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United Healthcare

New to Covered California this year, UnitedHealthcare is the largest single health carrier in the United States. Its parent company, UnitedHealth Group Inc. is a managed healthcare company headquartered in Minnetonka, Minn. UnitedHealthcare Benefits Plan of California will offer coverage in pricing regions 1, 9, 11, 12 and 13 in 2016.

Consumer tools

UnitedHealthcare offers members the Health4Me mobile app to help them manage different aspects of their health, such as allowing them to search for providers and get health care cost estimates for specific treatments and procedures. Members can:

  • Access real-time statuses account balances, deductibles and out-of pocket spending.
  • Access the myClaims Manager to manage health care claims and pay providers.
  • Search pharmacies, claims, drug pricing and mail orders directly from the app. Cost calculator
  • UnitedHealthcare’s myHealthcare Cost Estimator helps members estimate costs before getting care — based on actual contracted rates of network providers for their specific plan.

UnitedHealth Premium designation

UnitedHealth Premium designation helps consumers make more informed and personally appropriate choices for their medical care. In place since 2005, it uses clinical information from health care claims spanning 42 states and more than 350,000 physicians to help consumers make more informed and personally appropriate choices for their medical care.

Consumer health management program

UnitedHealthcare’s eSync platform identifies and segments populations to execute clinically based and highly personalized health management programs. Nurses with specialized training assess members for the appropriate level of intervention, make outbound and responsive inbound calls, and oversee weight and symptom monitoring for members when necessary and alert physicians if needed.

Virtual visits

UnitedHealthcare offers more access to primary care physicians through online virtual visits. Virtual visits are video-based, virtual, secure, online access to a physician via a mobile phone, tablet or computer available 24 hours a day.

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