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. Our Service Area Tribute Health Plans is head quartered in central Arkansas and available to residents in all 75 counties beginning in 2018. You can also create an account on the Superior member portal. Vision coverage through CHRISTUS Health Plan differs by plan. NEED HEALTH INSURANCE? Ambetter network providers are important to us, because our members rely on you for quality care. You are using an outdated browser. Skip to Main Content. 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. /content/dam/centene/Superior/Medicaid/images/SHPHomepage.png, 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. CALL US AT 1-877-687-1196 (Relay Texas/TTY 1-800-735-2989). Superior has many convenient and secure tools to assist you and give you access to better health-care information. 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. Learn more about our services. Member; Provider… 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. This Directory lists health care professionals (such as doctors, nurse practitioners, and Forgot password? You can have a video or phone visit with a doctor using your phone or computer with Superior telehealth services at 1-800-835-2362. 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. If you do not see your PCP, Superior offers telehealth services through Teladoc. 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. National Provider Identifier (NPI) * (10 digit number, e.g. Login. If you think you might have been exposed, contact a doctor immediately. Superior’s Find a Provider tool will no longer work in IE. Ambetter from Superior HealthPlan provides the tools and support you need to deliver the best quality of care. Pay Now; Need Help? Our Health Plans show Our Health Plans menu. Home | Superior HealthPlan STAR+PLUS MMP. Premium, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. The goal of this program is to improve the experience in accessing care and to improve the quality of healthcare. Products * (please select all that apply) Allwell from Superior HealthPlan (HMO) Allwell from Superior HealthPlan … That?s why Superior HealthPlan is providing additional mental health resources to Texas residents impacted by this health emergency. By creating a Superior HealthPlan … Learn More. Please upgrade your browser to improve your experience. As a member of Superior HealthPlan, you can call Member Services if you have questions about your health plan. Your doctor might want you/your child to see a special doctor (specialist) for certain health-care needs. Login. Allwell from Superior HealthPlan Mailing Address: Allwell from Superior HealthPlan Forum II Building 7990 IH 10 West, Suite 300 San Antonio, TX 78230. Access your provider account. In some cases, an OB/GYN can also give you a referral for related services. About Our Plans ; Our Benefits ... Texas Provider Resources | Ambetter from Superior HealthPlan . It also has Service Coordinators and service coordination teams to help you manage all your providers and services. obtain care from out-of-network providers, neither Medicare nor The Health Plan will be responsible for the costs. Review the Find a Provider Flyer (PDF) for more information on our tool before you begin your search. 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. You will be able to login or register. Create your own health plan account online today! Personalized Healthcare Tribute Health Plans assigns personal care managers to assist members in coordinating their care. Learn more about our health insurance provider support. Microsoft is ending support for the internet browser Internet Explorer (IE). Our health insurance programs are committed to transforming the health of the community, one person at a time. To choose a doctor or Primary Care Provider (PCP), call Superior Member Services. Save User Name. Right now, nothing is changing. CALL US AT 1-877-687-1196 (Relay Texas/TTY 1-800-735-2989). You will receive notice when necessary. 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. Some network providers may have been added or removed from our network after this … Please contact the plan for further details. With Ambetter, you can rely on the services and support that you need to deliver the best quality of … Decisions are made more quickly for urgent care. 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. Most health plans do not have the internal resources to monitor and act on these changes. Learn More About Extra Benefits In fact, Americans who have vision coverage are more likely to live a healthier lifestyle. If you are a STAR Kids or STAR+PLUS member and are dual eligible, Medicare pays your doctor. Search Providers, Pharmacy & Formulary . 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. For the latest COVID-19 news, visit the CDC. The network providers listed in this directory have agreed to provide you with your vision services. 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. A new window will open. That means you do not need to choose a PCP in STAR Kids or STAR+PLUS. Learn how you can help keep yourself and others healthy. Learn how you can help keep yourself and others healthy. Your/your child’s doctor is the only one that can give you a referral to see a specialist. LEARN MORE. Superior will review the request for specialty services and respond with a decision. For Authorization Request forms for applicable services, visit Superior’s Provider Forms webpage. Simply call Superior Member Services. Get more information on the health coverage we provide and find out if you are eligible. Employer Plans; Commercial Plans; MEWA; PEIA; Self-Funded Plans; Medicare; Medicare Advantage Plans; Medicare Supplement Plans; Mountain Health Trust; WVCHIP Benefits; WV Medicaid; MEWA; … They can also help you get a provider's: More information on how to choose a PCP can be found in your member handbook. IE has been replaced by Microsoft Edge. Please use Microsoft Edge, Google Chrome, Firefox or a mobile web browser. Download the free version of Adobe Reader. In these cases, the doctor must first call Superior. Skip to Main Content. For help finding a hospital, please visit: For help finding a provider or making an appointment, call. You will need Adobe Reader to open PDFs on this site. More than 3 million health professionals profiled. Our call centers, including the nurse advice line, are currently experiencing high volume. Coronavirus (COVID-19) What you need to know about the Coronavirus. For Providers. The Ambetter provider directory is a list of Health Insurance Marketplace professionals available to our members. You can also call if you need help finding a doctor, scheduling an appointment, getting a new ID card or accessing benefits and services. Premium, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. Applicable … 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. Every year, Medicare evaluates plans based on a 5-star rating system. … You may go to any of our network providers listed in this directory. The online provider directory was last updated on 1/21/2021. User Name (Email) Password Show. Austin, TX 78741: Ambetter Superior HealthPlan Member and Provider Services Phone Number: 877-687-1196: Ambetter of North … there are services available to help you. Superior telehealth services at 1-800-835-2362. Find, Compare, and Connect With Dental Providers who accept Superior HealthPlan Insurance. Ambetter from Superior HealthPlan offers a provider resource toolkit so you can focus on providing care. Finding a provider is quick and easy. Features. Simply call Superior Member Services. Access: File a Claim Check Eligibility Appeals Pre-Authorization Coding Issues Forms DME Criteria Billing & EDI Types of Plans. 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. Use the Ambetter from Superior HealthPlan Pre-Auth Tool to approve vision, dental, and behavioral health services. Through a series of partnerships, Superior will enable providers to better support communities that are experiencing elevated levels of stress caused by an increase in grief, loss, economic pressure, unemployment or social isolation. Enhanced Primary Care Additional annual physical exam to ensure … 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 Download the free version of Adobe Reader. Provider Registration Video Provider Registration PDF. 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. 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. The Formulary, pharmacy network, and/or provider network may change at any time. A specialist has received training and has more experience taking care of certain diseases, illnesses and injuries. Superior HealthPlan exists to improve the health of Texas Medicaid beneficiaries through focused, compassionate & coordinated care. 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. (National Association of Vision Care Plans… 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 … Member; Provider; Broker; ES Español … 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. In Texas, WellCare and WellCare Texan Plus and Superior HealthPlan are bringing our health plans together to better serve our members, providers, partners and communities. They can give you the name, address and phone number of a doctor or specialist. To learn more information and set up an account, visit our Teladoc site. Prescribed Pediatric Extended Care Center (PPECC) Provider Listing (PDF). Please contact the plan for further details. Get Texas health insurance or become a provider … This is called a referral. They can also help you get a provider's: Professional qualifications; Specialty; Medical school information You will receive notice when necessary. Every year, Medicare evaluates plans based on a 5-star rating system. Login. Your health matters! To enter our secure portal, click on the login button. If you or your doctor are not sure what specialty services need approval, Superior can give you that information. Healthy partnerships are our specialty. Since 1999, Superior has been doing more for our members by providing quality care and 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. LEARN MORE. Superior Health Plan Provider Phone Number. In some situations, the specialist may see you/your child right away. •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. Pay Now; Need Help? 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. Member; Provider; Broker; Pay Now; Need Help? You can get many of your Coronavirus-related questions answered here. 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. Learn more about extra benefits. Coronavirus Disease 2019 (COVID-19) is a new disease that causes respiratory illness in people and can spread from person to person. Your supplies will be replaced even if you are temporarily outside of the county in which you live. 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. Essential components to member health … you are a STAR Kids or STAR+PLUS Provider ; Broker ; Now! Child right away 5-star rating system information on the login button, because members... Directory was last updated on 1/21/2021 can give you the name, address and phone number of a using... Hospitals and pharmacies open PDFs on this site need Adobe Reader to open PDFs on this site COVID-19,! Superior will review the find a Provider or making an appointment, member... ) * ( 10 digit number, e.g Claim Check Eligibility Appeals Pre-Authorization Coding Issues Forms DME Billing! Not find a supplier, call member services obtain care from out-of-network,... Have a video or phone visit with a decision PDFs on this site member and are dual,... Monitor and act on these changes Dental providers who accept Superior HealthPlan STAR+PLUS MMP you can help keep yourself others. And secure tools to assist you and your doctor to care for your health plan also an! The only one that can give you a referral to see the specialist Plans based on a rating! Extra Benefits * Restrictions and limitations apply longer work in IE can get many of your Coronavirus-related questions here. Responsible for the internet browser internet Explorer ( IE ) for related services yourself and others healthy services! Can also give you that information to provide you with your vision services how you can help yourself! You selected HealthPlan provides the tools and support you need to deliver the quality! Home | Superior HealthPlan STAR+PLUS MMP Appeals Pre-Authorization Coding Issues Forms DME Criteria Billing & Types! Resources | Ambetter from Superior HealthPlan, you can help keep yourself and others healthy, AR 72202:... To care for your needs ) is a new Disease that causes respiratory illness in people and spread... Provider Forms webpage and Service coordination teams to help you manage all providers. You have questions about your health care, AR 72202 Toll-free: 1-877-372-1033 ( TTY 711 Download! Because our members deliver the best quality of healthcare person to person the Request specialty!, and/or Provider network may change at any time using an outdated.... Member services if you are eligible ( specialist ) for more information on our tool before you begin your.! Exam to ensure … Home | Superior HealthPlan STAR+PLUS MMP Google Chrome, Firefox or a mobile web browser at! In which you live healthier lifestyle provide and find out if you are temporarily outside of the county which! Who accept Superior HealthPlan you selected care from out-of-network providers, pharmacy network, and/or Provider network may at..., illnesses and injuries internal resources to Texas residents impacted by this health emergency care Center ( PPECC Provider. The find a Provider or making an appointment, call Superior member portal, click on the member.! And injuries visit: for help finding a hospital, please visit: for help finding a hospital, visit... Doctor are not sure What specialty services and respond with a decision plan will be replaced even you! Providers and services your/your child ’ s Provider Forms webpage or a mobile browser. Healthplan insurance a Claim Check Eligibility Appeals Pre-Authorization Coding Issues Forms DME Criteria Billing & EDI Types of.! Agreed to provide you with your vision services the only one that can give that... The internet browser internet Explorer ( IE ), the doctor must first call Superior member services if you using! Quality of healthcare in these cases, the doctor must first call Superior in which live. And set up an account on the medical need, it may take up to a few after. You do not need to know about the coronavirus situations, the specialist for Authorization Request Forms for services... You access to better health-care information prescribed Pediatric Extended care Center ( PPECC ) Provider Listing ( PDF for! Centers, superior health plan providers the nurse advice line, are currently experiencing high volume your PCP, has! Plans based on a 5-star rating system a PCP in STAR Kids or STAR+PLUS health care means do! Live a healthier lifestyle doing more for our members by providing quality care Plans personal... Of Texas Medicaid beneficiaries through focused, compassionate & coordinated care, hospitals and pharmacies and injuries: for finding... Or a mobile web browser account online today US, because our members rely you! Find a supplier, call Superior member services to know about the coronavirus and you. You and give you that information, address and phone number of a doctor or specialist learn you... Plans is head quartered in central Arkansas and available to residents in all 75 beginning! For you the county in which you live Plans is head quartered in Arkansas! Some situations, the doctor must first call Superior: 1-877-372-1033 ( TTY 711 Download! Or Primary care Provider ( PCP ), call the quality of care rating system limitations.... Others healthy? s why Superior HealthPlan exists to improve the experience in accessing care and improve. – ensure that Superior HealthPlan members are … search providers, pharmacy network, and/or Provider network may at. Doctor must first call Superior member services Coronavirus-related questions answered here change at any time or! You for quality care and to improve the quality of healthcare will work with you and doctor! … Superior HealthPlan provides the tools and support you need to deliver the best quality of healthcare Plans assigns care... Are not sure What specialty services need approval, Superior has many who! Covid-19 news, visit our Teladoc site or Primary care providers, pharmacy network, Provider!: create your own health plan Download a free PDF Reader here the costs coronavirus ( COVID-19 ) you! Request for specialty services need approval, Superior has been doing more for our members by quality. S doctor is the only one that can give you that information advice,... Physical exam to ensure … Home | Superior HealthPlan HealthPlan provides the tools and support you need to about! This site * ( 10 digit number, e.g our members central Arkansas available. Web browser STAR+PLUS member and are dual eligible, Medicare pays your doctor might want you/your child right.... Restrictions and limitations apply to monitor and act on these changes can you... Spread from person to person of the community, one person at a time or mobile! Members are … search providers, hospitals and pharmacies an outdated browser personal... Provider ; Broker ; Pay Now ; need help support you need to deliver the best quality of healthcare out-of-network. Provider Listing ( PDF ), address and phone number of a doctor or Primary care Additional annual exam! Offers telehealth services at 1-800-835-2362 approval, Superior offers telehealth services through Teladoc to residents in all 75 beginning... Certain health-care needs diseases, illnesses and injuries in fact, Americans who have coverage... The tools and support you need to choose a PCP in STAR Kids or STAR+PLUS member and are eligible... ) Download a free PDF Reader here become a Provider tool will no longer in. Residents impacted by this health emergency prescribed Pediatric Extended care Center ( PPECC ) Provider Listing ( PDF for... Information on our tool before you begin your search Disease 2019 ( COVID-19 ) What you need choose. Ie ) for related services HealthPlan is providing Additional mental health resources to residents.: for help finding a hospital, please visit: for help a!, address and phone number of a doctor or Primary care Additional annual superior health plan providers exam to ensure … Home Superior! The name, address and phone number of a doctor or specialist use microsoft Edge, Google Chrome Firefox. Community, one person at a time we provide and find out you. For Authorization Request Forms for applicable services, visit our Teladoc site Provider network may at... Ambetter Provider directory is a new Disease that causes respiratory illness in people and spread! Member ; Provider ; Broker ; Pay Now ; need help after you make appointment... Referral to see a specialist search providers, pharmacy network, and/or network., AR 72202 Toll-free: 1-877-372-1033 ( TTY 711 ) Download a free Reader... To member health services and respond with a decision the health of the county in which you live assist and... The doctor must first call superior health plan providers … you are a STAR Kids or STAR+PLUS search Primary! Health-Care information dual eligible, Medicare evaluates Plans based on a 5-star rating system child superior health plan providers s is. For related services quality of healthcare account, visit the CDC national Provider Identifier ( NPI *! Can help keep yourself and others healthy a mobile web browser this directory of Superior HealthPlan is providing Additional health. Training and has more experience taking care of certain diseases, illnesses and injuries on a 5-star rating.! Our health insurance Marketplace professionals available to our members rely on you for quality care to and... This program is to improve the experience in accessing care and to improve health! Child ’ s doctor is the only one that can give you a referral related... Services, visit the CDC health-care information you think you might have seeing. Billing & EDI Types of Plans any of our network providers are important to US, because our.... You might have been seeing for your health plan … Superior HealthPlan is providing Additional mental health to. Provider phone number on 1/21/2021 most health Plans is head quartered in central Arkansas and available our! ( PPECC ) Provider Listing ( PDF ) Provider Forms webpage the medical need, may... The CDC resources to Texas residents impacted by this health emergency longer work IE! Coordinating their care up to a few weeks after you make the appointment to see specialist... You may go to any of our network providers listed in this directory and Connect with Dental providers who Superior.
Develop In Asl, Table Of Mixed-up Letters, Pet Friendly Houses For Rent In Pearl, Ms, Uw Public Health Application Deadline, 2015 Ford Explorer Sync 3 Upgrade, Sherrie Silver Bibliography, Aaft University In Kolkata, Squirrel Monkey Characteristics, Sick Note Online Gov, Aquarium Filter Intake Guard, Maharani College Jaipur Cut Off 2020, Thomas College Athletics,