Management and Community Behavioral Health Services Changes. 03/2021 – Neurology Network Change. 03/2021 – Website Enhancements. 03/2021 – Special Needs Plans Model of Care (MOC) Training. 02/2021 – …

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Doctors HealthCare Plans Member Rights & Responsibilities

Details: health care provider’s instructions. • Assure that financial obligations for your health care are fulfilled as promptly as possible including co-payments, deductible, co-insurance amounts, non-covered services and benefits. • Follow health care facility rules and regulations affecting patient care and conduct.

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Contact Us – Doctors HealthCare Plans, Inc.

Details: Transportation: (Non-Emergency/Routine): (786) 789-3427. —————–. Mailing Address: Doctors HealthCare Plans, Inc. 2020 Ponce de Leon Blvd., Suite PH 1. Coral Gables, FL 33134. If you’re ready to enroll or just want to learn more about Doctors HealthCare Plans, please complete the form below and a licensed Sales Agent will reach out

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List of Covered Drugs

Details: A formulary is a list of covered drugs selected by the Plan in consultation with a team of health care providers, which represents the prescription therapies believed to be a necessary part of a quality treatment program. The Plan will generally cover the drugs listed in our formulary as long as the drug is medically

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2022 Provider Directory – Doctors HealthCare Plans, Inc.

Details: Behavioral Health Providers: For information about Behavioral Health or substance abuse services or to request authorization for admission precertification please call: Magellan Health 1-800-424-1734 (TTY: 711) 24 hours a day; 7 days a week. For routine questions please call: Monday-Friday, 8:00 a.m. and 6:00 p.m.

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Quick Reference Guide: Contact Information

Details: Behavioral Health (Magellan Health) (800)424-1734 Dental & Vision (Argus) (844)234-4550 Silver and Fit www.silverandfit.com (877)427-4788 TTY:(877) 710-2746 Hear USA (800)333-3389 Option 1 Quest Diagnostics (866) 697-8378 Over the Counter (OTC) doctorshcp.otchs.com (888)628-2770 Option 1 TYY: (877)672-2688

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Pharmacy and Drug Information – Doctors HealthCare Plans, Inc.

Details: Pharmacy Updates. 01/2021 – 2021 Provider Notification of Opioid Drug Management Program. 12/2020 – Warning on Concurrent use of Opioids and Benzodiazepines. 11/2020 – 2021 Formulary Update. 08/2020 – MedWatch Safety Alert – FDA Recommends Health Care Professionals Discuss Naloxone with All Patients when Prescribing Opioids or

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Coronavirus Information – Doctors HealthCare Plans, Inc.

Details: If Doctors HealthCare Plans is affected by the disaster and cannot resume normal operations by the end of the public health emergency or state of disaster, we will notify the Centers for Medicare & Medicaid Services (CMS) and will update our website, when and if we are able to provide information. H4140_WSDISCOVID-19_C Last Updated: 07/31/2020

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Prior Authorization Form – Doctors HealthCare Plans, Inc.

Details: Mailing Address: 2020 Ponce de Leon Blvd, PH1, Coral Gables Florida, 33134. Please call Member Services at 786-460-3427 or 833 …

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Other Important Information – Doctors HealthCare Plans, Inc.

Details: Agency for Health Care Administration Rules and Services. The Agency for Health Care Administration (AHCA) is responsible for the administration of the Florida Medicaid program. Below is the AHCA website address. The site contains rules and services specific policies.

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WHO CAN USE THIS FORM

Details: List your Primary Care Physician (PCP), clinic, or health center: Primary Care Physician Name (PCP)* Primary Care Physician ID Number * If you select DrChoice (HMO POS) , your PCP must be a participating provider of this plan.

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Member Services Contact Form – Doctors HealthCare Plans, Inc.

Details: Mailing Address: 2020 Ponce de Leon Blvd, PH1, Coral Gables Florida, 33134. Please call Member Services at 786-460-3427 or 833-342-7463 (TTY: 711), 7 days a week 8 a.m. to 8 p.m.

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2021 Evidence of Coverage

Details: Your Medicare Health Benefits and Services and Prescription Drug Coverage as a Member of Doctors HealthCare Plans, Inc., DrExtra (HMO-POS SNP). This booklet gives you the details about your Medicare health care and prescription drug coverage from January 1 – December 31, 2021. It explains how to get coverage for the health

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