MEMBERS FAQ
MEMBERS FREQUENTLY ASKED QUESTIONS (FAQ)
General
AmeriPlan is a Discount Medical Plans Organization (DMPO). We arrange for our members to have access to medical, dental, vision, chiropractic and pharmaceutical providers who have agreed to offer their services at negotiated discounts off their usual and customary fees.
Within 10-14 days of receipt of your application at corporate headquarters in Plano, TX, you receive your Membership Identification card(s). Your Membership Guide is located in your member portal. Present your Membership ID card to any AmeriPlan provider and you will be eligible to receive discounted fees. You pay the provider at the time of service.
There is no waiting period before you can start using the Dental Plus plan! And, there are instant savings, no paper work to fill out, and no limits on visits to your providers! However, you must allow 3 business days after the activation of your Deluxe Plus membership to begin using the Hospital Advocacy plan!
Since AmeriPlan is not insurance or a health organization, all ongoing medical/dental problems (conditions) are accepted except for orthodontic treatment in progress.
Yes, for dental care. Dental fees vary by area.
AmeriPlan is compliant with all HIPAA regulations.
Fees & Discounts
Members can save 20% – 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 up to 25%.
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 15% and 50%. Labs and diagnostics will have discounts of up to 80%.
The Dental Plus membership is only $19.95 per month each for an entire household! Or, $39.95 for Deluxe Plus! A household membership includes all residents in the household including parents, children, relatives, significant others and all permanent residents of the household! Monthly payments are made only by debit or credit card. Invoicing is done only for annual memberships paid one year in advance.
All these services are included in both Dental Plus and Deluxe Plus for the $19.95 (Dental Plus) or $39.95 (Deluxe Plus) monthly fee.
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 and more than 100,000 dentists and 12,000 vision care providers, approximately 50,000 pharmacies and more than 7,500 credentialed chiropractors.
There are two ways to locate a provider:
1) A provider locator is available at www.ameriplanusaprovidersearch.com. This is particularly useful for medical providers.
2)Â Call Member Support toll free at 800-647-8421.
No. As with all of our health plans, the provider receives the full discounted fee from the member at the time services are rendered.
There are many reasons. Some of the most important are:
1) Care and treatment are put back into the healthcare provider’s hands.
2) The provider gets paid at the time of care. Many insurance plans take up to 120 days for payment.
3) Office administrative costs are reduced. No paperwork to complete, file and follow up on.
4) Providers may receive a net increase in revenue to the practice versus insurance (HMO or PPO).
5) The provider is part of an affiliation of like-minded professionals, without being “under the thumb” of managed care.
6) AmeriPlan provides members with quality, discounted healthcare.
Emergency & Hospital
Yes. Emergency services may or may not be contracted with the AmeriPlan Deluxe Plus plan. Depending on the extent of the charges, these services may be eligible for the Hospital Advocacy Plan.
The Hospital Advocacy plan is designed to help members with their medical bills whenever a single hospital visit totals $1,500. (For the insured, this means the amount you are personally responsible for, aside from your deductible.) Charges can be incurred from multiple providers. The patient advocate negotiates on behalf of the patient and pursues a wide range of options, from government entitlement plans to payment plans. There is a waiting period of three business days from the active date of your membership to utilize this plan.
Yes.
*If you cannot find the answer to your question on this page, please contact Customer Support at 1-800-647-8421 Monday through Thursday between 8:00AM to 5:00PM and Friday 8:00AM to 4:00PM Central Time Zone.