Introducing the best treatment of all…

Respect.

At PHS Health Plans, we believe the best thing for your good health is something called respect. We believe a member is a person, not a number or a file folder. We believe that courtesy and responsiveness count. And we believe that you should always have a significant say in your care. In other words, at PHS Health Plans, you matter!

Here's how we show that you matter:

No referrals needed: Who knows best when you need specialty care? We think you (and your doctor) do. That's why we give you open access to participating specialists. Open access means that you’re able to see a participating specialist without a referral for just a $5 co-payment. PHS Health Plans is the only HMO plan in the State Health Benefits Program that does NOT require you to get a referral form from your Primary Care Physician to see a specialist.

Access to alternative medical treatments: More than 30 million Americans receive some form of alternative medical care every year. With our PHS AlternaCare program, you'll have benefits for chiropractic care and acupuncture, and discounts on massage therapy and, through a special arrangement with MotherNature.com, special discounts on vitamins, herbs, nutritional supplements and other natural products.

Convenient, toll-free customer service: We are available to answer your health benefit questions Monday through Friday, 8 a.m. to 6 p.m. Or you can e-mail your questions to us at: member@PHSHealthPlans.com Our service representatives can help you to select a participating physician or provider, answer your claim questions, and much more.

Choice of participating physicians/providers: If a large choice of physicians and providers is important to you, consider PHS Health Plans. At more than 59,000 provider locations, we have the largest physician/provider network in the tri-state (New Jersey/New York/Connecticut) area, including more than 20,000 provider office locations in New Jersey alone. There is a $5 co-payment for office visits with participating physicians and providers.

Preventive care to help you stay healthy: We provide coverage for adult/child well exams, childhood immunizations, regular eye exams and cancer screenings. Plus, our female members are covered for regular gynecological visits.

Prescription Drug Coverage: A 30-day supply is available at participating pharmacies for a $5 generic co-payment and a $10 brand name co-payment. A 90-day supply is available through mail order for a $5 co-payment (generic or brand name). Note: Prescription drug coverage does not apply to those individuals who have coverage through another program offered by their employer.

Discounted contact lenses: Through TruVision, you'll receive up to a 50 percent savings for doctor-prescribed contact lenses and supplies. And they are delivered to your home at no extra shipping or handling costs.

Discounts at health and fitness centers: You'll save money at fitness centers across the state through this program administered by WellQuest, Inc.

Talk to a nurse 24 hours a day: The convenient, free Personal Health Advisor line helps you get answers to your health and medical questions when your doctor isn't available. The Personal Health Advisor line is a toll-free call away, 24 hours a day, seven days a week.

Choice. Open Access. Preventive Care.

Consider PHS Health Plans. We’ve got what you want!

At PHS Health Plans, you matter. That's why one million members count on us for quality health coverage for themselves and their families.

To learn more, or to see if your doctor is part of our extensive network, check out our web site at www.phshealthplans.com You can even get a map and directions to the doctor's office.

PHS Health Plans

3501 State Highway 66

Neptune, New Jersey 07754

1-800-441-5741

PHS Health Plans is Physicians Health Services of New Jersey, Inc.


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SHBP Summary Program Description - September 18, 2000
http://www.state.nj.us/treasury/pensions/spd-main.htm