What is premium care physician?
When you’re looking for a doctor, you can consider his or her Premium designation when making your choice. Physicians may also use these designations when referring patients to other physicians. Premium Care Physician. The physician meets the criteria for providing quality and cost-efficient care. Does Not Meet Quality.
What is UHC premium?
The UnitedHealth Premium program provides physician designations based on quality and cost-efficiency criteria to help members make more informed choices about their medical care. Physicians may also use these designations when referring patients to other physicians.
What is the difference between premium care and quality care?
Quality is the primary program measurement, assessed using national standardized measures. The Premium program uses relevant measures that can be assessed using health plan claims data and that are useful in determining differences in physician performance.
What is a Tier 1 physician?
Tier 1 doctors and hospitals provide members care and services needed for a lower cost. As shown in the example above, you receive the highest level of benefits when you visit the doctors and hospitals in Tier 1.
What is a UHC Tier 1 provider?
Physicians included in the Tier 1 status include PCPs and specialists with the UnitedHealth Premium® designation for quality and cost efficiency and physicians participating in UnitedHealthcare NexusACO® in certain markets.
What is UHC designated network?
Designated Diagnostic Providers are laboratory providers that meet certain quality and efficiency requirements. If you have a Designated Diagnostic Provider benefit, you’ll have the highest level of coverage — and likely save money — when you use Designated Diagnostic Providers for your outpatient lab services.
What are personal doctors called?
A primary care physician (PCP) is a physician who provides both the first contact for a person with an undiagnosed health concern as well as continuing care of varied medical conditions, not limited by cause, organ system, or diagnosis. The term is primarily used in the United States.
Can a doctor not take insurance?
Can primary care doctors refuse to take insurance? Yes, doctors aren’t required to accept health insurance plans or the rates that insurance companies decide to pay doctors.
What do you call a doctor who doesn’t take insurance?
Cash-only doctors, also called direct-pay doctors or direct primary care doctors, are medical professionals who have decided to accept only cash for their services. They don’t accept any insurance, including Medicare or Medicaid.