Encourage your retirees to take advantage of health-enhancing programs and services that make a positive difference in their lives – and your costs.

Who is eligible?
Retirees enrolled in one of our UnitedHealthcare Medicare Advantage plans (HMO, PPO, POS, PFFS) have access to all of the following programs and services. Participation in some programs may require qualification based on diagnosis or risk assessment.

Retirees enrolled in our Group Senior Supplement or Senior Security plans have access to a more limited set of services.

What programs & services are available?
More than just living, it’s about living well. UnitedHealthcare has built wellness, disease management and comprehensive care management programs to form an integrated continuum with a focus on supporting healthy lifestyle choices, reducing fragmentation and serving the whole person. Programs include:

• Prevention and Wellness
• Utilization Management
• Disease Management Solutions
• Personal Health/Care Management
• Advanced Illness Services 

Prevention and Wellness
Please note: The products and services described below are neither offered nor guaranteed under our contract with the Medicare program. In addition, they are not subject to the Medicare appeals process. Any disputes regarding these products and services may be subject to the plan's grievance process.

These programs promote wellness, improve health literacy and support good health care decision-making. Programs include:

• Health Risk Assessments
• Access Support Program*
• Senior Fitness Program*
• Preventive Care Reminders
• Web-based Health Resources
• Health Allies Discount Program*
• NurseLine Program*
• Wellness Advising Program*
• Tobacco Cessation Programs
• Solutions for Caregivers Program*

*Available to Group Senior Supplement and Senior Security members.

Utilization Management
The goal of utilization management is to ensure the right care at the right time in the right setting.  UnitedHealthcare is dedicated to optimizing clinical outcomes while being effective stewards of health care resources. Our programs include:

• Intake Notification
• Pre-Service Review
• Concurrent Review
• Post-Service Review

Disease Management Solutions
Proactive management and prevention of chronic conditions represents the single largest opportunity to improve health and to contain health care costs. 

We collaborate with retirees, their families and their providers to improve overall health and well-being.  Our programs include:

• Heart Failure Disease Management
• Diabetes-Coronary Artery Disease Management
• Kidney Resource Services Program
• Transplant Resource Services Program
• Treatment Decision Support Program*
• Behavioral Health Management Program
• Specialized Quality Provider Networks (Network-based products only)
• Respiratory Care Management (Optional)
• Cancer Support Program (Optional)

*Available to Group Senior Supplement and Senior Security members.

Personal Health/Care Management
UnitedHealthcare’s personal health management program supports retirees who are living with multiple complex conditions or co-morbidities and who benefit from guidance and care coordination. The program includes:

• Focused Personal Health/Care Management
• High Risk Personal Health/Care Management
• Transition Coach Services to assist in transition from hospital to home 

Advanced Illness Services
Our advanced illness program provides compassionate support to retirees and families compromised by catastrophic health concerns through holistic, preference-sensitive, personal health management programs, palliative care services and end-of-life support.  The program includes:

• Advanced Illness Care Management
• Palliative Care Services
• End of Life Support

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