Group Medicare programs and services for health and wellness

Retirees enrolled in one of our UnitedHealthcare Medicare Advantage HMO or PPO plans can take advantage of a variety of health and wellness programs and services.

Programs and services What's covered
Routine medical exams
  • Initial visit for individuals new to Medicare
  • Annual checkup
  • Mammograms, pelvic exam, breast exam and pap smears for women
Screenings to help detect problems and maintain health
  • Abdominal aortic aneurysm (AAA)
  • Bone mass
  • Colorectal cancer
  • Depression
  • Diabetes
  • Glaucoma
  • Heart disease
  • Heart health
  • HIV
  • Lung cancer
  • Prostate cancer
Screenings and behavioral counseling
  • Alcohol misuse
  • Sexually transmitted disease/infection (STD/STI)
  • Body mass index
  • Obesity
Tests, therapy ordered by a primary care provider
  • Hepatitis C screening
  • Medical nutrition therapy
Diabetes and kidney health
  • Diabetes self-management training
  • Dialysis training
  • Kidney disease education
Vaccines and immunization
  • Influenza (flu)
  • Pneumonia
Smoking cessation
  • Smoking cessation help

Does Medicare pay for wellness programs?

UnitedHealthcare’s Group Medicare Advantage plans include some coverage for wellness programs. Typical offerings include:

  • Fitness membership
  • Once yearly in-home health assessment
  • Health reminders and rewards
  • NurseLine support
  • Caregiver resources

Personalized help for your group, no matter which plan you choose

UnitedHealthcare offers two programs designed to help plan participants receive the most from their coverage and get caring, expert guidance when faced with a health crisis or event.1

Advocate4Me®

With just a phone call, Advocate4Me connects members to an experienced professional who can help with a variety of needs, like:

  • Questions about enrollment
  • Where to find a doctor
  • Guidance on more complex issues like appeals

Each advocate is dedicated to seeing that every inquiry is resolved to the satisfaction of the retiree.

Navigate4Me™

When faced with a daunting diagnosis or medical emergency, your retirees will have access to a “navigator” for the duration of the event. Together, they will work through:

  • Questions and decisions about care and treatment
  • Appointment scheduling and planning
  • Next steps and follow up

Improving retiree health with UnitedHealthcare HouseCalls

Qualified retirees enrolled in a Group Medicare Advantage plan can take part in the UnitedHealthcare® HouseCalls program. HouseCalls supports and complements members’ regular care through a visit with a licensed health care practitioner in the privacy of their home – at no additional cost.

Practitioners work with participants to understand their health status and provide information that may help maintain or improve health. UnitedHealthcare uses HouseCalls visits to help coordinate care with the retiree’s doctors, which may make it easier to identify treatment needs, recommend preventive services and assist in health education.

At the end of their HouseCalls visit, retirees receive a checklist of topics to discuss with their doctor. UnitedHealthcare follows up with their physician to share the results. Members who have experienced a HouseCalls visit have indicated an average satisfaction rate of 98%.2

Medicare utilization management

The goal of utilization management is to help ensure individuals get access to the right care in the most appropriate setting. UnitedHealthcare is dedicated to helping optimize clinical outcomes while being effective stewards of health care resources. Our programs may include:

  • Intake notification
  • Pre-service review
  • Concurrent review
  • Post-service review

Get started

Employers, plan sponsors and brokers can get information and personalized assistance from a UnitedHealthcare representative.

Have a question or need help with your health plan account?

If you get your UnitedHealthcare plan through your employer or former employer, or have an AARP® Medicare or UnitedHealthcare Medicare plan, we’re here to help.

Footnotes

  1. Advocate4Me and Navigate4Me 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.
  2. Source: Optum HouseCalls Finance Report, 2011-2018.