Endocrinologist near me that accept united healthcare

Please check with your healthcare provider to determine your policy’s benefits and any pre-visit requirements.

• Aetna
• Aetna Select: Must have referral – please read the back of your insurance card
• AmeriHealth
• Blue Care Network: Must have a referral from PCP (for glucose monitors, referrals must say "global")
  • BCN “SRO”: Patient doesn’t have to have a referral but their cost share is higher with no referral
  • BCN PCP Focus: Requires a referral from primary care physician
• Blue Cross Blue Shield PPO Trust
• Blue Cross Blue Shield Blue Preferred Plus
• Blue Cross Blue Shield Traditional
• Blue Cross EPO (aka) Southeast Michigan Local Network
• Cigna
• Cofinity
• Custom Design Benefits: There is no network to join, Medicare fee schedule and no referral is required
• Employee Benefit Logistics
• Fidelis: We are in-network but referral is required from PCP
• First Health/Coventry
• HAP: Preferred / Alliance Health and life PPO / HAP (except Henry Ford integrated network)
  • HAP Alliance Medicare PPO
  • HAP EPA
  • HAP EPO
  • HAP EPO HSA
  • HAP HMO
  • HAP Medicare Advantage
  • HAP Personal Alliance (PA) HMO
  • HAP Personal Alliance (PA) PPO
  • HAP POS
  • HAP PPO
  • HAP Preferred
  • HAP Senior Plus (HMO) Expanded Network
  • HAP Senior Plus (HMO-POS) Expanded Network
• Humana Detroit HMOx
• Humana PPO
• Humana Medicare Advantage
• Medicare: Medicare Plus Mlue, HAP, Senior, Blue Care Network Advantage, Tricare for Life WPS, Humana PPO Senior, Aetna Senior, Health Plus Senior, Medicare Railroad, Molina Senior
• McLaren Health Plan HMO (except Medicaid)
• McLaren Health Plan PPO
• McLaren Medicare Advantage
• Medicare (part B)
• Medicare Advantage
• Medicare Plus Blue
• Medicare Railroad
• Multiplan/PHCS PPO
• NGS Coresource
• Oscar insurance company of TX: Narrow network EPO through OPNS effective 1/1/19
• Priority Health (except HMI/Medicaid)
• Priority Health Medicare
• Total Healthcare: (except the Medicaid product) – No referral needed, this includes the marketplace
• Tricare Standard, Reserve, Humana Military and For Life (Tricare Prime must have a referral)
• UMR: Beaumont employee health plan
• United American Insurance Company
• United Healthcare: Choice, Choice Plus, PPO, Select, Select Plus, Core, Charter Empire, Navigate (except UHC Community Plan, UHC Community Plan Dual Complete, UHC Compass)
• United Healthcare Medicare Advantage: Card should say "Medicare solutions" – we can see PPO but out-of-network benefits will apply, which could be same as in-network benefits.

Note: If your insurance is not listed above, please contact our office for further information

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UnitedHealthcare Senior Care Options (HMO SNP) Plan

UnitedHealthcare SCO is a Coordinated Care plan with a Medicare contract and a contract with the Commonwealth of Massachusetts Medicaid program. Enrollment in the plan depends on the plan’s contract renewal with Medicare. This plan is a voluntary program that is available to anyone 65 and older who qualifies for MassHealth Standard and Original Medicare. If you have MassHealth Standard, but you do not qualify for Original Medicare, you may still be eligible to enroll in our MassHealth Senior Care Option plan and receive all of your MassHealth benefits through our SCO program.

Availability of non-english disclaimer

ATTENTION: If you speak an alternative language, language assistance services, free of charge, are available to you. Call 1-800-905-8671 TTY 711, or use your preferred relay service.

ATENCIÓN: Si habla Español, hay servicios de asistencia lingüística disponibles para usted y que no tienen cargo. Llame al 1-800-905-8671 TTY 711, o utilice su servicio de retransmisión preferido

Star ratings disclaimer

Every year, Medicare evaluates plans based on a 5-Star rating system.

Formularies

The formulary, pharmacy network and provider network may change at any time. You will receive notice when necessary.

NCQA

UnitedHealthcare Connected® has a Model of Care approved by the National Committee for Quality Assurance (NCQA) to operate as a Special Needs Plan (SNP) until 2017 based on a review of UnitedHealthcare Connected’s Model of Care.

Important provider information

The Choice is Yours

We will provide you with information to help you make informed choices, such as physicians' and health care professionals' credentials. This information, however, is not an endorsement of a particular physician or health care professional's suitability for your needs.

The providers available through this application may not necessarily reflect the full extent of UnitedHealthcare's network of contracted providers. There may be providers or certain specialties that are not included in this application that are part of our network. If you don't find the provider you are searching for, you may contact the provider directly to verify participation status with UnitedHealthcare's network, or contact Customer Care at the toll-free number shown on your UnitedHealthcare ID card. We also recommend that, prior to seeing any physician, including any specialists, you call the physician's office to verify their participation status and availability.

Some network providers may have been added or removed from our network after this directory was updated. We do not guarantee that each provider is still accepting new members.

Out-of-network/non- contracted providers are under no obligation to treat UnitedHealthcare plan members, except in emergency situations. Please call our customer service number or see your Evidence of Coverage for more information, including the cost- sharing that applies to out-of-network services.

American Disabilities Act notice

In accordance with the requirements of the federal Americans with Disabilities Act of 1990 and Section 504 of the Rehabilitation Act of 1973 ("ADA"), UnitedHealthcare Insurance Company provides full and equal access to covered services and does not discriminate against qualified individuals with disabilities on the basis of disability in its services, programs, or activities.

Referrals

Network providers help you and your covered family members get the care needed. Access to specialists may be coordinated by your primary care physician.

Paper directory requests

Paper copies of the network provider directory are available at no cost to members by calling the customer service number on the back of your ID card. Non-members may download and print search results from the online directory.

Inaccurate information

To report incorrect information, email . This email box is for members to report potential inaccuracies for demographic (address, phone, etc.) information in the online or paper directories. Reporting issues via this mail box will result in an outreach to the provider’s office to verify all directory demographic data, which can take approximately 30 days. Individuals can also report potential inaccuracies via phone. UnitedHealthcare Members should call the number on the back of their ID card, and non-UnitedHealthcare members can call 888-638-6613 TTY 711, or use your preferred relay service.

Declaration of Disaster or Emergency

If you’re affected by a disaster or emergency declaration by the President or a Governor, or an announcement of a public health emergency by the Secretary of Health and Human Services, there is certain additional support available to you.

• Part A, Part B, and supplemental Part C plan benefits are to be provided at specified non- contracted facilities (note that Part A and Part B benefits must be obtained at Medicare certified facilities);
• Where applicable, requirements for gatekeeper referrals are waived in full;
• Plan-approved out-of-network cost-sharing to network cost-sharing amounts are temporarily reduced; and
• The 30-day notification requirement to members is waived, as long as all the changes (such as reduction of cost-sharing and waiving authorization) benefit the member.

If CMS hasn’t provided an end date for the disaster or emergency, plans will resume normal operation 30 days after the initial declaration.

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