myuhc.com

UnitedHealthcare Medical Claims Online

Myuhc.com contains tools to help you compare costs for treatments and procedures, organize your medical claims online, order and renew prescriptions online, get information about hospitals and physicians and more
Myuhc.com offers tools and information for UHC members. A short, online registration will give you access to the tools. You will also be able to view your personal profile and other information such as:
•    The status of any submitted claims (since 01 January 2007)
•    Information about your qualified dependents, including coordination of benefits information

Some of the things you can do at myuhc.com are:
•    Compare in- and out-of-network costs for particular procedures. (Select: Treatment Cost Estimator or Plan Comparison Calculator)
•    View and print copies of your paid medical claims. (Select: Claims Center)
•    Order and renew prescriptions online, learn about drug side effects and interactions. (Select: Pharmacy Online)
•    Evaluate hospitals on quality of care and patient safety measures. Identify in-network physicians and hospitals. (Select: Hospital Comparison Tool or Find a Physician)
•    Print a temporary medical ID card or request a replacement card. (Select: Manage My Account)

Some health care providers may continue to charge you even after you have met your deductible
Most providers will bill your insurance first, and then bill you for any portion of expenses not covered by the deductible. However, occasionally some providers will ask for payment up front, even if you have met your deductible.

You will need to discuss with your health care provider how they choose to bill/receive payment when you receive services.

If you have met your deductible and you pay your provider, UnitedHealthcare will reimburse you (as long as the provider indicates on the claim form that you have paid).

You can see online where you are in relation to meeting your deductible
You can track your deductible and claims status by going to www.myuhc.com. UHC will process claims submitted against the plan provisions.

The UnitedHealthcare monthly health statement replaces individual Explanation of Benefits (EOB) statements
Instead of receiving a separate EOB statement for each claim, you will be mailed one statement each month that consolidates all processed claims for that period, as well as remaining balances for deductibles and out-of-pocket expenses.

Your UHC monthly health statement is a recap of all services for each covered individual in your household. It itemizes all out-of-pocket expenses for the month and provides you with a year-to-date summary helping you see the complete picture of your health care spending.

Not all health care providers are included in the Choice Plus network
You can use out-of-network providers, but there are things you need to consider.
Although UnitedHealthcare’s Choice Plus network is broad, not all providers are included. To view which providers are in-network, go to www.myuhc.com.

If you use an out-of-network provider, you pay 100 percent of allowed medical services up to the deductible. The out-of-network deductible is higher than the in-network deductible. Once you reach the deductible, the plan pays for 50 percent for allowed out-of-network medical services. You pay the remaining 50 percent. And, there is no out-of-pocket maximum.

Claims filed with UnitedHealthcare of the River Valley (formerly known as John Deere Health) are treated differently than claims with UnitedHealthcare since 01 January 2007
If you were a member of UHC of the River Valley (formerly John Deere Health), any claims with the date of service on or before 31 December 2006 are processed through the UHC of the River Valley location in Moline.

Any claims with the date of service on or after 01 January 2007 are processed through UnitedHealthcare at the location listed on your UHC member ID card (if it’s a medical claim) or the location listed on your UHC dental ID card (if it’s a dental claim). You may visit www.myuhc.com to check the status of medical and dental claims. You may call UHC at 1-888-JDEERE1 (1-888-533-3731) with claim issues from 2007.

You have two UnitedHealthcare member ID cards - one for medical and one for dental
UnitedHealthcare uses separate claims service centers for medical and dental. Your provider will need to submit medical claims to the address found on the back of your UHC medical ID card and dental claims to the address on your UHC dental ID card.

You can change your health care benefit election if there is a qualifying family status change
If you experience a qualifying family status change (for example, having a baby, getting married, getting a divorce, etc.), you can change your health care coverage election. In all cases, a change in your coverage category or medical option must be due to and consistent with your change in family status. The new HSA limit, communicated in January 2007, is not a qualifying family status change, and therefore you cannot change medical plan options due to this recent change. You may contact Deere Direct at 1-888-432-3373 on what is considered a qualifying family status change.

Posted in: myuhc

This entry was posted on Sunday, March 22nd, 2009 at 3:27 am and is filed under myuhc. You can follow any responses to this entry through the RSS 2.0 feed. You can leave a response, or trackback from your own site.