Page 6 - Myodetox 2020 Benefit Guide

Medical Plan Highlights

United Healthcare | HMO Medical Plan
With the United Healthcare Health Maintenance Organization (HMO) plan, you must choose a primary care physician
(PCP) or medical group within the United Healthcare Signature Value (Full HMO Network) network. All of your care
must be directed through your PCP or medical group. Any specialty care you need will be coordinated through your PCP
and will generally require a referral or authorization. You will receive benefits only if you use the doctors, clinics and
hospitals that belong to the medical group in which you are enrolled, except in the case of an emergency.

TAKE ACTION: HMO Members will need to select a primary care physician (PCP) at the time of enrollment. If you do
not select a PCP during enrollment, a PCP in your geographic area who is accepting new patients will be assigned.

• Once a PCP has been selected, click on the “Enrollment Information” tab.
• Under the Enrollment Information tab, you will find the Provider ID number. Please indicate the primary care
physician’s name and 10-digit ID number in the Paycom system.
• Example: PHYSICIANS ASSOC/HCP IPA - SAN DIMAS ID: 0284190010

United Healthcare | PPO Medical Plans
The PPO Gold or the PPO HDHP Silver (HSA Compatible) plan allows you to direct your own care. If you receive care
from a physician who is a member of the Select Plus network, a greater percentage of the entire cost will be paid by
the insurance plan. However, you are not limited to the physicians within the network and you may self-refer to
specialists. If you obtain services using a non-network provider, please note that you will be responsible for the
difference between the covered amount and the actual charges, and you may be responsible for filing claims.

Finding a Medical Provider

 Go to www.myuhc.com,
 Under Find a Doctor tab to proceed to Find a Provider
 Select Medical Directory
 Select All United Healthcare Plans
 Select SignatureValue Plans

You can also call SignatureValue HMO: (800) 624-8822 or for PPO (800) 357-0978

6 Employee Benefits