Benefit Plans Not Subject to this Guide - Chapter 1, 2020 UnitedHealthcare Administrative Guide

Benefit Plans Not Subject to this Guide

Empire Plan: In most states, we have a separate care provider network for the Empire Plan members. If you have a direct contract for our Empire Plan Network (The UnitedHealthcare Empire Plan Agreement), this guide does not apply. If you do not have an Empire Plan contract and are a care provider in AZ, CT, DC, FL, IL, MD, NJ, NC, PA, SC, VA, or WV, or if you are a national care provider, your Agreement allows Empire Plan members to access your services (unless it specifically excludes Empire Plan). In those cases, this guide applies.

Plan Name

  • Rocky Mountain Health Plan (RMHP)

Location of Most Members Subject to Additional Guides

  • Colorado

Location of Plan Information

Plan Name

  • Sierra Health and Life Insurance Co., Inc.
  • Sierra Healthcare Options, Inc.
  • Health Plan of Nevada, Inc.
  • Health Plan of Nevada Medicaid/Nevada Check Up

Location of Most Members Subject to Additional Guides

  • Nevada

Location of Plan Information

Plan Name

  • UnitedHealthcare Community Plan Medicaid, CHIP and Uninsured

Location of Most Members Subject to Additional Guides

  • Multiple States

Location of Plan Information

UnitedHealthcare Community Plan Physician, Health Care Professional, Facility and Ancillary Administrative Guide for Medicaid, CHIP, or Uninsured.

 

Plan Name

  • Including references to older brand names such as AmeriChoice, Great Lakes Health Plan, Unison, Arizona Physicians IPA (APIPA)

Location of Most Members Subject to Additional Guides

  • Multiple States

Location of Plan Information

UnitedHealthcare Community Plan Physician, Health Care Professional, Facility and Ancillary Administrative Guide for Medicare

Plan Name

  • UMR

Location of Plan Information