1-844-518-9505
If you would like to receive more information on becoming a provider within our network or would like to receive a contract, please contact us at 1-844-518-9505 or fill out our Join Our Network form on our main Sunflower website. Thank you for your interest in joining the Ambetter from Sunflower Health Plan provider network!
You have 20% coinsurance, and your insurance company pays 80% for a $100 service. You will pay $20 and the insurance company will pay $80. The percent you pay remains the same until you reach your maximum out-of-pocket limit. Your plan will then pay 100% of the cost.
Find a Doctor. Shop and Compare Plans. Use your ZIP Code to find your personal plan. See coverage in your area. Find doctors and hospitals. View pharmacy program benefits. View essential health benefits. Find and enroll in a plan that's right for you.Paper referrals are not required. The following are services that may require a referral from your PCP: Specialist services, including standing or ongoing referrals to a specific provider. Diagnostic tests (X-ray and lab) High tech imaging (CT scans, MRIs, PET scans, etc.)*. Planned inpatient admission*.You can keep it when you change jobs or retire. If you have any additional questions, please contact us at 1-844-518-9505. Important: HSA funds cannot be used to pay Ambetter premiums. Ambetter from Sunflower Health Plan offers an easy way to save & pay for approved healthcare costs. Learn more about Ambetter Health Savings Account Benefits.1-844-518-9505 (TDD/TTY 1-844-546-9713) Choose top-quality healthcare coverage with plans that fit your health needs and your budget. So you can take charge of your health. Ambetter is a quality health plan offering these important benefits: Medical Coverage ...34368KS012-2024 Member Services: 1-844-518-9505 TTY 711 Ambetter. SunflowerHealthplan.com 10 . INTRODUCTION. Welcome to Ambetter from Sunflower Health Plan! We have prepared this . contract . to help explain your coverage. Please refer to this . contract . whenever you require medical services. It describes: 1. How to access medical care. 2.You have 20% coinsurance, and your insurance company pays 80% for a $100 service. You will pay $20 and the insurance company will pay $80. The percent you pay remains the same until you reach your maximum out-of-pocket limit. Your plan will then pay 100% of the cost.Jul 8, 2020 · Here are the ways our provider community can contact us: For general and routine questions or concerns, please contact customer service at: Ambetter. 1-844-518-9505 ( TTY 711) For general and routine questions, please use the provider portal secure messaging feature.
Want to be the go-to dealmaker on your team? Go ahead, grab that coffee, because you'll be a closer by the time you finish this article. Trusted by business builders worldwide, the...Use the Pre-Auth Needed tool on our website to determine if prior authorization is required. Submit prior authorizations via: Secure Provider Portal. External Link. Medical Fax: 1-844-474-7115. Behavioral Fax: 1-844-824-7705. Phone: 1-844-518-9505. Claims. Timely Filing guidelines: 180 days from date of service.Want to be the go-to dealmaker on your team? Go ahead, grab that coffee, because you'll be a closer by the time you finish this article. Trusted by business builders worldwide, the...The No Surprises Act, as part of the Consolidated Appropriations Act (CAA), has been effective with dates of service on and after January 1, 2022, and provides greater consumer protections to patients by addressing surprise medical bills at the federal level. The No Surprises Act required health plans to implement changes that impact both ...Paper referrals are not required. The following are services that may require a referral from your PCP: Specialist services, including standing or ongoing referrals to a specific provider. Diagnostic tests (X-ray and lab) High tech imaging (CT scans, MRIs, PET scans, etc.)*. Planned inpatient admission*.Written notice of claim must be given to the insurer within 20 days after the occurrence or commencement of any loss or as soon as thereafter as is reasonably possible. To request reimbursement for a covered service, you need a copy of the detailed claim from your provider.The Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey is a chance for your patients to report their satisfaction with their healthcare, including their experience with their providers and health plan.
Page 6 of 7 Your Rights to Continue Coverage: There are agencies that can help if you want to continue your coverage after it ends.The contact information for those agencies is: Ambetter from Sunflower Health Plan at 1-844-518-9505 (TTY/TDD 1-844-546-9713); Kansas Insurance Department, 1300 SW Arrowhead Rd Topeka,Please call the Marketplace today so your health insurance coverage continues with Ambetter from Sunflower Health Plan. The Marketplace number is 1-800-318-2596 (TTY 711 ). You can also view the detailed Marketplace letter (PDF) . It contains information and instructions to process the required documents. Please disregard if you have already ...agencies is: Ambetter from Sunflower Health Plan at 1-844-518-9505 (TTY/TDD 1-844-546-9713); Kansas Insurance Department, 1300 SW Arrowhead Rd Topeka, KS 66604, Phone No. 1-785-296-3071.; Department of Labor’s Employee Benefits Security Administration at 1-866-444-EBSA (3272); Kansas Health Options at 1-Plan at 1-844-518-9505 (TTY/TDD 1-844-546-9713); Kansas Insurance Department, 420 SW 9th Street Topeka, KS 66612, Phone No. 1-785-296-3071. Other coverage options may be available to you too, including buying individual insurance coverage through the Health Insurance Marketplace. For more information about the Marketplace, visit www.HealthCare ...Sunflower KanCare Medicaid: 1-877-644-4623 (TTY 711) Ambetter from Sunflower Health Plan (Marketplace): 1-844-518-9505 (TTY 711) Wellcare By Allwell (Medicare Advantage):
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or call 1-844-518-9505 (TTY/TDD 1-844-546-9713) for a list of network providers. This plan uses a provider network. You will pay less if you use a provider in the plan’s network. You will pay the most if you use an out-of-network provider, and you might receive a bill from a provider for the difference between the provider’sHi there, Quartz members! Hi there, Quartz members! Quartz’s fashion week continues with an exclusive interview with Derek Blasberg, the man YouTube has hired to make it a fashion ...c or call 1-844-518-9505 (TTY/TDD 1-844-546-9713) for a list of network providers. This plan uses a provider network. You will pay less if you use a provider in the plan's network. You will pay the most if you use an out-of-network provider, and you might receive a bill from a provider for the difference between the The Ambetter Member Perks Program is available exclusively to Ambetter Members. The program is brought to you by Abenity. As an Ambetter Health member, you can now enjoy healthy discounts to help you be well, stay well, and save smart: Plan Brochures & Summaries of Benefits & Coverage. We want to help you find the Ambetter health plan that best fits your budget and your health needs. Use the filters below to narrow your search results and compare our plans. View our 2023 Ambetter Plan Brochure to see the valuable benefits each plan has to offer. Plans may vary by county.
or call 1-844-518-9505 (TTY/TDD 1-844-546-9713) for a list of network providers. This plan uses a provider network. You will pay less if you use a provider in the plan’s network. You will pay the most if you use an out-of-network provider, and you might receive a bill from a provider Phone 1-844-518-9505 Fax: 1-844-824-7705 Standard Request - Determination within 14 calender days of receiving all necessary information Urgent Request - Determiniation within 72 hours. URGENT REQUESTS MUST BE SIGNED BY THE REQUESTING PHYSICIAN TO RECEIVE PRIORITY. INTENSIVE OUTPATIENT/DAY TREATMENT FORM MENTAL HEALTH/CHEMICAL DEPENDENCY1-844-518-9505 (TTY 711). Spanish: Si usted, o alguien a quien está ayudando, tiene preguntas acerca de Ambetter de Sunflower Health Plan y no domina el inglés, tiene derecho a obtener ayuda e información en su idioma sin costo alguno y de manera oportuna. Si usted, o alguien a quienIf you have questions about this bulletin or other provider resources, please contact your Provider Relations Representative or call: Ambetter from Sunflower Health Plan Provider Services at 1-844-518-9505 (TTY 711) Wellcare By Allwell Provider Services at: HMO 1-855-565-9519. HMO D-SNP 1-833-402-6707. PPO 1-833-696-0634.To talk to an interpreter, call 1-844-518-9505 (TTY/TDD 1-844-546-9713). Nếu quý vị, hay người mà quý vị đang giúp đỡ, có câu hỏi về Ambetter from Sunflower Health Plan, quý vị sẽ có quyền được giúp và có thêm thông tin bằng ngôn ngữ của mình miễn phí. Để nói chuyện với một thông ...Page 6 of 7 Your Rights to Continue Coverage: There are agencies that can help if you want to continue your coverage after it ends.The contact information for those agencies is: Ambetter from Sunflower Health Plan at 1-844-518-9505 (TTY/TDD 1-844-546-9713); Kansas Insurance Department, 1300 SW Arrowhead Rd Topeka,Contact Member Services at 1-844-518-9505 (TDD/TTY: 1-844-546-9713) Field Name : Description : Subscriber Information : Subscriber is the person: Who enrolls in an Ambetter from Sunflower Health Plan and signs the membership application form on behalf of him/ herself and any dependents. In whose name the premium is paid. m/findadoc or call 1-844-518-9505 (TTY/TDD 1-844-546-9713) for a list of network providers. This plan uses a provider network. You will pay less if you use a provider in the plan’s network. You will pay the most if you use an out-of-network provider, and you might receive a PHONE 1.844.518.9505 | FAX 1.844.824.7705 AMBETTER FROM SUNFLOWER HEALTH PLAN PAGE 1 APPLIED BEHAVIORAL ANALYSIS PRIOR AUTHORIZATION REQUEST FORM Please print clearly and fill out entire form . even if the information is documented in attachments. Incomplete or illegible forms will be returned.
Ambetter from Sunflower Health Plan. Attn: Appeals and Grievances Department PO Box 10341 Van Nuys, CA 91410 Fax: 1-833-886-7956. If you have any questions, please call us at: 1-844-518-9505 (TTY 711) I, (Printed Name of Member) want the following person to act for me in my Appeal or Grievance/Complaint.
34368KS012-2024-OC Member Services: 1-844-518-9505 (TTY 711) Ambetter.SunflowerHealthPlan.com our 24/7 nurse advice line at 1-844-518-9505 (TTY 711). A licensed nurse is always available and ready to answer your health questions. In an emergency, call 911 or head straight to the nearest emergency room. Network Availabilityor call 1-844-518-9505 (TTY/TDD 1-844-546-9713) for a list of network providers. This plan uses a provider network. You will pay less if you use a provider in the plan’s network. You will pay the most if you use an out-of-network provider, and you might receive a bill from a provider for the difference between the provider’sYou can keep it when you change jobs or retire. If you have any additional questions, please contact us at 1-844-518-9505. Important: HSA funds cannot be used to pay Ambetter premiums. Ambetter from Sunflower Health Plan offers an easy way to save & pay for approved healthcare costs. Learn more about Ambetter Health Savings Account Benefits.General or Routine Questions: Call Provider Services at 1-844-518-9505 (TTY 1-844-546-9713) Complex Questions or Concerns: Please use this Contact Us Form. You will receive a follow-up message within 48 hours. Other Resources. Email Quality Improvement; Email Credentialing & ContractingAmbetter from Sunflower Health Plan (Marketplace): 1-844-518-9505 (TTY 711) Wellcare By Allwell and Wellcare Complete (Medicare Advantage): HMO/PPO 1-800-977-7522 om/findadoc or call 1-844-518-9505 (TTY/TDD 1-844-546-9713) for a list of network providers. This plan uses a provider network. You will pay less if you use a provider in the plan’s network. You will pay the most if you use an out-of-network provider, and you might receive a To receive translation or auxiliary services, please contact Member Services at 1-844-518-9505 (TTY 711). For more information on your right to receive Ambetter from Sunflower Health Plan free of discrimination, or your right to receive language, auditory and/or visual assistance services, please visit www.ambetterhealth.com and scroll to the ...om/findadoc or call 1-844-518-9505 (TTY/TDD 1-844-546-9713) for a list of network providers. This plan uses a provider network. You will pay less if you use a provider in the plan's network. You will pay the most if you use an out-of-network provider, and you might receive aOur Health Plans show Our Health Plans menu About Our Plans; Our Benefits; Coverage Area Map; Ways to Save; What is Ambetter Health? Shop and Compare PlansThe effective date for the below policy is September 15, 2020. CC.PP.501 - 30 Day Readmission: The purpose of this payment policy is to provide a guide to payment, which is a component of the guidelines used to assist in making coverage and payment determinations and administering benefits. It does not constitute a contract or guarantee ...
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Important Pharmacy Claims Processing Change, Effective January 1, 2024. Date: 10/01/23 . We are pleased to announce that, effective January 1, 2024, Express Scripts® will begin processing pharmacy claims for our plan members. Express Scripts is a pharmacy benefit management (PBM) company serving more than 100 million Americans.Here's what you need to know before tighter rules go into effect. Editor’s note: This is a recurring post, regularly updated with new information. Last April, the Department of Hom... Depression. Diabetes (Children and Adult) Hypertension (high blood pressure) & High Cholesterol. Low Back Pain. Tobacco Cessation. Call us at 1-844-518-9505 ( TTY 711 ). If you have a chronic health condition, Ambetter from Sunflower Health Plan can help you identify symptoms and manage the side effects. Learn about our health management programs. or call 1-844-518-9505 (TTY/TDD 1-844-546-9713) for a list of network providers. This plan uses a provider network. You will pay less if you use a provider in the plan's network. You will pay the most if you use an out-of-network provider, and you might receive a bill from a provider for the difference between the provider'sPaper referrals are not required. The following are services that may require a referral from your PCP: Specialist services, including standing or ongoing referrals to a specific provider. Diagnostic tests (X-ray and lab) High tech imaging (CT scans, MRIs, PET scans, etc.)*. Planned inpatient admission*.34368KS011-2024 Member Services: 1-844-518-9505 (TTY 711) Ambetter. SunflowerHealthplan.com 10 . INTRODUCTION. Welcome to Ambetter from Sunflower Health Plan! We have prepared this . contract . to help explain your coverage. Please refer to this . contract . whenever you require medical services. It describes: 1. How to access medical care. 2.or call 1-844-518-9505 (TTY/TDD 1-844-546-9713) for a list of network providers. This plan uses a provider network. You will pay less if you use a provider in the plan's network. You will pay the most if you use an out-of-network provider, and you might receive a bill from a provider for the difference between the provider's1-844-518-9505 (tty/tdd 1-844-546-9713) log on to: ambetter. sunflowerhealthplan.com 2 this contract reflects the known requirements for compliance under the affordable care act as passed on march 23, 2010. as additional guidance is forthcoming from the us department of health and human services, andTo talk to an interpreter, call 1-844-518-9505 (TTY/TDD 1-844-546-9713). Nếu quý vị, hay người mà quý vị đang giúp đỡ, có câu hỏi về Ambetter from Sunflower Health Plan, quý vị sẽ có quyền được giúp và có thêm thông tin bằng ngôn ngữ của mình miễn phí. Để nói chuyện với một thông ...agencies is: Ambetter from Sunflower Health Plan at 1-844-518-9505 (TTY/TDD 1-844-546-9713); Kansas Insurance Department, 1300 SW Arrowhead Rd Topeka, KS 66604, Phone No. 1-785-296-3071.; Department of Labor's Employee Benefits Security Administration at 1-866-444-EBSA (3272); Kansas Health Options at 1- ….
or call 1-844-518-9505 (TTY/TDD 1-844-546-9713) for a list of network providers. This plan uses a provider network. You will pay less if you use a provider in the plan’s network. You will pay the most if you use an out-of-network provider, and you might receive a bill from a provider agencies is: Ambetter from Sunflower Health Plan at 1-844-518-9505 (TTY/TDD 1-844-546-9713); Kansas Insurance Department, 1300 SW Arrowhead Rd Topeka, KS 66604, Phone No. 1-785-296-3071.; Department of Labor’s Employee Benefits Security Administration at 1-866-444-EBSA (3272); Kansas Health Options at 1-Out-of-Pocket Payment Reductions. You may qualify to save on health insurance costs through out-of-pocket payment reductions. These are discounts or financial assistance from the government that can lower your out-of-pocket costs. Out-of-pocket costs include your deductible, co-payment and out-of-pocket maximum.1-844-518-9505 (tty 1-844-546-9713) log on to: ambetter.sunflowerhealthplan.com . this . contract . reflects the known requirements for compliance under the affordable care act as passed on march 23, 2010. as additional guidance is forthcoming from the us department of health and human services, andagencies is: Ambetter from Sunflower Health Plan at 1-844-518-9505 (TTY/TDD 1-844-546-9713); Kansas Insurance Department, 1300 SW Arrowhead Rd Topeka, ...Member Services 1-844-518-9505 Fax 1-888-453-4755 TTY/TDD 1-844-546-9713 Make a Payment 1-844-518-9505 Behavioral Health Services 1-844-518-9505 24/7 Nurse Advice Line 1-844-518-9505 Complaints and Grievances 1-844-518-9505 Emergency 911 Website Ambetter.SunflowerHealthPlan.com. When you call, have these items ready:If you have questions about this bulletin or other provider resources, please contact Provider Services at 1-844-518-9505. Company. About Ambetter Health; Newsroom; Contact Us; Events; Sunflower Health Plan; About Ambetter Health; Newsroom; Contact Us; Events; Sunflower Health Plan; Language Access.doc or call 1-844-518-9505 (TTY/TDD 1-844-546-9713) for a list of network providers. This plan uses a provider network. You will pay less if you use a provider in the plan's network. You will pay the most if you use an out-of-network provider, and you might receive a bill from a provider for the difference between the provider's charge 1-844-518-9505, [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1]