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Consumer-Driven Health (CHD) plan
We offer an alternative solution for large employers looking for the most
cost-effective, high-quality health care plan possible. By their very
design, consumer-driven health plans engage consumers by imparting
incentives, education, and the tools necessary to make informed decisions
on the best ways to manage their own health care. The program is designed
to transform “passive participants” into value-conscious consumers and
is revolutionizing the health care industry.
Our business serves individuals with account-based plan designs and innovative
consumer engagement strategies. We educate and activate members to make
informed decisions with the help of trusted medical resources and with
price and quality data designed to drive market transparency. More than
2.2 million consumers are currently served through our consumer-driven
health plans. making us the largest supplier of consumer-driven health
plans in America.
We conduct studies on our consumer-driven plans regularly. These plans
continue to stimulate positive changes in consumer health behavior – increase
use of preventative care and decrease use of acute care. Consumers better
understand how their benefits work, realize the advantages of saving early
for future health care expenses and current cost savings:
- 25% fewer
hospitalizations
- 12% fewer emergency room visits
- Preventive care sought 5% more often than by peers in traditional
plans
- CDH enrollees with chronic conditions seek evidence-based care at
rates equivalent to, or better than, traditional plan members
For more information on our consumer driven health business, products
and services, refer to:
Note: All data is sourced from 2006 internal studies
conducted by UnitedHealth Group companies.
UnitedHealthcare Choice
UnitedHealthcare Choice is an “open access” health care plan. Your employees
can choose any provider they’d like to see in the UnitedHealthcare National
Network. 97% of the population in the country has access to these providers.
There are over 712,427 physician locations, 434,189 physicians and 4,985 hospitals
nationwide. Members must stay in the network to receive benefits. They have
the freedom to choose their physician or specialist without visiting a “primary
care physician” for a referral.
Advantages of the Choice plan include:
- Lower out-of-pocket costs for network care
- No claim forms or bills to worry about
- Access to UnitedHealthcare’s Personal Health
Support program
- UnitedHealthcare’s Web site myuhc.com® for information on benefit eligibility, coverage, account history, claims
status, physicians and hospitals, estimated out-of pocket costs, health plan options, health and wellness topics, health records and to ask
medical professionals questions online
UnitedHealthcare Choice Plus
Choice Plus offers the same key benefits as Choice, including providing
members with access to an expansive network of providers. The primary
difference between the two plans is that Choice Plus offers members a
level of benefits should they choose to seek care outside the network.
Like Choice, Choice Plus does not require members to designate a “primary
care physician” to coordinate care, nor are specialist referrals required
for eligible services.
Managed Indemnity
UnitedHealthcare Managed Indemnity offers your employees a flexible solution
for their health care needs. As a managed version of “traditional” indemnity
insurance, your employees make their own health care decisions, including
which licensed doctors and specialists to visit. UnitedHealthcare covers
a percentage of the medical expenses once payment has been made for
the annual deductible. Managed Indemnity does offer some of the cost-effective
programs commonly associated with other, more managed insurance plans.
We allow care management and additional capabilities.
UnitedHealthcare Select – an Exclusive Provider Organization (EPO)
Through UnitedHealthcare Select, your employees choose a primary physician
from our extensive network of physicians. The doctor coordinates the member's
care. The primary care physician follows the member’s health history,
directing their care and recommending other physicians and health care
services when appropriate.
UnitedHealthcare Select Plus – a Point-of-Service Plan (POS)
UnitedHealthcare Select Plus is quite similar to its sister plan, Select. The
primary difference is that, through Select Plus, employees receive a level
of benefits for non-network services. The level of benefits for in-network
services is at a higher level and does not include a deductible. Either
way, through Select or Select Plus, members have a vast network of providers
from which to choose. Approximately 97% of the country’s population has
access to our network of providers.
UnitedHealthcare Options – a Preferred Provider Organization (PPO)
UnitedHealthcare Options PPO has access to a broad network of physicians
and hospitals nationwide. The plan design offers two levels of coverage
– a higher level of benefits apply for in-network services, and a lower
level of benefits is available for non-network services with somewhat
higher deductibles and co-payments. The plan includes a full spectrum
of covered services and direct access to specialists without the need
to gain approval from a primary care doctor.
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