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Pennsylvania Public School Health Care Trust
Provider Information

Greeting

Enhanced Choice Plan Information

Nominate a Provider

Notice of Provider Intent to Participate

Re:  Pennsylvania Public Health Care Trust               December 01, 2000 

Dear Provider: 

Alternative Healthcare Options (AHO) is pleased to announce that it has been chosen as the complementary and alternative medicine (CAM) PPO network to offer covered benefits to the employees of the Pennsylvania Public Health Care Trust, effective January 01, 2002.   

Therefore, Alternative Healthcare Options is pleased to invite you to apply for participation in this new CAM PPO network in Pennsylvania.  Please complete the following initial application and contract, and return it to Alternative Healthcare Options by November 1.   Refer to the Provider Application checklist enclosed to assist you in this process and to ensure that your application is complete.  After we receive your application, we will begin the credentialing process.  

Alternative Healthcare Options is a unique complementary and alternative medicine (CAM) preferred provider organization (PPO).  Alternative Healthcare Options’ mission is to integrate natural choices in health care through complementary and alternative medicine.  We encompass a complete array of complementary and alternative services including, Licensed Acupuncturists, Chiropractors, Massage Therapists, Naturopathic Physicians, Medical Nutritionists, a Natural Pharmacy, and other wellness services (yoga, tai chi, weight management, and stress management). 

AHO is the only organization in the region that provides covered benefits of CAM services and brings the marketing and contracting synergy demanded by the public and employer community. 

Please feel free to contact me at (877) 203-3440, ext 304, with any questions or concerns.

 Sincerely,

Richard G Dunn
President/CEO

THE ENHANCED CHOICE PLAN (ECP)

A Pennsylvania Public School Health Care Trust (PPSHCT) 
Self-Administered Plan of Insurance

 COMPLEMENTARY AND ALTERNATIVE MEDICINE BENEFITS

In addition to traditional medical benefits, this Plan offers the following complementary and alternative medicine benefits: 

  • Acupuncture;

  • Chiropractic Care;  

  • Naturopathy;

  • Massage Therapy (requires referral); and

  • Natural Drug available via mail order pharmacy.

  • Laboratory Diagnostic Testing (Great Smokies Diagnostic Laboratory)

These services must be obtained through a provider that participates in the Alternative Healthcare Options (AHO) PPO or an affiliated network provider identified by AHO.  Services rendered by a non-network provider or affiliate will not be covered under the Plan.  The Covered Person may select any Participating Provider listed in the current Alternative Healthcare Options and/or Affiliated Networks Participating Provider Directory. Acupuncture, Chiropractic, Naturopathic, and Massage Therapy services do not require a referral.  Natural drugs found on the Alternative Healthcare Options Natural Herbal Formulary list are covered only by prescription.

Benefits are paid as noted below in the Benefit Percentage provision, subject to the maximum calendar year benefit amounts noted in the Schedule of Benefits.

BENEFIT PERCENTAGE
COMPLEMENTARY AND ALTERNATIVE MEDICINE

  PPO
 Network

Non-PPO Network

Acupuncture†

$15 Copay, then 100% Not Covered

Naturopathy†

$15 Copay, then 100% Not Covered

Massage Therapy†

$15 Copay, then 100% Not Covered

Chiropractic Care†

$15 Copay, then 100% Not Covered

Natural Drug Formulary

$15 Copay, then 100% Not Covered

Laboratory Diagnostic Testing

$15 Copay, then 100% Not Covered

  †   Refer to the Schedule of Benefits to identify the maximum calendar year benefit applied to these services, ($2,000 per calendar year per specialty). 

    NOMINATE A PROVIDER

If you have a favorite provider, whether it be a practitioner or service, you can nominate them for inclusion in the PPO Network.   Just submit the information in the form below and we will extend that provider an invitation.

Your Employer:
Name:
Email:
Provider Name:
Provider Address:
City/State/Zip:
Provider Telephone:
Specialty:

 

NOTICE OF INTENT TO PARTICIPATE

Please take a minute to fill out our online form.  When you click submit, we will get an email of this short application.   After you finish the notice of intent, please click on PROVIDER APPLICATIONS to obtain a detailed application online.   If you have any questions please contact Richard Dunn at 1-877-203-3440 ext 304. 

ALTERNATIVE HEALTHCARE OPTIONS
INITIAL PARTICIPATING PROVIDER AGREEMENT
CERTIFICATE OF PARTICIPATION

I, (“PROVIDER”) a Participating Provider in good standing hereby tender this Certificate of Participation in Alternative Healthcare Options (“AHO”) upon the terms and conditions set forth in this Initial AHO Participating Provider Agreement.  (We will be requesting your fee schedule and insurance information at a later date)

The undersigned represents and warrants that: 

  1. I am licensed/registered to practice in and my license/ registration is in good standing.  I am engaged in active practice of Complementary and Alternative Medicine with adequate practice facilities and equipment.
  1. I agree to provide a 20% discount off my usual and customary charges or to be responsible for collecting a co-pay and then bill AHO the remaining balance of my usual and customary charges and accept third party reimbursements for covered serves, when applicable, for members of AHO.
  1. I attest that I maintain an appropriate level of Professional Liability Insurance and that no claims have been made against me. 
  1. I agree to all the Terms and Conditions of this Initial AHO Participating Provider Agreement.  I also understand that a full and complete application and agreement will follow and supersede this Agreement.

The undersigned Participating Provider herby agrees to the Terms and Conditions of this Initial Agreement on this day of , year

Provider's Name:
Your name here is your online signature.
Email:
Tax Id :
Clinic / Office Name:
Address:
City, State, Zip:
County:
Business Phone:
Business Fax:

    

After you submit your intent notice, you will be taken to an area
where you can obtain the full application form.

AHO HEALTHCARE OPTIONS
PO Box 749 bullet.gif (865 bytes) Matthews, NC 28106
704.847.2321 [BUS] bullet.gif (865 bytes) 1.866.636.0239 (Toll Free)  bullet.gif (865 bytes)  704.847.3014 [FAX]