You can always change your PCP .
You must get an electronic referral from your PCP before going to a different physician or specialist .
P R I M A R Y C A R E P H Y S I C I A N
PRIMARY CARE PHYSICIAN ( PCP )
United Healthcare focuses on primary care as the key to helping people maintain healthier lives . Your Primary Care Physician ( PCP ) will be your best partner for your continued health and wellness .
Beginning in the Annual Enrollment period for 2021 ( OCT 20 , 2020 to NOV 5 , 2020 ) you will be required to select a PCP for yourself and your dependents during the enrollment process if enrolling in a United Healthcare medical plan . If you do not select a PCP during the annual enrollment process , one will be assigned to you and each of your dependents based on your home zip code .
3 THINGS TO K NOW ABOUT YOUR PCP
1
PCP selection will be required when you enroll in one of the City ’ s health plans .
You must select a PCP within the United Healthcare Navigate Network as part of either new hire or annual enrollment . They must be 1 ) accepting new patients ( if not already established ), 2 ) near where you live ( D / FW Metroplex ) and 3 ) must be an individual in general practice , family practice , a pediatrician or internal medicine physician ( May not be an OB / GYN )
2
You can always change your PCP .
Changes can be made to your PCP at anytime and will become effective the first of the following month . Changes can be made by calling the number on the back of your health insurance card or through myuhc . com
3
You must get an electronic referral from your PCP before going to a different physician or specialist .
Referrals are good for up to six months or six visits , whichever comes first , however referrals are not needed for the following , as long as they are within the UHC Navigate network : Note that these providers can not provide referrals to other specialists or physicians .
- Convenience Care Clinics , to include the CareATC Health and Wellness Center - Obstetricians / Gynecologists ( OB / GYN ’ s ) - Behavioral Health or substance abuse disorder clinicians - Urgent Care Clinics - Designated network virtual visit providers ( See page 27 for information on virtual visits )
WHAT ABOUT DEPENDENT PCP ’ S ?
You must select an individual PCP for each of your eligible dependents the same way you would select one for yourself . You may choose the same PCP or a different one based on your physician preferences .
City of Arlington / EMPLOYEE BENEFITS GUIDE 2021
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