Ent doctors that accept unitedhealthcare community plan

Thank you for choosing Valley ENT. Part of our commitment to providing the highest quality ENT services is that you understand any costs associated with your care. In order to serve as many patients as possible our physicians participate in multiple insurance plans and the list given here is intended as a helpful guide. Since there are so many coverage plans available, and because certain services may not always be covered under your individual plan, we encourage you to simply check your own policy before your visit. If we are a contracted provider, we will file a claim on your behalf but please keep in mind that you, as the patient, are ultimately responsible for your bill. Our billing department will be glad to help answer questions or concerns regarding insurance and billing. You can reach us at 480-614- 5406 or email us at . Insurance Terms

We Work With Most Carriers

AETNA (ALL PRODUCTS)
ARIZONA FOUNDATION
AZ COMPLETE CARE (FORMERLY HEALTH NET) (EXCEPT AZ PRIORITY CARE)
BANNER HEALTH NETWORK
BCBS ‐ AZ (ALL STATES)
CIGNA (ALL PRODUCTS ‐ INCLUDES GREATWEST AND GWH)
HUMANA (ALL PRODUCTS)
TRICARE/UHC MILITARY & VETERANS SERVICES
UNITEDHEALTHCARE (ALL PRODUCTS)
VA (DEPT OF VETERANS AFFAIRS INCLUDES TRI‐WEST VAPCCC

MEDICARE

BANNER/BCBS ADVANTAGE
BRIDGEWAY HEALTH SOLUTIONS ADVANTAGE
CAREMORE
TRADITIONAL MEDICARE (FFS)/RAILROAD MEDICARE
MERCY CARE ADVANTAGE
OPTUM MEDICAL NETWORK (FORMERLY LIFEPRINT)
SECURE HORIZONS/PACIFICARE
UNITEDHEALTHCARE AARP MEDICARE COMPLETE
UNITEDHEALTHCARE COMMUNITY PLAN ADVANTAGE
UNIVERSITY CARE ADVANTAGE (TUCSON ONLY)

AHCCCS

AHCCCS FFS
BRIDGEWAY HEALTH SOLUTIONS
CMDP
EVERCARE (ALTCS PLAN)
AZ COMPLETE CARE AHCCCS (FORMERLY HEALTH NET AHCCS)
INDIAN HEALTH SERVICES
MERCY CARE PLAN
UNITEDHEALTHCARE COMMUNITY PLAN (FORMERLY APIPA)
UNIVERSITY FAMILY CARE (TUCSON ONLY)

Insurances accepted can vary by Valley ENT location. Please also check if your insurance plan requires a referral from your primary care provider before your appointment with a Valley ENT specialist.

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  1. Home
  2. Member resources
  3. Choosing a doctor

  • Choosing a doctor
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    • UnitedHealth Premium program
    • Choosing a mental health provider

Choosing a doctor

Rewarding doctor-patient relationships don’t just happen overnight. They’re built on trust—a trust that may translate into better communication, emotional support, more accurate diagnoses and potentially lifesaving treatments. How, though, do you find that doctor?

Why do you need a primary care provider?

Some health plans require you to select a primary care provider (PCP), or sometimes called a primary care physician or doctor. Although some plans may not require you to choose a PCP, it’s a good idea to have one.

Sign in to view network providers for your plan

Your PCP can guide you through your care and build an in-depth knowledge of your health over time. When your doctor becomes familiar with your medical history, your habits and your personality, they are likely better positioned to guide you on the best path of care, monitor even the slightest changes in your health, and recognize red flags before they become serious issues.

Sign in to your health plan account to view a list of providers for UnitedHealthcare plans. You can also browse a provider list and find a doctor without signing in — but remember to check your specific health plan provider network before making your choice.

Importance of a primary care doctor

Ent doctors that accept unitedhealthcare community plan

Video transcript

[U-Mark]

When it comes to your health journey, it feels good to know you've got support every step of the way.

ON-SCREEN TEXT: [Primary care doctor]

That’s where your primary care doctor comes in.

Your doctor knows you best and understands your health history and health goals. This is who you turn to first — for everything from routine care to prescriptions and more.

ON-SCREEN TEXT: [Preventive care

    Checkups

    Well-child visits

    Screenings

    Immunizations]

Your doctor also provides you with preventive care, such as well-child visits, annual checkups, mammogram screenings and immunizations.

ON-SCREEN TEXT: [Virtual visits for primary care]

And, since most doctors offer virtual visits for primary care, you can choose to see them in person or from home.

ON-SCREEN TEXT: [Choose a primary care doctor]

So, whether or not your plan requires you to have a primary care doctor, it’s a good idea to choose one.

ON-SCREEN TEXT: [Choose a network doctor]

And a tip? Be sure to choose one who’s in your network

ON-SCREEN TEXT: [Out-of-network

Network]

because staying in network can help save you money.

ON-SCREEN TEXT: [$0 additional cost]

For example, when you see a network doctor for preventive care, the visit is covered by most health plans at no additional cost.

ON-SCREEN TEXT: [Finding a network doctor]

Now that you know the benefits of having a network doctor, let’s look at how to find the one that’s right for you.

ON-SCREEN TEXT: [uhc.com/providersearch

Primary Care

Specialty Care

Medical Groups]

First, go to uhc dot com slash provider search. Then, choose your health plan name and select primary care.

You’ll be able to see which doctors are in network, if they're accepting new patients, and what their patient ratings and average costs are.

ON-SCREEN TEXT: [My Doctor]

If you already have a primary care doctor and want to make sure they're in the network, no problem. All you have to do is search for them by name.

ON-SCREEN TEXT: [Support and connect you]

Just remember, no matter where your health journey takes you, your doctor is there to support AND connect you with the

ON-SCREEN TEXT: [with care that helps meet your needs]

care that helps meet your needs.

ON-SCREEN TEXT: [uhc.com]

[UnitedHealthcare logo]

DISCLAIMERS: [Certain preventive care items and services, including immunizations, are provided as specified by applicable law, including the Patient Protection and Affordable Care Act (ACA), with no cost-sharing to you. These services may be based on your age and other health factors. Other routine services may be covered under your plan, and some plans may require copayments, coinsurance or deductibles for these benefits. Always review your benefit plan documents to determine your specific coverage details.

Insurance coverage provided by or through UnitedHealthcare Insurance Company or its affiliates. Administrative services provided by United HealthCare Services, Inc. or their affiliates.]

Ent doctors that accept unitedhealthcare community plan

Types of primary care providers

Depending on your situation, you may choose different primary care providers for each member of the family. Types of providers include:1

  • Family medicine: Patient ages range from birth to 100+. Provide preventive and whole-person care. Board-certified in family medicine.
  • Pediatricians: Patients range from newborns to 18 years old. Work in collaboration with parents and other health care providers. Board-certified in pediatric medicine.
  • Internal medicine/internists: Patient ages range from 18-100+. They may focus on a specific health concern, helping you better manage your care. Board-certified in the broad field of internal medicine (conditions that affect the organs of the body), internists may have emphasis on subspecialties including cardiology, endocrinology, gastroenterology, infectious disease, hematology, oncology, pulmonary disease, rheumatology and immunology.
  • Geriatricians: Patient ages range from 60-100+. Their focus is on older adults and common medical conditions and concerns associated with aging. Board-certified in internal or family medicine with additional certification in geriatrics.

Whatever the reason for finding a new doctor, the initial search may feel intimidating. Below, you can find some tips to help simplify the process.

Is the provider in your plan network?

Before scheduling any appointment, check to see if the PCP is in your plan’s network. Most plans charge more if you see a PCP outside the network — and some won’t cover out-of-network care at all—so it’s important to double-check. If you’re not sure if a PCP is in your network, verify by calling the number on your health plan ID card.

Looking for a UnitedHealthcare network provider? Sign in to your health plan account to view a list of providers for UnitedHealthcare plans or view a general list of providers. Remember — before you choose a provider, confirm that they're in network for your specific plan.

Search for UnitedHealth Premium® physicians

UnitedHealthcare developed the UnitedHealth Premium® designation program to recognize physicians that meet quality and cost efficiency guidelines and help members make informed choices.

National standardized measures evaluate physicians for quality and local area benchmarks for cost efficiency across specialties and sub-specialties, including family practice, internal medicine, pediatrics, cardiology and orthopedics.

You can find a doctor’s Premium designation in the UnitedHealthcare provider directory. Learn more about the UnitedHealth Premium® program.

How to choose your doctor

As with every service in our lives, it’s important to do some research. Read the provider’s website. Is their tone more formal or more casual? Check their online reputation. Do they have a social media presence? Read consumer reviews. (Although remember that reviews are just that—opinions. Unless a doctor receives a number of reviews, one or two won’t paint the whole picture.)

Ask for recommendations

Before asking for recommendations, decide what’s important to you. How far are you willing to drive? Do you want a clinic close to home or close to work? Does gender matter? Does age? Armed with this information, ask friends and family, medical specialists and other health professionals for personal referrals. Don’t just get a name—ask why people like that particular doctor. The “why” can tell you a lot.

Check board certification

Is the doctor board certified? Board certification is a sign of going above and beyond the state licensing requirements and receiving supervised in-practice training. Board certification is a barometer of a physician’s ongoing knowledge and dedication to the field.

To find a board certified family doctor, visit the American Board of Family Medicine online directory. To check if a physician you may be considering is board certified, visit the American Board of Medical Specialties’ Certification Matters database.

Call the office

Once you narrow down possible options, call the clinic and ask questions. First impressions matter. Pay attention to the office staff (are they helpful and friendly?) as well as how your questions are answered. Some common questions include:3 4

  • Is the doctor taking new patients?
  • How long does it take to get an appointment?
  • If your doctor isn’t available, who will you see?
  • Which hospital are they affiliated with?
  • Does the doctor have special training?
  • Do they offer any weekend or evening appointments?
  • Can you message the doctor outside of clinic hours?
  • Can you get lab work or X-rays done in the office?

Ent doctors that accept unitedhealthcare community plan

Schedule an in-person meeting

Sometimes you can’t get a good read on a doctor until you’re in their office, interacting with them. You’ll be sharing personal health information—make sure you feel comfortable. Meet for an informal interview. Did they give you a chance to ask questions? Did they let you openly voice your concerns? Did you feel rushed? Did you feel safe and respected? Did it feel like it could become a true partnership?

Your primary care doctor may save you money (for example: fewer emergency room visits) and connect you with specialists. They can advocate on your behalf. Once you establish a relationship, they’re also more likely to recommend preventive screenings, checkups and tests.5

The ideal PCP may help ensure you get the care you need when you need it, potentially helping you live better, longer.