QUESTIONS AND ANSWERS

Have Questions about AmeriPlan?
Call me, Steve Burnett at (904) 553-6433 8am-9pm EST

General

• Who is AmeriPlan®? AmeriPlan® is a Discount Medical Program Organization. We arrange for our members to have access to dental, vision, chiropractic pharmaceutical and medical providers who have agreed to offer their services at discounts off their usual and customary fees.
• How do I use the program? Within 10-14 business days of receipt of your application at corporate headquarters in Plano, TX, you will  receive a Member Information Guide, a Membership Identification card(s), and a Dental, Pharmacy, Vision, and Chiropractic Care Directory. Simply show your Membership ID card to any AmeriPlan® provider and you will be eligible to receive discounted fees. You pay the provider directly at the time of service and any payment plans are between you and the provider.  IF YOU APPLY ONLINE, YOU CAN USE YOUR EMAIL CONFIRMATION AS A TEMPORARY ID CARD IF YOU HAVE A DENTAL EMERGENCY.  IT WILL HAVE YOUR MEMBER ID ( i.e. M11981234) IN THE EMAIL!
• What is the waiting period? There is no waiting period before you can start using your program! And, there are instant savings, no paper work to fill out, and no limits on visits to your providers!
• Are ongoing dental/medical problems (conditions) included? Yes, except orthodontics in process
• Do members receive a fee schedule? No. The fees vary slightly by zip code.  Your provider will have a fee schedule applicable for your area.

Fees & Discounts

• How much discount do Dental Plus members get on dental fees?  Members can save 25% - 65% on all restorative and cosmetic work (fillings, crowns, braces, etc.) and up to 80% on preventative work (teeth cleaning, x-rays, etc.) performed by a general dentist. Specialist fees are discounted 15% to 25%.
• How do I pay? Monthly or quarterly payments are made only by electronic bank draft or credit card. Invoicing is done only for annual memberships paid one year in advance.
   

Providers

• Who are the Medical, Dental, Pharmacy, Vision, and Chiropractic Care providers?  AmeriPlan® has assembled one of the largest networks of providers in the country, and we are constantly adding to this base. Our network has tens of thousands of medical practitioners, almost 30,000 dentists, more than 12,000 vision care providers, some 50,000 pharmacies and more than 7,500 credentialed chiropractors.
• How do I locate an AmeriPlan® Health provider?  You can search online for providers or call our customer service center at 1-800-647-8421.
• Are doctors reimbursed by AmeriPlan® for their services?  No.
• Why would a medical professional participate in the AmeriPlan® Health™ Program?   There are many reasons. Some of the most important are:   Patient care and treatment are put back into the physician's hands.  The provider gets paid at the time of care. Many insurance plans take up to 120 days for payment.  Office administrative costs are reduced. No paperwork to complete, file or submit.  Providers may receive a net increase in revenue to the practice versus insurance (HMO or PPO).  The provider is part of an affiliation of like-minded professionals, without being "under the thumb" of managed care.  AmeriPlan® provides members with quality, discounted healthcare.
   

Medical Program

• Can I purchase the medical program without including the Dental Plus program?  No.
• Do members receive a separate card for the Medical Program?  Yes
• Will my medical program members receive a discount?
• Can the Medical Program be used with Medicare/ Medicaid?  No
• Can the medical program be used in conjunction with health insurance plans?  Yes, but it is at the physician's discretion whether to accept both. As with our Dental Plus program, a member's insurance will always be the primary form of payment.
• Does medical include hearing tests and hearing aids?  Yes.
• Will maternity be included?  All medical needs are included as long as we have contracted providers offering this service.
• Can members downgrade from AmeriPlan® Health to the Dental Plus Program?  Yes

Emergency & Hospital

• Are there programs for emergency services?  Yes. Emergency services may or may not be contracted with the Medical Program. Depending on the extent of the charges, these services may be eligible for the Patient Advocacy Program.
• Can you briefly describe the Hospital Advocacy Program?
• Does the member have a choice of which hospital will be used?  Yes. The Patient Advocate will negotiate with any hospital of the member's choice.

How are discounts calculated?  The rates that the provider charges are determined based upon either a set fee schedule that the provider has contracted, or as a percentage off of their billed charges. In general, discounts will vary between 20% and 50%. Labs and diagnostics will have discounts of up to 80%.

Are the medical programs contracted on an annual basis and cancelable at any time, like Dental Plus?  Yes

How do I locate an AmeriPlan® Health provider?
There are 3 ways to locate a provider:
A dental, vision, prescription and chiropractic directory of providers is included in your member information guide.
A provider locator is available online HERE: www.AmeriPlanusaprovidersearch.com. 
Call AmeriPlan® Health customer service at 1-800-647-8421.


Are doctors reimbursed by AmeriPlan® for their services?   No. As with all of our health programs, the provider receives the full discounted fee from the member at the time services are rendered.
 

If the doctor's office has lab facilities, can these be utilized rather than having to go to another lab?  Yes. The lab services will be billed up to a 40% discount.
 

Do members receive a separate card for the Medical Program?  Yes. Approved household members receive four (4) cards; two AmeriPlan® Health ID Cards and two Dental Program cards.

Are there programs for emergency services?  Yes. Emergency services may or may not be contracted with the Medical Program. Depending on the extent of the charges, these services may be eligible for the Patient Advocacy Program.

Order Ameriplan ® online today, go to the dentist tomorrow.