UnitedHealthcare NexusACO is expanding

Last modified: January 13, 2021

UnitedHealthcare NexusACO membership is expanding in 2021. Since some of your patients may choose this tiered commercial benefit plan, we’re sharing resources to help you care for NexusACO members.

Our NexusACO quick reference guide and frequently asked questions have important details about the plan, including:

  • NexusACO plan features
  • Prior authorization and referral requirements
  • The role of PCPs

For more information, visit UHCprovider.com/plans > choose your state > Commercial > UnitedHealthcare NexusACO.

NexusACO Benefit Plan

UnitedHealthcare NexusACO is a tiered commercial benefit plan designed to encourage members to seek care from Tier 1 providers. Tier 1 providers are either care providers with selected accountable care organizations (ACOs) or UnitedHealth Premium® Care Physicians. NexusACO members have a lower cost share when they receive care from Tier 1 providers and when their PCPs refer them to Tier 1 specialists. To find a care provider’s tier status, see the NexusACO online provider directory.