Condition Management Services
If you have been diagnosed with or are at risk for developing certain chronic medical conditions you may be eligible to participate in a disease management program at no cost to you. The heart failure, coronary artery disease, diabetes and asthma programs are designed to support you. This means that you will receive free educational information through the mail, and may even be called by a registered nurse who is a specialist in your specific medical condition. This nurse will be a resource to advise and help you manage your condition.
These programs offer:
  • Educational materials mailed to your home that provide guidance on managing your specific chronic medical condition. This may include information on symptoms, warning signs, self-management techniques, recommended exams and medications;
  • Access to educational and self-management resources on a consumer website;
  • An opportunity for the disease management nurse to work with your physician to ensure that you are receiving the appropriate care; and
  • Toll-free access to and one-on-one support from a registered nurse who specializes in your condition. Examples of support topics include:
    • education about the specific disease and condition;
    • medication management and compliance;
    • reinforcement of on-line behavior modification program goals;
    • preparation and support for upcoming physician visits;
    • review of psychosocial services and community resources;
    • caregiver status and in-home safety;
    • use of mail-order pharmacy and in-network providers.
Participation is completely voluntary and without extra charge. If you think you may be eligible to participate or would like additional information regarding the program, please contact the number on your ID card.
Cancer Support
UnitedHealthcare provides a program that identifies, assesses, and supports members who have cancer. The program is designed to support you. This means that you may be called by a registered nurse who is a specialist in cancer and receive free educational information through the mail. You may also call the program and speak with a nurse whenever you need to. This nurse will be a resource and advocate to advise you and to help you manage your condition. This program will work with you and your physicians, as appropriate, to offer education on cancer, and self-care strategies and support in choosing treatment options.
Participation is completely voluntary and without extra charge. If you think you may be eligible to participate or would like additional information regarding the program, please call the number on your ID card or call the program directly at (866) 936-6002.
HealtheNotesSM
UnitedHealthcare provides a service called HealtheNotes to help educate members and make suggestions regarding your medical care. HealtheNotes provides you and your physician with suggestions regarding preventive care, testing or medications, potential interactions with medications you have been prescribed, and certain treatments. In addition, your HealtheNotes report may include health tips and other wellness information.
UnitedHealthcare makes these suggestions through a software program that provides retrospective, claims-based identification of medical care. Through this process patients are identified whose care may benefit from suggestions using the established standards of evidence based medicine.
If your physician identifies any concerns after reviewing his or her HealtheNotes report, he or she may contact you if he or she believes it to be appropriate. In addition, you may use the information in your report to engage your physician in discussions regarding your health and the identified suggestions. Any decisions regarding your care, though, are always between you and your physician.
If you have questions or would like additional information about this service, please call the number on your ID card.
Maternity Support Program
If you are pregnant or thinking about becoming pregnant, and you are enrolled in a UHC medical plan, you can get valuable educational information, advice and comprehensive case management by calling the toll-free number on your ID card. Your enrollment in the program will be handled by an OB nurse who is assigned to you.
This program offers:
  • Enrollment by an OB nurse;
  • Pre-conception health coaching;
  • Written and online educational resources covering a wide range of topics;
  • First and second trimester risk screenings;
  • Identification and management of at- or high-risk conditions that may impact pregnancy;
  • Pre-delivery consultation;
  • Coordination with and referrals to other benefits and programs available under the medical plan;
  • A phone call from a nurse approximately two weeks postpartum to provide information on postpartum and newborn care, feeding, nutrition, immunizations and more; and
  • Post-partum depression screening.
Participation is completely voluntary and without extra charge. To take full advantage of the program, you are encouraged to enroll within the first trimester of pregnancy. You can enroll any time, up to your 34th week. To enroll, call the toll-free number on your ID card.
As a program participant, you can always call your nurse with any questions or concerns you might have.
Travel and Lodging Assistance Program
Travel and lodging assistance is available for you or your eligible family member when you meet certain qualifications related to treatment for cancer, congenital heart disease or an organ transplant services. To qualify, you must receive care at a Designated Provider and require traveling a designated distance from your home address to the facility for cancer, congenital heart disease or an organ transplant services. Eligible expenses are reimbursed after the expense forms have been completed and submitted with the appropriate receipts.
If you have specific questions regarding the Travel and Lodging Assistance Program, please call the Travel and Lodging office at 1-800-842-0843.
Travel and Lodging Expenses
The Plan covers expenses for travel and lodging for the patient, provided he or she is not covered by Medicare, and a companion as follows:
  • Transportation of the patient and one companion who is traveling on the same day(s) to and/or from the site of the qualified procedure provided by a Designated Provider for the purposes of an evaluation, the procedure or necessary post-discharge follow-up.
  • The eligible expenses for lodging for the patient (while not a hospital inpatient) and one companion.
  • If the patient is an enrolled dependent minor child, the transportation expenses of two companions will be covered.
  • Travel and lodging expenses are only available if the patient resides more than 50 miles from the Designated Provider.
  • Reimbursement for certain lodging expenses for the patient and his/her companion(s) may be included in the taxable income of the Plan participant if the reimbursement exceeds the per diem rate.
  • The cancer, congenital heart disease and transplant programs offer a combined overall lifetime maximum of $10,000 per covered person for all transportation and lodging expenses incurred by you and reimbursed under the Plan in connection with all qualified procedures.
UnitedHealthcare must receive valid receipts for such charges before you will be reimbursed. Reimbursement is as follows:
Lodging
  • A per diem rate, up to $50.00 per day, for the patient (when not in the hospital) or the caregiver.
  • Per diem is limited to $100.00 per day, for the patient and one caregiver. When a child is the patient, two persons may accompany the child.
Examples of items that are not covered:
  • Groceries
  • Alcoholic beverages
  • Personal or cleaning supplies
  • Meals
  • Over-the-counter dressings or medical supplies
  • Deposits
  • Utilities and furniture rental, when billed separate from the rent payment
  • Phone calls, newspapers, or movie rentals.
Transportation
  • Automobile mileage (reimbursed at the IRS medical rate) for the most direct route between the patient's home and the Designated Provider
  • Taxi fares (not including limos or car services)
  • Economy or coach airfare
  • Parking
  • Trains
  • Boat
  • Bus
  • Tolls.