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Review the Find a Provider Flyer (PDF) for more information on our tool before you begin your search. This Directory lists health care professionals (such as doctors, nurse practitioners, and For Providers. Ambetter network providers are important to us, because our members rely on you for quality care. All Superior members who live within the official disaster designated counties and who may need to replace necessary medical equipment, services, or supplies should seek replacement through any available supplier. Member; Provider; Broker; ES Español … Easily check patient eligibility; View, manage, and download your patient list; View, submit, copy, and correct claims ; View and submit service authorizations; Communicate with us through secure messaging; Maintain multiple providers on one account; Control website access for your office; View historical patient health … As a member of Superior HealthPlan, you can call Member Services if you have questions about your health plan. The goal of this program is to improve the experience in accessing care and to improve the quality of healthcare. Superior Health Plan Provider Phone Number. Login. Some specialist referrals from your/your child’s doctor may need approval from Superior … Personalized Healthcare Tribute Health Plans assigns personal care managers to assist members in coordinating their care. Download the free version of Adobe Reader. Some network providers may have been added or removed from our network after this … IE has been replaced by Microsoft Edge. The Formulary, pharmacy network, and/or provider network may change at any time. Medical Provider Behavioral Provider Dental Provider Vision Provider Foster Care Member, Medical Consenter, Foster Parent, DFPS Staff, RTC/CPA Staff, CASA Staff, SSCC A specialist has received training and has more experience taking care of certain diseases, illnesses and injuries. Features. If you think you might have been exposed, contact a doctor immediately. Superior’s Find a Provider tool will no longer work in IE. Routine vision care programs: Why offer them? Learn more about extra benefits. Superior HealthPlan STAR+PLUS Medicare-Medicaid Plan (MMP) is a Medicare-Medicaid Plan made up of doctors, hospitals, pharmacies, providers of long-term services and supports, and other providers. The network providers listed in this directory have agreed to provide you with your vision services. Member; Provider; Broker; Pay Now; Need Help? For Authorization Request forms for applicable services, visit Superior’s Provider Forms webpage. Premium, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. Superior HealthPlan STAR+PLUS MedicareMedicaid Plan (MMP) is a health plan- that contracts with both Medicare and Texas Medicaid to provide benefits of both programs to enrollees. Login. Please contact the plan for further details. Save User Name. In some cases, an OB/GYN can also give you a referral for related services. You can get a paper copy of the Provider Directory for free by calling Member Services at the number on the back of your ID card. Superior telehealth services at 1-800-835-2362. You can get many of your Coronavirus-related questions answered here. Member Portal. Applicable … Access: File a Claim Check Eligibility Appeals Pre-Authorization Coding Issues Forms DME Criteria Billing & EDI Types of Plans. To enter our secure portal, click on the login button. A new window will open. Search for Primary Care Providers, hospitals and pharmacies. This joining of our organizations will allow us to become a more robust health plan and enhance the delivery of best-in-class care to our members. Tribute Health Plans PO Box 3630 Little Rock, AR 72202 Toll-free: 1-877-372-1033 (TTY 711) Download a free PDF reader here. Our call centers, including the nurse advice line, are currently experiencing high volume. Superior HealthPlan Hospital & Health Care Austin, Texas 3,072 followers Superior HealthPlan is a statewide leader in healthcare, serving more than 1.3 million members across Texas. Forgot password? Use the Ambetter from Superior HealthPlan Pre-Auth Tool to approve vision, dental, and behavioral health services. National Provider Identifier (NPI) * (10 digit number, e.g. If you are a member of Superior HealthPlan and are located in an area affected by recent storms, there are services available to help you. Coronavirus Disease 2019 (COVID-19) is a new disease that causes respiratory illness in people and can spread from person to person. Learn more about our services. To learn more information and set up an account, visit our Teladoc site. LEARN MORE. You can also call if you need help finding a doctor, scheduling an appointment, getting a new ID card or accessing benefits and services. Search Providers, Pharmacy & Formulary . Pay Now; Need Help? Employer Plans; Commercial Plans; MEWA; PEIA; Self-Funded Plans; Medicare; Medicare Advantage Plans; Medicare Supplement Plans; Mountain Health Trust; WVCHIP Benefits; WV Medicaid; MEWA; … Learn more. In fact, Americans who have vision coverage are more likely to live a healthier lifestyle. If you do not see your PCP, Superior offers telehealth services through Teladoc. They can also help you get a provider's: More information on how to choose a PCP can be found in your member handbook. About Our Plans ; Our Benefits ... Texas Provider Resources | Ambetter from Superior HealthPlan . Ambetter from Superior HealthPlan provides the tools and support you need to deliver the best quality of care. Health Details: Details: Ambetter Sunshine Health Member and Provider Services Phone Number: 877-687-1169: Ambetter from Superior HealthPlan - Texas: 68069: 5900 E. Ben White Blvd. Access your provider account. Products * (please select all that apply) Allwell from Superior HealthPlan (HMO) Allwell from Superior HealthPlan … 1234567890) Service Delivery Area (SDA) * (please select all that apply) Click here to find your SDA Bexar Dallas El Paso Harris Hidalgo Jefferson Lubbock MRSA Central MRSA Northeast MRSA West Nueces Travis. Our health insurance programs are committed to transforming the health of the community, one person at a time. Finding a provider is quick and easy. Your supplies will be replaced even if you are temporarily outside of the county in which you live. Member; Provider… In some cases, an OB/GYN can also give you a referral for related services. If you cannot find a supplier, call Member Services to find one for you. On the member portal, you can: Some specialist referrals from your/your child’s doctor may need approval from Superior to make sure the specialist is a Superior specialist, and the visit to the specialist or the specialty procedure is needed. Superior HealthPlan (Superior) STAR+PLUS Medicare-Medicaid Plan (MMP) contracts with both Medicare and Texas Medicaid to provide benefits of both programs to enrollees through one single health plan. Learn more about our health insurance provider support. Your/your child’s doctor is the only one that can give you a referral to see a specialist. After launching the provider online search tool, make sure the product network (STAR, CHIP, STAR+PLUS, STAR Health, STAR Kids, Ambetter, Medicare, MMP) is the network you want to search for providers. Annual eye exams and corrective eyewear are essential components to member health. •Guidelines are reviewed and mutually approved by {Health Plan} and NIA Magellan’s hief Medical Officers •NIA Magellan’s algorithms and medical necessity reviews collect key clinical information to ensure that Superior HealthPlan members are receiving appropriate care prior to more invasive procedures being performed. If you need help understanding the language being spoken, Superior has people who can help you on the phone or can go with you to a medical appointment. This is called a referral. If you need help understanding the language being spoken, Superior has people who can help you on the phone or can go with you to a medical appointment. You are using an outdated browser. Superior has many specialists who will work with you and your doctor to care for your needs. Simply call Superior Member Services. A big part of helping you and your loved ones be healthy and stay healthy is finding the right doctors and health care providers to be part of your team. Superior HealthPlan Quick Reference Guide for Imaging Providers - Updated 4/2/18* Superior Healthplan Provider FAQ; Superior HealthPlan Medicaid RBM Utilization Review Matrix-2021; Superior HealthPlan Medicaid Star Plus RBM Utilization Review Matrix-2021; Superior HealthPlan Provider Education Presentation You will receive notice when necessary. LEARN MORE. The online provider directory was last updated on 1/21/2021. Superior HealthPlan (Superior) STAR+PLUS Medicare-Medicaid Plan (MMP) contracts with both Medicare and Texas Medicaid to provide benefits of both programs to enrollees through one single health plan. This joining of our organizations will allow us to become a more robust health plan and enhance the delivery of best-in-class care to our members. That means you do not need to choose a PCP in STAR Kids or STAR+PLUS. Prescribed Pediatric Extended Care Center (PPECC) Provider Listing (PDF). Your health matters! Coronavirus (COVID-19) What you need to know about the Coronavirus. Health Details: Superior HealthPlan STAR+PLUS Medicare-Medicaid Plan (MMP) is a Medicare-Medicaid Plan made up of doctors, hospitals, pharmacies, providers of long-term services and supports, and other providers.It also has service coordinators and service coordination teams to help you manage all your providers and services. NEED HEALTH INSURANCE? Right now, nothing is changing. there are services available to help you. In Texas, WellCare and WellCare TexanPlus Health Plans and Superior Health Plan are bringing our health plans together to better serve our members, providers, partners and communities. You can keep seeing the Medicare doctor you have been seeing for your health care. You may go to any of our network providers listed in this directory. Please upgrade your browser to improve your experience. CALL US AT 1-877-687-1196 (Relay Texas/TTY 1-800-735-2989). For the latest COVID-19 news, visit the CDC. More than 3 million health professionals profiled. Request Network Participation, Non-Contracted Providers Only, Add a Provider to an Existing Group Contract, Add a Practice Location to an Existing Contract, Practice Improvement Resource Center (PIRC), Updating Provider Demographic Information, Effective 1/1: Electronic Prescribing of Controlled Substances Required. superior health plan … Health Insurance Marketplace Plan Medicaid & CHIP Plans Coronavirus Updates Login Find a Provider How to Apply Renewing Benefits ... or if the specialist is not a Superior provider, you might be responsible for the bill. To choose a doctor or Primary Care Provider (PCP), call Superior Member Services. Please contact the plan for further details. Depending on the medical need, it may take up to a few weeks after you make the appointment to see the specialist. Read Ratings & Reviews from Other Patients. You will need Adobe Reader to open PDFs on this site. Our goal – ensure that Superior HealthPlan members are … Healthy partnerships are our specialty. Our Service Area Tribute Health Plans is head quartered in central Arkansas and available to residents in all 75 counties beginning in 2018. Premium, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. Learn More. Skip to Main Content. Ambetter from Superior HealthPlan offers a provider resource toolkit so you can focus on providing care. Learn More About Extra Benefits To choose a doctor or Primary Care Provider (PCP) To choose a doctor or Primary Care Provider (PCP), call Ambetter from Superior HealthPlan Member Services. The doctor will talk to you about your/your child’s needs and will help make plans for you to see the specialist that can provide the best care for you. Please use Microsoft Edge, Google Chrome, Firefox or a mobile web browser. While you/your child’s doctor can take care of most of your health-care needs, sometimes they will want you/your child to see a specialist for your care. Get more information on the health coverage we provide and find out if you are eligible. Superior HealthPlan exists to improve the health of Texas Medicaid beneficiaries through focused, compassionate & coordinated care. Every year, Medicare evaluates plans based on a 5-star rating system. If you or your doctor are not sure what specialty services need approval, Superior can give you that information. Simply call Superior Member Services. Vision services for our Medicare Advantage and Health Insurance Exchange plans are provided through Superior Vision.For more information, call 1-866-819-4298.Refer to your provider manual for information regarding specific vision plans. Our Find a Provider tool lets you search through our directory of high quality Primary Care Providers (PCPs), physicians, hospitals, drug stores and other health-care providers that are here to help you achieve your health care goals. They can give you the name, address and phone number of a doctor or specialist. Find, Compare, and Connect With Dental Providers who accept Superior HealthPlan Insurance. Superior will review the request for specialty services and respond with a decision. The network will automatically default to the last product network you selected. Community, one person at a time, and Connect with Dental providers who accept Superior HealthPlan, can! Additional annual physical exam to ensure … Home | Superior HealthPlan provides the tools and support you need choose! Appeals Pre-Authorization Coding Issues Forms DME Criteria Billing & EDI Types of Plans have internal! 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