UnitedHealthcare Offers Lower Doctor Visit Co-Pays to Many Medicare Advantage Members in North Carolina
October 12 2015 - 12:18PM
Business Wire
In a consumer breakthrough tied to new ways of organizing health
care, UnitedHealthcare will offer many of its Medicare Advantage
members in North Carolina lower co-pays when they receive care from
primary care providers and most specialists affiliated with
Cornerstone Health Care, Eagle Physicians & Associates,
Guilford Medical Associates, Novant Health and Triad HealthCare
Network.
Referred to as “tier 1 care providers” to help members easily
identify them, these providers participate in accountable care
programs with UnitedHealthcare and meet other performance criteria.
They have committed to being compensated based on their ability to
improve the coordination and delivery of care to UnitedHealthcare’s
Medicare Advantage members, thereby closing gaps in care, reducing
redundant, inefficient care, and improving health outcomes, all
while lowering the overall cost of care.
Nearly 55,000 beneficiaries enrolled in three AARP
MedicareComplete (HMO) Medicare Advantage plans in North Carolina
will pay a lower co-pay for a standard office visit when they visit
a tier 1 primary care provider or specialist.*
The co-pays for primary care provider visits will vary based on
the member’s plan.
- People enrolled in the AARP
MedicareComplete Plan 1 (HMO) and AARP MedicareComplete Essential
(HMO) plans will pay a $0 co-pay for visits with tier 1 primary
care providers, as compared to $10 for tier 2 primary care
providers.
- People enrolled in the AARP
MedicareComplete Plan 2 (HMO) will also pay a $0 co-pay for visits
with tier 1 primary care providers, as compared to $20 for tier 2
primary care providers.
People enrolled in all three plans will pay a $35 co-pay for
standard office visits with tier 1 specialists, as compared to $50
for tier 2 specialists.
The plans are available in the following counties: Alamance,
Cabarrus, Caldwell, Caswell, Catawba, Chatham, Cleveland,
Cumberland, Davidson, Davie, Durham, Forsyth, Guilford, Henderson,
Iredell, Lincoln, Mecklenburg, Orange, Person, Randolph,
Rockingham, Rowan, Stokes, Union, Wake, Wilkes and Yadkin.
In addition to this new opportunity to save money, individuals
enrolled in these plans will continue to have access to a broad
network of doctors. They’ll have a choice of more than 5,100
primary care doctors and nearly 15,500 specialists.*
“The tier 1 care providers have demonstrated a strong commitment
to improving health outcomes for their patients and our members,”
said Charles Russo, CEO of UnitedHealthcare Medicare &
Retirement in North Carolina. “We hope that offering lower co-pays
when our members visit tier 1 doctors will enable people to
experience the benefits of well-coordinated care, including
improved health and a better health care experience.”
Serving nearly one in five beneficiaries, UnitedHealthcare is
the largest provider of Medicare Advantage, Medicare supplement and
Part D prescription drug plans nationally.* UnitedHealthcare serves
1.1 million people in North Carolina, including more than 430,000
Medicare beneficiaries.*
To learn more about UnitedHealthcare’s full portfolio of
Medicare plans, visit www.UHCMedicarePlan.com.
About
UnitedHealthcareUnitedHealthcare is dedicated to helping
people nationwide live healthier lives by simplifying the health
care experience, meeting consumer health and wellness needs, and
sustaining trusted relationships with care providers. The company
offers the full spectrum of health benefit programs for
individuals, employers, military service members, retirees and
their families, and Medicare and Medicaid beneficiaries, and
contracts directly with more than 850,000 physicians and care
professionals, and 6,000 hospitals and other care facilities
nationwide. UnitedHealthcare is one of the businesses of
UnitedHealth Group (NYSE: UNH), a diversified Fortune 50 health and
well-being company. For more information, visit UnitedHealthcare at
www.uhc.com or follow @myUHC on Twitter.
Plans are insured through UnitedHealthcare Insurance Company or
one of its affiliated companies, a Medicare Advantage organization
with a Medicare contract. Enrollment in the plan depends on the
plan’s contract renewal with Medicare. Other providers are
available in our network. This information is not a complete
description of benefits. Contact the plan for more information.
Limitations, copayments, and restrictions may apply. Benefits,
premiums and/or co-payments/co-insurance may change on January 1 of
each year. The provider network may change at any time. You will
receive notice when necessary.
H5253_150929_113205 Accepted
*UnitedHealthcare Internal Data, 2015
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version on businesswire.com: http://www.businesswire.com/news/home/20151012005890/en/
UnitedHealthcareSarah Bearce,
312-485-3280Sarah_Bearce@uhc.com
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