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Benefit Plans Subject to this Guide - Chapter 1, 2018 UnitedHealthcare Administrative Guide

Benefit Plans Subject to this Guide

To view details, click on the "+" sign by the product name of interest. 

Plan Name

  • All Savers Insurance Company

Location of Most Members Subject to Additional Guides

  • All Markets

Additional Guide or Website

Plan Name

  • MD Individual Practice Association, Inc.

Location of Most Members Subject to Additional Guides

  • DC
  • DE
  • MD
  • VA
  • WV
  • Some counties in Southeastern PA

Additional Guide or Website

Plan Name

  • Medica HealthCare

Location of Most Members Subject to Additional Guides

  • FL counties: Broward and Miami-Dade

Additional Guide or Website

Plan Name

  • Capitated and/or Delegated Providers Commercial and MA

Location of Most Members Subject to Additional Guides

  • All Markets

Additional Guide or Website

Plan Name

  • NHP: Neighborhood Health Partnership, Inc.

Location of Most Members Subject to Additional Guides

  • FL

Additional Guide or Website

Plan Name

  • OCI: Optimum Choice Inc.

Location of Most Members Subject to Additional Guides

  • DC
  • DE
  • MD
  • VA
  • WV
  • Some counties in PA

Additional Guide or Website

Plan Name

  • OneNet PPO

Location of Most Members Subject to Additional Guides

  • DC
  • DE
  • MD
  • NC
  • VA
  • WV
  • Limited Network in: FL, GA, SC, TN

Additional Guide or Website

Plan Name

  • Oxford Health Plans, LLC
  • Oxford Health Insurance, Inc.
  • Investors Guaranty Life Insurance Company, Inc.
  • Oxford Health Plans (NY), Inc.
  • Oxford Health Plans (NJ), Inc.
  • Oxford Health Plans (CT), Inc.

Location of Most Members Subject to Additional Guides

  • CT
  • NJ
  • NY (except up-state)
  • Some counties in PA

Additional Guide or Website

Plan Name

  • Preferred Care Partners

Location of Most Members Subject to Additional Guides

  • FL counties: Broward, Miami-Dade and Palm Beach

Additional Guide or Website

Plan Name

  • UnitedHealthcare Services Company of the River Valley, Inc.
  • UnitedHealthcare Plan of the River Valley, Inc.
  • UnitedHealthcare Insurance Company of the River Valley

Location of Most Members Subject to Additional Guides

  • Parts of AR, GA, IA, IL TN, WI, VA
    • Your UnitedHealthcare contract specifically references River Valley or John Deere Health protocols or Guides; and
    • You are located in AR, GA, IA, TN, VA, WI or the following counties in Illinois: Jo Daviess, Stephenson, Carroll, Ogle, Mercer, Whiteside, Lee, Rock Island, Henry, Bureau, Putnam, Henderson, Warren, Knox, Stark, Marshall, Livingston, Hancock, McDonough, Fulton, Peoria, Tazewell, Woodford, McLean, and
    • You are providing services to a River Valley Commercial member and not a River Valley Medicare Advantage, Medicaid or CHIP member.

Note: River Valley also offers benefit plans in LA, NC, OH & SC, but the River Valley Additional Guide does not apply to those benefit plans.

Additional Guide or Website

Plan Name

  • Sierra Health and Life Insurance Co., Inc.
  • Health Plan of Nevada, Inc.
  • Sierra Healthcare Options, Inc.

Location of Most Members Subject to Additional Guides

  • Outside NV only:
    • The health care ID card identifies the Sierra or Health Plan of Nevada members who access the UnitedHealthcare network outside of Nevada, and includes the following reference: 
    • UnitedHealthcare Choice Plus Network Outside Nevada.

Additional Guide or Website

  • Services rendered outside of Nevada to Sierra or Health Plan of Nevada members with the health care ID card reference described described here are subject to your UnitedHealthcare agreement and to this guide unless you are in Arizona or Utah and have a contract directly with Sierra or Health Plan of Nevada.

Plan Name

(Formerly referenced in this guide as “PacifiCare”)

  • UHC of California dba UnitedHealthcare of California (hereinafter referred to as UnitedHealthcare of California)
  • UnitedHealthcare Benefits Plan of California
  • UnitedHealthcare of Oklahoma, Inc.
  • UnitedHealthcare of Oregon, Inc.
  • UnitedHealthcare Benefits of Texas, Inc.
  • PacifiCare of Arizona, Inc.
  • PacifiCare of Colorado, Inc.+
  • PacifiCare of Nevada, Inc.

+ Medicare Advantage benefit plans only.

Location of Most Members Subject to Additional Guides

  • AZ
  • CA
  • CO
  • NV
  • OK
  • OR
  • TX
  • WA

Additional Guide or Website

Plan Name

  • Golden Rule Insurance Company Group #705214
  • Oxford Health Insurance, Inc. Group #908410

Location of Most Members Subject to Additional Guides

  • All Markets
  • New Jersey

Additional Guide or Website