A: Ameriplan is a Nationwide Provider Access Organization, We arrange for our members to have access to physicians, ancillary services, hospital advocacy, dental, vision, prescription drug, and chiropratic providers whow have agreed to offer their services at a negociated discounts off their usual and customary fees.
Q: How do I locate an Ameriplan Health Provider?
A: There are 3 different ways:
- directory included with membership
- Online at http://providersearch.ameriplanusa.com
- Call AmeriPlan Health customer service
Q: Are preexisting conditions covered?
A: Since AmeriPlan is not insurance or a health organization, all pre-existing condition are covered exept orthodonic treatment in progress.
Q: Is there a dedutable to be met from any of the health benefits?
A: There are no deductables, no claim forms to fill out, and no limits on visits to AmeriPlan network providers.
Q: Will AmeriPlan Health Medical Program (CDHC) have all specialists and ancillary services?
A: We will make every effort to contact with as many specialists and ancillary providers as possible.
Q: Can the Medical Program (CDHC) Benefits be used with Medicare/Medicaid?
A: No. Medicare does not allow their providers to charge a Medicare patient a different price.
Q: Are doctors reimbursed for their services?
A: No. As with all of our health benefits, the provider recieves the full discounted fee from the member at the time services are rendered.
Q: Does this Medical Program (CDHC) coordinate with regular insurance plans?
A: Yes it can, but it is always at the Doctor's discretion to accept both. As with out Dental Program (DVPC) benifits, your insurance should always be the primary payment form.
Q: Can anyone enroll in the Medical Program (CDHC)
A: Yes. Acceptance for AmeriPlan Health is based on each member's credit worthiness. If an applicant does not qualify they will be offered our Dental Program (DVPC).
Q: Can members downgrade from AmeriPlan Health to the Dental Program (DVPC)?
A: Yes
Q: If the doctor's office has lab facilities can these be utilized rather than having to go to another lab?
A: Yes. The lab services will be billed at a 40% discount.
Q: Do members recieve a fee schedule?
A: No. Fees will vary by zip code.
Q: Do members recieve a seperate card for the Medical Program (CDHC)?
A: Yes. Approved Individual members recieve 2 cards; one AmeriPlan Health (CDHC) ID Card and one Dental Program (DVPC) card.
Approved household members will recieve 4 cards; two AmeriPlan Health (CDHC) ID Cards and two Dental Program (DVHC) cards.
Q: Are there Benefits for emergency services?
A: Yes. Emergency services may or may not be contracted with the Medical Program (CDHC). Depending on the extent of the charges, these services may be eligible for the Patient advocacy Benefit.
Q: If a member lives in a state that has not been introduced to the Medical Program (CDHC) and enrolls, and then moves to another state that does not have the Medical Program (CDHC) can the member still use the medical benefits?
A: No, but in most states they could still be able to use the benefits in the Dental Program (DVPC).
Q: What is the difference between a limited patient visit, intermediate visit and an extended visit?
A: A limited patient is one where the member is seen for a problem focused visit with minor problems (Physicians time 10 mins.), i.e., recheck for a cold. An intermediate patient visit is more involved with low to moderate severity, and will require a longer visit with the provider, i.e., sore throat. An extended patient visit is where the member is where the member is having a physical examination or consultation for a chronic illness or consideration for surgery, etc. (Moderate to high severity)
Q: Will maternity be covered?
A: All medical needs are covered as long as we have contracted providers offering this service.
Q: Will the members privacy be protected?
A: AmeriPlan is compliant with all HIPPA regulations.
Q: Does medical include hearing tests and hearing aids?
A: Yes. Hearing Services will be covered under our Ancillary Services providers.
Q: Can I purchase the Medical Program (CDHC) without the Dental Program (DVPC) included?
A: No, presently the Medical Program (CDHC) is only sold as a unit with the Dental Program (DVPC).
Q: Is there a waiting period for new members?
A: No, members can use the program as soon as they recieve their membership cards.
Q: What is the interest rate on their Medical Credit Card?
A: 15.99%
Q: Is their a limit on their Medical Credit Card?
A: Yes
Q: Can a member pay with Cash, Personal Check, Personal Credit Card for sevices ratherthan use their Medical Credit Card?
A: Yes
Q: Is there going to be an annual fee for their Medical Credit Card?
A: No
Q: How does the Hospital Advovacy Program work?
A: The Hospital Advovavy Program negotiates with the hospital based on the member's ability to pay.
Q: Does the member have a choice of which hospital will be used?
A: Yes. the patient Advocate will negotiate with any hospital of the members choice.
Q: How much discount do members get on dental fees?
A: 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 15% - 25%.
Q: How much is the Dental Program (DVCP) membership fee?
A: Individual membership is only $11.95 per month! An ENTIRE household membership is $19.95 per month! Family membership includes covers all residents in the household including parents, children, relatives, significant others, and all permanent residents of the household!
Q: How much more do the Pharmacy, Vision, Chiropratic Benefits cost?
A: The Prescription Drug, Vision, and Chiropratic Benefits are absolutely FREE with the Dental Program (DVPC) Membership!
