How do I find physical therapists in New York who take EmblemHealth?
Apr 10, 2019 · Substance Use Treatment Services Covered By EmblemHealth. There are a number of different options when it comes to drug and alcohol addiction treatment. Not every treatment program or service may be covered under your EmblemHealth plan. Common substance use treatment programs and services covered under EmblemHealth include:
What services does EmblemHealth provide?
Mar 30, 2021 · Physical Therapy (PT) Occupational Therapy (OT) Speech Therapy (ST) Social Worker (SW) Home Health Aides ((HHAs) for members receiving skilled HHC services) Who Requests Preauthorization. Skilled Nursing Facilities (SNFs), Inpatient Rehabilitation Facilities (IRFs), and Long-Term Acute Care facilities (LTACs) are responsible for submitting:
What are core services in EmblemHealth?
On average, patients who use Zocdoc can search for a Physical Therapist who takes EmblemHealth (formerly known as GHI) insurance, book an appointment, and see the Physical Therapist within 24 hours. Same-day appointments are often available, you can search for real-time availability of Physical Therapists who accept EmblemHealth (formerly known ...
What is the EmblemHealth bridge program?
EmblemHealth for Providers 2021-2022 Annual Provider Notification See what you need to know for 2022, what you may have missed in 2021, including regulatory requirements, attestations, and training needed for continued participation.
How can I make a same-day appointment with a Physical Therapist who takes EmblemHealth (formerly known as GHI) insurance?
On average, patients who use Zocdoc can search for a Physical Therapist who takes EmblemHealth (formerly known as GHI) insurance, book an appointme...
How can I find a Physical Therapist who takes EmblemHealth (formerly known as GHI) insurance?
Zocdoc lets you search specifically for a Physical Therapist who takes EmblemHealth (formerly known as GHI) insurance. Just choose your carrier...
How can I book an appointment online with an EmblemHealth (formerly known as GHI) Physical Therapist?
Zocdoc is a free online service that helps patients find EmblemHealth (formerly known as GHI) Physical Therapists and book appointments instantly...
How can I find a female Physical Therapist who takes EmblemHealth (formerly known as GHI) insurance?
When you search for Physical Therapists on Zocdoc, you can filter your results by gender, in addition to other criteria. That way, you’ll only se...
How can I find an EmblemHealth (formerly known as GHI) Physical Therapist who sees patients after hours?
On Zocdoc, you can search specifically for EmblemHealth (formerly known as GHI) Physical Therapists with availability after 5 p.m.
How can I find a top-rated EmblemHealth (formerly known as GHI) Physical Therapist?
You can use Zocdoc to find EmblemHealth (formerly known as GHI) Physical Therapists who are highly rated by other patients. These ratings are bas...
How can I find a video visit with a Physical Therapist online?
Physical Therapists on Zocdoc who see patients through online video visits will have a purple video icon on their profiles. You can also filter you...
Are video visits with a Physical Therapist online covered by EmblemHealth (formerly known as GHI)?
Most insurers provide coverage for video visits at the same cost as in-person visits. You can search on Zocdoc specifically for Physical Therapists...
How can I find an EmblemHealth (formerly known as GHI) Physical Therapist who sees patients in the morning or evening?
Zocdoc lets you search specifically for a Physical Therapist who has appointments available before 10:00 am, or after 5:00 pm. Just choose the spec...
Excluded Services
EmblemHealth manages personal care assistants (PCAs) and Consumer Directed Personal Assistance Programs (CDPAPs). See the Utilization and Care Management chapter of the Provider Manual for applicable rules for these services.
Transitional Care Services
eviCore provides transitional care services for members (except those described above under ‘Excluded Members’) discharging from the hospital with HHC services. Members are managed by the eviCore Transitional Care Program for 90 days post-hospital discharge. The Transitional Care Program facilitates member support based on identified risk factors.
Preauthorization Process
eviCore performs preauthorization review for the following HHC services:
Denial and Appeals Process
Cases that do not meet medical necessity on initial nurse review are sent to a second-level physician for review and determination. If the eviCore physician makes a potentially adverse determination, the requesting provider is contacted and offered a peer-to-peer (P2P) review.
How long does it take to see a physical therapist with EmblemHealth?
How can I make a same-day appointment with a Physical Therapist who takes EmblemHealth (formerly known as GHI) insurance? On average, patients who use Zocdoc can search for a Physical Therapist who takes EmblemHealth (formerly known as GHI) insurance, book an appointment, and see the Physical Therapist within 24 hours.
What is Kim's degree?
Kim graduated from the University of St. Augustine in 2003 with a Doctor of Physical Therapy degree and has been practicing in outpatient orthopedics for the past 13 years. She has been a physical therapist with ProFlex since March 2015. "I love being a physical therapist because I love interacting with patients and I love the part I play with helping a patient transition from place of pain and improved function." In September 2016, Kim will be certified in dry needling which is a treatment method to relax tight muscles and decrease pain and inflammation. In her spare time, Kim likes to read, cook and spend time with her family.
Why is breath important in rehabilitation?
Training breath to drive movement and your body's mass for orthopedic positioning provides pain-free movement, mechanics, and performance.
Does EmblemHealth cover video visits?
Most insurers provide coverage for video visits at the same cost as in-person visits. You can search on Zocdoc specifically for Physical Therapists who accept EmblemHealth (formerly known as GHI) for video visits by selecting your carrier and plan from the drop-down menu at the top of the page.
Where is Bonnie from?
Bonnie graduated from the University of Maryland-College Park in 2010 with a degree in Kinesiology, the study of human movement. From there, she attended the University of Maryland in Baltimore City to earn her Doctor of Physical Therapy Degree and served as the Community Service Representative for her class of 2013. After graduation, Bonnie worked for a physician owned practice in Montgomery County before moving back to Southern Maryland. She earned her certification for Mechanical Diagnosis and Treatment (MDT) in 2016. She has also taken courses on Myofascial Release and Kinesiology Taping. Bonnie is a full-time Physical Therapist in the Leonardtown and Lexington Park clinics helping patients manage and recover from many different kinds of injuries and illnesses. She loves her work and all the patients she gets to meet and help on their road to recovery. In her free time, Bonnie enjoys running, yoga, and spending time with her family.
Where is Trenna from?
Trenna received her physical therapy degree from the State University of New York at Buffalo (SUNY) in 1984. She has lived and practiced physical therapy in five different states over her career. She has worked in a variety of settings including: neurological rehab, oncology, acute care, subacute care, home health, and outpatient orthopedics. With her diverse background, Trenna has found each different treatment setting to be rewarding in its own way. Trenna has been a staff therapist with ProFlex since 1995.She enjoys patients of various diagnosis and has no particular specialty. Trenna has worked in the Clinton office and is currently working in our Waldorf office. Trenna is married and has three adult children. In her spare time, she enjoys college football and is a diehard Ohio State fan. She lives on the tidal waters of the Chesapeake and enjoys kayaking, boating and jet skiing.
Where is Robert Allsbrook?
Based in Norfolk, VA , Mr. Robert Allsbrook is a physical therapist. He sees patients for a variety of conditions such as sports injuries and arthritis at Alliance Physical Therapy. Mr. Allsbrook attended James Madison University, where he obtained his bachelor's degree. He then earned his doctorate in physical therapy at Old Dominion University. Apart from treating a variety of conditions, he is also qualified to provide mobility therapy, orthopedic rehabilitation services, and pain reduction exercises. Mr. Allsbrook is a member of the American Physical Therapy Association and the Virginia Physical Therapy Association. Additionally, he holds a Basic Life Support certification as well. As a dedicated and accomplished professional, he has always tried to provide the highest quality of medical care to every patient he sees.
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What is covered by PHCP?
PHCP will cover the cost of medically needed care and supplies not covered by some health insurance plans, such as over-the-counter drugs/supplies and transportation.
What is a community health center?
Community Health Centers (CHCs) provide high-quality, patient-centered, community-based primary and multi-specialty care to anyone who needs care, regardless of an individual’s ability to pay. CHCs include health centers such as Federally Qualified Health Centers, Rural Health Clinics, and Diagnostic and Treatment Centers. CHCs are conveniently located in communities, and are staffed by personnel who understand the cultural, linguistic, and spiritual needs and beliefs of the patients they serve. To find a list of community health centers, use the Find a Doctor tool at emblemhealth.com/find-a-doctor.
What is PHCP for children?
PHCP provides financial assistance for medical care and support services to children that have severe, long-term health problems and chronic disabilities. Eligible conditions include birth defects, physical handicaps, and other conditions that can be improved with treatment and early intervention.
What is EmblemHealth network?
A network is a group of health care professionals and facilities that arranges with EmblemHealth to provide covered services and products to members, like you . The Prime Network is robust.
How to schedule a Zoom visit?
To schedule a Zoom visit, contact ACPNY at 646-680-4227. You will need to answer some questions to assess your symptoms, risk, and need for a virtual visit. ACPNY will send you instructions on how to download the Zoom app before your visit. Teladoc® – provides convenient, 24/7/365 access to doctors by phone or video.
Which doctors are preferred in the Prime network?
You can see a preferred doctor in the network for a lower copay than other doctors. Doctors at AdvantageCare Physicians, Montefiore, HealthCare Partners, St. Barnabas, and Middletown Medical are preferred.
How to contact Quest Diagnostics?
For details about these services, you can call our Gold Line. You can also go to questdiagnostics.com, or call Quest Diagnostics directly at 888-277-8772 to schedule an appointment.
What is a GHI HMO?
With GHI HMO, you get a wide range of covered services from GHI HMO network doctors and hospitals for a small copay. With this plan, you choose a regular doctor who will manage and oversee your care, including administering referrals to network specialists and arranging for hospital stays.#N#GHI HMO is available to City active employees and non-Medicare eligible retirees living in the five boroughs of New York City and the following New York State counties: Albany, Broome, Columbia, Delaware, Dutchess, Fulton, Greene, Montgomery, Nassau, Orange, Otsego, Putnam, Rensselaer, Rockland, Saratoga, Schenectady, Schoharie, Suffolk, Sullivan, Ulster, Warren, Washington and Westchester.
How many AdvantageCare locations are there in New York City?
With 37 locations throughout New York City and Long Island, you can find a convenient location near home or work.
Does GHI HMO cover coinsurance?
GHI HMO Medicare Senior Supplement covers the same services for Medicare-eligible retirees as the GHI HMO plan for active employees and non-Medicare retirees. It includes coverage for deductibles, coinsurance and services not covered by Medicare Parts A and B. You are encouraged to use in-network doctors. If out-of-network doctors are used, only ...
Where did Dr. Moustafa go to school?
Moustafa graduated from physical therapy college , Cairo university in 2011. His passion in improving his skills and knowledge led him to take 2 clinical doctoral degrees one from Cairo university in 2015 which was specialized in orthopedic and then another one after he came to the united states from Touro college as Doctor of physical therapy. Moustafa has more than 9 years of experience in orthopedic physical therapy, neurology physical therapy and sport injuries rehabilitation. He treats his patients with most up to date evidence based approaches and he always try to give his patients the best care possible. He uses multiple approaches including manual therapy, therapeutic exercises, therapeutic activity, and pain management to improve patients conditions and lifestyle.
Who is Sivakumar Bhaktavatsala?
Mr. Sivakumar Bhaktavatsala is a skilled physical therapist, practicing at Universal Pain Management, PC. He caters to the local residents of Long Island City, NY, where he is committed to the continuous care and education of his patients who are in need of physical rehabilitation. Mr. Bhaktavatsala received his bachelor's degree in physiotherapy from the Dr. NTR University of Health Sciences. He has also earned a master's degree in healthcare management from Wilmington University. A knowledgeable individual, he actively engages in educating patients about their health and how they can incorporate some basic exercises in their daily lives to ease their pain. Mr. Bhaktavatsala understands that speedy relief is a highly valuable aspect of pain and mobility management and ensures that recuperation can be brought about quickly through his skilled therapeutic techniques. Constantly up-to-date on the most progressive techniques available, he strives to get his patients feeling their best.
Who is Arthur Daniels?
Fluent in English and Spanish, Mr. Arthur Daniels is a skilled physical therapist serving the community of Bronx, NY. He is an integral part of Physical Therapy of the Bronx and caters to the needs of his patients with respect and undue attention. Mr. Daniels earned his bachelor's degree in physical therapy from New York University. He is very committed to the continuous care and education of his patients who are in need of rehabilitation. Mr. Daniels understands that speedy relief is a highly valuable aspect of pain and mobility management. He focuses on each client individually by performing thorough physical examinations and diagnosis while aiming towards treatments using non-surgical methods. He believes in providing excellent patient care and strives towards quickly bringing patients back to their usual way of life.
