AARP Medicare Advantage and UnitedHealthcare Medicare ...

1 AARP Medicare Advantage and UnitedHealthcare . Medicare Advantage Plans in New York 2022 quick reference guide Need to contact us? Use this reference guide for quick access to a variety of helpful resources. UnitedHealthcare Provider Portal The UnitedHealthcare Provider Portal is your gateway to the UnitedHealthcare online tools. To sign in, go to , and click on the Sign In button in the top-right corner. You can: Check patient eligibility and benefits Use TrackIt to manage items that need your attention, including prior authorization requests and claim submissions Submit and check referral status Get claims status and submit reconsideration and appeal requests Visit for more information. If you have technical questions, contact UnitedHealthcare Web Support at or call 866-842-3278, option 1, 7 9 CT, Monday Friday.

2 Claims submission Online: To submit claims using the UnitedHealthcare Provider Portal, please go to and click on the Sign In button in the top-right corner. Electronic: To submit claims by Electronic Data Interchange (EDI), please use Payer ID 87726. Learn more at Paper: Please submit paper claims to the address listed on the member's ID card. Prior authorization requests and advance notification For more information, visit Online: Use the UnitedHealthcare Provider Portal at and click on the Sign In button in the top-right corner. Phone: Call the Provider Services number on the member's ID card. My Practice Profile The My Practice Profile tool on the UnitedHealthcare Provider Portal at lets you view, update and attest to the demographic information UnitedHealthcare members see for your organization.

3 To review your participation status, explore the Provider Products section of the Provider Demographic Details. PCA-5-21-03720-M&R-QRG_10182021. Telehealth (virtual visits). UnitedHealthcare Medicare Advantage members have coverage for telehealth with contracted network health care professionals for medical and behavioral/mental health care If you're looking to deliver care virtually, we have resources, training, best practices and reimbursement policies at You'll find our telehealth service protocols in the administrative guide at Behavioral and mental health services Please refer to the member's ID card for their behavioral and mental health provider phone number. Prescription medications Mail order Call 800-791-7658, Monday Friday, 8 8 CT. Fax 800-491-7997. Oral drug prior authorization requests Call 800-711-4555, option 1.

4 Fax 800-527-0531. Injectable drug prior authorization requests Call 800-711-4555, option 2. UnitedHealthcare Vision Routine vision care Call 800-638-3120, Monday Friday, 7 10 , and Saturday, 8 5:30 CT. UnitedHealthcare Hearing For routine hearing services and plans offering hearing aids covered through UnitedHealthcare Hearing, members must receive hearing aids from a UnitedHealthcare Hearing network provider. Contact UnitedHealthcare Hearing directly with any questions. Call 855-523-9355, Monday Friday, 8 8 CT. UnitedHealthcare Dental Routine dental care Call 877-816-3596, Monday Friday, 7 10 CT. Other resources You'll find information in the care provider administrative guide at If you can't find the information you need on , call Provider Services at 877-842-3210, 8 8 ET, Monday Friday. Questions?

5 If you have questions, please contact your physician advocate, provider relations or network management representative at > Network Contact. PCA-5-21-03720-M&R-QRG_10182021. Sample ID cards Sample member ID cards for illustration only; actual information varies depending on payer, plan and other requirements. PCA-5-21-03720-M&R-QRG_10182021. 2022 plan overview Referrals are not required Centers for Medicare Plan name Counties & Medicaid Services Group number and type (CMS) contract AARP Medicare Advantage Bronx, Kings, New York, Queens, H3307-002-000 200151. Plan 1 HMO MA-PD Richmond AARP Medicare Advantage Orange, Rockland, Westchester H3307-012-000 200151. Plan 1 HMO MA-PD. AARP Medicare Advantage Bronx, Kings, New York, Queens, H3379-001-000 200002. Plan 2 HMO MA-PD Richmond AARP Medicare Advantage Orange, Rockland, Westchester H3307-023-000 200151.

6 Plan 2 HMO MA-PD. AARP Medicare Advantage Kings, New York, Queens H3307-015-000 200151. Prime HMO MA-PD. AARP Medicare Advantage Bronx, Kings, New York, Orange, Patriot HMO Medicare Queens, Richmond, Rockland, H3307-018-000 200235. Advantage Only (MA-Only) Westchester AARP Medicare Advantage Mosaic Choice Local PPO Kings, New York, Queens H3418-001-000 200235. MA-PD. AARP Medicare Advantage Value Care Local PPO Dutchess, Putnam, Ulster, Westchester H3418-002-000 200235. MA-PD. AARP Medicare Advantage Dutchess, Putnam, Sullivan, Ulster H3307-025-000 200235. HMO MA-PD. AARP Medicare Advantage Broome, Cayuga, Madison, Oneida, H3379-039-000 100059. HMO MA-PD Onondaga AARP Medicare Advantage Erie, Genesee, Niagara, Orleans, H3379-040-000 100059. HMO MA-PD Wyoming AARP Medicare Advantage Monroe, wayne H3379-041-000 100059.

7 HMO MA-PD. UnitedHealthcare Medicare Advantage Choice Plan 1 All counties R5342-001-000 100029. Regional PPO MA-PD. UnitedHealthcare Medicare Advantage Patriot Regional All counties R5342-002-000 100029. PPO MA-PD. UnitedHealthcare Medicare Advantage Choice Plan 3 All counties R5342-005-000 100029. Regional PPO MA-PD. UnitedHealthcare . Medicare Advantage Choice All counties R5342-006-000 100029. Plan 4 Regional PPO MA-PD. PCA-5-21-03720-M&R-QRG_10182021. 2021 United HealthCare Services, Inc. All Rights Reserved.