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Here for health, here to help
When you need help managing your health plan and health care, you have access to online tools and wellness programs to help make it easier and more convenient. And, when you have questions that need answers, you've got a support team you can chat with.
Take a few minutes to look through this page to learn more about the additional benefits and programs being offered.
- Manage your plan
- Manage your care
Digital tools and online resources
UnitedHealthcare’s digital tools and online resources help make managing your health — and health plan — easier and more convenient.
Access your plan details easily
With myuhc.com®, you’ve got your own personalized health hub to help you manage your health plan 24/7. With myuhc.com, you can check in on your plan whenever you want — which helps make it easier to stay on top of your benefit details.
- Search for a network doctor
- Get clear information about your benefits
- Find and estimate the cost of care
- View claims details
- Check your plan balances
myuhc.com
Get on-the-go access
Downloading the UnitedHealthcare app® gives you access to your health info, wherever you go. With your health plan right at your fingertips, you can manage your benefits, anytime, anywhere.
- Find nearby care options in your network
- See your claim details and view progress toward your deductible
- View and share your digital health plan ID card
- Video chat with a doctor 24/7 – without leaving the app
UnitedHealthcare app
Transition of Care
If you are new to UnitedHealthcare and are currently receiving treatment for a specific medical condition by an out-of-network provider, we don’t want to disrupt that care.
That’s why we offer Transition of Care, which lets you continue to receive care - for a limited time - as we help you make the change to a network provider.
To learn more about Transition of Care, and to learn if you qualify, download this helpful form and application.
Get more from your health plan
These member resources and services are designed to help support you on the journey to your best health.
Healthier living resources
Talk with an Advocate
Connect with an Advocate by phone or on the UnitedHealthcare® app to get the information you need, when you need it. Specially trained Advocates are here to help you:
- Understand your benefits
- Make more informed health care decisions
- Access the care that fits your needs
Available Monday through Friday during business hours, Advocates can help answer questions or find answers for you, which may help save you money and lead to better health outcomes.
Advocate4Me member support
Connect with an advocate over the phone, via myuhc.com® webchat or on the UnitedHealthcare® app — someone who can provide you with information and support to help you understand your benefits and claims, make more informed decisions about your health and access the care that helps fits your needs.
Advocates are available Monday through Friday during business hours.
Support your emotional well-being
Behavioral health is an essential part of your overall well-being. No matter how big or small of an issue — if mental or emotional challenges are affecting you, it matters.
Get connected to self-help digital tools, behavioral health providers (in-person or virtual) and other resources that can help with a variety of concerns such as:
- Stress relief
- Depression and anxiety
- Relationship difficulties
- Coping with grief and loss
- Medication management
- Compulsive habits and eating disorders
- Alcohol and drug use
Behavioral health solutions
It helps to have someone to talk to
Our Employee Assistance Program (EAP) offers access to personalized support, resources and no-cost referrals. It’s confidential one-on-one help from a master's-level specialist.
EAP helps you and your family with a range of issues, including:
- Address depression, stress, anxiety or substance use issues
- Improve relationships at home or work
- Work through emotional issues or grief
- Get legal or financial assistance
- Find support for child and elder care services
EAP coordinators are available 24/7 for confidential conversations and referrals.
Employee assistance program
Keep up on preventive care
A big part of living a healthier life is detecting health issues early. Preventive care — such as routine wellness exams and certain recommended screenings and immunizations — is covered by most of our plans at no additional cost when you see network providers. A preventive care visit may be a good time to help establish your relationship and create a connection for future medical services.
Preventive care
Caring support throughout your pregnancy
If you’re thinking about having a baby or have one on the way, maternity support provides information and resources on everything from pregnancy planning to postpartum care.
Designed for all parents, no matter what the pregnancy journey looks like, maternity support includes 24/7 access to online courses covering:
- Trimester benchmarks
- Nutrition and exercise during pregnancy
- Breastfeeding
- Postpartum care
Maternity support is here with a bundle of resources to help promote better health.
Maternity support
Healthy Pfizer offers access to comprehensive wellness programs and coaching, as well as personalized tools and resources.
Go to the Healthy Pfizer website at healthypfizer.com to find personalized health resources, such as:
- A Health Assessment to inform you about your current health status and alert you to potential risk factors;
- Healthy Pfizer incentive opportunities for participating in various activities;
- Virgin Pulse Point opportunities to earn raffles when you complete certain healthy activities, such as nutrition, learning healthy habits, personal walking challenges and more. These points can be used for raffles toward a year-end prize drawing;
- A rewards page to give you a breakdown of the Healthy Pfizer activities you’ve completed, the Incentive Dollars you’ve earned and the activities you still have the opportunity to complete;
- Condition Management, Lifestyle Coaching and other Support Programs.
For more information, call 1-888-437-3493 and press 2 for condition support or coaching programs. Health Advisors are available Monday through Thursday from 8 a.m. to 8 p.m. and Friday from 8 a.m. to 6 p.m., Eastern time.
Simplifying how special needs support works.
The Optum Special Needs Navigator program is designed to provide support for your child with special needs, including: ADHD, autism, eating disorders, substance use disorders, mood disorders, like depression and anxiety, developmental delays and more.
When you participate in the program, you’ll receive ongoing support from a navigator who can connect you with available services and providers, like:
- Benefit explanation and consultation
- Medical and/or behavioral health providers
- Physical, occupational or speech therapy
- Schools, local support groups and more
This program should not be used for emergency or urgent care needs. In an emergency, call 911 or go to the nearest emergency room. This program is not a substitute for a doctor’s or professional’s care. Due to the potential for a conflict of interest, legal consultation will not be provided on issues that may involve legal action against Optum or its affiliates, or any entity through which the caller is receiving these services directly or indirectly (e.g., employer or health plan). This program and its components may not be available in all states or for all group sizes and is subject to change. Coverage exclusions and limitations may apply.
When you need to make a health decision, we’re here for you.
Health concerns can raise other concerns, such as how to manage symptoms or where to find the right treatment.
We understand that it’s not always easy to know where to turn or what options are available. Our nurses can help by talking you through your options so you can feel confident in your decisions.
Here’s how it works.
When you call, you’ll speak with a nurse who is can answer questions about your condition and tell you more about your treatment options.
Our nurses are here to help you:
- Learn more about a diagnosis
- Schedule a second opinion
- Understand all of your treatment options
- Communicate effectively with your doctor
- Estimate treatment costs
- Know what to expect from surgery
- Prepare for recovery
- Make a decision that’s right for you
Our nurses have in-depth knowledge and experience to provide reliable information on more than 55 conditions, including:
- Allergies
- Benign prostatic hyperplasia (enlarged prostate)
- Breast, cervical and colon cancer
- Hip or knee replacement
- Low back pain
- Obesity
There’s no cost to call. This service is available as part of your benefit plan.
Rewards for healthier actions
SimplyEngaged® Plus is a fun and simple digital experience that connects you to personalized health recommendations, content and resources. When you complete certain health and wellness actions, you’ll earn rewards up to the maximum for that reward. Covered employees and covered spouses can earn rewards separately. Children may not participate.
Available tools and programs include:
- Health Survey
- Biometric Screening
- Wellness Coaching
- Fitness Program
- Rally Missions
- Gym Check-in
- Cost Estimate
SimplyEngaged
Feel like you again
Is orthopedic pain stopping you from doing what you love? We’re here to help if you’re looking for information and support to relieve spine or joint pain. The Spine and Joint Solution is already part of your benefits, so there’s no extra cost. Our dedicated orthopedic nurse team helps you find quality care so that you can get back to your favorite activities.
Participation required for enhanced benefits coverage.
Is orthopedic pain stopping you from doing what you love? We’re here to help if you’re looking for information and support to relieve spine or joint pain. The Spine and Joint Solution is already part of your benefits, so there’s no extra cost. Our dedicated orthopedic nurse team helps you find quality care so that you can get back to your favorite activities.
Connect 24/7 with Virtual Visits
With 24/7 Virtual Visits, you can connect to a care provider by phone or video* through myuhc.com® or the UnitedHealthcare® app. Providers can treat a range of non-emergency health conditions — and may even prescribe medication as needed**.
24/7 Virtual Visits are good for common conditions such as:
- Allergies
- Bronchitis
- Eye infections
- Flu
- Headaches / migraines
- Rashes
- Sore throats
- Stomachaches
Virtual visits
Smoking Cessation Programs
If you elect medical coverage through Pfizer, you and your eligible dependents can participate in the Pfizer Smoking Cessation Program, which is administered by UnitedHealthcare. Your eligible dependents are those individuals for whom you have elected medical coverage through Pfizer.
Through this program, you can receive 100 percent reimbursement for eligible smoking cessation programs or courses of treatment, including:
- Behavioral modification programs offered through Optum;
- Over-the-counter treatments, such as transdermal nicotine patches (e.g., Nicotrol, Nicoderm or Habitrol) and nicotine gum;
- Prescription medications, such as Chantix and Nicotrol; and
- Alternative treatments, such as acupuncture (if the acupuncture is performed by a covered provider) or hypnotherapy.
Pfizer Smoking Cessation Program Claims
You will need to complete a Pfizer Smoking Cessation Program claim form and send it, along with your smoking cessation program or product receipt, to UnitedHealthcare, at the address listed on the form, regardless of the Plan option or managed care plan in which you are enrolled. You can access a Pfizer Smoking Cessation Program claim form through Pfizer Benefit Center at http://www.netbenefits.com, or you can request a form by calling the Pfizer Benefit Center (see the “Resources” section in the back of this booklet).
Note: If you have waived medical coverage through Pfizer, you are eligible for the Smoking Cessation Program, as outlined above.
Completing a Claim Form
After obtaining a claim form for the Pfizer Smoking Cessation Program, follow the instructions on the claim form as carefully as possible in order to speed the processing of your claim. Be sure to answer all questions, include all required information and attach any required itemized bills to your form. To determine the status of a claim, contact UnitedHealthcare (refer to the “Resources” section in the back of this booklet).
How and When Claims Are Paid
Claims for the Pfizer Smoking Cessation Program should be submitted within 90 days after you incur an expense. Claims submitted after 90 days may be paid, depending on the reason for the delay. You may be asked to provide a detailed, written explanation.
Normally, benefit payment checks are sent to you. If you prefer, and your provider accepts assignment, the check can be sent directly to the provider. Make sure you complete the appropriate section of the claim form to assign benefits to a provider.
Disease care resources
Centers of Excellence
If you have a special condition, our Centers of Excellence (COE) network provides help finding a doctor and medical center as well as help with understanding your illness. COEs are intended to complement local hospital and physician care and offer benefits that may include:
- Higher rates of accurate diagnoses and appropriate therapy
- Fewer complications
- Planned and coordinated care provided by a team of experts
- Higher survival rates, shorter stays and decreased costs
- Expanded treatment options
Plan members can see covered services by visiting myuhc.com or calling the member phone number on their health ID card.
Centers of Excellence
Bariatric Resource Services Program
Get education and personal support before and after weight-loss surgery with the Bariatric Resource Services Program. Our nurse care managers will be there to help you along the way.
Participation required for benefits coverage.
Get education and personal support before and after weight-loss surgery with the Bariatric Resource Services program. Our nurse care managers will be there to help you along the way. Gain access to high-quality specialty care from top providers at leading regional bariatric programs, Lifestyle Change Management, and Personalized Clinical Management.
Members can learn more by calling the member phone number on their ID card, TTY 711 or visiting myuhc.phs.com/brs.
Cancer resource services
Cancer Resource Services is here to help connect you and your family with dedicated cancer nurses who can offer personalized support during diagnosis through treatment. They will help you understand your diagnosis and share information that may help you make more informed decisions about your care as well as find emotional support for you and your family members.
Plan members can learn more by calling the member phone number on their ID card.
Cancer resources
Congenital heart disease resource services
Access a team of specialized Congenital Heart Disease nurses that will support you through all stages of treatment and recovery. They will help you make informed treatment decisions and guide you to top-performing Centers of Excellence providers.
Members can get started by calling the member phone number on their ID card.
Support for parents whose infants are admitted to the NICU
Neonatal Resource Services (NRS) provides a dedicated team of experienced neonatologists, neonatal intensive care unit (NICU) nurse case managers and social workers who can provide support and assistance during your infant’s admission to the NICU. The case manager will also provide discharge planning assistance and ongoing support post-discharge based on your infant’s needs.
Members can take part in the NRS program by calling the member phone number on their ID Card.
The plan pays benefits under the Covered Health Care Service Category in your plan documents.
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