UHC Provider Directory for AARP Medicare Complete Regional PPO

Section 1 – Introduction
This directory provides a list of your plan’s network
providers. To get detailed information about your
health care coverage, please see your Evidence of
Coverage (EOC).
Your plan may cover additional benefits that are not
covered by Original Medicare. Additional benefits
may include vision, dental or hearing services. Note:
You may have to use a specific provider for some
additional benefits.
Choosing a Primary Care Physician (PCP)
You will have to choose one of our network providers
who are listed in this directory to be your Primary
Care Physician (PCP). The term “PCP” will be used
throughout this directory. You'll need to call and
make sure the provider you choose is accepting new
patients. If you choose a PCP who is not taking new
patients, we may assign you to a PCP who is. You do
not have to keep seeing the same PCP. You can
choose another PCP who is accepting new patients by
calling UnitedHealthcare Customer Service at the
number listed on the back of this directory.
Your PCP plays an important role in your health care.
They can:
• Help you make smart lifestyle choices to
improve and maintain your health
• Perform preventive care and screen for health
conditions
• Help you better understand your medical
conditions
• Coordinate the care you get from specialists to
help prevent duplicate and unnecessary tests
• Manage your prescriptions to avoid possible
harmful interactions
Your PCP can handle most common health care
needs. If you need to see a specialist, your PCP can
recommend an appropriate network specialist and
answer questions about the specialist’s treatment plan.
Your PCP will provide follow-up care as needed.
The "network providers" listed in this directory have
agreed to provide health care services to our members.
Check your Evidence of Coverage to make sure your
plan includes additional benefits or that you've signed
up for optional supplemental benefits before making
appointments for dental, vision or hearing services. If
you have been going to one network provider, you are
not required to continue going to that same provider.
In some cases, you may get covered services from
non-network providers.
Getting services from out-of-network
providers
Your Evidence of Coverage has information about any
out-of-network services your plan covers, as well as
the rules for using these services. If you have any
questions about your plan's benefits or coverage for
out-of-network services, please call UnitedHealthcare
Customer Service. If you use an out-of-network
provider for routine care, your costs may be higher.
You can ask our plan to pay our share of
the cost of your covered services
There may be times when you get a bill from a
provider for the full cost of medical care you have
received. In most cases, you should send this bill to us
instead of paying it. UnitedHealthcare will look at the
bill and decide whether the services should be
covered. If we decide they should be covered, we will
pay the provider directly. Please see Chapter 5 of your
Evidence of Coverage for more information.
Emergency and urgently needed care
If you have a medical emergency, get help as quickly
as possible. Call 911 or go to the nearest emergency
room or hospital. You can always get emergency care
from the nearest available provider, whether or not
they are a network provider. Your plan covers
emergency services whether you are in or out of the
service area. Your plan covers ambulance services for
getting to the emergency room when any other way
could harm your health. You or someone else should
call and tell us about your emergency care, usually
within 48 hours.
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