Careington Multi-Care

Private HealthCare System

Provider Network: Over 525,000 healthcare professionals, and over 66,000 ancillaries Discount Range: 20% to 45% savings.

Careington International brings a significant competitive advantage to clients through the personalized, concierge service with which they administer their physician discount program.

PHCS is the first and only national PPO to earn four endorsements of quality from two independent, nationally recognized quality assurance organizations, the National Committee for Quality Assurance (NCQA) and URAC.

• NCQA certification for Credentialing and Re-credentialing (August 2001)
• NCQA certification for Utilization Management (May 2001)
• URAC accreditation for Health Network with Credentialing (October 2001)
• URAC accreditation for Health Utilization Management (July 1993)

Key Features of PHCS:

• PHCS is the largest proprietary PPO in the country with nationwide access
• The live-operator feature ensures a positive member/provider experience
• Providers must pass strict credentialing criteria
• PHCS has relationships with providers associated with the majority of specialties

Health Care Mediation: Hospital and Physician

HealthCare Mediation has a team of very experienced medical bill negotiation professionals. They have the skills and resources to motivate the member’s medical service providers to significantly reduce payments for their past procedures. Members will receive reductions on medical bills without having an adverse affect on their credit.

The negotiation professionals have insider knowledge of medical billing practices combined with backgrounds in insurance and managed care to ensure the members have the highest level of experience working for them.

Featured services include:

• Members can receive savings from 20% to 40% on their medical bills
• Once the provider signs the final payment agreement, the case is then considered complete
• If a savings is not received, there is no charge for the service
• Will work directly with collection companies
• A refundable deposit up to a maximum of $250 may be required
• Patient Advocates working on the members behalf
• No minimum bill requirements
• And many more

When a discount is obtained, the total amount the member will owe is reduced even when they include the HealthCare Mediation’s fee. The members may contact HealthCare Mediation before they seek medical services, or after they have been treated and now have a medical bill. HealthCare Mediation can also work on the members behalf if their bills have been sent to collections. Financing is available for those who qualify.

CareNet

CareNet will provide nurse triage services via a toll-free number 24 hours a day, 7 days a week, consisting of the following:

Nurse Triage Services Includes
Each nurse call will be documented to include at least the following information:

Name of caller	Member’s name
Date	Time call initiated and ended
Age	Sex
Date of birth	Address of the Member
Phone number calling from	Home number
Work number	Clinic location seen at
Patient Care Coordinator taking the call	Name of RN providing assistance
Chief complaint(s) of Member	Guidelines used
Member/caller understanding of instructions	Member/caller ability to repeat instructions (in own words)
Member’s/caller’s intent

Documentation management will be HIPAA compliant.

Quality Assurance Plan
Customized triage calls reporting to Careington comprising of inclination vs. disposition including:

EMS/911	ED Immediately
Call the PCP	See in 4 HRS
See in 24 HRS/Same day	See in 72 HRS/3 days
See in 2 weeks	Homecare/Self-care

CareNet provides deaf and foreign language services through the use of TDD and a language line service. This service can be accessed by members being triaged twenty-four (24) hours a day, seven (7) days a week, including holidays. CareNet provides member’s access to pre-recorded Health Information Library consisting of over 1,100 various topics including:

Aging	Health Quizzes	Alcohol Problems
Hearing	Allergies	HIV infection/AIDS
Arthritis	Hormonal Disorders	Back & Neck Problems
Infectious Disease	Blood & Circulatory Problems	Medication
Bones, Joints & Muscles	Men’s Health	Brain & Nervous System
Mental & Emotional Health	Cancer	Neurology
Cardiovascular Health	Newborn Care	Child Health Development
Nutrition	Common Illnesses Cosmetic Surgery	Parenting & Family Life
Dental Health	Reconstructive Surgery	Personal Safety
Pregnancy & Childbirth	Diabetes

Better Living Now

Key Features of Better Living Now:

• Free blood glucose monitor upgrade
• Durable medical equipment – 20% to 30% off of retail price
• Disposable medical supplies – 20% to 40% off of retail price
• Nutritional supplements – 20% to 25% off of retail price
• Daily living aids – 20% to 25% off of retail price
• NO shipping charges for orders that are $100.00 or more
• We ship up to a 90-day supply and our care coordinators send you replacement notification before your supplies run out
• NO complicated forms to fill out
• NO inconvenient trips to the pharmacy

Most of Better Living Now’s high quality products come with a 30-day 100% satisfaction guarantee. Some products have restrictions or cannot be returned.

Item Description	Retail Rate / TPQ	Savings Off Retail Price
Ascensia Breeze Blood Glucose Monitoring System	$86.95	35%
Precision Xtra Test Strips “End-Fill”  50/box	$68.57	35%
Comfort Infusion Set 23”  10/box	$151.70	25%
Transfer Bench, Bathtub – Blow Molded w/Back  1-each	$120.00	30%
Premium Skin Barrier Non-Sterile  4x4	$28.14	35%
Nebulizer, Aeromist® LT Nebulizer/Compressor	$50.00	20%

Direct Labs

A simple blood test is necessary for prevention or early detection of disease and could save your life. Your lab program through Direct Labs provides you savings of 75% to 80% off regular retail pricing on blood tests available at over 3,000 Clinical Laboratory Improvement Amendments (CLIA), certified labs nationwide. A doctor’s visit is not required to schedule a lab test, and the member’s will receive confidential results from their lab work.

Members will have direct access to the major clinical labs across the country for important blood tests to detect serious medical conditions such as Heart Disease, Prostate Cancer, Diabetes, Thyroid Disease, and more.

(*NY/NJ residents): a kit will be sent to the member with location choices to have blood drawn, instructions for the phlebotomist on handling the specimen, and a package for the blood to be sent overnight. (Extra fees apply)

Diagnostic Imaging

• Members will have direct access for MRA’s, MRI’s, CT Scans and PET Scans and may save hundreds of dollars using this program.
• Members will have access to over 1,800+ diagnostic facilities across the US and must have a Doctor’s orders for imaging. Appointment is scheduled at your convenience.
• Savings range from 20%-70% and the results are provided in an easily understood format
• To schedule imaging procedures, call toll-free 1-800-339-9511 and give your Group code located on the front of the ID card. An operator will assist in the ordering process.

This is not available in MT, VT, CA & WA