TROUT INSURANCE SERVICES
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Do you have a United Healthcare ACA individual health plan with a network that requires a PCP (Primary Care Provider)??


Here are 3 helpful tips:


See the PCP first: 

Your PCP is the main doctor who takes care of you – the one who coordinates care and makes referrals to specialists, if needed.

You need to see your PCP even if you are undergoing treatment with a different doctor or specialist today. 

The PCP will need to make a referral to continue treatment. 


Remember: if you get care from a doctor, hospital or clinic outside the network, care will not be covered, and you'll  have to pay the full cost.


Get a referral to see a network specialist: 


When a PCP determines care from a specialist is needed, the PCP must submit a referral. A referral is a note sent electronically from the PCP to UnitedHealthcare. If you are On-Exchange (meaning you  are getting a subsidy from Healthcare.gov), you can see the electronic referrals from your  PCP on www.myuhc.com under the Physicians & Facilities tab ( If you are an Off-Exchange clients you can view referrals on www.MyUHOne.com). 


Remember: If care is received without a referral on file, it will not be covered, and you will have to pay the full cost. So it is important to see their PCP first.

Of course, no referral is needed for emergency care, and your client can go to any facility. 



Need to change PCP? 
Here's how:

The front of your health plan ID card shows the name of your  PCP. If you did not pick a doctor when you enrolled, UHC matched you with one in your area. 

If you want to change your PCP: Your insurance broker, Dave Trout can request the change or you can make the change on your own.
–On-Exchange clients can visit www.myuhc.com and select "Find a network doctor or hospital" to search for a provider.
Then you can make the change online, or call the toll-free member phone number on their ID card.


–Off-Exchange clients can visit www.myuhone.com and select "Find A Doctor" to search for a provider.
Then you can call the toll-free customer service phone number on your ID card to make the change.



When changing a PCP, keep in mind that the change will not be immediate. 
The effective date for a PCP change is similar to effective dates for ACA plans:


Changes made on or before the 15th of the month will apply the first of the following month.Changes made after the 15th will apply the first of the second month following the request.

Work with your PCP to take advantage of your plan's network savings and find the best care!


Trout Insurance Services

Monday-Friday
9:00am-5:00pm & by Appointment


​Visit: 29 N Main St
Weaverville, NC 28787
     
Mail: PO Box 1414     
Weaverville, NC 28787  
Ph: 828.279.4681
​
Fax: 1.888.221.4842
​

contact@troutinsurance.com
Trout Insurance is an Independent Insurance Agency Based in WNC. 
Privacy Notice Statement  | Privacy Policy
“We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or call 1.800.Medicare to get information on all of your options.”
Trout Insurance is an independent authorized agency licensed to sell and promote products from Blue Cross and Blue Shield of North Carolina (Blue Cross NC). The content contained in this site is maintained by Trout Insurance. Blue Cross and Blue Shield of North Carolina is an independent licensee of the Blue Cross and Blue Shield Association. ®, SM Registered marks of the Blue Cross and Blue Shield Association.”
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  • Insurance
    • Home & Auto Insurance
    • Medicare
    • Income Protection >
      • Disability Insurance
      • Long-Term Care
      • Critical Illness
      • Annuities
    • AARP - Hartford
    • Life Insurance
    • Health Insurance
    • Dental and Vision
    • Employee Benefits
    • Business Owners >
      • Group Health Insurance
      • Commercial Property & Liability
      • Business Overhead Expense Disability
      • Disability for Business Owners
      • Critical Illness
    • Short Term Health
  • Trout Team
    • Our Story
    • Dave Trout
    • Jessica Cody >
      • Home & Auto Insurance
    • Jeremy Sheridan
    • Robert Pugh
    • David Hanson
    • Jennifer Trout
    • Idelle Davids
    • Jan Trout
    • Steve Dillingham
  • Resources
    • Employee Success
    • Fixing the ACA "Family Glitch"
    • Aetna/CVS Health NC
    • Client Center
    • Reviews
    • Blog
    • Articles >
      • Health Insurance 2022
      • Friday Health
      • Comparing 2022 Plans
      • Insurance Partners
      • Best Value Insurance Plans
      • ARP Facts CMS
      • ARP Unemployment
      • ARP 2020 Excess Premium Subsidy
      • No Income Cap
      • Unemployment Glitch
      • Asheville Homesharing
      • 2019 Verification-a
      • BCBS Online Setup
      • APTC Income 2023 & Tax Form 1040
      • Lost Subsidy
      • Privacy Policy
  • Community
    • Alignment's 5-Star Switch
    • Employer Networking w/ Just Economics
    • FALLing with Families
    • Medicare New Era Event October 13th
    • Blue Ridge Pride Festival
    • Health & Wellness Fair
    • Goombay & YMI
    • Alignment Health Plans
    • YMI Winter Coat Drive
    • Medicare Seminar
    • Art in Autumn + MANNA
    • Music on Main
    • Western Women's Business Center Conference
    • Mural on Main Street
    • Expanded Team- Next Generation
    • Back to School
    • Weaverology
    • Mother Earth Food
  • Contact Us