2023 Oxford New York small group plan updates

UnitedHealthcare, Oxford plans for 2023 include many innovations intended to help enhance the member experience and drive affordability.

Nov. 4, 2022

UnitedHealthcare and Oxford plans for 2023 include many innovations intended to help enhance the member experience and drive affordability in the market. The following are highlights of several key initiatives that will take place for our new and returning New York Oxford clients and members, beginning Jan. 1, 2023.

New York Oxford small group plans will have some of the most competitive rates in the market for 2023, including in the mid-Hudson region. Oxford brokers, plan sponsors and members will be able to take advantage of the following improvements in the coming year.¹

Enhanced benefits

Out-of-pocket costs will be eliminated in standard fully insured group plans for certain preferred prescription drugs, including short and long-acting insulins as well as medications to treat emergencies such as severe allergic reactions, opioid overdoses and acute asthma attacks²
UnitedHealthcare Vision benefit is embedded in all New York Oxford small group Freedom plans for new business and upon renewal³

Reduced out-of-pocket costs

Behavioral Health outpatient services will be covered at the primary care provider (PCP) copay amount instead of the specialist copay
Oxford Preferred Lab Network provides coverage with a $0 copay
A $5 PCP copay for dependent children has been added to our Oxford Zero Deductible (ZD) medical plans
New virtual primary care physician visit feature included with all plans

Increased reward potential

UnitedHealthcare Rewards for all New York small group plans will allow members to earn up to $300 per year in addition to the Sweat Equity® program, which rewards members up to $400 annually^{4, 5}
1-year Peloton® App membership offer is now extended through June 2023⁶

Accessible specialty benefits

It’s easy to get a specialty quote with SAMx on uhceservices.com. In offering medical, dental and vision with UnitedHealthcare, members will have one site of service, one mobile app and one ID number.
Oxford brokers can earn specialty bonuses through the UnitedHealthcare Broker Bonus program, which ends Dec. 31, 2022.⁷

For additional details about these exciting developments for 2023, as well as products grids, Network Fact Sheets and other program collateral to aid in sales and client support efforts, please sign in to uhceservices.com and visit the Resources section.

For questions, please contact your Oxford sales representative or the Client Services team at 1-888-201-4216 or oxfordgroupservices@uhc.com.

Footnotes

Fully insured UnitedHealthcare and Oxford members, including enrolled employees and dependents. Certain prescription drugs including insulin and several drugs used to treat emergencies such as severe allergic reactions, hypoglycemia, opioid overdoses, and acute asthma attacks. This new standard offering will be available to group fully insured plans potentially as early as Jan. 1, 2023, subject to any required regulatory approval.
2023 NY small group (1-100) pricing; 8 consecutive years of single digit rate increases with an overall increase for 2023 at 6%. Based on rate information from the New York Department of Financial Services 2023 small group rates posted on dfs.ny.gov.
Pending final New York Department of Financial Services approval.
Pending final New York Department of Financial Services approval. Rewards is a voluntary program. The information provided under this program is for general informational purposes only and is not intended to be nor should be construed as medical advice. You should consult an appropriate health care professional before beginning any exercise program and/or to determine what may be right for you. Receiving an activity tracker, certain credits and/or rewards and/or purchasing an activity tracker with earnings may have tax implications. You should consult with an appropriate tax professional to determine if you have any tax obligations under this program, as applicable. If any fraudulent activity is detected (e.g., misrepresented physical activity), you may be suspended and/or terminated from the program. If you are unable to meet a standard related to health factor to receive a reward under this program, you might qualify for an opportunity to receive the reward by different means. You may call us toll-free at 1-855-256-8669 or at the number on your health plan ID card, and we will work with you (and, if necessary, your doctor) to find another way for you to earn the same reward. Rewards may be limited due to incentive limits under applicable law. Subject to HSA eligibility, as applicable.
Reimbursement benefit is available to the subscriber and the subscriber’s covered spouse/domestic partner and eligible dependents ages 13 and older. Rewards may be taxable to the plan participant. You should consult with an appropriate tax professional to see if you have any tax reporting obligations for the plan participants’ reimbursements under this program and for the tax treatment of these expenses for your group.
For a limited time, the Peloton offering is available to members enrolled in applicable fully insured Oxford plans underwritten by Oxford Health Insurance, Inc. and Oxford HMO plans underwritten by Oxford Health Plans (CT), Inc. and Oxford Health Plans (NJ), Inc. Additional details, including offer expiration date, are on myuhc.com/peloton. To receive a 1-year Peloton App Membership, members must be 18+ years of age and register for an account with Peloton. In its place, Oxford members who own a Peloton Bike, Bike+ or Tread may redeem a 3-month All-Access Membership. Limit one sign-up redemption code per member, per plan year. All services provided by Peloton directly to consumers are governed by Peloton’s Membership Terms, located at onepeloton.com/membershipterms. The information provided under this program is for general informational purposes only and is not intended to be nor should be construed as medical advice. Members should consult with an appropriate health care professional before beginning any exercise program and/or to determine what may be right for them. The value of this offering may be taxable. Members should consult with an appropriate tax professional to determine if they have any tax obligations from having access to this offering at no additional cost.
5/1/22 – 12/31/22 for new fully insured specialty cases with up to 100 eligible employees with 5 or more enrolled employees.

Disclaimers

Virtual Primary Care services are only available if the provider is licensed in the state that the member is located at the time of the appointment. Virtual Primary Care is not intended to address emergency or life-threatening medical conditions and should not be used in those circumstances. Services may not be available at all times, or in all locations, or for all members. Certain prescriptions may not be available, and other restrictions may apply.

Oxford insurance products are underwritten by Oxford Health Insurance, Inc.

UnitedHealthcare Life Insurance Company in NJ, and UnitedHealthcare Insurance Company of New York in NY.