AARP MedicareComplete Plan 1 (HMO) AARP …

1 Provider DirectoryJanuary 1, 2011 December 31, 2011 AARP MedicareComplete plan 1 (HMO)AARP MedicareComplete plan 2 (HMO) oklahoma - Creek, Mayes, Osage, Rogers, Tulsa and Wagoner CountiesY0066_100720_214633 File & Use 07282010 Your plan Provider DirectoryThis directory provides a list of Your plan s network providers. This directory is for the plans and service area listed on the front cover of this directory is current as of September 1, 2010. Some network providers may have been added or removed from the list after this directory was printed. We do not guarantee that each provider is still accepting new members. To get the most up-to-date information about Your plan s network providers in your area, you can visit or call our UnitedHealthcare Customer Service Department at 1-800-950-9355 8 to 8 , local time, 7 days a week.

2 TTY/TDD users should call 711. Section 1 IntroductionThis directory provides a list of Your plan s network providers. To get detailed information about your health care coverage, please see your Evidence of Coverage (EOC).Additional Benefits that are not covered by Original Medicare may be included in your benefits package as a plan member. Benefits such as Vision Care, Additional Dental services, and Hearing services (including Hearing Aid) may be included. Please see your Evidence of Coverage Additional Benefits section to see if your plan includes these benefits that are not covered by Original Medicare and not automatically included in your benefits package as a plan member are called Optional Supplemental Rider benefits. If you want Optional Supplemental Rider benefits, you must sign up for them.

3 There is an additional monthly premium required for these benefits. To see if an Optional Supplemental Rider benefit is available in your Service Area, please see your Evidence of Coverage. The Optional Supplemental Rider coverage is available only to Members who have purchased it under the plan . If you have not previously purchased the Optional Supplemental Rider coverage, you may do so now by contacting our UnitedHealthcare Customer Service at the number listed on the back cover of this from these providers will NOT be covered, if your plan does not include these Additional Benefits or you have not signed up for an Optional Supplemental Rider a Primary Care Physician (PCP) You will have to choose one of our network providers that are listed in this directory to be your Primary Care Physician (PCP).

4 The term PCP will be used throughout this directory. Generally, you must get your health care coverage from your PCP. Call the PCP you are interested in selecting to see if they are accepting new patients. If you select a PCP who is not accepting new patients we will automatically assign you to a PCP who is accepting new patients. You are not required to stay with a PCP. You have the option of selecting another PCP that is accepting new patients by calling UnitedHealthcare Customer Service at the number listed on the back cover of this directory. Your PCP plays an important role in your health care. We want you to feel comfortable with the PCP you choose. Benefits of partnering with your PCP include: Helping you make smart lifestyle choices to improve and maintain your health Coordinating the care of various specialists you are seeing for specific conditions Managing your prescriptions and identifying potential adverse interactions Helping you understand the complex world of health careYou may want to ask your PCP for assistance in selecting the network specialist.

5 You should always follow-up with your PCP after any specialist visits. You are encouraged to maintain a relationship with your PCP is trained to handle the majority of common health care needs. If you feel the need to see a specialist, your PCP can recommend an appropriate network specialist for your medical condition and answer questions you have regarding the specialist s treatment plan . Your PCP will also provide follow-up health care as network providers listed in this directory have agreed to provide you with your Health Care, Vision Care, Additional Dental services, and Hearing services (including Hearing Aid) coverage. You may go to any of our network providers listed in this directory. If you have been going to one network provider, you are not required to continue going to that same provider.

6 In some cases, you may get covered services from non-network can ask our plan to pay our share of the cost of your covered servicesThere may be times when you get a bill from a network or non-network provider for the full cost of medical care you have received. In many cases, you should not pay the bill but instead you should send this bill to us. We will look at the bill and decide whether the services should be covered. If we decide they should be covered, we will pay the provider directly. Please call UnitedHealthcare Customer Service at the number listed on the back cover of this directory, or see your Evidence of Coverage for more and Urgently Needed CareIn the event of a medical emergency, go get help as quickly as possible. Call 911 for help or go to the nearest emergency room or hospital.

7 Emergency care can always be obtained in or out of the service area from the nearest available provider. We cover emergency services whether you are in or out of the service area. Emergency services are also covered whether or not a contracting medical provider provides them. Our plan covers ambulance services in situations where getting to the emergency room in any other way could endanger your health. You or someone else should call to tell us about your emergency care, usually within 48 you need urgent care when in the service area, you must use plan providers for urgent care. When out of the service area urgent care may be obtained from the first available provider. In addition, when out of the service area you can obtain dialysis treatment from any qualified dialysis provider. If you obtain routine care from out-of-network providers neither Medicare nor your plan will be responsible for the To Access Your Behavioral Health Benefit To directly access your behavioral health benefits, please call the behavioral health number on the back of your Member ID Card 24 hours a day, 7 days a week.

8 When you call, a representative will check your eligibility and ask basic questions about you and your situation. Depending on your needs, a clinician may talk with you about the problem you are experiencing and recommend a provider and the appropriate treatment plan . If you prefer, your PCP may call the number on the back of your Member ID Card and arrange a referral for you. You may also call to receive information about network practitioners, subspecialty care and obtaining care after normal office hours. Confidentiality is maintained. Please be assured that personal information you discuss with their staff will be kept strictly a Vision ProviderReview the Additional Benefits section of your EOC to confirm that your plan includes Vision Care coverage. Then, determine if the plan includes Routine Eye Exams and/or Routine Eye Wear.

9 It s important to understand the specific details about your plan benefits, rules and limitations. For Routine Eye Exams, to maximize your benefit simply choose a network provider at the time you d like to receive covered services. For Routine Eyewear, to maximize your benefit simply choose a network provider at the time you d like to receive covered services. If your plan allows you to choose a non-network provider please refer to your EOC for reimbursement instructions. If you have enrolled in the Deluxe Rider you must select a network provider from the Vision provider your plan does not include Vision Care or you have not enrolled in the Deluxe Rider you will not receive these additional a Dental ProviderAdditional Dental Benefits, Deluxe Rider, Dental 467 RiderReview the Additional Benefits section of your EOC and confirm that your plan includes additional dental benefits.

10 If your plan includes additional dental benefits or if you enrolled in the Deluxe Rider or Dental 467 Rider making your selection is easy. To maximize your benefits, simply choose a network provider and make an to Change a Dental Provider Additional Dental Benefits, Deluxe Rider, Dental 467 RiderYou may change network providers at any time. Simply select another network provider from this directory and make an appointment. All contracting provider listings are subject to availability. Some offices may have been added or removed since this list was last printed. For detailed information on additional locations, contact UnitedHealthcare Customer Service at the number listed on the back of your membership is the service area for Your plan ?The counties in our service area are listed , Mayes, Osage, Rogers, Tulsa and Wagoner CountiesOsage -74003, 74022, 74051, 74063, 74070, 74073, 74106, 74126, 74127, 74604, 74650 How do you find Your plan network providers in your area?