Product Name:
HMO
HMO-POS
Medicare Member’s Eligibility:
How do members access physicians and health care professionals?
Does a primary care physician have to make a referral to a specialist?
Is the treating physician and/or facility required to give notification when providing certain services?
Product Name:
Medicare Member’s Eligibility:
How do members access physicians and health care professionals?
Does a primary care physician have to make a referral to a specialist?
Is the treating physician and/or facility required to give notification when providing certain services?
Product Name:
Medicare Member’s Eligibility:
How do members access physicians and health care professionals?
Does a primary care physician have to make a referral to a specialist?
Is the treating physician and/or facility required to give notification when providing certain services?
Product Name:
Dual Special Needs Plans (HMO, HMO-POS, PPO and Regional PPO)
HMO, HMO-POS, PPO, RPPO
UnitedHealthcare Dual Complete
HMO:
UnitedHealthcare Dual Complete Focus
UnitedHealthcare Senior Care Options (Massachusetts)
PPO, RPPO:
UnitedHealthcare Dual Complete Choice
Medicare Member’s Eligibility:
How do members access physicians and health care professionals?
Does a primary care physician have to make a referral to a specialist?
Is the treating physician and/or facility required to give notification when providing certain services?
Product Name:
Chronic Special Needs Plans (HMO, PPO and Regional PPO)
HMO:
UnitedHealthcare Chronic Complete
UnitedHealthcare Medicare Advantage Assist
UnitedHealthcare Medicare Advantage Walgreens
PPO:
UnitedHealthcare Medicare Advantage Assist
RPPO:
UnitedHealthcare Medicare Gold UnitedHealthcare Medicare Silver
Medicare Member’s Eligibility:
How do members access physicians and health care professionals?
Does a primary care physician have to make a referral to a specialist?
Is the treating physician and/or facility required to give notification when providing certain services?
Product Name:
Erickson Advantage Plans (HMO-POS)
Erickson Advantage Freedom Erickson Advantage Liberty Erickson Advantage Signature Special Needs Plans:
Erickson Advantage Champion (Chronic)
Erickson Advantage Guardian (Institutional)
Medicare Member’s Eligibility:
How do members access physicians and health care professionals?
Does a primary care physician have to make a referral to a specialist?
Is the treating physician and/or facility required to give notification when providing certain services?
Product Name:
UnitedHealthcare Group Medicare Advantage (HMO)
Medicare Member’s Eligibility:
How do members access physicians and health care professionals?
Does a primary care physician have to make a referral to a specialist?
Is the treating physician and/or facility required to give notification when providing certain services?
Product Name:
UnitedHealthcare Group Medicare Advantage (Regional PPO)
Medicare Member’s Eligibility:
How do members access physicians and health care professionals?
Does a primary care physician have to make a referral to a specialist?
Is the treating physician and/or facility required to give notification when providing certain services?
Product Name:
UnitedHealthcare Group Medicare Advantage (PPO
Medicare Member’s Eligibility:
How do members access physicians and health care professionals?
Does a primary care physician have to make a referral to a specialist?
Is the treating physician and/or facility required to give notification when providing certain services?
Individual HMO, HMO-POS and PPO plans
These plans provide all of the benefits covered under Original Medicare and more. Our plans do not have limits for pre-existing conditions, and they do not require physical exams. The member may have multiple choices of health plans depending on where they live.
While exact benefits may vary, these plans may give:
Some plans do not require an additional monthly premium for this coverage. The member simply continues to pay the Medicare Part B premium unless the member has coverage through Medicaid or another third party.
This Special Needs Plan (SNP) meets the needs of individuals enrolled in Medicare who also qualify for Medicaid (called dual eligible). This plan combines the benefits of Medicare and Medicaid.
This SNP is for members who have one or more severe or disabling chronic conditions. We help members manage their condition as well as their overall health and well-being.
These SNPs are for members who reside in a contracted skilled nursing facility or assisted living facility and require an institutional level of care.
We offer these plans to employer groups for their retired Medicare-eligible employees. They have benefits similar to the individual plans. The member’s ID card has the employer group name and number on it.