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Does your client have a Medicare plan?

If the answer is no, then the client can:

  1. Choose a plan that partners with OptumCare® Network of Arizona. It should be a Medicare Advantage HMO plan. (HMO stands for health maintenance organization.)
  2. Choose an OptumCare primary care doctor.

If the answer is yes, then the client can: 

  1. Call the health plan and ask if it’s possible to switch to a primary care doctor who is part of OptumCare. For help with this, please call the broker support line at 1-866-393-1158
  2. If the health plan allows the switch, then the client can choose an OptumCare primary care doctor.  
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Choosing the right health plan, network and doctor.

For your clients, figuring out how their health plan, medical network and doctor work together can be confusing. We’ve created a graphic to help make it clearer.

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Coverage
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Health insurance plan

The health plan pays the cost of medical care. This can include medical benefits, behavioral health and prescription drug coverage. Through the health plan, clients choose a medical network and primary care doctor.

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Medical network

Clients choose their medical network through the health insurance plan. The medical network provides access to primary care doctors, hospitals, specialists and a variety of services.

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Primary care doctor

The primary care doctor works with both the medical network and health insurance plan. The doctor leads your client’s health care team and coordinates all of their care.

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Helpful Resource

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How do they all work together?

Figuring out how your health plan, medical network and doctor work together can be confusing. What’s the difference between what your health plan does and what your network does? How do they both work with your doctor?

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Contact us

For broker support and customer service, please call 1-866-393-1158.

 

 

This communication is not for distribution as a marketing material to the general public.