Out-of-network examples will be sent to New York plan members
- Fully Insured
- Legal and Compliance
- New York
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 the notice via their plan documents online.
A late August mailing with notification of the law and offered examples will be sent to enrollees as of Dec. 2018, through June 30.
The cover letters provide answers to the questions listed below, along with 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 and examples should your customers have questions.