United healthcare in network primary care physicians

Staying in your Medicare Advantage plan’s network when you need care can save you money. The UnitedHealthcare Find a Provider tool can help you find in-network providers.

UnitedHealthcare Medicare Advantage networks

You can save money by knowing what doctors are in-network for your UnitedHealthcare Medicare Advantage plan. Medicare Advantage plans are a different way to get your Medicare benefits.  Medicare Advantage plans cover all the benefits of Medicare Part A (hospital insurance) and Part B (medical insurance). Plus, most plans include prescription drug coverage and additional benefits not covered by Original Medicare. Medicare Advantage plans are provided by Medicare-approved private insurance companies. These plans, such as those offered by UnitedHealthcare, often contract with health providers to deliver care.

Most UnitedHealthcare Medicare Advantage plans have provider networks. Common UnitedHealthcare Medicare Advantage plan types and their network arrangements are listed below.

• Health Maintenance Organizations (HMOs): UnitedHealthcare Medicare Advantage HMOs generally require you to get your health care from providers in the plan’s network or your plan may not pay for services. Exceptions to this rule include out-of-network emergency care, urgent care, and renal dialysis services. You’ll choose a primary care provider (PCP) who will handle all your routine health care. Some plans require you to obtain specialty referrals from your PCP.
• Preferred Provider Organizations (PPOs): UnitedHealthcare Medicare Advantage PPOs give you the flexibility to visit any provider nationwide who accepts Medicare, without referrals. . However, you usually pay less when you use providers in the plan’s preferred provider network.
• Special Needs Plans (SNPs): UnitedHealthcare Medicare Advantage SNPs can be HMO or PPO plans. Enrollment in these plans is limited to individuals who a) have certain qualifying chronic illnesses or conditions, b) live in a nursing home or in a contracted assisted living facility and require the level of care provided in a nursing home c) are eligible for both Medicare and Medicaid benefits.

Not all plan types are available everywhere. The UnitedHealthcare Medicare provider networks can be different from one plan to another.

Finding UnitedHealthcare Medicare Advantage providers 

If you already know the UnitedHealthcare Medicare Advantage plan you want, you can use the internet search tool, UnitedHealthcare Find a Provider, to search for network providers. Just go to UnitedHealthcare’s website at www.UHCMedicareSolutions.com and select “Find a Provider” near the bottom of the page.

You can also log into if you already enrolled in a UnitedHealthcare Medicare Advantage plan and have received your member ID card. There you can save your provider searches in an account that is personalized to your care and coverage.

Medicare beneficiaries may also enroll in a UnitedHealthCare Medicare plan through the CMS Medicare Online Enrollment Center located at http://www.medicare.gov. Out-of-network/non-contracted providers are under no obligation to treat UnitedHealthCare members, except in emergency situations. Please call our customer service number or see your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services.

Plans are insured through UnitedHealthcare Insurance Company or one of its affiliated companies, a Medicare Advantage organization with a Medicare contract. Enrollment in the plan depends on the plan’s contract renewal with Medicare.

UnitedHealthcare The Villages MedicareComplete is insured through UnitedHealthcare Insurance Company or one of its affiliated companies (UnitedHealthcare), a Medicare Advantage organization with a Medicare contract. Enrollment in the plan depends on the plan’s contract renewal with Medicare.

Plans are insured through UnitedHealthcare Insurance Company or one of its affiliated companies, a Medicare Advantage organization with a Medicare contract and a contract with the State Medicaid Program. Enrollment in the plan depends on the plan’s contract renewal with Medicare.

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UnitedHealthcare has introduced a new health plan that offers consumers in Southwest Arizona personalized and seamless customer support as well as the opportunity to save up to 15% on premiums.

The Doctors Plan of Arizona provides access to quality, affordable, patient-focused health care for people with employer-sponsored health coverage in Arizona's Maricopa and Pinal counties. The plan includes Banner Health Network and is an example of how the health care system can evolve to improve health outcomes and the health care experience for patients while lowering costs.

“In designing the Doctors Plan of Arizona, we wanted to not only offer significant cost-savings but also a more personalized, simplified and coordinated care experience that can help people improve their health and well-being,” said Heather Kane, CEO of UnitedHealthcare in Arizona.

Banner Health Network is an accountable care organization that joins Arizona’s largest health care provider, Banner Health, and an extensive network of primary care and specialty physicians to provide comprehensive health care solutions for Maricopa County and parts of Pinal County. Known nationally as an innovative leader in new health care models, Banner Health Network is working collaboratively with insurance plans and physicians to keep members in optimal health, while reducing costs.

Doctors Plan of Arizona members have access to care from more than 5,000 physicians and 15 medical centers in the Banner Health Network, all of whom are dedicated to delivering cost-effective and evidence-based care. As a result, the plan offers members the opportunity to save up to 15% on premiums compared to a traditional PPO offering. Members also have access to primary care and urgent care visits for a $0 copay, 24/7 telehealth visits and care coordination driven by their primary care physician.

To enhance the customer experience, UnitedHealthcare has developed a dedicated service team that provides personalized concierge support for members enrolled in the Doctors Plan of Arizona. The customer care advocates have access to relevant patient data from both the provider and health plan, enabling them to handle all of the behind-the-scenes coordination on members’ behalf and to serve as their sole contact until their question is answered or the issue is resolved. This concierge support model better serves members’ needs by removing the hassles of being transferred or having to call back to confirm the status of an issue.

Doctors Plan of Arizona members also have access to the resources available to all eligible UnitedHealthcare plan participants, including digital tools at myuhc.com, the UnitedHealthcare app and 24/7 virtual physician visits. Available now, the design of the plan, as well as the resources available to members, help create a seamless experience for both fully insured and self-insured members.

The Doctors Plan of Arizona is the third health plan featuring a high-performing network that UnitedHealthcare has launched in partnership with care providers in recent years. It joins the Colorado Doctors Plan, which UnitedHealthcare launched with Centura Health in 2019, and the California Doctors Plan, which UnitedHealthcare launched with Canopy Health in 2020.

About UnitedHealthcare

UnitedHealthcare is dedicated to helping people live healthier lives and making the health system work better for everyone by simplifying the health care experience, meeting consumer health and wellness needs, and sustaining trusted relationships with care providers. In the United States, UnitedHealthcare offers the full spectrum of health benefit programs for individuals, employers, and Medicare and Medicaid beneficiaries, and contracts directly with more than 1.3 million physicians and care professionals, and 6,500 hospitals and other care facilities nationwide. The company also provides health benefits and delivers care to people through owned and operated health care facilities in South America. UnitedHealthcare is one of the businesses of UnitedHealth Group (NYSE: UNH), a diversified health care company. For more information, visit UnitedHealthcare at www.uhc.com or follow @UHC on Twitter.

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