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UnitedHealthcare (UHC) is an insurance and managed care company with four main divisions: UnitedHealthcare Employer and Individual – provides health benefit plans and services for large national employers and individuals. UnitedHealthcare Medicare and Retirement – provides health and well-being services to individuals age 65 and older. [80]
UnitedHealthcare Community Plan offers products for individuals and families who may qualify for Medicaid, Family Health Plus, Child Health Plus or New York Medicaid Advantage - or dual-eligible ...
Oxford Health Plans [1] [2] is an American health care company that sells various benefit plans, primarily in New York, New Jersey and Connecticut. [3] [4]As of 2004, it is a subsidiary of UnitedHealth Group, the largest healthcare company in the world, [5] claiming to be "among the first" to allow patients to see specialists without a referral and to offer alternative medicine treatments.
A POS plan uses some of the features of each of the above plans. Members of a POS plan do not make a choice about which system to use until the service is being used. In terms of using such a plan, a POS plan has levels of progressively higher patient financial participation, as the patient moves away from the more managed features of the plan.
Unlike PPOs, however, HMOs often require members to select a primary care physician (PCP), a doctor who acts as a gatekeeper to direct access to non-emergency medical services, and are required to first obtain a referral from their PCP in order to be reimbursed for the cost of medical services inside of their network of designated doctors and ...
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