The HealthSelect of Texas benefit plan requires members to choose a primary care physician (PCP) to coordinate their health care needs. The designated PCP is responsible for managing referrals to participating specialists. If your visit requires a referral, your PCP will need to submit the referral request to UnitedHealthcare prior to your appointment. You can verify with your PCP and/or HealthSelect Customer Care that you have a referral. New referrals are valid for up to 12 months or up to 12 visits (whichever occurs first).
If you're a HealthSelect of Texas participant, you will need to discuss additional referrals with your PCP, if they are needed. Certain chronic conditions, such as cancer or allergy treatment, may be eligible for a standing referral which is valid for up to 12 months. Referrals from your PCP are not required for the following services: eye exams, OB/GYN visits, behavioral health counseling, outpatient therapies (including chiropractic visits), urgent care centers and convenience care clinics. HealthSelect of Texas participants may view referral information online by accessing their personal account at www.myuhc.com/hs or calling HealthSelect Customer Care at 1-866-336-9371.
Consumer Directed HealthSelect participants are not required to choose a PCP or obtain referrals to see a specialist. However, you can save money by staying in the HealthSelect provider network. You can use the provider locator to find in-network doctors, hospitals and other facilities.
Our network doctors have been carefully evaluated to help you select the right doctor. UnitedHealthcare identifies many network providers as Premium designated or Tier 1 providers. The UnitedHealth Premium® designation program recognizes physicians who meet national industry standards for quality care and local market benchmarks for cost efficiency.Learn More (PDF)
The UnitedHealth Premium® designation program is a resource for informational purposes only. Designations are displayed in UnitedHealthcare online physician directories at myuhc.com/hs. You should always visit myuhc.com/hs for the most current information. Premium designations are a guide to choosing a physician and may be used as one of many factors you consider when choosing a physician. If you already have a physician, you may also wish to confer with him or her for advice on selecting other physicians. Physician evaluations have a risk of error and should not be the sole basis for selecting a physician. Please visit myuhc.com/hs for detailed program information and methodologies.
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