Florida: In-home palliative care for UnitedHealthcare Medicare Advantage members

Last modified: September 3, 2021

We’re working with Aspire Health and Prospero Health to provide UnitedHealthcare Medicare Advantage members in Florida with medical care and support at home for a chronic or long-term illness.*

Medicare Advantage palliative care vendors

Both Aspire and Prospero are available to eligible members in Florida, however, the vendor serving the member depends on where the member lives. Aspire and Prospero will proactively identify and contact eligible members in their respective counties.

Referrals and what this means for you

We want to help ensure your patients who are UnitedHealthcare Medicare Advantage and Dual Special Needs Plan (D-SNP) members have access to in-home palliative care if medically necessary.

When you determine an eligible member may benefit from palliative care, you’re encouraged to refer them. You’ll start the referral process by contacting us at uhc_fl_fbhrcm@optum.com. We’ll send you information about the vendor serving the member’s county and a referral form. Please include:

  • Your name
  • The member’s address or the Florida county where they live

Then, you’ll fill out and submit the referral form. The vendor will enroll the member if the member qualifies. If the member doesn’t qualify, the vendor helps the member connect with more appropriate resources and will notify the member’s primary care and specialty health care team.

Member eligibility

Each vendor determines eligibility and reviews for medical necessity. Qualified members are usually all the following:

  • A UnitedHealthcare Medicare Advantage member (including D-SNP)
  • Appears to be in the last 12 months of life
  • Has multiple medical chronic conditions or a recent inpatient or skilled nursing facility admission

About Aspire and Prospero

Aspire and Prospero offer similar services in the home and over the phone, available 24/7. Each help to ensure the continuity of care that helps patients avoid unnecessary hospitalizations while receiving care in the comfort of their home.

They each have a team of physicians, nurse practitioners, social workers and other professionals who address and coordinate care for patients and families managing serious illness.

Questions?

Please email us at uhc_fl_fbhrcm@optum.com or call the Provider Services number on the member’s UnitedHealthcare ID card.

* Other palliative care vendors and health care professionals may be available as in-network options for members.
PCA-1-21-01757-M&R-News