welcome to chapter 2 – network as a reminder, please remember: all chapters provided in the 2015...

• Welcome to Chapter 2 – Network

• As a reminder, please remember:• All Chapters provided in the 2015 Benefits Guide are intended to be part of a module series

•There are eight Chapters, several of which contain sub-chapters

• Follow along with and compile these into your own presentation (see below) in the order they are presented

• Text items in red are variables. Please modify them as necessary in order to fit your presentation’s and consumers’ needs

• Please pick and choose from the slides provided to create a custom presentation that is right for you and your consumers. To do this, refer to the instructions listed on the end slide of each Chapter

1Proprietary Information of UnitedHealth Group. Do not distribute or reproduce without express permission of UnitedHealth Group.

No matter where you are in

the country, a

UnitedHealthcare network

doctor, pharmacy, hospital

and convenience care clinic

are likely nearby.


Network

Why should you have a primary care provider? Check out UHC.TVSM for some things to think about!

http://www.uhc.tv/uhc_video/why-you-need-a-primary-care-physician


The UnitedHealthcare network covers 99% of the U.S. population and is available in 96% of all U.S. counties

You can see any network doctor you want

You do not need referrals to see specialists

You’ll save money when you use the UnitedHealth Premium® Tier 1 physicians

1

2

3

KEY FEATURES

4

Source: UnitedHealthcare Network and national network data provided by Strenuus and industry standard access requirements for hospitals and primary care physicians, May 2012


• Search for a doctor or hospital at myuhc.com® www.myuhc.com/groups/xxxxxxxxxxxxx

• Call the number on the back of your health plan ID card for help from myNurseLineSM or Customer Care

• Use UnitedHealthcare Health4Me™ on your smartphone.

Search by:

• Name or specialty

• Procedure

• Office hours

• Gender

• Education

• Location

• Languages spoken

FIND A NETWORK DOCTOR OR HOSPITAL


The UnitedHealth Premium® program evaluates doctors for quality and cost efficiency to help you choose a doctor with confidenceThe program uses national industry standards to evaluate quality and local market benchmarks for cost efficiency

UnitedHealth Premium Tier One doctors:

•Practice evidence-based care

•Are more likely to follow new research and clinical trials

•May have lower surgery repeat rates

PROMOTING QUALITY & AFFORDABLE HEALTH CARE


*Effective January 7, 2015.

• Longest running physician quality and cost efficiency designation program (2005)• National industry, evidence-based and specialty society standards • Evaluate doctors on more than 75 conditions and 300 measures• Physicians who fail to meet quality not eligible for cost efficiency

• • 160 markets and 27 specialties evaluated*• Accounts for more than 80% of all medical costs*• Includes primary care physicians and specialists

• Available to members at no additional cost• Integrated into customer service, clinical and online experiences• Benefit designs based on Premium Designation

Received the National Committee for Quality Assurance (NCQA) program Physician Quality (PQ) certification and meets the Consumer Purchaser Disclosure Project’s Patient Charter standards

Quality and cost transparency

Access

Broad application

Recognition

PROMOTING VALUE: QUALITY FOR A GIVEN COST

UNITEDHEALTH PREMIUM® DESIGNATION PROGRAM

The UnitedHealth Premium® designation program is a resource for informational purposes only. Designations are displayed in UnitedHealthcare online physician directories at myuhc.com®. You should always visit myuhc.com for the most current information. Premium designations are a guide to choosing a physician and may be used as one of many factors you consider when choosing a physician. If you already have a physician, you may also wish to confer with him or her for advice on selecting other physicians. Physician evaluations have a risk of error and should not be the sole basis for selecting a physician. Please visit myuhc.com for detailed program information and methodologies.

• This ends Chapter 2- Network

• Please open Chapter 3- What Health care coverage best fits my needs

• Copy and Paste slides from Chapter 3 to this Power Point (Chapter 1)

1. Click on the first slide and then press shift while you click on the last slide

2. Right click on the first slide and select copy

3. Go to the first section

4. Click below the thumbnail of the last slide in that section

5. Right click there and select Copy—Use Source Formatting

• Whichever slides from Chapter 3a that do not apply to your customer, delete


welcome to chapter 2 – network as a reminder, please remember: all chapters provided in the 2015...

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