ProHealth Partners: Your Neighborhood Doctors
Even with all of the changes in health care today, you can be assured that there is a doctor in your neighborhood that will take a personal interest in your care. ProHealth Partners, a primary care medical group with physicians throughout the Long Beach area, is committed to making medical care convenient and responsive to the individual needs of you and your family.

"ProHealth Partners was created over a year ago to fill a need our patients were telling us about," said Robert Lugliani, M.D., president of ProHealth Partners. "Many of your told us, 'keep medical care affordable, but don't force me to go to a big clinic where the care is impersonal and I'm never sure which doctor I'm going to see'."


Top Row (From left to right) Thomas McCloy, M.D.; Kenneth Carrell, M.D.; Steven Lake, M.D.; Nathaniel Neal, M.D.; Barry Allswang, M.D.; Robert Lugliani, M.D.; Bijan Ghatan, M.D.

Middle: Savithri Krishnamurthy, M.D.; Gerald Cohen, M.D.; Yvonne Tyson, M.D.; Richard Berkson, M.D.; Rudolfo Ibarra, M.D.; Lawrence Coughlin, M.D.; Clayton De Jong, M.D.

Bottom: Perry Koseff, D.O.; Rene Perez-Silva, M.D./ John Crivaro, M.D.; Diana Bryant, M.D.; Greta Waynik, M.D.

More than 27 ProHealth Partners doctors made the decision to stay in their current office locations, because they are convenient to most neighborhoods in Long Beach and surrounding communities. Physicians, who have been practicing in the long Beach community for years, are continually joining ProHealth Partners and providing new locations.

Personal Attention
ProHealth Partners was founded by physicians with well established reputations for caring for local residents. ProHealth Partners is not owned by a large corporation or health plan, but was established by your neighborhood doctors.

"Even though our doctors participate in virtually all types of health plans, including most PPOs and HMOs, we are organized to assure that managed care doesn't mean the end of personalized care," Lugliani said. "ProHealth Partners wants doctors to do what they were trained for - provide compassionate, highly skilled medical attention."

Easy Access
With contracts with most every health plan (see list for details) that serves Long Beach, southeast Los Angeles County and northwest Orange County, you are assured access to a physician in ProHealth Partners even if you change jobs or health insurance. Our doctors practice at many of the local hospitals including St. Mary Medical Center, Long Beach Memorial Medical Center, Community Hospital of Long Beach, Pacific Hospital of Long Beach, Lakewood Regional Medical Center, Los Alamitos Medical Center as well as Woodruff and Bellflower hospitals.

All ProHealth doctors and their office staff go the extra mile to accommodate your special needs, For example there are offices with extended evening and weekend hours and bilingual medical professionals on staff.

Quality Care
Each ProHealth Partner is an extremely well-trained primary care physician. When you need more specialized are, your ProHealth physician will refer you to a highly qualified specialist that will meet your medical needs.

ProHealth Partners owns and operates its own state-approved laboratory. Other diagnostic services are being developed to provide you with easy access to additional medical services.

       
 


Argus Medical
Management Leads the
Way to Personalized Care

To provide ProHealth Partners more time to care for their patients, Argus Medical Management was created to take over the administrative responsibility of running an office. The primary purpose of Argus is to provide a highly professional level of management services to physicians, thereby allowing them to maximize their time with their patients and patient care.


 

Argus works closely with each physician in ProHealth Partners to understand their special relationships and unique circumstances of each patient. This leads to accurate processing of claims and billing.

Argus is ProHealth Partners' silent partner because our patients will have little, if any, contact with Argus. However, these important services provided by Argus allow our physicians to provide the same personalized service patients have relied on for years.

If at any time should you have questions regarding your account, the staff at Argus or your physician's staff would be happy to assist you in resolving your concerns.

 
         

Don't Just Choose a Doctor,
Choose a Partner in Good Health
Open enrollment provides the best opportunity for managed care patients to be proactive regarding their healthcare. Before you select your health plan, talk to your health plan representative or employer on your specific health plan policies and coverage.

Selecting your personal primary care physician is one of the most important decisions you'll have to make about your health care. Today, with all of the different types of health plans and insurance coverage, often the first step in that process is determining which health plan to choose. You may have several options through your employer or available to you individually. But which one is right for you? Since the terms are confusing, here's a primer on the basic types of health plans offered.



An HMO (Health Maintenance Organization) provides comprehensive coverage at a reasonable price. You will select a primary care physician from a list of provided by the HMO> The primary care physician takes full responsibility for your health, referring you to specialists or hospital services when necessary. Co-payments for office visits or prescriptions are usually minimal. Payment for services not authorized by your primary care physician are usually not covered by the HMO.



A PPO (Preferred Provider Organization) offers a broader list of physicians to select primary care and specialty care. You may go to a physician not on the PPO's list, but you may have to pay a higher co-payment than you would if you went to a physician in the health plan's provider list. Co-payments are typically higher than an HMO as is the cost of the plan itself. As opposed to the HMO, you usually do not need authorization to see care from a specialist.




A Point of Service (POS) plan is a mix between an HMO and a PPO. It is basically an HMO which allows you to see care from physicians not listed in the provider book, but at a higher cost to you. POS plans usually cost somewhere between the cost of an HMO and a PPO.

Confused? The ProHealth Partners office staff can help answer your questions about these definitions. Keep in mind the types of health care services you use, your budget and what the health plan will pay for and what it will not.

Remember, the most important thing to do is choose the right doctor for you. Once you have selected a doctor, choosing a health plan is easy. Just look for your ProHealth Partners physician's name in your medical plan's listing of providers.

Rest assured that the physicians in ProHealth Partners meet the highest standards of quality. With locations throughout the greater Long Beach area and with contracts with more than 100 health plans, you will easily find a ProHealth Partner to fit your needs.

Physician Referral Information
To find out more information about any of the doctors in ProHealth Partners, please call our physician referral line, 1.888.PROMEDI (776.6331). 8 a.m. - 6 p.m. Monday - Friday. We'll help you pick a health care partner that is right for you.

 

 
 


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ProHealth Partners: Your Neighborhood Doctors

Argus Medical Management Leads the Way to Personalized Care

ProHealth Partners Participating Health Plans


ProHealth Partners Participating Health Plans


Search for a ProHealth Partner by Category
 
 


Health Plans

ProHealth Partners participates in nearly all major health plans in Southern California including:*

HMO
Aetna Select Choice
Aetna Senior Choice
Blue Shield of California
California Care
California Care Senior
California Care
Personal

CareAmerica
CareAmerica 65
CIGNA
CIGNA Independent
Practice Network
CIGNA Private
Practice Plan
County of Orange

Medical Group
(COMG)
ExclusiCare
FHP
FHP/Take Care
FHP Golden Health Care
FHP Senior
Foundation Health Plan
Foundation Health

Senior Plan
Health Net
Health Net Options
Health Net Select
Health Net Seniority
HMO California
Maxicare
Maxicare 65
Maxicare Medi-Cal
Memorial Senior
Ambassador Plan
MetLife
MetraHealth
National Health Plan
PacifiCare
PacifiCare Medical
PruCare
PruCare 1 Senior
Qual-Med HMO/
Health Net
SCAN
SmartCare
Secure Horizons
TakeCare Preferred
Network
TakeCare
Universal Care


PPO

Admar Corp/
Principal Health Care
Admar Exclusive Health
Admar Focus-
Worker's Comp.
Admar Med. Network
Admar MedSense
Adolph Coors Company
Aetna Health Plan
Affordable Health Care
Concepts (Healthcare
Compare)
Allnet
Allnet Preferred
Providers, Inc.
Americas Health Plan
American Health Network
American Insurance
Consultants, Inc.
Anthem Health Network
August/AugNet
Healthcare Services
Banner Health Systems
Breech Street
Benefit Plan
Designs, Inc.
Blue Cross
Prudent Buyer
Blue Shield of California
Blue Shield
Preferred Plan
BPS Healthcare
California Care
Capp Care
CHAMPUS
CIGNA Healthcare
CoMed Management
Community Care

Network (CCN)
CompAlliance
ConserviCare
Cost Care Exclusive
Provider Network
Custom Care
Dual Plus
Foundation Health
Health Access
Health Net Select
Health Net Options
Healthcare
Compare Corp.
Healthcare Payor

Organization
Industrial Indemnity
Interplan
Lincoln National
(TakeCare)
Los Angeles Foundation
for Med. Care
Managed Care Incorporated
(August/Augnet)
Medical Plan of
Seal Beach
Medipace
MetraHealth
Metropolitan Met. Elect
Metropolitan
Multiplan Corp.
National Med
NME Employee -
Provident
Occupational - Urgent
Care Health
System (OUCH)
Orange County
Foundation for
Med. Care
PacifiCare
Pacific Health Alliance
Pacific Mutual
Parker Hannifin
Partners CHAMPUS
Health Plan
PPO Alliance
PPO Alliance Plus
PPO Comp Alliance
Preferred Health
Company
Preferred Health Network
Principal Health
Care/ADMAR
Private Healthcare
Systems, Inc. (PHCS)
Provident Preferred
Network
Provident Life and
Accident
PruCare ASO
PruCare Plus
PruNet
PruNetworks
Prudential
Prudent Buyer Plan
TakeCare Preferred
Network
Travelers
Universal Health Network
USA Health Network
USC Managed
Health Care Plan

IPA
Physicians of Greater
Long Beach (PGLB)
Los Alamitos
LB Community
Medical Group
Mullikin
County of Orange
Lakewood
Long Beach Memorial

*Not all physicians participate in all plans.

 





 
  Open enrollment provides the best opportunity for managed care patients to be proactive regarding their healthcare. Before you select your health plan, talk to your health plan representative or employer on your specific health plan policies and coverage.