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OptumCare Medical Group FAQs

Explore answers to frequently asked questions.

BECOME A PATIENT

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Scheduling an appointment 

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  • You can schedule an appointment with your primary care doctor by calling your OptumCare Medical Group office. Find your OptumCare Medical Group location

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  • If it’s your first time at one of our offices, we want to get to know you and your personal health care needs. You’ll want to bring some items with you to make sure you get the care you need at each visit. See what to bring to your appointment.

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  • To cancel your appointment, call the OptumCare Medical Group office where you scheduled the appointment. Please give at least 24 hours or as much notice as possible. This frees up the appointment time for other patients.

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Accessing care

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  • In a medical emergency, call 911 or go to the nearest emergency room.

    Seek urgent care or after-hours care:

    • For a minor injury or illness that is not life-threatening.
    • If you need medical care and your doctor’s office is closed.
    • If you need medical care and you can’t get in to see your own doctor right away.

    OptumCare Medical Group provides urgent care and after-hours care on a walk-in basis at select locations. Learn more about urgent care and after-hours care or find a location near you.

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  • Schedule an appointment with your primary care doctor by calling your OptumCare Medical Group office. If your doctor would like you to see a specialist, you will get a referral from your doctor.

    Your insurance plan might require you to get a referral authorization before you can see a specialist. If so, your doctor will submit the necessary paperwork to your health plan or medical network Call your doctor's office for any questions about your referral.

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Billing

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  • If you get a billing statement from OptumCare Medical Group and have questions, please call 1-877-737-7168.

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Prescriptions

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  • The quickest way to refill your prescription is to call your pharmacy three to five business days before you run out. If there are no refills left on your prescription, the pharmacy will call or fax the request directly to your doctor’s office.

    You may have to schedule an appointment with your doctor before renewing your prescription.

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HMO and PPO health insurance plans

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  • When it comes to health insurance, you may have your choice of several plan types. You might be familiar with health maintenance organization (HMO) and preferred provider organization (PPO) health plans.

    The difference between HMO and PPO plans includes the size of the plan network, ability to see specialists, plan costs and coverage for out-of-network services.

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  • HMOs coordinate your care through a network of doctors and hospitals. You pick a medical network and one primary care provider (PCP) within that network.

    Your PCP provides coordination of care and works closely with the hospitals, specialists and other care providers in your medical network. Your HMO plan usually won't pay for any visits to health care providers who are not in your medical network.

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  • PPOs have a larger network of medical providers. This gives PPO patients more flexibility in choosing physicians.

    With a PPO insurance plan, you’re not required to select a primary care provider.  You can go to any health care professional you want without a referral — inside or outside of your network.

    PPO insurance plans have in-network benefits and out-of-network benefits. If you stay inside your PPO network, you’ll pay less for your medical services. If you choose to go outside of your PPO network, you may have higher out-of-pocket costs.

     

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  • OptumCare Medical Group is not an insurance plan. We are a group of doctors who contract with most major health insurance plans. These include HMOs, PPOs, Original Medicare, Medicare Advantage and supplement plans. Learn more. 

    Accepted health insurance plans may vary by office location. Please call your chosen OptumCare Medical Group office to confirm they accept your health plan. You can also call and ask your health plan if you are able to choose an OptumCare Medical Group doctor.  

    For HMO patients, you’ll also find our doctors listed under the following medical networks:

    Monarch HealthCare®, part of OptumCare 

    AppleCare Medical Group, part of OptumCare 

    Primary Care Associates Medical Group, part of OptumCare 

    Learn more

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  • There are different steps to take to choose an OptumCare Medical Group doctor. It depends on which type of health plan you have. Learn more

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Helpful resources

 

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Preparing for your visit

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Locations

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Contact us

Connect with an OptumCare Medical Group representative about questions or concerns.