Maine required state notices

Certificate of coverage documents

In accordance with State of Maine insurance regulations, below are five small group Certificate of Coverage (COC) documents. All are in PDF format.

Information for members of Maine health insurance plans: Emergency Services and Surprise Bills

Direct Primary Care Provider Referrals

If a member needs covered health care services, participating providers must accept a referral from a direct primary care provider and they are treated the same regardless of whether the referring physician is a PCP or DPC provider. UnitedHealthcare may require a direct primary care provider making a referral (who is not a member of the carrier’s provider network) to provide information demonstrating that the provider is a direct primary care provider through a written attestation or a copy of a direct primary care agreement with an enrollee. To request a referral to an in-network provider, call the toll-free member phone number on the member health plan ID card.