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ARTICLE Premium Designation Program

Search for UnitedHealth Premium physicians

Not all health care is equal, and that can affect the care you receive. According to a study in The New England Journal of Medicine, "adults receive the recommended medical treatment only 55 percent of the time."1 That's why UnitedHealthcare developed the UnitedHealth Premium® designation program, which recognizes physicians that meet guidelines for providing quality and cost efficient care.

The program uses national industry standards to evaluate for quality and local market benchmarks for cost efficiency across 25 specialties, including family practice, internal medicine, pediatrics, cardiology and orthopaedics.

The designation results are displayed publicly in UnitedHealthcare's physician directories (e.g., myuhc.com) to support informed decision-making by members when making health care choices and by physicians when making referrals.

Innovative Benefit Plan Designs

In addition, employers may offer health benefit programs (e.g., reduced cost-sharing or tiered benefit plans) that provide benefit incentives for members to use UnitedHealth Premium Tier 1 physicians.

Members in health plans that offer tiered benefits may pay lower co-pays and co-insurance amounts for services provided by UnitedHealth Premium Tier 1 physicians.

UnitedHealth Premium Tier 1 physicians have received one of the following Premium designations:

  • Quality and Cost Efficiency
  • Cost Efficiency and Not Enough Data to Assess Quality

For more on the UnitedHealth Premium program:

  • Go to myuhc.com, and click on Find a Physician or Facility. Look for the doctor's Premium designation and the Tier 1 symbol in your search results.
  • Visit UnitedHealthPremium.com to learn more about how the program evaluates and designates physicians.

Remember to make preventive care appointments

Preventive care visits with your doctor can help you stay healthy. This includes staying on top of common screenings, tests and immunizations.

If it's been awhile since your last preventive care visit, we'll send you a reminder in the mail for select services. As a UnitedHealthcare member, you don't have to do anything to get these reminders. It's that easy.

1. Asch, Steven M. et al. The New England Journal of Medicine. 2006 March 16; 354: 1147-1156.

Some UnitedHealthcare condition management, wellness programs and services may not be available in all states for all group sizes. Please check the certificate of coverage for your employer's health plan.