United Healthcare

UnitedHealth cited the reason for leaving as heavy losses and Obamacare marketplaces as risky business. California is not the only marketplace they are exiting, but many others nationwide.

Peter Lee, director of Covered California, was critical of UnitedHealth’s reasons by saying he felt it was wrong to blame Obamacare as the reason to leave instead of owning up to business mistakes on rates and networks that lead to their financial losses.

2016 Coverage Regions

Plan coverage was offered in 5 of the 19 pricing regions throughout California in 2016.

Who They Are

UnitedHealthcare has the claim to fame of being the largest single health carrier in the nation. It operates as a division of its parent company UnitedHealth Group Inc. The headquarters is in Minnetonka, Minnesota. Counting all subsidiaries and divisions of UnitedHealthcare, they serve approximately 70 million members across the U.S.

UnitedHealthcare’s mission is to “help people live healthier lives and help make the health system work better for everyone.”

Take Note

For 2015 Fortune 500 ranked “UnitedHealth Group” the top insurance and managed care sector company of it’s “World’s Most Admired Companies” list. This was the fifth year in a row that they ranked the number one in their sector overall.

The National Committee of Quality Assurance (NCQA) has awarded the NCQA Health Plan Accreditation to many of UnitedHealthcare’s health plans. These health plans are the Commercial HMO, HMO/POS, and PPO plans and the Marketplace HMO and PPO plans.

Network

There will be two networks members can access if they select UnitedHealthcare through Covered California. Most members will be covered on their Core PPO network. Those that select the minimum coverage plan will have access to the Core Essential network.

To view the provider directory, please click here.

The Future is Here

Through MyUHC.com members have a centralized online place where they can manage their claims, pay providers, as well as access primary care doctors through virtual visits. These online, secured video-based visits can be done through a computer, tablet, or mobile phone 24 hours a day.

Another helpful tool that members can take advantage of is the Cost Calculator. This tool helps get an estimate of a procedure or treatment on actual contracted rates of a network provider, specific to their plan so they know what to expect.

Through the 24/7 advice nurse phone line, a registered nurse is always on stand-by to provide guidance to health care needs or concerns that come up without warning.

And just recently UnitedHealthcare launched its