Page 10 - Heritage Oaks_Benefit Guide 7-1-2020_Revised 09-25-2020

UHC Navigate HMO Brief Q&A:

what you need to about UHC

When you enroll in Navigate HMO $5,000 Plan AYZL , get a primary care physician CP) from the network, who help guide you through the
healthcare 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
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

10