GREENSBORO, N.C.–(BUSINESS WIRE)–In a consumer breakthrough tied to new ways of organizing health care,
UnitedHealthcare will offer many of its Medicare Advantage members in
North Carolina lower co-pays when they receive care from primary care
providers and most specialists affiliated with Cornerstone Health Care,
Eagle Physicians & Associates, Guilford Medical Associates, Novant
Health and Triad HealthCare Network.
Referred to as “tier 1 care providers” to help members easily identify
them, these providers participate in accountable care programs with
UnitedHealthcare and meet other performance criteria. They have
committed to being compensated based on their ability to improve the
coordination and delivery of care to UnitedHealthcare’s Medicare
Advantage members, thereby closing gaps in care, reducing redundant,
inefficient care, and improving health outcomes, all while lowering the
overall cost of care.
Nearly 55,000 beneficiaries enrolled in three AARP MedicareComplete
(HMO) Medicare Advantage plans in North Carolina will pay a lower co-pay
for a standard office visit when they visit a tier 1 primary care
provider or specialist.*
The co-pays for primary care provider visits will vary based on the
People enrolled in the AARP MedicareComplete Plan 1 (HMO) and AARP
MedicareComplete Essential (HMO) plans will pay a $0 co-pay for visits
with tier 1 primary care providers, as compared to $10 for tier 2
primary care providers.
People enrolled in the AARP MedicareComplete Plan 2 (HMO) will also
pay a $0 co-pay for visits with tier 1 primary care providers, as
compared to $20 for tier 2 primary care providers.
People enrolled in all three plans will pay a $35 co-pay for standard
office visits with tier 1 specialists, as compared to $50 for tier 2
The plans are available in the following counties: Alamance, Cabarrus,
Caldwell, Caswell, Catawba, Chatham, Cleveland, Cumberland, Davidson,
Davie, Durham, Forsyth, Guilford, Henderson, Iredell, Lincoln,
Mecklenburg, Orange, Person, Randolph, Rockingham, Rowan, Stokes, Union,
Wake, Wilkes and Yadkin.
In addition to this new opportunity to save money, individuals enrolled
in these plans will continue to have access to a broad network of
doctors. They’ll have a choice of more than 5,100 primary care doctors
and nearly 15,500 specialists.*
“The tier 1 care providers have demonstrated a strong commitment to
improving health outcomes for their patients and our members,” said
Charles Russo, CEO of UnitedHealthcare Medicare & Retirement in North
Carolina. “We hope that offering lower co-pays when our members visit
tier 1 doctors will enable people to experience the benefits of
well-coordinated care, including improved health and a better health
Serving nearly one in five beneficiaries, UnitedHealthcare is the
largest provider of Medicare Advantage, Medicare supplement and Part D
prescription drug plans nationally.* UnitedHealthcare serves
1.1 million people in North Carolina, including more than 430,000
To learn more about UnitedHealthcare’s full portfolio of Medicare plans,
is dedicated to helping people nationwide live healthier lives by
simplifying the health care experience, meeting consumer health and
wellness needs, and sustaining trusted relationships with care
providers. The company offers the full spectrum of health benefit
programs for individuals, employers, military service members, retirees
and their families, and Medicare and Medicaid beneficiaries, and
contracts directly with more than 850,000 physicians and care
professionals, and 6,000 hospitals and other care facilities nationwide.
UnitedHealthcare is one of the businesses of UnitedHealth Group (NYSE:
UNH), a diversified Fortune 50 health and well-being company. For more
information, visit UnitedHealthcare at www.uhc.com
or follow @myUHC on Twitter.
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. Other providers are available in our network.
This information is not a complete description of benefits. Contact the
plan for more information. Limitations, copayments, and restrictions may
apply. Benefits, premiums and/or co-payments/co-insurance may change on
January 1 of each year. The provider network may change at any time. You
will receive notice when necessary.
*UnitedHealthcare Internal Data, 2015
Sarah Bearce, 312-485-3280