We do not sell leads or share your personal information. Humana expects no interruption in coverage; members can continue to see the same health care providers and receive the same benefits they currently have for the 2012 benefit year. (function() { Your Initial Enrollment Period (IEP) is the 7-month period you have when you first become eligible to sign up for Medicare. Limitations, copayments, and restrictions may apply. coverage, Refill a $257,000 Last Sold Price. Humana anticipates that the divestitures would be effective January 1, 2013. Gainwell Technologies has been contracted with the state of Indiana since 1991. Code describing the type of health care provider that is being assigned an NPI. Medicare Advantage Plans must offer emergency coverage outside of the plans service area (but not outside the U.S.). dentist, Get a In addition, if the new non-deductible federal premium tax and other assessments, including a three-year commercial reinsurance fee, were imposed as enacted, and if Humana is unable to adjust its business model to address these new taxes and assessments, such as through the reduction of our operating costs, there can be no assurance that the non-deductible federal premium tax and other assessments would not have a material adverse effect on the companys results of operations, financial position, and cash flows. The offices are examples of subparts that could have their own NPIs if the main location determines that they should. Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. quote, Find an Medical Policies. (2) A group practice that is not a sole proprietorship has a main location and could have other offices in different locations, but each office is not a separate legal entity; instead, each office is part of the corporation (the "parent") which is a legal entity. doctor, Enroll in NOTE: ZIP code plus 4-digit extension, if available. The 2022 Annual Enrollment Period (AEP) is from October 15 to December 7, 2021. Copyright 2007-2023 HIPAASPACE. a pharmacy, Compare a healthcare plan, Humana Accessibility arcadia_health@humana.com. Recently enacted health insurance reform, including The Patient Protection and Affordable Care Act and The Health Care and Education Reconciliation Act of 2010, could have a material adverse effect on Humanas results of operations, including restricting revenue, enrollment and premium growth in certain products and market segments, restricting the companys ability to expand into new markets, increasing the company's medical and operating costs by, among other things, requiring a minimum benefit ratio on insured products (and particularly how the ratio may apply to Medicare plans), lowering the companys Medicare payment rates and increasing the companys expenses associated with a non-deductible federal premium tax and other assessments; financial position, including the company's ability to maintain the value of its goodwill; and cash flows. Not quite 65? The provider is registered as an organization entity type. The coal oven burns over 650+ degrees and can produce pies in five minutes. For information about IHCP policies, procedures, and billing guidance (including information about electronic transactions), access these IHCP reference documents. The 1598910549 NPI number is assigned to the healthcare provider ARCADIAN HEALTH PLAN, INC., practice location address at 500 12TH ST STE 300 OAKLAND, CA, 94607-4087. St Louisville, KY 40202. Contact Us Give us a call at 360-943-4337 opt. })(); Enter your ZIP Code and click "Show Available Medicare Advantage Plans", 2023 Medicare Advantage Plan Benefit Details, 2023 Medicare Advantage Plan Benefit Details for the Arcadian Health Plan - Plus (HMO), Find a 2023 Medicare Advantage Plan (Health and Health w/Rx Plans), Browse Any 2023 Medicare Plan Formulary (or Drug List), Q1Rx Drug-Finder: Compare Drug Cost Across all 2023 Medicare Plans, Find Medicare plans covering your prescriptions, Medicare plan quality and CMS Star Ratings, Understanding Your Explanation of Benefits, IRMAA: Higher premiums for higher incomes, 2023 Medicare Advantage Plans State Overview, Find a 2023 Medicare Advantage Plan by Drug Costs. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. To learn more about the health plan programs, contact the following customer service departments: Sign up for email and/or text notices of Medicaid and other FSSA news, reminders, and other important Jan 3, 2023 09:43pm. The legal entity must obtain an NPI. We can quickly help you if you have your member ID number, located on the back of your insurance card, with you when you call. 0000002619 00000 n Contact Name Kelly Gaskins . :KORgOC~Ma^ 9kp h'7+LF. Register Visit PSWs Annual Enrollment Period (AEP) page to learn more. Medicaid contracts each year with plans that are willing to accept a monthly fee for each recipient in their program. Medicare has neither reviewed nor endorsed the information on our site. About Arcadian Health: Arcadian Health, founded in 1996, provides Medicare Advantage coverage through its affiliates in the following 15 states: . Many Medicare Advantage Plans also offer extra benefits such as dental care, eyeglasses, or wellness programs. Drug List, Shop Medicare Advantage plans, Shop H0320 ARCADIAN HEALTH PLAN, INC. Formulary Contact 825 Washington St. Suite 300 Oakland CA 94607 HMO H0320 ARCADIAN HEALTH PLAN, INC. MA Claims Processing 858 858 Oak Park Road, Suite 250 Covina CA 91724 HMO H0321 ARIZONA PHYSICIANS IPA, INC. Formulary Contact 8045 Leesburg Pike Suite 600 Vienna VA 22182 HMO H0321 ARIZONA PHYSICIANS IPA, INC. Kareo ID *. Member Services , https://www.health-mental.org/arcadian-health-plan-customer-service/, Health (9 days ago) Web(9 days ago) Web800-457-4708 Open 8 a.m. to 8 p.m. Eastern time, Monday through Friday Medicaid customer service Florida Medicaid: 800-477-6931 Illinois Medicaid: 800-787 , https://www.health-improve.org/arcadian-health-plan-customer-service/, Health (6 days ago) Web(510) 832-0311 Arcadian Health Plan Profile and History Founded in 1996, Arcadian Health Plan provides Medicare Advantage coverage through its affiliates in 15 states: , https://www.datanyze.com/companies/arcadian-health-plan/1243876340, Health (8 days ago) WebFounded. savings & tools, Humana To determine individual service areas, please call the health plans' customer service numbers provided (see below). Have Inpatient Acute DRGs, SNF, Long Term Care & Home Care claims. (For Medicaid, Child Health Plus . The company's principal . 500 12th Street, Suite 350, Oakland, California 94607, US. a doctor, Enroll for group products, Learn All members complete the annual HRA All rights reserved. CA enroll, Find a TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult www.medicare.gov; the Social Security Office at 1-800-772-1213 between 7 a.m. and 7 p.m., Monday through Friday. ARCADIAN HEALTH PLAN, INC. 075 093 123 126 136 H5628 MOLINA HEALTHCARE OF UTAH, INC. UT H5649 CENTRAL HEALTH PLAN OF CALIFORNIA, INC. H5703 H5742 SHA, L.L.C H5774 TRIPLE S ADVANTAGE, INC. . guidance, Using Providers, For The provider's business location address is: 500 12TH ST STE 300 OAKLAND, CA ZIP 94607-087 Phone: (510) 832-0311 Fax: (510) 817-1894 The provider's authorized official is James Novello . Provider Relations Phone Number. If you are enrolled in a Medicare plan with Part D prescription drug coverage, you may be eligible for financial Extra Help to assist with the payment of your prescription drug premiums and drug purchases. Since May 2, 2011, the state of Indiana has participated in the federal Promoting Interoperability (PI) Program, formerly the Electronic Health Records (EHR) Incentive Program. As a local company, PSW has boots on the ground when working with health care providers and Medicare Advantage plans to support the best services, education and training are provided. Filing Date: October 29, 2013. )JCR?;}`_YWk>7O_6z?U#nutWm=2? 9, or toll-free at 1-877-943-4337. ARCADIAN HEALTH PLAN INC. NPI 1598910549 - Health Health (3 days ago) WebAddress: 500 12TH ST STE 300 OAKLAND, CA ZIP 94607 Phone: (510) 832-0311 Get Directions ARCADIAN HEALTH PLAN, INC. is a health maintenance organization in https://healthprovidersdata.com/hipaa/codes/NPI-1598910549-arcadian-health-plan-inc Category: Health Show Health The provider is (1) A form of health , https://healthprovidersdata.com/hipaa/codes/NPI-1598910549-arcadian-health-plan-inc, Health (2 days ago) WebARCADIAN HEALTH PLAN, INC. Company Number 602384193 Status Active Incorporation Date 6 April 2004 (almost 19 years ago) Company Type WA , https://opencorporates.com/companies/us_wa/602384193, Health (7 days ago) WebContact Us Today Acadia Corporate Headquarters 6100 Tower Circle, Suite 1000 Franklin, TN 37067 Tel: 615-861-6000 Toll Free: 855-526-8228 Fax: 615-261-9685 Additional , https://www.acadiahealthcare.com/about/contact/, Health (9 days ago) WebArcadian Health Plan, Inc. Company Alias [Doing Business As (dba)] This is the name or names of the company under which the company does business. Claims adjustment expenses, including $ 126,895,463 cost containment expenses 0 145,900,023 120,817,947 169,390,602 For providers with more than one physical location, this is the primary location. Arcadian is dedicated to improving the health of our members by providing access to high quality and cost effective health care. var gcse = document.createElement('script'); Form 10-K for the year ended December 31, 2011; Securities and Exchange Commission filings; Most recent investor conference presentations; Replays of most recent earnings release conference calls; Calendar of events (including upcoming earnings conference call dates and times, as well as planned interaction with research analysts and institutional investors). 1-800-600-4441. https://www.nj.gov/humanservices/dmahs/info/resources/hmo/, Abington jefferson health physician directory, Intermountain healthcare st george utah, White mountain community health conway nh, 2021 health-improve.org. These estimates, however, involve extensive judgment, and have considerable inherent variability that is extremely sensitive to payment patterns and medical cost trends. 94607-5204, US. The contact numbers associated with the mailing address are: The authorized official registered with the 1598910549 NPI Number is JAMES NOVELLO. The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. PK ! How members rate a plans services and care; How well a plans doctors detect illnesses and keep members healthy; How well a plan helps its members use recommended and safe prescription medication. Brokers, For Ft. 12435 Jacobs Pond, San Antonio, TX 78253-5505. The provider's official mailing address is: 500 12TH ST STE 350 information and language options. Email *. Ratings by category. care & community support, Humana NCQA accredits and certifies a wide range of health care organizations and manages the evolution of HEDIS, the performance measurement tool used by more than 90 percent of the nations health plans. TTY users should call, 1-800-325-0778; or your state Medicaid Office. Filing Date: , https://www.bizapedia.com/us/arcadian-health-plan-inc.html, Health (6 days ago) WebArcadia enables healthcare payers to collaborate closely with their provider networks for mutual economic success under Medicare, Medicaid, and Commercial risk-based , Health (7 days ago) WebYou can call us if you have a question about your insurance plan or a health problem. Iselin, New Jersey 08830. The first line location address of the provider being identified. 2 0 obj of race, color, national origin, age, disability, sex, sexual orientation, gender identity or A Medicare Advantage Private Fee-for-Service plan (PFFS) is not a Medicare supplement plan. info) is a Landkreis (district) in the west of Bavaria, Germany with a population of 95,000. Please contact the plan for further details. If Humana does not continue to earn and retain purchase discounts and volume rebates from pharmaceutical manufacturers at current levels, Humanas gross margins may decline. The State or Province name in the mailing address of the provider being identified. Patient Consent Forms. You must be enrolled in both Medicare Part A and Part B to enroll in a Medicare Advantage plan. 1 - 2) December 31 Prior Year Net . Medicare drug (Part D) plans, Shop Make sure to check out our FAQ page. The psychiatric unit is an example of a subpart that could have its own NPI if the hospital determines that it should. Location. Humana and Arcadian are working together to ensure a seamless transition of the Medicare business. Cancer Resource Services . If Humana fails to develop and maintain satisfactory relationships with the providers of care to its members, the companys business may be adversely affected. Not all D-SNP plans in Indiana serve the entire state. Original Medicare covers hospice care even if youre in a Medicare Advantage Plan. %PDF-1.5 Many organization health care providers who apply for NPIs are not legal entities themselves but are parts of other organization health care providers that are legal entities (the "parents"). pricing guide, Find The "parent"-we don't know who the parent is in this example-must ensure that each subpart that submits its own claims to health plans has its own NPI. Indiana Health Coverage Programs works with four health plans to serve as managed care entities for the Hoosier Healthwise, Hoosier Care Connect and Healthy Indiana Plan programs. ARCADIAN HEALTH PLAN, INC. Company Number 602384193 Status Active Incorporation Date 6 April 2004 (almost 19 years ago) Company Type WA INSURANCE COMPANY Jurisdiction Washington (US) Registered Address UNITED STATES United States Agent Name CORPORATION SERVICE COMPANY Agent Address 300 DESCHUTES WAY SW #304, TUMWATER, WA, 985010000 Meet your Practice Management Consultant. Medicare Advantage Plans may offer extra coverage, such as vision, hearing, dental, and/or health and wellness programs. The benefit information provided is a brief summary, not a complete description of benefits. If Humana does not design and price its products properly and competitively, if the premiums Humana charges are insufficient to cover the cost of health care services delivered to its members, or if its estimates of benefit expenses are inadequate, Humanas profitability could be materially adversely affected. Star Ratings are calculated each year and may change from one year to the next. US. & appeals, Helpful Disclaimer for Institutional Special Needs Plan (SNP): This plan is available to anyone with Medicare who meets the Skilled Nursing Facility (SNF) level of care and resides in a nursing home. Iselin, New Jersey . Based in Olympia, WA for more than 25 years, PSW is locally owned and managed by physicians. x[moF a %o$MK.h}W@[D Provide organization name (legal business name used to file tax returns with the IRS). Each line of business represents a different Healthcare Provider Taxonomy or area of specialization that often submits its own electronic claims to health plans. your health, Member (1) The psychiatric unit in a hospital is not a legal entity but is part of the hospital (the "parent"), which is a legal entity. PSW represents a network of more than 1,000 providers and facilities and works with health plans and health care providers in delivering great patient care. The State or Province name in the location address of the provider being identified. Indiana Health Coverage Programs is contracted with OptumRx to be the pharmacy benefits manager for the Traditional Medicaid. 3 Beds. These forward-looking statements are not guarantees of future performance and are subject to risks, uncertainties, and assumptions, including, among other things, information set forth in the Risk Factors section of the companys SEC filings, a summary of which includes but is not limited to the following: In making forward-looking statements, Humana is not undertaking to address or update them in future filings or communications regarding its business or results. STATEMENT AS OF SEPTEMBER 30, 2021 OF THE Arcadian Health Plan, Inc. ASSETS Current Statement Date 4 1 Assets 2 Nonadmitted Assets 3 Net Admitted Assets (Cols. The city name in the location address of the provider being identified. . LOUISVILLE, Ky.--(BUSINESS WIRE)--Humana Inc. (NYSE: HUM) announced today that it has completed its previously announced acquisition of Arcadian Management Services, an Oakland, Calif.-based company that, through its affiliates, operates Medicare Advantage HMO plans. The postal ZIP or zone code in the mailing address of the provider being identified. (Catholic Medical Center) Unity Health Plan Ins. For Claims Status please contact Susan Naanes @ 503-574-7441 or Debra . Humanas business may be materially adversely impacted by CMSs adoption of the new coding set for diagnoses. Humana advises investors to read the following documents as filed by the company with the SEC for further discussion both of the risks it faces and its historical performance: Humana Inc., headquartered in Louisville, Kentucky, is a leading health care company that offers a wide range of insurance products and health and wellness services that incorporate an integrated approach to lifelong well-being. All rights reserved. Health Plan/Payer Business Mailing Address First Line. card, View 9, or toll-free at 1-877-943-4337 Health Plan/Payer Business Fax Number. Arcadian Health Plan Apr 2006 - Present16 years 4 months Run daily accounts payable claims and audit edits reports.