UnitedHealthcare is required by New York law to provide UnitedHealthcare and OxfordNY situs plan members with examples of out-of-network sample services. The examples show estimated plan allowances for top-selling plans and usual and customary amounts (also known as UCR). New York situs plan members (both UnitedHealthcare and Oxford) will be notified of this law and offered examples in a mid-December mailing.
The cover letters linked below provide answers to the following questions, and provide contact information should the member have additional questions:
- What is an out-of-network provider?
- What happens when I use an out-of-network provider?
- How much will the out-of-network provider charge?
- Will I save money when I see a network provider?
UnitedHealthcareNY situs plan members will be notified of this law and will receive examples in a mid-December mailing. UnitedHealthcare NY customers will be made aware of this via email. Oxford customers will be made aware of this via their account managers.
Please review the cover letters and examples should your customers have questions.