Out-of-network examples will be sent to New York plan members

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 (UCR).

As of July 2019, New York situs plan members (both UnitedHealthcare and Oxford) have access to this information via their online plan documents. New enrollees as of Dec. 2018 to June 2019 will be notified of this law and offered examples in a late August mailing.

The cover letters provide answers to the questions listed below, as well as contact information for 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?

Please review the cover letters should your UnitedHealthcare or Oxford plan members have questions. 

For any questions, please contact your UnitedHealthcare representative.