Page 12 - Pampa Benefit Guide 4-1-24
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HMO Navigate Network Q&A:


         United Healthcare




                   what you need  to                           about UHC


       When you enroll  in  Navigate  HMO $3,500 Plan,    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    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 Navigate plan. Each covered family member must select a PCP
       located in a town or city near 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, we will assign one to you.


       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 town or   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


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