Primary Care Providers - Uhcretiree.com

Section 1 – Introduction
This directory provides a list of AARP®
MedicareComplete® Plan 2’s providers. To get
detailed information about your health care
coverage, please see your Evidence of Coverage.
The “plan providers” listed in this directory have
agreed to provide you with your health care
coverage. If you have been going to one plan
provider, you are not required to continue going to
that same provider.
Choosing a Primary Care Physician (PCP)
You must select a primary care physician (PCP)
at the time of your enrollment. You may however,
visit any network provider you choose. Your
relationship with your PCP is an important
one because your PCP is responsible for the
coordination of your health care and is also
responsible for your routine health care needs.
You may want to ask your PCP for assistance in
selecting a network specialist and follow-up with
your PCP after any specialist visits. You will be
responsible for developing and maintaining a
relationship with your PCP.(For Open Access Plans
where a PCP is required)
How Do You Receive Covered Services From a
Network Specialist?
Even though your PCP is trained to handle the
majority of common health care needs, there may
be a time when you feel that you need to see a
network specialist. You do not need a referral from
your PCP to see a network specialist.
You may choose to make an appointment with
any network specialist in this provider directory.
Although you do not need a referral from your
PCP to see a network specialist, your PCP can
recommend an appropriate network specialist
for your medical condition, answer questions you
have regarding a network specialist’s treatment
plan and provide follow-up health care as needed.
For coordination of care, we recommend you
notify your PCP when you see a network specialist.
How To Access Your Behavioral Health Benefit
To directly access your behavioral health benefits,
please call OptumHealth Behavioral Solutions
at 1-800-985-2596 (TTY 1-866-331-5674) 24 hours
a day, 7 days a week. When you call, you will
speak with a representative who will check your
eligibility and gather basic information about you
and your situation. Depending on the help you
need, a clinician may then talk with you about the
problem you are experiencing and assess which
provider and treatment would be appropriate
for your situation. You may also ask your PCP
to contact OptumHealth Behavioral Solutions
and arrange a referral on your behalf. You may
also call to receive information about network
practitioners, subspecialty care and obtaining
care after normal office hours. OptumHealth
Behavioral Solutions maintains confidentiality,
so please be assured that personal information
you discuss with their staff will be kept strictly
confidential.
What Is the Service Area for AARP
MedicareComplete Plan 2?
The counties in our service area are listed below.
New York – Bronx, Kings, New York, Queens and
Richmond Counties
How Do You Find AARP MedicareComplete
Plan 2 Providers in Your Area?
Please see the providers listed in the following
sections to find a provider in your area.
If you have questions about AARP
MedicareComplete Plan 2, please call our
Customer Service Department at 1-800-643-4845,
from 8 a.m. to 8 p.m., 7 days a week. TTY users
should call 1-888-685-8480. Or, visit
www.AARPMedicareComplete.com
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