Please note that UnitedHealthcare’s AARP Medicare Supplement plans are not impacted. As a result, UnitedHealthcare and NHP, Preferred Care Network, WellMed and Medica will no longer consider Broward Health physicians and hospitals as part of its network. Unfortunately, UnitedHealthcare has been unwilling to reach a new, fair agreement that values the care our team provides. Recognize the outstanding care our team members have provided during the pandemic and beyond, as our other partnering health insurance companies have done.Acknowledge our team at reimbursement levels provided by other health insurance companies.Reimburse our team at levels comparable to other health care providers in South Florida.Our discussions with UnitedHealthcare are about fairness we are asking them to: UnitedHealthcare has historically undervalued the care our team members provide. We have made every effort to reach a new agreement, even going so far as offering to reconcile with UnitedHealthcare based on the final determination of an independent third party that could fairly evaluate our requests. Members do not have to have a referral to see a specialist as long as the specialist is contracted with UnitedHealthcare HMO.For many months, our team has been working with UnitedHealthcare in good faith to achieve a new contract that would put Broward Health's reimbursement rates, which are among the lowest in the region, in line with rates UnitedHealthcare provides to other health systems in South Florida. You will not be billed for additional amounts on covered services.ĭo I need a referral for Specialty Care (Specialist)? Under UnitedHealthcare HMO, you should only have to pay the specified copay amount for covered services. For example, you pay a small copay each time you visit the doctor's office. There is no deductible or co-insurance on the HMO plan. Anthony PCP the next month, you may.Ī copay is the amount you're required to pay directly to the provider each time you use medical services. Additionally, if you are with a Mercy PCP and want to move to a St.
For example, if your PCP is with Mercy and you wish to see a St. Also, members do not have to stay within a certain network of physicians. For example, if a member calls September 30th the PCP change will take effect on October 1st. PCP changes will take effect the first of the following month. You can search for providers on Members may change their PCP up to once a month by contacting a UnitedHealthcare customer service representative. If retiree and/or covered dependent(s) move out of the service area, contact Employee Benefits within 31 days.Įach family member may choose a Primary Care Physician (PCP) from one of the doctors listed in UnitedHealthcare's provider directory. The service area is the State of Oklahoma. Prescription drugs must be included on the plan formulary in order to be covered.Īll retirees and covered dependent(s) must reside within the UnitedHealthcare service area. A prescription drug plan (Administered by OptumRx) is offered with the HMO plan. If you go to a non-network provider, except for emergency care, any service(s) provided will not be covered. When you receive service from a network provider, you pay a copay for covered service(s) with no additional deductible or co-insurance. Website: The HMO plan offers a network of doctors, specialist, and hospitals within a geographic area.
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