The health care reform law requires the coverage of certain preventive services, based on your age, gender and other health factors, with no cost-sharing. The preventive care services covered are those preventive services specified in the health care reform law. UnitedHealthcare also covers other routine services, which may require a co-payment, co-insurance or deductible. Always refer to your plan documents for your specific coverage. Participation in the Health Assessment is strictly voluntary. Any health information collected as part of the assessment will be kept confidential in accordance with the Notice of Privacy Practices; be used only for health and wellness recommendations or for payment, treatment or health care operations; and be shared with your health plan, but not with your employer. Disease Management programs and services may vary on a location-by-location basis and are subject to change with written notice. UnitedHealthcare does not guarantee availability of programs in all service areas and provider participation may vary. Certain items may be excluded from coverage and other requirements or restrictions may apply. If you select a new provider or are assigned to a provider who does not participate in the Disease Management program, your participation in the program will be terminated. Self-Funded or Self-Insured Plans (ASO) covered persons may have an additional premium cost. Please check with your employer. Source4Women content and materials are for information purposes only, are not intended to be used for diagnosing problems and/or recommending treatment options, and are not a substitute for your doctor's care. Lists of potential treatment options and/or symptoms may not be all inclusive. Evaluation of New Technologies -UnitedHealthcare’s Medical Technology Assessment Committee reviews clinical evidence that impacts the determination of whether new technology and health services will be covered. The Medical Technology Assessment Committee is composed of Medical Directors with diverse specialties and subspecialties from throughout UnitedHealthcare and its affiliated companies, guest subject matter experts when required, and staff from various relevant areas within UnitedHealthcare. The Committee meets monthly to review published clinical evidence, information from government regulatory agencies and nationally accepted clinical position statements for new and existing medical technologies and treatments, to assist UnitedHealthcare in making informed coverage decisions. The medical centers and programs in UnitedHealthcare’s network and within OptumHealth SM Care Solutions are independent contractors who render care and treatment to UnitedHealthcare members. UnitedHealthcare does not provide health services or practice medicine. The medical centers and programs are solely responsible for medical judgments and related treatments. UnitedHealthcare is not liable for any act or omission, including negligence, committed by any independent contracted health care professional, medical center or program. For informational purposes only. Nurse, coach, and EAP services should not be used for emergency or urgent care situations. In an emergency, call 911 or go to the nearest emergency room. The nurse or coach service can not diagnose problems or recommend specific treatment. The information provided by the nurse, coach or EAP services are not a substitute for your doctor’s care. On topical articles (giving tips and advice to members), the information and therapeutic approaches in this article are provided for informational and/or educational purposes only. They are not meant to be used in place of professional clinical consultations for individual health needs. Certain treatments may not be covered in some benefit plans. Check your health plan regarding your coverage of services. All UnitedHealthcare members can access a cost estimator online tool. Depending on your specific benefit plan and the ZIP code that is entered, either the myHealthcare Cost Estimator, or the Treatment Cost Estimator will be available. A mobile version of myHealthcare Cost Estimator is available, and additional ZIP codes and procedures will be added soon. This tool is not intended to be a guarantee of your costs or benefits. Your actual costs and/or benefits may vary. When accessing the tool, please refer to the Terms and Conditions of Use and Why Your Costs May Vary sections for further information regarding cost estimates. Refer to your health plan coverage document for information regarding your specific benefits. The Healthy Pregnancy Program follows national practice standards from the Institute for Clinical Systems Improvement. The Healthy Pregnancy Program can not diagnose problems or recommend specific treatment. The information provided is not a substitute for your doctor’s care. The UnitedHealth Premium ® designation program is a resource for informational purposes only. Designations are displayed in UnitedHealthcare online physician directories at myuhc.com ® . You should always visit myuhc.com 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 Tips to make your doctor’s visit worthwhile 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 for detailed program information and methodologies. Before your appointment: Source4Women is a registered trademark of UnitedHealth Group Incorporated. Twitter is a trademark of Twitter, Inc. Facebook is a registered trademark of Facebook, Inc. Pinterest is a Make a list of all questions you have for your doctor, registered trademark of Pinterest, Inc. Instagram is a registered trademark of Instagram, LLC. nurse or pharmacist. Apple is a registered trademark of Apple, Inc. Android is a registered trademark of Google, Inc. Information for individuals residing in the state of Louisiana or have policies issued in Write down medications you are currently taking, Louisiana: Health care services may be provided to you at a network health care facility by facility-including prescriptions, over-the-counter medicines based physicians who are not in your health plan. You may be responsible for payment of all or part of and herbal supplements. these fees for those out-of-network services, in addition to applicable amounts due for co-payments, co-insurance, deductibles, and non-covered services. Specific information about in-network and out-Plan to bring a family member or friend to your visit of-network facility-based physicians can be found at myuhc.com or by calling the toll-free Customer if you have a hard time remembering what your Care telephone number that appears on the back of your health plan ID card. doctor tells you. Insurance coverage provided by or through UnitedHealthcare Insurance Company or its affiliates. Administrative services provided by United HealthCare Services, Inc. or their affiliates. During your appointment: Health Plan coverage provided by or through a UnitedHealthcare company. Insurance coverage provided by or through PacifiCare Life and Health Insurance Company, Tell your doctor if a family member has been diagnosed PacifiCare Life Assurance Company or their affiliates. Administrative services provided by PacifiCare with a serious disease or condition. Also mention if you Health Plan Administrators, Inc., United HealthCare Services, Inc., ACN Group, or United Resource Networks. Behavioral health products are provided by PacifiCare Behavioral Health, Inc. (PBHI) or have or will be traveling outside the country. United Behavioral Health (UBH). 1 2 3 1 2 3 Ask your doctor at every visit to send any laboratory tests to a network facility. Before you leave, make sure you can read and/or understand your doctor’s or pharmacist’s instructions. If you don’t, it’s okay to ask them to explain until you understand. 100-4595-A 8/14 Member (FI) ©2014 United HealthCare Services, Inc.