Myaarpmedicare Provider Directory 2022- Find a Care Provider

The General Myaarpmedicare Plan Directory allows you to search for doctors, clinics and hospitals by selecting from the UnitedHealthcare family of health plans offered. This directory includes care providers who serve our Commercial, Medicaid / Community Plan  and Medicare members.

This directory provides a list of the plan’s network providers. To get detailed information about your  health care coverage, please see your Evidence of Coverage.

Myaarpmedicare Provider Directory 2022

This directory provides a list of your plan’s network providers. This directory is for the plans and service area listed on the cover. It is not a complete list of  network providers available to you. You can search for a network provider and print a directory  online, which is updated weekly and available 24 hours a day, 7 days a week.

Some network providers may have been added or removed from our network after this directory  was printed. We do not guarantee that each provider is still accepting new members.

Visit www.myAARPMedicare.com or call UnitedHealthcare Customer Service toll-free at  1-800-950-9355, TTY 711, 8 a.m. – 8 p.m. local time, 7 days a week.

Plans are insured through UnitedHealthcare Insurance Company or one of its affiliated companies,  a Medicare Advantage organization with a Medicare contract. Enrollment in the plan depends on  the plan’s contract renewal with Medicare.

Providers are prohibited from discriminating against any member, with regard to quality of service  or accessibility of services, on the basis of race, ethnicity, national origin, religion, sex, age, mental  or physical disability or medical condition, sexual orientation, claims experience, medical history,  evidence of insurability, disability, genetic information, or source of payment.

This information is available for free in other languages. Please call UnitedHealthcare Customer  Service toll-free at the number listed above.

This document may be available in an alternate format such as Braille, larger print or audio. Please  call Customer Service at the toll-free phone number listed above.

Primary Care Provider

What is a primary care provider? 

A primary care provider (PCP) is the health care professional who provides most of your care. Your PCP can help you:

  • Make smart lifestyle choices to help improve and maintain your health
  • Get preventive care and health screenings
  • Better understand your medical conditions

Coordinate any specialist care to help avoid duplicate and expensive tests • Manage your prescriptions and identify possible harmful interactions

Select a primary care provider (PCP) 

You will need to choose one of our network providers to be your primary care provider (PCP). PCPs  are listed in the Primary Care Provider section of this directory. The term PCP will be used  throughout this directory.

If you choose a PCP who is not taking new patients, UnitedHealthcare may assign you to a different  PCP. If this happens, you can switch to another PCP who is accepting new patients.

Your PCP plays an important role in your health care and we want you to be comfortable with the  provider you choose. If you want to switch providers, call UnitedHealthcare Customer Service toll free at 1-800-950-9355, 8 a.m. – 8 p.m. local time, 7 days a week. TTY users should call 711.

Referrals from your PCP 

Your PCP can handle most routine health care needs. If you need to see a network specialist or  other network provider, you may need to get a referral from your PCP. Your PCP will make a referral  based on your health situation. They may or may not refer you to a particular specialist in this  directory who you want to see. Generally, your PCP will provide follow-up care, as needed. Please  see the Evidence of Coverage for information about access to specialists.

This directory provides a list of skilled nursing facilities in your plan’s network. Contact your PCP for  a referral to a network skilled nursing facility.

The network providers listed in this directory have agreed to provide you with your health care  coverage. However, some services may require a referral. If you have been going to one network  provider, you are not required to continue going to that same provider. Check your Evidence of  Coverage to make sure your plan includes additional benefits or that you’ve signed up for optional  supplemental riders before making appointments for dental, vision or hearing services.

If I need emergency or urgent care 

A medical emergency is when you, or any other ordinary person with an average knowledge of  health and medicine, believe that you have symptoms that require immediate medical care to

prevent death, loss of a limb, or loss of function of a limb. The medical symptoms may be an illness,  injury, severe pain, or a medical condition that is quickly getting worse.

If you have a medical emergency, get help as quickly as possible. Call 911 or go to the nearest  emergency room or hospital. Emergency care can always be obtained in or out of the service area  from the nearest available provider. Emergency services are also covered whether a provider is in  our network or not. You or someone else should call and tell us about your emergency care, usually  within 48 hours.

Urgently needed services is a non-emergency, unforeseen medical illness, injury, or condition, that  requires immediate medical care. When out of the service area, urgent care may be obtained from  the first available provider whether the provider is in our network or not. In addition, when out of the  service area, you can obtain dialysis treatment from any qualified dialysis provider. If you obtain  routine care from out-of-network providers neither Medicare nor your Plan will be responsible for  the costs.

If you get a bill 

There may be times when you get a bill from a provider for the full cost of medical care you have  received. If you get a bill, contact UnitedHealthcare. In many cases, you should send this bill to  UnitedHealthcare instead of paying it. We will look at the bill and decide whether the services  should be covered. If we decide they should be covered, we will pay the provider directly. Please  see your Evidence of Coverage for more information.

If you’re on Medicare and Medicaid 

If you’re a Qualified Medicare Beneficiary (QMB), your doctor may not bill you for deductibles,  copays or coinsurance for Medicare-covered services, except for Part D prescription drug copays.  Please show your UnitedHealthcare member ID card and your state-issued Medicaid member ID  card when you see the doctor or use other plan services. This will help ensure you’re billed for the  correct amount.

Accessing your mental health benefits 

To access your mental health benefits, call the toll-free mental health number on your  UnitedHealthcare member ID card. When you call, a representative will check your eligibility and  get basic information about you and your situation. Depending on the help you need, a clinician  may talk with you and recommend a provider and treatment plan. If you prefer, your PCP may call  and arrange a referral for you. Your personal information will be kept strictly confidential.

Organ transplant services 

Your plan has a nationwide network of facilities that perform organ transplants (including the heart,  lung, liver, intestine, kidney, bone marrow and/or pancreas). Solid organ transplants must be  performed at a facility that is currently Medicare-approved for your specific type of transplant. The  plan’s hospital network for organ transplant services is different than the network shown in the  “Hospitals” section of this provider directory. Some hospitals in the plan’s network for other  medical services are not in the plan’s network for transplant services. The complete list of  Medicare-approved facilities in your plan’s network may change throughout the year. For  information on network facilities for transplant services, please call UnitedHealthcare Customer  Service toll-free at 1-800-950-9355, TTY 711.

What is the service area for your plan? 

Your service area is listed below.

AARP® MedicareComplete® SecureHorizons® Essential (HMO) 

Texas – Collin, Cooke, Dallas, Denton, Ellis, Fannin, Grayson, Hood, Hunt, Johnson, Kaufman,  Parker, Rockwall, Tarrant, Van Zandt, and Wise counties

AARP® MedicareComplete® SecureHorizons® Plan 1 (HMO) 

Texas – Collin, Cooke, Dallas, Denton, Ellis, Fannin, Grayson, Hood, Hunt, Johnson, Kaufman,  Parker, Rockwall, Tarrant, Van Zandt, and Wise counties

AARP® MedicareComplete® SecureHorizons® Plan 2 (HMO) 

Texas – Collin, Cooke, Dallas, Denton, Ellis, Fannin, Grayson, Hood, Hunt, Johnson, Kaufman,  Parker, Rockwall, Tarrant, Van Zandt, and Wise counties

How do you find network providers in your area? 

Network providers in your area are listed in the following sections of this directory. To find a  provider using this directory, turn to the Table of Contents on the next page and see where each  section begins. Go to the section of the type of provider you are looking for. Once you are in that  section, locate the city you live in. Under each city you will find a list of providers in alphabetical  order.

You may have more providers to choose from if the service area shown above is larger than the  service area shown on the front of this directory. You can also search online at  www.myAARPMedicare.com, which is updated weekly and available 24 hours a day, 7 days a  week.

If you have questions about your plan or require assistance in finding a PCP, please call our  UnitedHealthcare Customer Service Department toll-free at 1-800-950-9355, TTY 711. Or visit  www.myAARPMedicare.com.

 

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