The Medisaver Plan
Welcome to MediSavers, the premier nationwide consumer health savings program
with greater savings on more health services than any other such plan in the
nation. Your MediSavers membership entitles you and your family to use the
program as often as you wish.
MediSavers uses the National Health Plan provider network, which is the
oldest network in New York and one of the largest in the nation, with over
forty years of experience in health care cost containment and an unparalleled
track record of achieving savings for health care payers, including but not
limited to insurance companies, trade unions, and private companies.
What is this plan?
This is a plan designed to save you money, every time you need health care.
It is NOT an insurance plan. If you have insurance, you still should file
with your insurance plan for reimbursement. If you don't have insurance,
you'll save on the services that in the past you paid full price for. If you
have Medicare or belong to an HMO you may save on the services that those
plans limit or don't cover. You may also save on other out of pocket expenses
that your plan may have.
How does it work?
First, select a health care provider or pharmacy. A health care provider
locator and a pharmacy locator are available online at www.medisaver.com.
Alternatively, you may call the 24hr. computerized locator at 1-888-DOCLIST
(1-888-362-5478). For personal service call Provider Relations at
1-800-647-2677, Monday to Friday 9 AM to 5 PM (EST). A customer service
representative will assist you in locating the provider you need.
After you have selected a provider, call the provider, make an appointment,
and please keep it. If you can't keep the appointment, please call the
provider to reschedule. If you fail to do so, that provider may not see you
in the future.
At the provider's office, show your MediSavers identification card. After
treatment, you should receive a statement showing the provider's usual and
customary fees for the services you received.
DO NOT PAY THE PROVIDER!
Payment will be made by MediSavers.
The provider's full charges will be charged to the credit card or debit card
account you authorized us to use when you enrolled. Your account will also be
credited for seventy-five (75%) percent (in isolated instances, sixty-seven percent 67%) of the savings you achieved using the
plan. Your statement should reflect both the
charge and the credit, although sometimes they may appear on two separate
statements.
There are no claim forms to fill out for this program. All the paperwork is
processed through the MediSavers system. Take good care of your MediSavers
card. Treat it just as you would a credit card. This card is your passport to
the program
Will MediSavers Offer Additional Benefits in the Future?
We encourage all MediSavers members to invite their relatives, friends and
neighbors to become a MediSaver member. As our membership increases,
MediSavers is able to offer additional healthcare and lifestyle benefits that
our member's desire. Our website, www.medisaver.com, displays the latest
additional benefits. For example, we have been able to offer MediSaver
members free flu shots. Please give us your email address so we can update
you with the latest announcements of benefits. Watch your mail for notices
of additional benefits.
How Does MediSavers Determine Savings?
MediSavers members save on the usual and customary charges of providers.
Depending on the provider and services the savings amount will vary.
MediSavers deducts an administrative fee, which is about one quarter (in isolated instances, 33%) of the gross savings. MediSavers members pay the final amount. A typical savings
example for a $100.00 provider charge is shown below.
Provider's Usual and Customary Charge $100.00
MediSavers' Provider Rate
$ 60.00
MediSavers' Gross Savings
$ 40.00
MediSavers Member Pays $ 70.00
From the Gross Savings above, $30.00 is returned to you and $10.00 is the
MediSaver administrative fee to cover program costs. Hence, the MediSaver
member pays only $70.00 for a customary charge of $100.00.
Which credit cards are accepted by MediSavers?
MediSavers accepts Visa, MasterCard and Discover cards, as well as debit cards.
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