The MEMPHIS Plan
Affordable Healthcare for Small Businesses
How Does it Work?
For those who qualify, the MEMPHIS Plan office will assign you (and your dependents, if applicable) to one primary care physician who you will see for a $5 co-pay every time, in addition to your personal $50/month (at least $10/month paid by your employer). In addition, you will be assigned to a specific hospital in the case of an emergency, and if you go to the one properly assigned, it will also be only a $5 co-pay.
In the case of needing to see specialists, one should make an appointment with their assigned primary care physician and that physician will make the appropriate referral, which will insure that the specialist’s services are also covered under the Plan.
Is it Right for Me?
What to Do in Case of Emergencies?
In the case of an emergency, MEMPHIS Plan participants should go to the hospital that they have been assigned to (found on the back of your enrollment card). DO NOT go to the nearest emergency room; that visit will not be covered under the Plan. However, if you do go to the correct hospital, it will be the same $5 co-pay.
Ambulance rides are not covered under the Plan.
How to Enroll
If you are applying as a new enrollment, please call our office at 901-272-PLAN before you submit the necessary enrollment forms below.
After speaking with one of our enrollment specialists, you must submit the Enrollment Agreement, Enrollment Application and either the Payment By Credit Card or Payment By Bank Draft form.
Please download and fill out the necessary PDF forms below. The forms can be mailed to the MEMPHIS Plan at 1350 Concourse Ave., Suite 142, Memphis, 38104 or scanned and emailed to email@example.com.
For those who qualify, the MEMPHIS Plan offices will assign you (and your dependents, if applicable) to one primary care physician who you will see for a $5 co-pay every time. In addition, you will be assigned to a specific hospital in the case of an emergency, and if you go to the one properly assigned, it will also be only a $5 co-pay.
In the case of needing to see a Specialist, one should make an appointment with their assigned Primary Care Physician and that physician will make the appropriate referral, which will insure that the specialist’s services are also covered under the MEMPHIS Plan. You will find the assigned doctors and hospitals on the letter of enrollment that the MEMPHIS Plan offices will send you, along with your MEMPHIS Plan “card” that comes when you sign up for the Plan.
Criteria for Employees
Criteria for Self-Employed People
MEMPHIS Plan for Employees FAQ
Refer to your enrollment packet and call your assigned doctor to set up an appointment in order to become an established patient.
- Preventive Health Services – routine health exams, screenings, immunizations
- Sick Care – Visits to your doctor when you are sick, ER access, same day walk-in clinic access
- Subspecialty Services – If you have seen your doctor and they have referred you to a subspecialist, the referral must be completed through the MEMPHIS Plan office. When possible, subspecialty care will be provided for a $5 co-pay.
- Dental Services – Access to dental services at the Church Health Dental Clinic. Fees are based on a sliding scale.
- Optometry Services – Access to our optometry clinic is available. Fees are billed on a sliding scale.
Check your enrollment packet for information on your assigned doctor’s office and hospital. If you do not currently have the sheet with this information, you should call 901-272-PLAN to request it.
If there is a problem with your current doctor, changing is possible, but may take some time to find an opening. Call 901-272-PLAN if this applies to you.
- In the case of an emergency, you should find the information that was mailed to you with your MEMPHIS Plan card. Next to the information about doctor you should visit, you will find the hospital to which you have been assigned to go to in an emergency.
- If you do not have a life-threatening emergency, then you should go to the Church Health Walk-In Clinic, 1350 Concourse Ave. Access the clinic by entering through the Claybrook entrance at Crosstown Concourse (across from NexAir). To be seen at the clinic, you must arrive at or before 7 am, Monday-Friday.
We do not provide this information, but we will work to find a doctor that is close to your home or work.
Make an appointment with your doctor and get a referral. If you require urgent care, please visit the emergency room at your assigned hospital or the Church Health walk-in clinic at 1350 Concourse Ave., which takes patients on a first come basis starting at 7am Monday-Friday.
No, as it is covered under TennCare. If you become pregnant while on the Plan, the Plan will be terminated for the duration of the pregnancy. One of our representatives will assist you with enrolling in TennCare in order for you to obtain healthcare coverage during your pregnancy. You and your child can come back on the MEMPHIS Plan once the baby is born.
If your application is complete and turned in with all necessary documents before the last day of the month, allow one processing enrollment month. The following month, your Plan is effective.
For example: if you complete your application on May 6, your enrollment processing month will be June. Your Plan becomes effective July 1.
Free or low-cost prescriptions are available at Good Shepherd Pharmacy, Madison Pharmacy, the Methodist Outpatient Pharmacy, and the Church Health Prescription Program. Click here for complete information.
For employers, particularly small business owners and those who are self employed, the MEMPHIS Plan provides affordable access to healthcare and is a great option for both you and your employees.
By signing up to offer the MEMPHIS Plan, you can offer your currently uninsured, hardworking employees access to a primary care physician, a place to go in case of a medical emergency, and numerous wide-ranging specialists for only $10 a month (and $40/month for the employee, with the cost rising with additional dependents).
To qualify, employees must work more than 20 hours a week, meet the income requirement (less than 200% of the poverty level), and your business must employ less than 200 eligible participants, be located in the state of Tennessee, and they must not already be covered by any government or private insurance healthcare plan.
For Doctors - A Way to Give Back
For doctors, the MEMPHIS Plan is a way to give back to the community and care for underserved patients without having to interrupt your everyday schedule. You don’t have to come to a free clinic on the weekend or in the evening.
As a MEMPHIS Plan provider, you will have patients assigned to you, similar to an insurance panel. These patients will come to your office to be seen, within your normal patient schedule. You can choose how many patients you wish to have assigned to you. Currently, there are doctors volunteering to care for a range of 10-100 MEMPHIS Plan patients.
On average, a MEMPHIS Plan patient sees their doctor 2-3 times/year. Their lab work and diagnostic testing is all covered by the MEMPHIS Plan, ordered directly from your office. Specialty referrals are handled by our MEMPHIS Plan office at your request.
MEMPHIS Plan for Doctors FAQ
You do not have to do anything but write the prescription and sign off on the generic version if applicable. It is up to the patients to get the medicine that has been prescribed, and we give them several affordable ways to do so, but it is not the doctor’s responsibility.
Diagnostic testing is not scheduled by the MEMPHIS Plan office. Testing may be scheduled by your office and set up at the hospital they are assigned to.
You should call 901-272-PLAN to discuss with a MEMPHIS Plan representative.
Yes. If the patient/doctor relationship is not satisfactory, they can be moved off of your case. Just call the MEMPHIS Plan office and we will reassign the participant.
Yes; for information of other doctors who have served on the Plan, call the MEMPHIS Plan offices and we will gladly provide reference information.
The MEMPHIS Plan uses the following labs and has an agreement with them to donate their services: LabCorp, Midsouth Pathology Group, AEL, and Quest Diagnostics. If you choose to use LabCorp, please provide them with the MEMPHIS Plan account number: 41118905.
For all other labs, please indicate on the requisition form that they are a MEMPHIS Plan participant.
The MEMPHIS Plan has agreements with Methodist University Hospital and Baptist East. Patients are assigned to one of these two hospitals to use for emergency room visits and required surgeries. Should your patient require hospitalization, please send them to the hospital that they are assigned to.
Call 901-272-PLAN and ask for your monthly patient list. We would be happy to send it again.
You should call our office and verify that they are not on your list. Every once in a while, a patient may be assigned to a doctor but the doctor’s patient list may not be updated. If you call and verify and they truly are not on your list, they should call our offices and see whose case they actually are on.