You will speak with a triage expert who will evaluate your symptoms and when appropriate connect you with one of our Emergency Medicine physicians to help decide next steps of care. This marks the first time the states largest private employer has chosen direct network contracting, a health benefits approach that enables businesses to offer their workforce access to high-quality care without engaging with a traditional insurance company. Include your office name, specialty, location, and contact information. As the largest laboratory network in the region, Northwell Health Labs offers an array of services throughout the entire New York metropolitan area. Our traditional open access network Search MagnaCare Providers This marks the first time the states largest private employer has chosen direct network contracting, a health benefits approach that enables businesses to offer their workforce access to high-quality care without engaging with a traditional insurance company. Copyright 2023 NorthwellHealth. This change does not impact any other benefit plan for Value, Buy-up and HDHP. For a Northwell ambulance, call Northwell Direct offers a range of solutions, tailored to your needs. MagnaCare makes the claims process as simple as possible, and offers online tools and a dedicated provider support team of network specialists who are on hand to answer your questions. Northwell Health has selected Northwell Direct to supply the provider network for the health system's 2022 healthcare benefits for about 75,000 employees and dependents, eschewing the traditional approach of teaming with a private insurer. LabFly: An innovative new app that brings the lab to you. Our children had a fear of needles, which made getting lab work difficult. Submit your inquiry to [emailprotected]. Please consult with your pediatrician if you have any questions. 1600 Stewart Avenue Please note that lab results can only be released to the patient or an authorized representative,Results are also available to some Northwell Health Physician Partners (NHPP) patients throughFollowMyHealth, Northwell'spatient portal. New York, New York 10028. With the patient portal, you can: With LabFly, youll never have to skip another blood draw. That's why Northwell Health Labs created LabFly, an innovative app that lets you easily schedule a blood draw for you or a loved one. For a Northwell ambulance, call All Rights Reserved. tax-deductible as allowed by law. tax-deductible as allowed by law. official 501(c)(3) nonprofit organization, your gift is In a move designed to control costs while providing unfettered access to top-notch care, Northwell Directs selective network was constructed specifically to meet the needs of employers with employees and dependents in the tristate area. Thats why weve made it easy for you to get your lab results, so you can get valuable insight into your personal health. Gender: Female Location (s): CENTER FOR PEDIATRIC ORTHOPAEDICS 250 East Main Street Bay Shore, New York 11706 Get Directions Phone: (631) 390-7100 Our lab does not perform COVID-19 PCR (nasal swab) testing on children under 5. The best part? Please log in again, or close to continue. Vivo Health has a large pharmacy network, which includes ten Vivo Health Pharmacy locations, mail order and more than 64,000 participating retail pharmacies. Owned by Northwell Health, New York States largest health care provider and private employer, Northwell Direct uses an integrated health care management approach to help employers bend the cost curve, improve productivity and keep their employees and customers healthy. Such programs can navigate participants through their health care needs, helping to prevent gaps in care in order to avoid potentially dangerous and expensive exacerbations. Imaging -. For your security, weve logged you out. Human resource officers know the importance of offering a competitive benefits program that can attract and retain talented employees, said Maxine Carrington, senior vice president and chief human resources officer for Northwell Health. A: No. Our representatives are available to schedule your appointment Monday through Friday from 9am to 5pm. A: Yes. For 2022, the Tier 2 network for all states outside of New York and New Jersey for HDHP is changing from First Health to CIGNA. We are excited that Northwell Health has chosen Northwell Direct to supply a robust provider network for its employees and dependents, said Nick Stefanizzi, CEO of Northwell Direct. 1 Northwell Directs provider network is provided through Northwell Direct Administrative Services Organization, Inc. Lisa Davis View additional details on testing here. To initiate a discussion on transition of care for out-of-network providers, team members and their families should contact Brighton at (855) 340-7737. Brighton is used for claims processing and customer service while the new provider and facility network in the New York and New Jersey area is the MagnaCare network. For 2022, the Tier 2 network for all states outside of New York and New Jersey for HDHP is changing from First Health to CIGNA. Call 1-866-250-8679 or fill out the form below. On behalf of moms everywhere, thanks LabFly! Premium Provider Portal Login. JetBlue and Northwell Direct partner to provide long-term COVID-19 health solutions, Northwell Direct offers COVID-19 testing, suite of health care services for New York employers, Notice of non-discrimination & accessibility. New Yorks largest ACO a collaboration between employed and voluntary physicians improving care for Medicare beneficiaries. Notice of non-discrimination & accessibility. Please log in again, or close to continue. LabFly is so easy to use and kid-friendly. For more information on Northwell Direct, visit Northwell.edu/direct. Laboratories -. Get Directions. A: For team members and dependents currently undergoing specific medical services (e.g., a scheduled surgery, continuation of maternity and delivery care, chemotherapy) utilizing a provider that is not in-network, Brighton will work directly with you to be considered for continued care with that dedicated provider until April 1, 2022, and for maternity care until July 1, 2022. Call 888.799.6465 or fill out the form below. Clear. Want to hear for yourself how were helping employers fulfill all of their employees health care needsall while saving money on health insurance? *The $45,000 lifetime limit is retroactive and includes prior completed procedures. MSSP public reporting We offer an array of clinical testing procedures at our conveniently located Patient Service Centersacross Manhattan, Queens, Staten Island and Long Island (Nassau and Suffolk counties). Northwell Health has chosen Brighton Health Plan Solutions (BHPS) as its third-party administrator (TPA) to handle the processing of claims and customer service for its employee health plan. By avoiding the need for a traditional insurance company and partnering directly with Northwell Direct, we believe we can increase quality of care and improve user experience while reducing the burden of health care costs.. In a move designed to control costs while providing unfettered access to top-notch care, Northwell Directs selective network was constructed specifically to meet the needs of employers with employees and dependents in the tristate area. A: 2022 benefit guides are available on the myBenefits site. Seventy percent of medical decisions are based on lab results. That's why Northwell Health Labs createdLabFly, an innovative app that lets you easily schedule a blood draw for you or a loved one. The Tier 2 network is an extended network which has higher out-of-pocket expenses. Physician portal Northwell Health Labs Portal (powered by MphRx) is an online portal that allows physicians to view results at the individual patient level. Phone: (212) 717-5700. Waiver disclosure, Premium Network providers are shaping the future of medicine, one patient at a time. Critical Care Medicine - Surgery Hospital Affiliations: Information not available. Need to update your information? Premium Network members are eligible to participate in various commercial value-based plans and our Medicare ACO. For your security, weve logged you out. This represents the latest evolution in our efforts to partner with employers large and small in order to provide access to outstanding care at a more sustainable price point. Vivo Health offers convenient services such as mail order, a specialty pharmacy and a mobile app for your on-the-go pharmacy needs. A: Please visit the Whats new in 2022 page on the myBenefits site to view important updates, including plan design changes and a link to the new myMedical site outlining the changes to provider networks for all three team member plans and the third-party administrator for the Value and Buy-up plans. Graduate nursing and physician assistant studies, Notice of non-discrimination & accessibility. official 501(c)(3) nonprofit organization, your gift is For your protection your session is about to timeout.Would you like to stay logged in? Since our health plan designs are customized for each client, they decide which services to cover, and how much to cover. The tech arrived promptly and I was done in less than 15 minutes, making it easy for me to return to work quickly. Know a great provider? Together with you, we are shaping the future of healthcare. Northwell Direct, Northwell Healths affiliated, direct-to-employer company, will also make robust care management programs available to plan participants. Quick easy order entry for mobile lab requests, Download results, update orders and view up to the minute visit details for your patients, Email alerts available for results and visit status updates, For more information, click the "Forgot Login or Password" button to the right or send an email to. Other off-the-shelf and customizable services provided by Northwell Direct include on-site and near-site health clinics, clinical concierge services, occupational health and workforce safety solutions and a broad range of other options. Log on to our provider portal to research fee schedules, check your participation status, check member eligibility, and more. official 501(c)(3) nonprofit organization, your gift is About Northwell Health ACO Nominate a colleague (or even yourself) for participation in the MagnaCare provider network. A: Whether you are on the Value, Buy-up, HDHP or union-sponsored plan administered by Northwell, you can now search for in-network doctors, and other healthcare providers and facilities, all in one place. NEW HYDE PARK, N.Y.--(BUSINESS WIRE)--Northwell Direct today announced that it has been selected by Northwell Health to supply the provider network for the health systems 2022 health care benefits for approximately 75,000 employees and dependents.1 Northwell Direct is a for-profit entity which delivers direct-to-employer solutions for all types of businesses. Order routine, stat and COVID PCR/antibody tests for homebound patients. Waiver disclosure, Premium Network providers are shaping the future of medicine, one patient at a time. Northwell Health, among New York's largest employers with over 70,000 employees, became the company's first self-funded . Phone: (551) 214-3500 Please contact provider's office for affiliation information. Access the in-network provider and facility search on Northwell.edu/myMedical. The Northwell Health Premium Network is an integrated group of 5,900 physicians who work together to deliver high quality, coordinated care for defined patient populations. Single point of entry for Premium Network providers ; Secure, HIPAA compliant; Houses all value-based program information; Contact (800) 381-6140 or ciipa@northwell.edu for help A: Please sign up for the member portal at Northwell.edu/myMedical to access your digital ID card, review claims and Explanation of Benefits (EOBs), check coverage and benefits, and continue searching for providers and facilities.In-network provider and facility coverage. With our direct-to-employer network contracting model, were proud to give businesses the opportunity to increase ease and efficiency while engaging a provider network thats unrivaled for quality.. Owned by Northwell Health, New York State's largest health care provider and private employer, Northwell Direct uses an integrated health care management approach to help employers bend the. tax-deductible as allowed by law. We are Northwell Healthand together, we're raising the standard of health care. In addition, where specified in our plan summaries, Tier 1 providers/facilities must be used in NY/NJ for the below services: A: If you or your dependent need to use a provider outside of the New York and New Jersey area, you will use the Tier 2 CIGNA network to find in-network providers and facilities. A: For team members part of the Value, Buy-up and HDHP, you should identify that you are a Northwell team member that accesses the Northwell Direct network administered by Brighton Health Plan Solutions when speaking with your in-network provider or facility. As a busy working mom, its so much easier to book appointments around our schedules. It works with JetBlue Airways to provide a comprehensive set of COVID-19 solutions for the airlines local workforce. For your protection your session is about to timeout.Would you like to stay logged in? Each insurance carrier has their own filing time limits, so please provide this information as soon as possible. For a Northwell ambulance, call (833) 259-2367. We offer an array of collaborative opportunities for community-based physicians to partner with us in this transformation. When you travel outside of the tri-state area, look at the back of your card to find your out-of-area provider. Our representatives are available to schedule your appointment Monday through Friday from 9am to 5pm. Our 36,000-square-foot microbiology laboffers state-of-the-art automated microbiology testingwhich means our skilled technologists can focus less on manual tasksand more on new testing technology. CIGNA is the Tier 2 network outside of New York and New Jersey. Aarons, Danielle N. PA Family Medicine 3001 Expressway Drive North Islandia, New York 11749 Phone: (631) 439-0600 Huntington Hospital Abad, Grace APN Nurse Practitioner 110 Rehill Avenue Whenever you download a file over the Internet, there is always a risk that it will contain a security threat (a virus or a . In-network provider and facility coverage In-network provider and facility coverage Copyright 2023 NorthwellHealth. For a Northwell ambulance, call As an 205-542-8053 Gender: Male OPTUM MEDICAL CARE PC 1978 Crompond Road Cortlandt Manor, New York 10567 Get Directions Phone: (914) 739-2121 OPTUM MEDICAL CARE PC 3680 Hill Boulevard Jefferson Valley, New York 10535 Get Directions Phone: (914) 245-7700 Thank you, LabFly! Patient information - North Shore University Hospital | Northwell Health Patient portal The FollowMyHealth patient portal is used with your Northwell account to give you more access to your personal medical recordsfrom Northwell and other medical providersand more control over your health care. A: The TPA for union-sponsored plans administered by Northwell changed from UnitedHealthcare to Brighton as a plan administrator on Jan. 1, 2022. To receive a free copy of your recent lab test results, simply download theAuthorization for Release of Health Information formand send the completed form to the Laboratory Services Center. Northwell Health recently ditched its commercial insurers to contract directly with employers who are self-insured through its new subsidiary, Northwell Direct. By providing your email address, you agree to receive email communication from Northwell Health. New Yorks largest ACO a collaboration between employed and voluntary physicians improving care for Medicare beneficiaries. It is an option for offices that do not have an EMR system, or offices that have an EMR that does not have the ability to order tests. We intake bills on behalf of the employer, review them for accuracy, and confirm the amount to be paid. We can improve team member experience by using Brighton for claims processing and customer service, and the Northwell Direct network for expanded access to a comprehensive network of high-quality providers to members living in areas not currently covered by our Tier 1 providers. To set up electronic claims submission for your office, contact Change Healthcare (formerly EMDEON) at 800.845.6592. A: Northwell offers three medical plans, Value, Buy-up and the HDHP. Northwell Direct today announced that it has been selected by Northwell Health to supply the provider network for the health system's 2022 health care benefits for approximately 75,000 employees and dependentsNorthwell Direct's provider network is provided through Northwell Direct Administrative Services Organization, Inc. Northwell Direct is a Insurance information Primary insurance coverage Carrier name Identification number Policy holder's first name Policy holder's last name A: If your provider or facility is not included in the Tier 1 network, you can use the MagnaCare network, the Tier 2 network for New York and New Jersey. A: Providers are continually being evaluated for participation within the Northwell Direct network. This service helps put young minds at ease while saving time and energy for parents and caretakers. 233 East Shore Road Suite 101 Great Neck, New York 11023 Phone: (347) 417-9084 Please contact provider's office for affiliation information. For your protection your session is about to timeout.Would you like to stay logged in? We are excited that Northwell Health has chosen Northwell Direct to supply a robust provider network for its employees and dependents, said Nick Stefanizzi, CEO of Northwell Direct. Need help with verification? As the largest health-based laboratory in the region, Northwell Health Labs recognizes the importance of laboratory results in a patients care. As the industry seeks to achieve the Triple Aim (better care, better outcomes, lower cost), the Northwell Health Clinical Integration Network IPA is implementing innovative programs designed to improve the health of our communities. official 501(c)(3) nonprofit organization, your gift is The best part of it all is not having to leave my house! Click here to view which zip codes are now in-area and OOA. 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