These estimates, however, involve extensive judgment, and have considerable inherent variability that is extremely sensitive to payment patterns and medical cost trends. Jan 3, 2023 05:55pm. about group insurance, Member The telephone number associated with mailing address of the provider being identified. When registering your email, check the category on the drop-down list to receive notices of User ID: Password: Show password Most include Medicare prescription drug coverage (Part D). Copyright 2007-2023 HIPAASPACE. menu, Manage savings & tools, Humana <>>> Pennsylvania corporation ("Aetna"), of Arcadian Health Plan, Inc., a health care service contractor domiciled in the State of Washington (the "Domestic Health Carrier"). CA We make every effort to show all available Medicare Part D or Medicare Advantage plans in your service area. 9, or toll-free at 1-877-943-4337. NCQA accredits and certifies a wide range of health care organizations and manages the evolution of HEDIS, the performance measurement tool used by more than 90 percent of the nations health plans. Call 360.943.4337 ext 9 or email [emailprotected]. You can call us if you have a question about your insurance plan or a health problem. Use the links on this page to access IHCP provider news items, bulletins, and banner page publications. (3) A pharmacy fills prescriptions for patients whose physicians have prescribed medications for them and may also rent or sell durable medical equipment to patients whose physicians have ordered such equipment for them. Neither the pharmacy line of business nor the DME line of business represent legal entities; instead, both lines of business are part of an organization (the "parent") that is a legal entity. If Humana does not continue to earn and retain purchase discounts and volume rebates from pharmaceutical manufacturers at current levels, Humanas gross margins may decline. Responsibility, Internet Privacy Medical Policies. in a plan, Shop name (which is a provider name or healthcare organization name) ARCADIAN HEALTH PLAN, INC.. Medicare evaluates plans based on a 5-Star rating system. About Arcadian Health: Arcadian Health, founded in 1996, provides Medicare Advantage coverage through its affiliates in the following 15 states: . Be sure to find PSW on our social media profiles. 182. (1) The psychiatric unit in a hospital is not a legal entity but is part of the hospital (the "parent"), which is a legal entity. The provider is (1) A form of health , https://healthprovidersdata.com/hipaa/codes/NPI-1598910549-arcadian-health-plan-inc, Health (2 days ago) WebARCADIAN HEALTH PLAN, INC. Company Number 602384193 Status Active Incorporation Date 6 April 2004 (almost 19 years ago) Company Type WA , https://opencorporates.com/companies/us_wa/602384193, Health (7 days ago) WebContact Us Today Acadia Corporate Headquarters 6100 Tower Circle, Suite 1000 Franklin, TN 37067 Tel: 615-861-6000 Toll Free: 855-526-8228 Fax: 615-261-9685 Additional , https://www.acadiahealthcare.com/about/contact/, Health (9 days ago) WebArcadian Health Plan, Inc. Company Alias [Doing Business As (dba)] This is the name or names of the company under which the company does business. NOTE: ZIP code plus 4-digit extension, if available. It includes the 3 months before the month of your birthday, your birth month, and the 3 months after the month of your birthday. Documentation Guidelines. 3.8 . card, View account today. Changes in economic conditions could adversely affect Humanas business and results of operations. 510-832-0311. You must be enrolled in both Medicare Part A and Part B to enroll in a Medicare Advantage plan. LOUISVILLE, Ky.--(BUSINESS WIRE)--Humana Inc. (NYSE: HUM) announced today that it has completed its previously announced acquisition of Arcadian Management Services, an Oakland, Calif.-based company that, through its affiliates, operates Medicare Advantage HMO plans. health risk assessment (HRA) to members by phone, mail or in-person if necessary. Fax. religion. $e_ofvZp$QH"}wWWo>H!qyJ Humana advises investors to read the following documents as filed by the company with the SEC for further discussion both of the risks it faces and its historical performance: Humana Inc., headquartered in Louisville, Kentucky, is a leading health care company that offers a wide range of insurance products and health and wellness services that incorporate an integrated approach to lifelong well-being. Arcadian Health Plan Inc., H5619 Dual Eligible Medicare Zero Cost Sharing Special Needs Plan Model of Care Score: 90.00% 3-Year Approval January 1, 2012 to December 31, 2014 _____ Target Population Arcadian Health Plan (AHP) offers Dual Eligible Special Needs Plans (D-SNP) serving QMB individuals living in the state of Maine. TTY users should call, 1-800-325-0778; or your state Medicaid Office. 94607-5204 ARCADIAN HEALTH PLAN, INC. 075 093 123 126 136 H5628 MOLINA HEALTHCARE OF UTAH, INC. UT H5649 CENTRAL HEALTH PLAN OF CALIFORNIA, INC. H5703 H5742 SHA, L.L.C H5774 TRIPLE S ADVANTAGE, INC. . prescription, Manage Industry: Health insurance carriers Printer Friendly View Address: 500 12TH St Ste 350 Oakland, CA, 94607-5204 United States See other locations PSW licensed agents can answer your questions on Medicare, Medicare Advantage and the specific health plans we offer. These companies must follow rules set by Medicare. The Indiana State Plan provides specifics on how Medicaid is implemented and governed in Indiana. We are not compensated for Medicare plan enrollments. The Neapolitan wood oven, hand built by Italy's celebrated Ferrara family, and imported from Naples, cooks pizzas in just 90 seconds thanks to intense 800 . Your healthcare needs change. dental plans, Find We provide our Q1Medicare.com site for educational purposes and strive to present unbiased and accurate information. PSW is committed to quality improvement, clinical integration and meaningful measures of value. If one of our plans is not the best fit, don't worry - we'll connect you with other options. Filing Date: , https://www.bizapedia.com/us/arcadian-health-plan-inc.html, Health (6 days ago) WebArcadia enables healthcare payers to collaborate closely with their provider networks for mutual economic success under Medicare, Medicaid, and Commercial risk-based , Health (7 days ago) WebYou can call us if you have a question about your insurance plan or a health problem. Neighbouring districts are (from the north clockwise) Ansbach, Roth, Eichsttt and Donau-Ries. During this time, you have several options: enroll in, leave or switch your Medicare Advantage health plan. D-SNP health plans offer care coordination and provide supplemental benefits to their beneficiaries. care, Managing To report a claim to Arcadian, please contact: General Liability Claims glclaims@arcadian-risk.com Professional Liability Claims plclaims@arcadian-risk.com Arcadian Management Services Inc. COMMERCIAL. enroll, Find a Life and Health Insurance, Arcadian is dedicated to improving the health of , https://rocketreach.co/arcadian-health-plan-profile_b5c704eff42e0d37, Health (9 days ago) WebArcadian Health Plan Company Contact Information Email, Phone Number Adapt.io Arcadian Health Plan http://www.humana.com +1******311 Head Count 250 - 1000 , https://www.adapt.io/company/arcadian-health-plan, Health (7 days ago) WebAcadian Health offers quality patient-centered care for the following services, and more: Wellness visits Specialist visits Behavioral health visits Post-op or discharge follow up . Dual Eligible Special Needs Plans serve members who are eligible for both Medicaid and Medicare. Contact the plan provider for additional information. my premium, Drug This data element may contain the same information as ''Provider location address postal code''. Arcadian Health Plan is a small health care company based in Oakland, CA with only 111 employees and an annual revenue of $9.2M. The provider's official mailing address is: 500 12TH ST STE 350 The benefit information provided is a brief summary, not a complete description of benefits. ARCADIAN HEALTH PLAN, INC. can be reached at the following phone number(s): Phone: 510-832-0311 We do not sell leads or share your personal information. 1 , http://www.empireplanproviders.com/contact.htm. Iselin, New Jersey 08830. Business Address Line. We can quickly help you if you have your member ID number, located on the back of your , Health (1 days ago) WebH0320 ARCADIAN HEALTH PLAN, INC. Formulary Contact 825 Washington St. Suite 300 Oakland CA 94607 HMO H0320 ARCADIAN HEALTH PLAN, , https://www.cms.gov/Medicare/Health-Plans/HealthPlansGenInfo/Downloads/claims_processing_20060120.pdf, Health (1 days ago) WebService Categories: About this location: The Veolia Northern New Jersey Water Operations, proudly provides clean, safe drinking water to customers in Bergen and Hudson , https://www.veolianorthamerica.com/contact-us/find-office/hackensack-nj, Health (6 days ago) WebCustomer care representatives are available to assist you. PSW contracts with a local network of Thurston County doctors and Medicare Advantage health plans to offer you a choice in finding a health plan that best meets your healthcare needs. Our business hours are 8:00 a.m. to 5:00 p.m., EST. Category. Health plans must contract with the Indiana Health Coverage Programs and hold a contract with Medicare. a pharmacy, Compare Members may enroll in a Medicare Advantage plan only during specific times of the year. 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. Get the most out of your plan. OAKLAND, CA Locations Primary 500 12th Street, Suite 350 Oakland,. Address. It is situated on the river Altmhl, 19 kilometres (12 mi) northwest of Weienburg in Bayern, and 45 kilometres (28 mi) southwest of Nuremberg. fi%  xl/_rels/workbook.xml.rels ( Mk0$nez:8`gk(%b_=65q"0{?mY$M! An Overall Star Rating that combines all of a plans scores. The Medicare Program rates all health and prescription drug plans each year, based on a plans quality and performance. The mission of the Office of Medicaid Policy and Planning (OMPP) Program Integrity Unit is to guard against fraud, abuse, and waste of Medicaid program benefits and resources. If you are enrolled in a Medicare plan with Part D prescription drug coverage, you may be eligible for financial Extra Help to assist with the payment of your prescription drug premiums and drug purchases. & appeals, Helpful The provider is registered as an organization entity type. The enumeration date of this NPI Number is 11/18/2008. health conditions, Home x[moF a %o$MK.h}W@[D We can quickly help you if you have your member ID number, located on the back of your insurance card, with you when you call. :KORgOC~Ma^ 9kp h'7+LF. Nearby homes similar to 1414 Arcadian Lily have recently sold between $325K to $325K at an average of $150 per square foot. STATEMENT AS OF SEPTEMBER 30, 2021 OF THE Arcadian Health Plan, Inc. ASSETS Current Statement Date 4 1 Assets 2 Nonadmitted Assets 3 Net Admitted Assets (Cols. All members complete the annual HRA A field cannot contain all special characters. Humana is involved in various legal actions and governmental and internal investigations, including without limitation, an ongoing internal investigation and litigation and government requests for information related to certain aspects of its Florida subsidiary operations, any of which, if resolved unfavorably to the company, could result in substantial monetary damages. Corp - WI . To determine individual service areas, please call the health plans' customer service numbers provided (see below). You can reach the authorized official at the following phone number 510-817-1845. The country code in the mailing address of the provider being identified. The Domestic Health Carrier is a direct wholly-owned subsidiary of, and controlled by, Humana Inc. ("Hwnana"). Health Plans, Inc. PO Box 5199 Westborough, MA 01581. })(); Enter your ZIP Code and click "Show Available Medicare Advantage Plans", 2023 Medicare Advantage Plan Benefit Details, 2023 Medicare Advantage Plan Benefit Details for the Arcadian Health Plan - Plus (HMO), Find a 2023 Medicare Advantage Plan (Health and Health w/Rx Plans), Browse Any 2023 Medicare Plan Formulary (or Drug List), Q1Rx Drug-Finder: Compare Drug Cost Across all 2023 Medicare Plans, Find Medicare plans covering your prescriptions, Medicare plan quality and CMS Star Ratings, Understanding Your Explanation of Benefits, IRMAA: Higher premiums for higher incomes, 2023 Medicare Advantage Plans State Overview, Find a 2023 Medicare Advantage Plan by Drug Costs. Email *. about Medicaid, How doctor, Enroll in Based in Olympia, WA for more than 25 years, PSW is locally owned and managed by physicians. Disclaimer for Dual Eligible (Medicare/Medicaid) Special Needs Plan (SNP): This plan is available to anyone who has both Medical Assistance from the State and Medicare. H5619 Arcadian Health Plan (Humana, Inc.) . a doctor, Enroll Humanas business activities are subject to substantial government regulation. The postal ZIP or zone code in the location address of the provider being identified. Star ratings are assigned to Medicare Advantage plans by the Centers for Medicare and Medicaid Services (CMS). Physician Case Management Referral. The email notifications are used to send notices to subscribers on behalf of the IHCP. 1-877-7NYSHIP (1-877-769-7447), choose UnitedHealthcare . Summary Star Rating that focuses on a plans medical or prescription drug services. Your Initial Enrollment Period (IEP) is the 7-month period you have when you first become eligible to sign up for Medicare. There are additional restrictions to join an MSA plan, and enrollment is generally for a full calendar year unless you meet certain exceptions. Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. 7 There were over 500 incidents of aggression from June 1, 2019, through the end of 2019. Arcadian Health Plan and Humana Benefit Plan of Illinois, Inc. Current Member: 800-457-4708 (TTY 711) Not a Member: 800-833-2364 (TTY 711) Ascension Complete Current Member: 833-542-1679 (TTY 771) Not a Member: 877-831-9411 (TTY 711) CareSource Current Member: 833-230-2020 (TTY 711) Not a Member: 844-607-2830 (TTY 711) MDwise However, Q1Medicare is not intended as a substitute for your lawyer, doctor, healthcare provider, financial advisor, or pharmacist. STATEMENT AS OF JUNE 30, 2022 OF THE Arcadian Health Plan, Inc. ASSETS Current Statement Date 4 1 Assets 2 Nonadmitted Assets 3 Net Admitted Assets (Cols. Net of the divestitures, the acquisition will increase Humanas health plan membership by approximately 50,000 Medicare HMO members. Those who disenroll Any failure by Humana to manage acquisitions and other significant transactions successfully may have a material adverse effect on its results of operations, financial position, and cash flows. Ratings by category. Registered Agent: Corporation Service Company Which Will Do Business IN California As Csc - Lawyers Incorporating Serv. Physician group practices struggle with bundled payments: study. New laws or regulations, or changes in existing laws or regulations or their manner of application could increase the companys cost of doing business and may adversely affect the companys business, profitability and cash flows. This data element may contain the same information as ''Provider location address telephone number''. support, Shop for Humana anticipates that the divestitures would be effective January 1, 2013. Code describing the type of health care provider that is being assigned an NPI. For Providers Claims Support For Providers Medicare and Medicaid For Providers Patient Care Programs For Providers Provider Resources Rights and Responsibilities For Providers Training and Education Announcements and Newsletters Webinars and Trainings Main Menu For Brokers Join Our Broker Team Broker Portal Login Main Menu About Us Careers member rights, Exceptions The State or Province name in the mailing address of the provider being identified. Filing Date: October 29, 2013. Patient Consent Forms. To enroll, eligible individuals should reach out to a specific health plan or contact Medicare at 800-MEDICARE. The Registered Agent on file for this company is Corporation Service Company Inc and is located at 641 South Lawrence Street, Montgomery, AL 36104. during the calendar year will owe a portion of the account deposit back to the plan. Medicare drug (Part D) plans, Shop Important information to all providers and software developers that communicate via electronic data interchange (EDI) format and direct data entry (DDE). Contact Us Give us a call at 360-943-4337 opt. Contact Name *. Medicare Supplement plans, Learn OAKLAND in your neighborhood, Achieving Login or find a doctor Cancer Resource Services . $325,000 Last Sold Price. Not quite 65? This news release includes forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. A landfill site, also known as a tip, dump, rubbish dump, garbage dump, or dumping ground, is a site for the disposal of waste materials. If one of our plans is not the best fit, dont worry well connect you with other options. 3.8 Work-Life Balance. For information about IHCP policies, procedures, and billing guidance (including information about electronic transactions), access these IHCP reference documents. OIG: CMS needs to help drugmakers in calculating best Medicare Part B prices. Our agents put your needs first. wellness & rewards, Member AR812. Claim: ARCADIAN HEALTH PLAN, INC. is an Alabama Foreign Corporation filed on December 5, 2016. Practice Name *. 94607-4087, US. a form, View ID Give yourself a birthday gift. Claims adjustment expenses, including $ 96,131,102 cost containment expenses 0 108,854,457 92,979,675 204,471,335 Get the most out of your plan. % ARCADIAN HEALTH PLAN Pay & Benefits reviews Review this company. for group products, Learn If Humana fails to properly maintain the integrity of its data, to strategically implement new information systems, to protect Humanas proprietary rights to its systems, or to defend against cyber-security attacks, the companys business may be materially adversely affected. *Required Fields. guidance, Humana member This webpage represents 1598910549 NPI record. To submit a support case fill out the form below. The first line mailing address of the provider being identified. For most members, claims can be mailed or submitted electronically to us at the address or payer ID's below; however, the address and payer ID's may vary based on member-specific plans and networks. Here are three examples of organization health care providers that may be considered subparts and may apply for NPIs if so directed by their "parents": This data element may contain the same information as ''Provider location address City name''. If you need help, see our support page. The City name in the mailing address of the provider being identified. Disclaimer for Institutional Special Needs Plan (SNP): This plan is available to anyone with Medicare who meets the Skilled Nursing Facility (SNF) level of care and resides in a nursing home. a healthcare plan, Humana Non-health claims (net) 0 0 0 0 20. Arcadian Health Plan 510-817-1016 . a dentist, Get Medicare Advantage Plans must offer emergency coverage outside of the plans service area (but not outside the U.S.). Founded in 1996, Arcadian Health Plan provides Medicare Advantage coverage through its affiliates in 15 states: Arizona, Arkansas, California, Georgia, Louisiana, Maine, Missouri, New Hampshire, New York, North Carolina, Oklahoma, South Carolina, Texas, Virginia and Washington. SOLD JUN 13, 2022. We are not affiliated with any Medicare plan, plan carrier, healthcare provider, or insurance company. Register for a MyHumana US. Secondary Claims: YES: . The authorized official title (position) is SR. VP AND GENERAL COUNSEL. Make sure to check out our FAQ page. Certain taxonomy selections will require you to enter your license number and the state where the license was issued. NPI Number information was last time updated on 12/01/2010. Our claims professionals have extensive claims handling experience for a variety of business lines. Health (3 days ago) WebArcadian is dedicated to improving the health of our members by providing access to high quality and cost effective health care. information. Not all D-SNP plans in Indiana serve the entire state. Archbold Ed Uninsured. Gainwell provides a number services to the IHCP, including provider enrollment, customer service, eligibility verification, and fee-for-service claim processing. Visit PSWs Annual Enrollment Period (AEP) page to learn more. NOTE: ZIP code plus 4-digit extension, if available. 1-800-454-3730. 1997. Many organization health care providers who apply for NPIs are not legal entities themselves but are parts of other organization health care providers that are legal entities (the "parents"). 94607-5204, US. PSWs mission is to support the physician-patient relationship in the independent practice of medicine through fair contracting, responsible resource utilization and prudently adopted innovations in health care delivery. Clinical Guidelines. The following resources are available to provide more information: In Indiana, nine Dual Eligible Special Needs Plans serve the Medicaid and Medicare dually-eligible population.