The advantage of self-insured health plans is a reduced cost for the employer, according to Beckers Hospital Review. MagnaCare plans are available in New York and New Jersey and usually include a wellness component to reduce health care costs. The Affordable Care Act requires health insurance companies to provide this pricing information to their customers. Help is always just around the corner with MagnaCare Access, our network of over 70,000 industry leading healthcare provider locations in the New York and New Jersey area. Do I still have to pay the highest co-pay? 26 verified reviews. Worrying about finances is the last thing anyone needs when it comes to health. You may qualify for Medicare benefits if you: Your Medicare card will indicate if you have Part A benefits, Part B benefits or both, and their effective dates. In addition to hospital and out-of-network coverage, non-Medicare eligible retirees and their families that live in all states will have access to. If you do not have insurance, or are unable to pay for the hospital services provided, our Financial Assistance Program may be able to help. In a true emergency, you are covered. MagnaCare health plans use a self-insured model, allowing companies the freedom to choose what to cover and how to cover it. 563 Southpark Boulevard, Colonial heights, VA 23834. Contact MSK Direct if you are told you have cancer or if you want a second opinion about your cancer diagnosis. If you are using the Tier 2 network, you should identify your plan as MagnaCare in New York or New Jersey and CIGNA outside of New York and New Jersey. Youll get the peace of mind of knowing you can manage your health condition. Although Englewood Hospital participates in most insurance plans, there may be some plans with whom we do not have a contract. Uninsured You must check with your physician before treatment to determine the insurance plans s/he accepts. 0000084904 00000 n Plan-management tools: Our powerful, user-friendly dashboards and dynamic online reporting system provide access to reports and program information, and our account management staff can help interpret results and offer recommendations. All Rights Reserved. Below is a list of the physicians or physician groups that have a contract with the hospital to provide certain healthcare services that prevents us from using any other physicians for these services. It includes a range of conditions that affects your heart with different symptoms associated with it. May be eligible regardless of immigration status. If you file your prescription through Express Scripts, their pharmacist will initiate the pre-certification review with your doctor. If you live out-of-state and have not received this card, you may call the Joint Industry Board, Members Records Dept. What is MagnaCare Direct Plus? Reimbursement for hospital and surgical expenses are subject to the applicable co-pays (see the Summary Plan Descriptionfor details). One Healthy Way Quest Diagnostics www.questdiagnostics.com Phone # 1(866)-697-8378.