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Clinical Review Criteria

Atlantis Rewards Program

Members

Welcome to the "Members" section of the Atlantis Health Plan Website. This section details the advantages of being an Atlantis Health Plan member. Using the "Find a Physician" search on the top of the page, you can check out our directory to find the doctor nearest to you or to see whether your doctor participates in the Atlantis Health Plan. If you have any additional questions or would like further information, please feel free to contact us.


Advantages of Atlantis Health Plan

  • Comprehensive Hospital and Medical coverage
  • 24/7 MD Hotline
  • Prevention and Early Detection Program
  • Ideal Body Weight Program
  • Open Access/POS Plans Available
  • Wide Choice of Medical Providers
  • Low co-payment options
  • Assortment of riders
  • Close Physician/Patient relationship since the Health Plan is physician owned.

Important Information


December 2, 2010 Update on Atlantis Health Plan Recapitalization

Atlantis Health Plan continues to work with the Departments of Insurance and Health to finalize our recapitalization plan and expects to conclude the initiative shortly. Atlantis remains encouraged by the number of acceptances of its settlement offers and looks forward to even greater participation by the closing date. Feel free to call us at 866-747-8422 with any questions.


Atlantis Health Plan and CatalystRx have partnered with HealthWarehouse.com, Inc. as our exclusive Generic Mail Order Pharmacy, offering you access to generic prescriptions and certain diabetic supplies mailed directly to your home free of charge. CatalystRx will continue to manage your pharmacy benefits and service your retail and brand name drug needs.

To view your new Rx Rider, please refer to http://www.atlantishp.com/members/benefit_rx.asp. The Rx Riders include this added benefit, a new $0 Co-pay tier for mail order generics and diabetic supplies when filled by HealthWarehouse.com. We are excited to offer such a great value to you, our members.

Atlantis Health Plan and CatalystRx chose HealthWarehouse.com because of the company's reliability and outstanding customer service. HealthWarehouse.com is a fully licensed pharmacy headquartered in Cincinnati, Ohio. The company specializes in mail order delivery and is known for its high level of customer satisfaction. 

To take advantage of this valuable service, you must follow the generic and diabetic supply mail order program. The ordering process is fast, easy and convenient.

There are two ways to place your order

  1. Mail: Obtain a prescription from your doctor and fill out the Generic Mail Order Form, place both items (prescription and form) in an envelope and mail to:

HealthWarehouse.com, Inc
100 Commerce Boulevard
Cincinnati, Ohio 45140


  1. Fax: You or your doctor may fax these documents to 866-821-1284.

To download the Generic Mail Order Form please refer to http://www.atlantishp.com/members/forms.asp.

Once your prescription is received and processed, your order will arrive at your home within 2-5 business days. HealthWarehouse.com will automatically refill your prescriptions before your current supply runs out. If you currently obtain your mail order generic drugs from CatalystRx (through IPS), your prescriptions will automatically transfer to HealthWarehouse.com.

If you have further questions, please call HealthWarehouse.com Customer Service at 866-885-0508 or CatalystRx Customer Service at 888-341-8570. We are confident that you will be satisfied with HealthWarehouse.com and the services they provide. 


Stellaris Health System, Westchester County

As of December 1, 2010, the following four hospitals affiliated with Stellaris Health System in Westchester County no longer participate in the Atlantis Health Plan (“Atlantis”) Provider Network:

Lawrence Hospital
701 North Broadway
Tarrytown, NY 10591
Phelps Memorial Hospital Center
55 Palmer Avenue
Bronxville, NY 10708
Northern Westchester Hospital
400 East Main Street
Mount Kisco, NY 10549
White Plains Hospital
41 East Post Road
White Plains, NY 10601

If a member is in an ongoing course of treatment, has been scheduled for a procedure/admission, or has entered the second trimester of pregnancy, please call Atlantis’ Utilization Management department toll-free at 800-270-9072 for assistance in making alternative arrangements. In addition, Atlantis members will continue to have access to services with all other hospitals that participate in the Atlantis Provider Network: http://www.atlantishp.com/search/index.asp


Attention Atlantis Group Members!
Please review the following notifications regarding recent changes to Federal and State COBRA.
  • For Members in Employer Groups with 20 or more employees.
    COBRA Update (Adobe PDF)
  • For Members in Employer Groups with fewer than 20 employees. If you feel that you meet the criteria for the COBRA Election, please contact your former employer.
    Member COBRA Election Application (Adobe PDF)



Track Your Mail Order Prescription Packages
Age 29 Benefits


Track Your Mail Order Prescription Packages

Effective July 1st, 2008, IPS will be providing delivery confirmation on all packages delivered via the United States Post Office; this is in addition to the confirmation already provided on parcels sent via UPS. This added feature will allow members to track packages through the postal system, and verify delivery status. This status can be checked via IPS's website at www.ipsrx.com for any member who has registered as a Member Services user. Members without access to IPS's web-site can call an IPS Customer Service Representative at 1-800-233-3872 for status updates.

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Age 29 Benefits

New York State has recently changed their laws regarding dependent coverage, so this means that your covered dependent child who loses coverage before age 30 because he or she reaches the plan’s limiting age may now be eligible to continue coverage until their 30th birthday.

In order to be eligible for coverage, young adults must meet the following requirements:

  1. Be unmarried;
  2. Be 29 years of age or under;
  3. Not be insured by or eligible for health insurance through his or her own employer;
  4. Live, work or reside in New York State or the health insurance company’s service area;
  5. Not be covered under Medicare; and
  6. Their parent (the subscriber) must maintain coverage with Atlantis through their employer.
Coverage for these dependents will end on the first to occur of the following:
  1. The date the dependent no longer meets the dependent requirements.
  2. Failure to pay premium for the dependent coverage.
  3. Date on which the group or subscriber policy is terminated.
The law has 2 segments: (1) a Make Available Option and (2) a Mandatory Right of Election – Young Adult Option. To learn more about these options and eligibility, please read the applicable notice:

Information on Age 29 Benefits for Group Employees
Information on Age 29 Benefits for Direct Pay Members

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