United Healthcare Medicare Advantage Find A Provider – Who knows you best? your spouse? boy or girl? Best Friend? If your primary care physician is not on the list, you may be missing out on one of the most important relationships regarding your health and well-being.
Your primary care physician may be more than just a doctor. Over time, he or she may learn details about your medical history, your response to medications, your personality, lifestyle, and treatment preferences.
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This intimate knowledge can make a big difference in your health. Studies show that when people have improved access to primary care physicians, the risk of death from cancer, heart disease, and stroke decreases.
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A primary care physician (primary care physician, PCP) is a physician who practices general medicine. PCPs help with your health, including preventive care, performing physical exams and routine screenings, annual vaccines, diagnosing and managing chronic conditions, and minor illnesses or general injuries.
There are five different types of primary care physicians, each with a different field and area of focus.
Great Doctors A recommendation from someone you trust is a great way to identify a doctor you might want to consider. But remember, every person is different. Just because your neighbor or best friend likes their doctor doesn’t mean the same doctor is right for you.
Since you will be seeing your primary care physician for everyday health needs, it is important that he or she is located in a location that is convenient for you. You don’t want to travel far when you’re not feeling well. And if your doctor’s office is conveniently located, you may be more willing to make appointments for physicals and other preventive care when you’re healthy.
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Once you’ve identified some potential candidates, check to see if they work with your Medicare coverage. If you have Original Medicare, call your doctor’s office and ask if they accept Medicare patients. If you have a Medicare Advantage plan (Part C), call your insurance provider or check your plan’s website to see if the doctor is in the plan’s network. Plans may cost more if you see an out-of-network doctor, and some don’t cover out-of-network care at all, so it’s important to do this step before making an appointment.
Chances are you wouldn’t hire someone to do repairs on your home without doing a little research on the quality of their work. So why choose a doctor without doing the same?
You can use the doctor comparison tool on Medicare.gov to see if your doctor has participated in activities that show he or she provides high-quality care. You can also check to see if your doctor is board certified through the Certification Matters site, which is maintained by the American Board of Medical Specialties. Board-certified primary care physicians have not only met their state’s licensure requirements, but have also passed comprehensive internal medicine exams. Physicians must also keep up with the latest developments in their fields to maintain their certification.
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Want to get an idea of a doctor’s status before making an appointment? Contact the potential doctor’s office for a good first impression.
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Some patients also want a quick and face-to-face conversation before making an appointment. Not all doctors can accommodate such requests, but it doesn’t hurt to ask if this is what you want to do.
Each person has unique health care needs, and these needs change as people age. Ask your doctor about his or her specialties or areas of interest to make sure it matches what you really need. For example, some primary care physicians may focus on sports medicine, which is great, but if you are not a serious athlete, this may not be the right choice.
And if you have multiple complex medical problems, you may benefit from seeing a geriatrician. Gerontologists specialize in caring for elderly patients.
At your first visit, it’s important to make sure the doctor’s philosophy of care matches yours. By asking questions like:
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If your doctor’s vision of patient care aligns well with your preferences, you’re likely to follow his or her advice between appointments. So keep this in mind when deciding whether or not to follow up with your doctor after your first appointment.
Every culture has its own customs, ideas, and taboos about medical care, so it’s important to find a doctor who not only speaks your language, but is also sensitive to your cultural and religious beliefs.
Your primary care physician can help you solve problems and be an important advocate for your health. It is very important that you trust him and feel comfortable asking questions.
If something seems off, trust your instincts and seek a new doctor. Again, you should feel comfortable with your primary care physician.
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Brought to you by UnitedHealthcare, Medicare Made Clear provides Medicare education so you can make informed decisions about your health and Medicare coverage. Rewarding doctor-patient relationships don’t just happen overnight. They are built on trust—trust that may lead to better communication, emotional support, more accurate diagnosis, and potentially life-saving treatments. However, how do you find that doctor?
Some health plans require you to choose a primary care provider (PCP), sometimes called a doctor or primary care physician. Although some plans may not require you to choose a PCP, it’s a good idea to have one.
Your PCP can guide you in self-care and develop an in-depth knowledge of your health over time. Once your doctor gets to know your medical history, habits, and personality, he or she is likely to be in a better position to guide you on the best course of care, monitor even the smallest changes in your health, and spot red flags before they turn. Being diagnosed with serious problems.
Log in to your health plan account to see a list of UnitedHealthcare plan providers. You can also browse the list of providers and find a doctor without signing in — but remember to check your specific health plan’s provider network before choosing.
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When it comes to your health journey, it feels good to know you have support every step of the way.
Your doctor knows you better and understands your health history and health goals. This is who you turn to first—for everything from routine care to prescriptions and more.
Your doctor also provides preventive care such as well-child visits, annual exams, screening mammograms, and immunizations.
And since most doctors offer virtual visits for primary care, you can choose to see them in person or from home.
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So, whether your plan requires a primary care physician or not, 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 plans at no additional cost.
Now that you know the benefits of having a network doctor, let’s look at how to find the right doctor for you.
First, search for a slash.com provider. Next, select your health plan name and select Primary Care.
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You can see which doctors are in the network, if they are accepting new patients, and what their patient ratings and average fees are.
If you already have a primary care doctor and want to make sure they are in network, that’s fine. 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 with you.
Disclaimer: [Certain preventive care items and services, including immunizations, are covered by applicable law, including the Patient Protection and Affordable Care Act (ACA), at no cost to you. These services may be based on your age and other health factors. Other routine services may be covered by your plan, and some plans may require copayments, coinsurance, or deductibles for these benefits. Always check your benefit plan documents to determine the details of your specific coverage.
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Insurance coverage provided by or through UnitedHealthcare Insurance Company or its affiliates. Administrative services provided by United HealthCare Services, Inc. or their affiliated companies.]
Depending on your situation, you may choose different primary care providers for each family member. The types of providers are:
Whatever the reason for finding a new doctor, the initial search can be intimidating. Below you can find some tips to help simplify the process.
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 don’t cover out-of-network care at all—so it’s important to double check. If you’re not sure if a PCP is in your network, call your health plan ID number.
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Looking for a UnitedHealthcare network provider? To view a list of UnitedHealthcare plan providers or to view a general list of providers, sign in to your health plan account. Remember – before choosing a provider, confirm that they are in-network for your specific plan.
UnitedHealthcare developed the UnitedHealth Premium® designation program to recognize physicians who meet quality and cost-effectiveness guidelines and help members make informed choices.
National benchmarks evaluate physicians on quality and local benchmarks for cost-effectiveness in specialties and subspecialties, including family physicians, internal medicine, pediatrics, cardiology, and orthopedics.
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