Important Provider Information

The Choice is Yours


We will provide you with information to help you make informed choices, such as physicians' and health care professionals' credentials. This information, however, is not an endorsement of a particular physician or health care professional's suitability for your needs.

The providers available through this application may not necessarily reflect the full extent of UnitedHealthcare's network of contracted providers. There may be providers or certain specialties that are not included in this application that are part of our network. If you don't find the provider you are searching for, you may contact the provider directly to verify participation status with UnitedHealthcare's network, or contact Customer Care at the toll-free number shown on your UnitedHealthcare ID card. We also recommend that, prior to seeing any physician, including any specialists, you call the physician's office to verify their participation status and availability.

California, Louisiana, Massachusetts, Ohio, Oregon, Nevada, Texas and Wisconsin


California


For California Providers Only
Individual facilities or health care providers may disagree with the methodology used to define the cost ranges, the cost data, or quality measures. Many factors may influence cost or quality, including, but not limited to, the cost of uninsured and charity care, the type and severity of procedures, the case mix of a facility, special services such as trauma centers, burn units, medical and other educational programs, research, transplant services, technology, payer mix, and other factors affecting individual facilities and health care providers.

Pursuant to Section 1367.49 of the California Health and Safety Code and Section 10133.64 of the California Insurance Code, a provider or supplier may choose to provide an Internet Web link where a response to the health care service plan's cost and/or quality posting may be found.

When a provider no longer participates in the network, or has changed participation status, additional liability is likely to result. Soon after the provider changes their status, out of network penalties or increased cost sharing will result. In some cases, extension of in network or greater network benefits may be available.

Health Services from Non-Network Providers Paid as Network Benefits

If specific Covered Health Services are not available from a Network provider, you may be eligible for Network Benefits when Covered Health Services are received from non-Network providers. In this situation, your Primary Physician or other Network Physician will notify us and, if we confirm that care is not available from a Network provider, we will work with you and your Primary Physician or other Network Physician to coordinate care through a non-Network provider. If care is authorized from a non-Network provider because it is not available from a Network provider, you will be responsible for paying only the in-Network cost sharing for the service.

Limitations on Selection of Providers

If you are using health care services in a harmful or abusive manner, or with harmful frequency, your selection of Network providers may be limited. If this happens, you may be required to select a single Network Physician to provide and coordinate all future Covered Health Services. If you don't make a selection within 31 days of the date we notify you, we will select a single Network Physician for you. If you fail to use the selected Network Physician, Covered Health Services will be paid as Non-Network Benefits. If you disagree with a Benefit determination, you can request an appeal. The complaint and appeals process is described under Section 6: Questions, Complaints and Appeals in the Certificate of Coverage. You may also call Customer Care at the telephone number on your ID card.

Some hospitals and other providers do not provide one or more of the following services that may be covered under your policy and that you or your family member might need: family planning; contraceptive services, including emergency contraception; sterilization, including tubal ligation at the time of labor and delivery; infertility treatments; or abortion. You should obtain more information before you become a policyholder or select a network provider. Call your prospective doctor or clinic, or call the insurer at (insert the insurer's membership services number or other appropriate number that individuals can call for assistance) to ensure that you can obtain the health care services that you need.

Authorization or referral may be required to access some providers.

Providers in our network are required to have appointment availability within specified time frames.

Appointment Type Timeframe

  • Urgent Care (prior authorization not required by health plan) 48 hours
  • Urgent Care (prior authorization required by health plan) 96 hours
  • Non-Urgent Doctor Appointment (primary care physician) 10 business days
  • Non-Urgent Doctor Appointment (specialty physician) 15 business days
  • Non-Urgent Mental Health Appointment (non-physician) 10 business days
  • Non-Urgent Appointment (ancillary provider) 15 business days

    • American Disabilities Act Notice: In accordance with the requirements of the federal Americans with Disabilities Act of 1990 and Section 504 of the Rehabilitation Act of 1973 ("ADA"), UnitedHealthcare Insurance Company provides full and equal access to covered services and does not discriminate against qualified individuals with disabilities on the basis of disability in its services, programs, or activities.

    Paper copies of the network provider directory are available at no cost to members by calling the customer service number on the back of your ID card.

    To report incorrect information, email provider_directory_invalid_issues@uhc.com.

    Louisiana


    The Louisiana Hospital-Based Physician Disclosure List is for informational purposes only and contains the names and location of certain hospital-based physicians located in the State of Louisiana as reported to UnitedHealthcare. It is provided in accordance with the Louisiana Consumer Health Care Provider Network Disclosure Act. The list is not part of UnitedHealthcare's directory of Network Providers and includes Network and Non-Network Providers. Physicians on this list may not be contracted with UnitedHealthcare and includes Network and Non Network Providers.
    View List

    Massachusetts


    Notice for fully insured Massachusetts members: Please be advised that this tool is not intended to be and should not be relied upon for purposes of obtaining cost estimates under MA S2400, signed into law on August 6, 2012. Fully insured Massachusetts members seeking a cost estimate for purposes of MA S2400 should instead contact the member services phone number listed on your health plan identification (ID) card.

    Ohio


    When a provider no longer participates in the network, or has changed participation status, additional liability is likely to result. Soon after the provider changes their status, out of network penalties or increased cost sharing will result. In some cases, extension of in network or greater network benefits may be available.

    Oregon


    In the event that the cost estimate differs from the actual cost of the procedure or service, and you would like an explanation or if you have additional questions, please contact our Customer Service Center at the number on your health plan ID card. If you need help with an insurance question or complaint, then you may contact the Consumer Advocacy Unit of the Oregon Department of Consumer and Business – Insurance Division at (888)877-4894 (toll free), P.O. Box 14480 Salem, OR 97309-0405, website: insurance.oregon.gov, or email: cp.ins@state.or.us

    Nevada


    Nevada Recent Terminations
    View Recently Termed Providers

    Texas


    Texas facility based physician contract status.
    View Contract Status

    Wisconsin

    You are strongly encouraged to contact us to verify the status of the providers involved in your care including, for example, the anesthesiologist, radiologist, pathologist, facility, clinic or laboratory, when scheduling appointments or elective procedures to determine whether each provider is a participating or nonparticipating provider. Such information may assist in your selection of provider(s) and will likely affect the level of co-payment, deductible and amount of co-insurance applicable to care you receive. The information contained in this directory may change during your plan year. Please call the Customer Service phone number on your ID card to learn more about the participating providers in your network and the implications, including financial, if you decide to receive your care from nonparticipating providers.