Page 10 - Heritage Oaks_Benefit Guide 7-1-2021a
P. 10

UHC Charter HMO Summary:



         United Healthcare





           Introducing UnitedHealthcare                       a health coverage  product

           not        to help employees  make informed health care decisions, but to lower
                    health care costs          employees  and their dependents.



            How the plan
              Employers must be located in one of the    network counties:   Dallas, Denton,   Fannin, Hunt, Johnson,
               Parker, Rockwall or Tarrant.

              Employees must    in one of the network counties  to be         ollment

              Enrolled Charter members  must select a network PCP to guide them through their care   either a general or
               practitioner, internist or pediatrician   from   UnitedHealthcare   k

              PCPs    provide care    the   of a         health care needs,      be    a           or an illness
               or     as     as provide a        specialist care is

                           coverage  is not available except in the case  of emergency




                      plan
             Along         to the Charter network and outreach,  advocacy
             and        programs,  other plan    include coverage

              Doctor     visits.
                        patient
              Emergency
              Hospital
              Lab
              Pregnancy  and newborn
              Mental health and           disorder
              Prescription
                          services and
                        care
              Pediatric oral and
              Chronic disease          .

            Referral                       must obtain a     from
            their
            before they see  any other
            physician or

            Exceptions include services from   network   a   k behav-
            ioral health or         disorder      or          frac
            exams from a     k provider.




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