UnitedHealthcare Introduces New Medicare Advantage Plan and Cost-Savings Opportunity for Beneficiaries in Central Florida
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WellMed to serve as medical home for people enrolled in new
$0-premium plan available in the Treasure Coast -
Members enrolled in select AARP MedicareComplete plans to save
money on doctor visit co-pays when they choose primary care providers
affiliated with WellMed
TAMPA, Fla.–(BUSINESS WIRE)–UnitedHealthcare, a UnitedHealth Group (NYSE: UNH) company, introduced a
new Medicare Advantage plan in the Treasure Coast as well as a new
cost-savings opportunity with select Medicare Advantage plans in Central
Florida to encourage members to access care from primary care providers
affiliated with WellMed.
The more than 150,000 Medicare beneficiaries in Indian River, Martin and
St. Lucie counties can enroll in the new AARP MedicareComplete Focus
(HMO) Medicare Advantage plan during the Open Enrollment Period (Oct.
15-Dec. 7).* The plan will feature a medical home model of
care management, with WellMed coordinating the care for plan members.
In a consumer breakthrough tied to new ways of organizing health care,
UnitedHealthcare will offer members enrolled in three of its AARP
MedicareComplete (HMO) plans in the Tampa, Orlando and Treasure Coast
areas the opportunity to save money on their doctor visit co-pays when
they choose primary care providers affiliated with WellMed.
Referred to as “tier 1 care providers” to help members easily identify
them, these providers participate in accountable care programs and meet
other performance criteria. They have committed to being compensated
based on their ability to close gaps in care and improve health outcomes
for UnitedHealthcare members while lowering the overall cost of care.
WellMed is a group of employed and contracted primary care physicians,
specialists, nurse practitioners, physician assistants, registered
nurses and other medical staff who work as a team dedicated to
high-quality, efficient and effective health care. Specializing in the
complete coordination of care for seniors, WellMed has been serving
seniors’ health care needs for 25 years and currently provides care for
more than 200,000 patients, primarily in Texas and Florida.**
WellMed is part of Optum, a UnitedHealth Group company.
“Medicare beneficiaries in the Treasure Coast will find quality coverage
at an exceptional value in our new Medicare Advantage plan, and that
value will also extend to many of our AARP MedicareComplete members in
Central Florida who choose WellMed as their primary care provider,” said
Pete Clarkson, CEO of UnitedHealthcare Medicare & Retirement in
North/Central Florida. “WellMed has embraced the concept of population
health management and has been fully committed to improving health
outcomes as well as the health care experience for our Medicare
Advantage members.”
New Medicare Advantage plan offers
affordability and a medical home model of care
The new
AARP MedicareComplete Focus plan is designed to make it as simple and
convenient as possible for beneficiaries to access the care they need
while offering benefits, services and support that can help them live a
happier, healthier life – and that they won’t find with Original
Medicare.
The plan has a $0 monthly premium beyond the Part B premium and includes
coverage of prescription drugs, a SilverSneakers fitness membership and
UnitedHealthcare’s Passport program, which gives consumers access to
their benefits when they travel outside of the plan’s service area.
The plan also covers hearing aids, routine vision, dental and hearing
care as well as an annual physical – above and beyond the annual
wellness visit available through Original Medicare – to encourage people
to build relationships with their primary care physician and get
recommended screenings and preventive care services.
The plan’s network is based on a medical home model, meaning WellMed
will help ensure members receive the right care at the right time in the
most appropriate setting. The goal of care coordination is to improve
both health outcomes and members’ health care experience.
AARP MedicareComplete Focus members will have access to a robust
network, including approximately 30 primary care physicians, more than
350 specialists and seven hospitals in the Treasure Coast.** Consumers
can visit their primary care physician for a $0 copay and can take
advantage of the plan’s transportation benefit if they need assistance
getting to their doctors’ appointments.
WellMed to be featured as tier 1 care provider
for three AARP MedicareComplete plans
Nearly 34,000
beneficiaries enrolled in select AARP MedicareComplete (HMO) Medicare
Advantage plans in the Tampa, Orlando and Treasure Coast areas will pay
a $0 co-pay for a standard office visit when they choose one of
approximately 380 tier 1 primary care providers affiliated with WellMed.
The plans are available in the following counties: Brevard, Charlotte,
Hernando, Hillsborough, Indian River, Lee, Manatee, Martin, Orange,
Osceola, Pasco, Pinellas, Polk, Sarasota, Seminole and St. Lucie.
In addition to this new opportunity to save money, individuals enrolled
in these plans will continue to have access to a broad network of
doctors. They’ll have a choice of more than 3,300 primary care doctors
and 21,000 specialists. Consumers who prefer to access care from a tier
2 primary care provider will pay a $10 co-pay.
“We’re committed to changing the face of health care delivery for
seniors by providing quality, results-driven care with a focus on
prevention and wellness,” said Jeff Maloney, president of WellMed
Florida. “Collaboration with insurers is central to our approach, so
we’re pleased to expand and strengthen our relationship with
UnitedHealthcare. We look forward to serving even more UnitedHealthcare
Medicare Advantage members in 2016.”
UnitedHealthcare and WellMed intend to deepen their collaboration in the
years ahead to enable more UnitedHealthcare Medicare Advantage members
to experience the benefits of a closely integrated health care delivery
network: better health outcomes, an improved consumer experience and
lower costs.
Serving nearly one in five beneficiaries, UnitedHealthcare is the
largest provider of Medicare Advantage, Medicare supplement and Part D
prescription drug plans nationally.* UnitedHealthcare serves
3.2 million people in Florida, including nearly 1.1 million Medicare
beneficiaries.*
To learn more about the AARP MedicareComplete Focus plan as well as
UnitedHealthcare’s full portfolio of Medicare plans, visit www.UHCMedicarePlan.com.
About UnitedHealthcare
UnitedHealthcare
is dedicated to helping people nationwide live healthier lives by
simplifying the health care experience, meeting consumer health and
wellness needs, and sustaining trusted relationships with care
providers. The company offers the full spectrum of health benefit
programs for individuals, employers, military service members, retirees
and their families, and Medicare and Medicaid beneficiaries, and
contracts directly with more than 850,000 physicians and care
professionals, and 6,000 hospitals and other care facilities nationwide.
UnitedHealthcare is one of the businesses of UnitedHealth Group (NYSE:
UNH), a diversified Fortune 50 health and well-being company. For more
information, visit UnitedHealthcare at www.uhc.com
or follow @myUHC on Twitter.
About WellMed
WellMed is
a health care delivery system serving 130,000+ members in Texas and
Florida through primary care clinics, multi-specialty clinics and
contracted medical management services.** Most patients are
Medicare-eligible seniors.
WellMed is an industry leader in medical risk management, highly
effective disease management and chronic care programs, health care
delivery services, and more. With a growing roster of providers and
specialists in primary care, cardiology, podiatry, dermatology,
rheumatology, palliative care and hospital medicine, WellMed specializes
in the complete coordination of care for patients. The vision of the
physician-led company is to change the face of health care delivery for
seniors.
Plans are insured through UnitedHealthcare Insurance Company or one of
its affiliated companies, a Medicare Advantage organization with a
Medicare contract. Enrollment in the plan depends on the plan’s contract
renewal with Medicare. Other providers are available in our network.
This information is not a complete description of benefits. Contact the
plan for more information. Limitations, copayments, and restrictions may
apply. Benefits, premiums and/or co-payments/co-insurance may change on
January 1 of each year. The provider network may change at any time. You
will receive notice when necessary. You must continue to pay your
Medicare Part B premium. Consult a health care professional before
beginning any exercise program. AARP and UnitedHealthcare do not endorse
and are not responsible for the services or information provided by this
program. Availability of the SilverSneakers program varies by
plan/market. Refer to your Evidence of Coverage for more details.
Healthways and SilverSneakers are registered trademarks of Healthways,
Inc. and/or its subsidiaries. © 2015 Healthways, Inc. All rights
reserved.
H1045_150929_113519 Accepted
*CMS Data, 2015
**WellMed Internal Data, 2015
All
other statistics in this document can be attributed to UnitedHealthcare
internal data, 2015.
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Contacts
UnitedHealthcare
Sarah Bearce, 312-485-3280
Sarah_Bearce@uhc.com
or
WellMed
Dan
Calderón, 210-693-2744
dcalderon@wellmed.net
