PHYSICIAN VISIT

• With the Physician Visit Network, you and your family can save 10% to 30% or more at over 336,000

   participating physician offices nationwide.

• The Network includes both primary care physicians and specialists.

• Members can also access savings at over 40,000 ancillary facilities, which includes medical clinics, labs,

   diagnostics, out-patient surgery centers and more…

• Anyone can receive the negotiated savings.

The Galaxy Health Network Physician Visit program is valid at participating network providers, including but not limited to:p>

How it works…

1. Members select a local participating provider by calling 800-975-3322 and asking for the "Medical Savings Card"   department, or by accessing online at www.galaxyhealth.net

2. Members must show ID card at the time of their visit in order to receive a discount.

3. Provider will follow instructions on the back of the card to "re-price" the bill by applying the predetermined savings according to the negotiated contract.

4. Member is responsible for paying remaining balance due to provider at the time of service. If member has any additional medical coverage, that amount will be applied to the bill according to the medical plan or policy in place.

HOSPITAL

Members have access to almost 2,700 acute-care hospitals nationwide for in-patient confinement,
with savings of 5% - 30% or more.

How it works…

1. Pre-Planned Services: members call 800-975-3322 (Option 4) to receive savings for preplanned/non-emergency services; available only with the required pre-certification and referral number. The negotiated estimate payment portion amount needs to be secured prior to member receiving any services. Network will confirm payment ability and provide a referral number.

2. Emergency Visits: members must notify network and receive a referral number within forty-eight (48) hours of an Emergency Visit by calling 800-975-3322 (Option 4).

PATIENT ADVOCACY

To ensure members have a positive experience when using their medical savings card, network representatives are ready to help. Network will confirm that provider is in network and accepting new patients, confirm provider is aware of how the medical savings card works, and verify the discount will be honored at the time of service.

Members simply need to contact a Patient Advocacy representative at 800-975-3322 (Option 4) prior to making their appointment to take advantage of these services. *Patient Advocacy is not available in California.

With over 336,000 doctors and over 2,700 hospitals in the United States participating in this Referral program, you could save from 5% - 30% on your medical bills. As a minimum, you will receive a 20% savings on your actual bill from the doctor's office.

Additionally, our Patient Advocacy Program will help you select a participating provider.

Savings are available on the following type of services:

Physicians
Our patient advocacy representatives will work with members to locate specific providers, confirm the provider's acceptance of new patients and provide the member with a listing of several different providers in their immediate area that will meet the member's specific needs.

Hospitals
For assistance with hospitals, patient advocacy representatives will work with members to locate a participating hospital. The member will be responsible for any applicable financial guarantees required by the hospital, prior to admission.

This is a discount program only. Galaxy Health Network (GHN) has no liability for
providing or guaranteeing service or for the quality of service rendered.

How to use your Physician And Facility Patient Advocacy Service

This service is included with purchase of physician/facility discount access network.
*Patient Advocacy is not available in California.

Galaxy Health Network (GHN) offers a Patient Advocacy Service for all Physician/Facility service visits through participating providers in the Galaxy Medical Savings Network.

How the Galaxy Health Network Patient Advocacy Department works:

1. Members call Galaxy Health Network Medical Savings Card (MSC) Department at 1-800-975-3322 (Option 4) to locate a participating provider in your area.

2. Member identifies their location, zip code and the type of doctors or facility being requested, and provides a telephone number, fax number or e-mail address so that the a Patient Advocacy representative can provide specific information back to the member.

3. The GHN Patient Advocacy Department will contact providers specific to the member’s zip code and specialty, verify that the provider is accepting new patients, pre-certify that the physician/facility understands that they are part of Galaxy Health Network and that they will accept the Medical Savings Card product, confirms the provider’s office understands how to re-price the bill, and perform any unique pre-certification that may be required.

4.The Patient Advocacy Department contacts the member via telephone, fax or e-mail and provides member with 2 to 3 different provider options for the member’s selection purposes.

5. Member will make their own appointment and visit one of the 336,000 physicians or 40,000 facilities within Galaxy Health Network.

6. Provider will utilize the IVR repricing line or web-based system for immediate repricing of the procedure. Members will receive 5 to 30% savings or more, and the provider will receive payment for the services provided (based on their contract with Galaxy Health Network) at the time of service.

How to use the Hospital Patient Advocacy Program
This service is included with purchase of Hospital discount access network.
*Patient Advocacy is not available in California.

Members have access to the Galaxy Health Network (GHN) Patient Advocacy representatives to pre-certify and obtain a referral number for all hospital/facility needs. MSC representatives will coordinate hospital in-patient as well as out-patient needs.

Members call 1-800-975-3322 (Option 4) to receive assistance in and let us initiate the process of negotiating their hospital services on their behalf. To make it simple members only need to make one point of contact, as our patient advocacy representatives will do the rest.

Members will be asked to provide the following information:

After making the necessary arrangements we will contact the member with the details regarding their procedure. We will obtain a good faith estimate of the cost involved for treatment, contact the insurance carrier if applicable to verify benefits and eligibility, apply the GHN network discount to the total billed charges, and then apply the insurance benefit amounts. We will inform the member of the estimate amount they will be responsible for payment. *This amount needs to be secured prior to the member receiving any services as providers will expect the remaining balance due at the time of service.

Members have the option to secure payment using the following methods or any combination thereof: Cash, Check, Credit Card, Insurance Payment or Medical Savings Account Funds or other Certified Funds. The FACILITY and/or PROVIDER, in advance of services being performed, must agree upon any needed payment arrangement. If payment arrangements are not pre-approved or payment is not made in a timely manner, the contracted SAVINGS could be in jeopardy. If members need assistance negotiating such a payment arrangement, member can contact GHN Patient Advocacy department at 1-800-975-3322 (Option 4).

Members will receive 5% - 30% savings or more, and the provider will receive payment for the services provided (based on their contract with Galaxy Health Network) at the time of service.

MEMBERS must process their Hospital service through the GHN Patient Advocacy department in order to guarantee the network savings. MEMBERS ARE NOT ELIGIBLE FOR SAVINGS THROUGH GHN IF THEY ASK A PROVIDER/FACILITY TO FILE AN INSURANCE CLAIM FOR THEM and do not contact GHN first, as the provider will then balance bill the patient for any payment portions not covered by insurance. If a member fails to obtain precertification or referral number from GHN and a bill is received, the bill will be returned to the member as "SELF-PAY" resulting in the member being responsible for billed services in full. In the event of an "Emergency Room Visit", members must notify GHNH at 1-800-975-3322 and receive a referral number within forty-eight (48) hours of said visit or GHNH is not responsible to negotiate discounts.

If a member selects an Out-Of-Network Provider, savings are more difficult, and possibly unavailable. However, GHN will utilize its resources to coordinate negotiations with the Facility and/or Physician to obtain the best possible savings – even if a provider is not participating with Galaxy Health Network.

Click to Read GALAXY HEALTH NETWORK MEDICAL SAVINGS CARD HOSPITAL TERMS AND CONDITIONS

THIS THIS MEMBERSHIP IS NOT HEALTH INSURANCE NOR IS IT INTENDED TO REPLACE HEALTH INSURANCE.

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