Preferred Medical Plan

CALL: 305-447-8373

May 11, 2015 Statement Regarding Decision Not to Take New Enrollments

As a result of the uncertainties related to the final payments due under the Affordable Care Act's (ACA) premium stabilization programs, otherwise known as the 3Rs, Preferred Medical Plan has voluntarily agreed to immediately stop all new enrollment and the renewal of current enrollment for all lines of business at the present time.

The payments due under the premium stabilization programs are new requirements for health plans across the country, and we are taking prudent steps while awaiting HHS's final risk adjustment and risk corridors figures.

This decision was also precipitated by the well-publicized issue of the insufficient current Medicaid rates under the Medicaid Managed Assistance program.

This decision will not affect the benefits we offer to our current enrollees or the providers who deliver quality service to our company.

We remain committed to our enrollees, providers, and employees, and will continue to work diligently to provide the service for which we are known.

Declaración Sobre Decisión De No Aceptar Inscripciones Nuevas mayo 11 del 2015

Leer más


Preferred Medical Plan shares the same goal as physicians, dentists and other health care professionals, hospitals and facilities. We all strive for the optimal health and well-being of your patients - our customers. Health care providers play a vital role in ensuring the highest standards of care for our members. Are you a health care provider for Preferred Medical Plan providing preventive, curative or rehabilitative health care services to individuals and families? Open communication is the essential to the health of every relationship, which is why you, the provider, can be sure that we will always keep the conversation going to help save you time and money. We want to make it easy for you to check claims, verify member eligibility and get paid quickly.

Preferred Medical Plan works with doctors, hospitals and other health care facilities to help ensure all our members enjoy better health and overall quality of life. We offer the services and tools that make the business of health care as easy as possible for our network of participating health care professionals.

Register online as a health care provider and get access to a wealth of helpful health care plan materials. Don't forget to also make sure to get your provider newsletter, where you can keep up to date with the latest information to better serve Preferred Medical Plan members.

Contact us at providerinfo@pmphmo.com
or call 305-648-4002 or 305-447-8373 ext. 4002, fax 305-447-8582.

HEALTHCARE PROVIDER TOOLS