What type of plan is MagnaCare?
What type of plan is MagnaCare?
PPO
As a health plan services provider and TPA, MagnaCare offers the personal touch. Choose from robust nationwide PPO and casualty networks. Benefit from competitive discounts, flexible plan design including tiered benefits, and responsiveness to your needs.
Is MagnaCare an insurance company?
MagnaCare is a third-party administrator (TPA) for self-insured clients, helping them manage their health plans. We are not an insurance company.
Is MagnaCare an HMO or PPO?
MagnaCare’s extensive PPO network in New York, New Jersey, and Connecticut includes more than 200 hospitals and 220,000 healthcare provider locations.
Who owns MagnaCare?
Brighton Health Plan Solutions
For 30 years, MagnaCare, a division of Brighton Health Plan Solutions, has helped organizations in New York, New Jersey, and Connecticut take control of their healthcare costs and give their members access to high value care.
What specialty pharmacy does MagnaCare use?
With convenient online access you can place your refill orders, and have your drugs shipped directly to you or directly to your doctor depending on your needs. You can contact Walgreens Specialty Pharmacy by visiting www.Walgreens.com/specialty or by calling 888.347. 3416.
Does MagnaCare cover out-of-network providers?
See www.magnacare.com or call 1-800- 548-0138 for a list of in-network doctors and other providers. If you use an in-network doctor or other health care provider, this plan will pay some or all of the costs of covered services. Be aware your network provider might use an out-of-network provider for some services.
Where is MagnaCare located?
Expand your footprint. Extend your presence in New York, New Jersey, and Connecticut with our large, high-quality, affordable network, trusted by local, regional, national, and international TPAs and carriers for more than 25 years.
Does MagnaCare cover prescriptions?
At MagnaCare Rx we provide comprehensive prescription benefit services. In doing this, we may require personal health and/or prescription drug information.
Does MagnaCare have out of network benefits?
We also offer flexible funding arrangements to help you lower costs and maintain full control over all aspects of your organization. This includes tiered benefits, reference-based pricing, as well as any out-of-network reimbursement methodology.
What is MagnaCare PPO?
Certified PPO is the only mechanism available to most New York State employers for directing injured workers into a medical network to manage their care. MagnaCare’s Certified PPO program focuses on building a strong relationship between the employer, injured worker, and providers to achieve better overall outcomes.
Who is the PBM for MagnaCare?
Brighton Health Plan Solutions, LLC
MagnaCare is powered by Brighton Health Plan Solutions, LLC, the company accredited by URAC for Health Utilization Management.
