United Healthcare Dental Provider Enrollment – A rewarding doctor-patient relationship doesn’t just happen overnight. They are built on trust—trust that may translate into better communication, emotional support, more accurate diagnoses, and potentially life-saving treatments. But how do you find this doctor?
Some health plans require you to choose a primary care provider (PCP), or sometimes called a primary care physician or doctor. Although some plans will not require you to choose a PCP, it is recommended that you have one.
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Your PCP can guide you through your treatment and build an in-depth knowledge of your health over time. When your doctor gets to know your medical history, your habits, and your personality, they’re likely in a better position to guide you on the best course of treatment, track even the slightest changes in your health, and spot red flags before they become serious problems.
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Log in to your HMO account to view a list of providers for UnitedHealthcare plans. You can also browse a list of providers and find a doctor without logging in – but remember to check your specific HMO provider network before choosing.
When it comes to your health journey, it feels good to know you have support every step of the way.
Your doctor knows you best and understands your health history and health goals. This is where you turn first – for everything, from routine care to prescriptions and more.
Your doctor also provides you with preventive care, such as well-child visits, annual exams, mammograms, and vaccinations.
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And since most doctors offer virtual visits for primary care, you can choose to see them in person or from home.
So, whether or not your plan requires you to have a primary care physician, it’s a good idea to choose one.
For example, when you see a network doctor for preventive care, the visit is covered by most health insurance funds at no additional cost.
Now that you know the benefits of a network doctor, let’s see how to find the right one for you.
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First, go to dot com provider search. Then, select the name of your health insurance fund and choose primary care.
You will be able to see which doctors are in the network, if they are accepting new patients and what their patient rating and average costs are.
If you already have a primary care doctor and you want to make sure he is in the network, no problem. All you have to do is search for them by name.
Just remember, no matter where your health journey takes you, your doctor is there to support and connect you with
Community Care Network–information For Providers
Disclaimers: [Certain preventive care items and services, including immunizations, are provided as specified by applicable law, including the Patient Protection and Affordable Care Act (ACA), without cost-sharing for you. These services may be based on your age and other health factors. Other routine services may be covered under your plan, and some plans may require copayments, coinsurance, or deductibles for these benefits. Always refer to your benefit plan documents to determine your specific coverage details.
Insurance coverage provided by or through the insurance company UnitedHealthcare or its affiliates. Administrative services provided by United HealthCare Services, Inc. or their affiliates.]
Depending on your situation, you may choose different primary care providers for each family member. Types of providers include:
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Whatever the reason for finding a new doctor, the initial search can feel intimidating. Below, you’ll find some tips to help simplify the process.
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Before scheduling any appointment, check to see if the PCP is in your plan’s network. Most plans charge more if you see an out-of-network PCP—and some won’t cover out-of-network care at all—so it’s important to double check. If you are not sure if there is a PCP in your network, check by calling the number on your health plan ID.
Looking for a UnitedHealthcare network provider? Sign in to your HMO account to view a list of providers for UnitedHealthcare plans or to view a general list of providers. Remember – before you choose a provider, confirm that they are in the network for your specific plan.
UnitedHealthcare developed the UnitedHealth Premium® designation program to recognize physicians who meet quality and efficiency guidelines and help members make informed choices.
National standardized measures evaluate physicians for quality and regional benchmarks for cost-effectiveness across specialties and subspecialties, including family practice, internal medicine, pediatrics, cardiology, and orthopedics.
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You can find your doctor’s premium certificate in the UnitedHealthcare Provider Directory. Learn more about the UnitedHealth Premium® plan.
As with any service in our lives, it is important to do some research. Read the supplier’s website. Is their tone more formal or more casual? Check their online reputation. Do they have a presence on social networks? Read consumer reviews. (Though remember reviews are just that – opinions. Unless a doctor gets multiple reviews, one or two won’t paint the whole picture).
Before asking for recommendations, decide what is important to you. How far are you willing to travel? Want a clinic close to home or close to work? Does gender matter? Are you getting old? Armed with this information, ask friends and family, medical specialists, and other health care professionals for personal referrals. Don’t just accept a name – ask why people like that particular doctor. The “why” can tell you a lot.
Is the doctors committee certified? Board certification is a sign of passing and exceeding state licensing requirements and receiving actual supervised training. Board certification is a barometer of the physician’s continued knowledge and dedication to the field.
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To find a board-certified family physician, visit the American Board of Family Medicine’s online directory. To check if a doctor you may be considering is board certified, visit the American Board of Medical Examiners database.
Once you’ve narrowed down the possible options, call the clinic and ask questions. The first impression is important. Pay attention to the office staff (are they helpful and friendly?) as well as how your questions are answered. Some frequently asked questions include:
Sometimes you can’t get a good read on a doctor until you’re in their office, talking to them. You will be sharing personal health information – make sure you feel comfortable. Meet for an informal interview. Did you get a chance to ask questions? Were you allowed to voice your concerns openly? Feeling rushed? Did you feel safe and respected? Did it feel like it could turn into a real partnership?
Your primary care physician may save you money (for example: fewer emergency room visits) and connect you with specialists. They can advocate on your behalf. Once you establish a relationship, they are more likely to recommend preventive screenings, tests and examinations.
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The ideal PCP can help ensure you get the care you need when you need it, and can help you live better, longer. Remember back in 2012 when the media and the state were outraged by dentists handing out gift cards or other small incentives to get Medicaid children being treated? In case you don’t, here are links to some media articles of the time.
State officials, dentists and other providers met Friday on how to handle orthodontic transfer patients, why some corporate clinics are allowed to use gift cards and pizza to lure new patients and other technicalities related to the transition to Medicaid managed care.
They have different names recruiters, marketers, community outreach workers but their job is to get kids on Medicaid to dental offices. Competition is fierce, taxpayers foot the bill.
Since then, OIG has gone around giving seminars and talks with dire warnings about illegal dental solicitation. We even reported them.
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The TDA also warns about this. In their Medicaid Monthly, they wrote: “Under Medicaid/CHIP regulations Medicaid/CHIP dentists are prohibited from offering gifts or other incentives designed to influence a client’s choice of dental provider. … Items such as cash, cash equivalents, and gift cards, Regardless of the amount, they are never allowed.”
All three DMOs, DentaQuest, MCNA and United Healthcare, use gift cards as incentives for new members. Words that applied to dentists – “seduce, trick, manipulate” – evaporated.
No shocked parents or guardians speak. In 2012, an upset and shocked grandmother told KENS5, “Can you imagine getting a $20 gift card just to take your kid to the dentist?” She thought it was terrible.
The latest DMO contract – Dental Services for the Texas Children’s Health Insurance Program, Contract No. HHS0002879 – states:
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The dental contractor and its subcontractors must comply with all applicable federal and state laws and regulations regarding marketing, gifts and other incentives. The dental contractor and its subcontractors must adhere to the marketing policies and procedures as set forth in the contract, including Chapter 4 of the UMCM [MANAGED CARE MANUAL}. HHSC must approve all marketing materials prior to use or distribution. All marketing materials must comply with all state and federal marketing requirements, including state insurance laws and TDI regulations regarding marketing.
The contract even defines “marketing” as: “any communication from the dental contractor to a Medicaid or CHIP eligible person who is not registered with the dental contractor, which can reasonably be interpreted as intending to influence the eligible person:
Here is the link to a PDF copy of the contract if you
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