Provider Network Information
Beginning with the 2020-2021 policy year,
A Preferred Provider is a doctor, hospital or other health care provider that participates in the UnitedHealthcare Options PPO 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?
Call toll-free 1-866-948-8472 or click the 'Search for Provider' button below to locate a Preferred Provider.
Click the 'Search for Provider' button below to access the United Behavioral Health Network.
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 2019-2020 policy year, an Indemnity Health Insurance Plan was used.An Indemnity health insurance plan is a healthcare plan that allows you to choose the doctor, healthcare professional, hospital or service provider of your choice and gives you the greatest amount of flexibility and freedom in a health insurance plan.
Students are not required or restricted to a specific provider network. However, students have the option to utilize providers who participate in the First Health network which will reduce their out-of-pocket costs.
Use of First Health Network was strictly optional for the 2019-2020 plan year.
How do I find a First Health Provider?
The easiest and most efficient way to find a First Health Network Provider is to contact them toll-free at 1-800-226-5116 or click the 'Search for Provider' button below.
It is important that Insured students verify that his or her Doctors are First Health Network Providers when calling for an appointment or at the time of service.
- Gallagher Student Health & Special Risk
500 Victory Road, Quincy, MA 02171 - Fax
617-479-0860
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