Q) What is Prepaid Health Clinic (PHC)?
Prepaid Health Clinic is an organization authorized to provide basic medical services to persons enrolled with the organization on a prepaid per capita basis including those basic services such as Primary Care Physician, ambulatory diagnostic treatment at the Primary Care Physician site, and preventive health care.
Q) What does PCP mean?
PCP means Primary Care Physician, your main doctor, elected in coordination with the Agent that filled out your application form with you. Your PCP is who you go for any medical care need and who appears on your I.D. Card.
Q) What do I need to do to make an appointment with my Primary Care Physician?
You may choose to do the following:
Personally call your PCP at the Phone number which appears on your ID card or
If you have any difficulty in contacting your PCP, please call our Customer Care Department at 1-866-PROMEDI.
Q) How much should I pay when going to my PCP?
You only have to pay $ 20.00 each time you go to your PCP.
Q) How much should I pay when taking my child who is less than one (01) year old?
You must pay $ 15.00 (South Florida) at time service is rendered.
Q) How long does it take to have my first appointment after becoming a Member?
It could take as short as 24 hours depending of the schedule of each PCP. Normally in 48 hours you are helped by your Primary Care Physician.
Q) Who is eligible for ProMedical Plan?
Eligible individuals are the spouse, domestic partner and children of Primary Subscriber.
Q) How do you select your Providers in your Plan?
A) All Providers have been thoroughly interviewed and selected according to their specialties in the medical field. ProMedical Plan. performs on-site evaluations of each prospective Medical Center or Physicians Office and medical doctors. We have assured that they meet or exceed the standard requirements of our Quality Assurance Program. Each Physician is evaluated on the following criteria: Experience and Qualifications; Credentials: Current Florida Board of Physicians, DEA license and malpractice insurance; Good standing with Department of Professional Regulations.
Q) If I refer a person to your company, do you pay me something for that referral?
Yes, ProMedical Plan. appreciates all referrals from any member and rewards that member with a $ 40.00 check for each referral received.
Q Up to which age can I have my child in ProMedical Plan?
Up to age 23 if he or she is living with Primary Subscriber and is a Full-time-student. Children beyond the age of 23 with mental or physical handicapped may be in ProMedical Plan.
Q) When are my monthly payments due?
Payments are due in advance every month by the first of the month.
Q) What are Advance Directives?
Advance Directives – The Patient’s Right to Decide, are documents that advise you of your right to decide and make decisions concerning your own health, including the right to refuse treatment. An Advance Directive is a written or oral statement about how you would want medical decisions made if you were not able to make them yourself. These include three types of decisions you can make in advance: 1.) Living Will, 2.) Health Care Surrogate Designation, and 3.) An Anatomical Donation. The forms for your review and discussion with your family and physician are available to you by calling Customer Service.