![]() UnitedHealthcare SignatureValue Advantage plans offer the same level of benefit coverage as a traditional HMO plan at a lower premium with a narrower network of contracted care providers.UnitedHealthcare SignatureValue plans offer full health maintenance organization (HMO) access to a large network of care providers and flexible benefits. ![]() Preventive care, including checkups, is covered. The UnitedHealthcare SignatureValue health plans encourage members to use their primary care provider (PCP) to coordinate care across a wide spectrum of health services and enter electronic referrals to network specialists. NexusACO Overview and Frequently Asked Questions.UnitedHealthcare NexusACO RP plans offer network coverage when the PCP refers a member to a network specialist, and lower coverage applies when there is no referral or with an out-of-network specialist.Īll UnitedHealthcare NexusACO members are required to select a primary care provider (PCP) within the network to provide their preventive care, treat chronic conditions, manage medications and enter specialist referrals.UnitedHealthcare NexusACO RB plans offer network coverage when the PCP refers a member to a network specialist, and lower coverage applies when there is no referral.UnitedHealthcare NexusACO R plans offer network-only coverage for care providers.UnitedHealthcare NexusACO Plans – Referral Required UnitedHealthcare NexusACO OAP plans offer both network and non-network coverage.UnitedHealthcare NexusACO OA plans offer network-only coverage for care providers.UnitedHealthcare NexusACO Plans – Open Access There is out-of-network coverage for emergency services only. The UnitedHealthcare NexusACO suite of products offers cost-saving opportunities to members when they seek care providers from a select group of Accountable Care Organizations (ACO) nationwide. UnitedHealthcare Navigate Quick Reference Guide.Changes submitted on or before the 31st of the month will be effective on the first day of the following month. Navigate Plus also provides out of network coverage.Ĭhanges to PCP selection are permitted once per month. UnitedHealthcare Navigate Plus members may see a network specialist at a reduced benefit level when there is no referral.UnitedHealthcare Navigate Balanced members may see a network specialist at a reduced benefit level when there is no referral.UnitedHealthcare Navigate members must receive a referral from their PCP to see a network specialist for benefits to be covered.The UnitedHealthcare Navigate network is narrowed in some states. The UnitedHealthcare Navigate health plans encourage members to use their primary care provider (PCP) to coordinate care across a wide spectrum of health services and enter electronic referrals to network specialists.
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