UnitedHealthcare is required by New York law to provide UnitedHealthcare and Oxford NY fully insured 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?
NY fully insured situs plan members will be notified of this law and will receive examples in a mid-December mailing. Please review the cover letters should your UnitedHealthcare or Oxford plan members have questions.
Please contact your UnitedHealthcare representative with questions.