Page 10 - Heritage Oaks_Benefit Guide 7-1-2022
P. 10

Charter HMO Brief Q&A:



        United Healthcare



                     what you need  to                           about UHC

         When you enroll  in  Charter  HMO $5,000 Plan  AYZG and $3,000  BCXV    get   a primary care  physician  CP) from the network, who  help guide  you through
         the health care  system.   PCP   to know you, helps  manage  your health care  and    you to specialists,       save time and  money when you
         get your care from a network
         This   help you   your plan so you can get the   out of your medical benefits. Or you can find  information online at

            do  need  to   a  CP?
         When you enroll in the    plan, you must select a PCP from our    HMO network to help you   your health and get the care you need.   PCP
         provides regular and routine care,   annual   k      you to other network physicians or specialists when additional care is      are required
         get an electronic    from your physician before  you see  another  network PCP or specialist.   electronic   your    may be a lot higher or
         they may not be covered  at all. Check your   plan    more information.

         How do     a  CP?
         You can go to welcometouhc.com* and use the physician search tool, available in English and Spanish, to find a PCP in your plan’s network. Or you can call
         Customer Care for help: For English: 1-855-828-7715 For Spanish: 1-800-940-1508 Once you choose your PCP, you need all of the physician’s information,
         including the doctor’s address and telephone number. Importantly, when you open the location where you want to see your PCP, you’ll see a 14-digit physician
         identification (ID). You’ll need to provide this information to select a PCP when you enroll in the Charter  HMO plan. Each covered family member must select a
         PCP located in a county where you (the subscriber) live at the time of your enrollment. If you do not choose a PCP or you pick a physician who is far from where
         you live or who is not a general practice physician, family practice physician, pediatrician or internal medicine physician. You can always change your PCP.

         Can each  covered  family  member  have his or her own  CP?
               can select one physician   your entire   or each  covered   member  may select his or   own physician. Please  check   your
         before  enrolling to confirm that he or she is   new patients and  there are any patient age

         Can     any type of physician   my  CP?
            PCP must be a general practice physician,   practice physician, pediatrician or internal medicine

           my PCP be identified on my health plan   ard?
         The     name and telephone  number   be listed on each    health plan  card. Be
         and check  the PCP name  on your  card to ensure  is your intended  PCP.  you want to change  from the
         listed on the card, please  contact  the Customer  Care number  on your card or go to

         Can a covered  family  member  living out of      a PCP closer  to   he or she
         No.    members  must choose  a PCP in the county where near where you (the subscriber)    This   students  going to school out of state, or
         children      another

             enroll, can  change  my   CP?
             PCP      can be made  once  a month and are    the    of the    month.   requests  can be submitted  on or    the 31st of the
         month. Changes  can  be made  by      Customer  Care number  on your  card  or by logging on to   New health plan  cards  will be issued
         whenever members  change  their

         Are there any    can see  without a
                   are not    to see  the    providers as long as they are in the
            •                   (OB/GYNs).
            •  Behavioral health or   use disorder clinicians.
            •  Convenience  care clinics.
            •  Urgent care clinics.
            •  Designated  network
         Remember:  Emergencies  are covered  anywhere in the   including non-network hospitals, without      should validate that a    has been  entered
         prior to seeing  a network physician or specialist by checking  on myuhc.com  or calling Customer  Care at the number  on the

         Do  need  a   before   a
               important that you get an electronic    from your PCP before  you see  another  network   including specialists.   should validate that a    has
         been  entered  prior to seeing  a network physician  specialist by checking  on myuhc.com  or calling Customer  Care at the number  on your







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