What is a Preferred Provider?
Beginning with the 2019-2020 policy year, a Preferred Provider is a doctor, hospital or other health care provider that participates in the UnitedHealthcare Choice Plus or the Live and Work Well Behavioral Health Network.
The advantage to using a Preferred Provider is that these providers have agreed to accept a predetermined fee or Preferred Allowance as payment for their services. Out-of-Network providers have not agreed to any prearranged fee schedule, therefore any charges in excess of the insurance payment may be the student’s responsibility. Consequently, when insured students use Preferred Providers, out-of-pocket expenses will be less because any applicable cost sharing will be based on a Preferred Allowance.
The insured person should be aware that Preferred Provider hospitals may be staffed with Out-of-Network providers. Receiving services or care from an Out-of-Network provider at a Preferred Provider hospital does not guarantee that all charges will be paid at the Preferred Provider level of benefits.
How do I find a Preferred Provider?
To locate providers participating in the UnitedHealthcare Choice Plus network, call UnitedHealthcare toll-free at 1-866-948-8472 or click on the 'Search for Provider' button below.
To locate participating behavioral health providers, click on the 'Search for Provider' button below.
Network participation is subject to change, so please verify with the provider that they are participating in the network when making an appointment or at the time of service.For the 2018-2019 policy year, the provider network was through CareFirst. To locate Care First Provider click on the following link and select the type of provider you're trying to find - Medical, Mental Health, Dental, Vision, Pharmacy.
- Gallagher Student Health & Special Risk
500 Victory Road, Quincy, MA 02171
CONTACT CUSTOMER SERVICE