UnitedHealthcare

 


4 Taft Court
Rockville, MD 20850
• Telephone: (301) 294-5131
• Memeber Services: (800) 544-2853

Web site: www.uhc.com
 
Key Staff
• CEO- Kevin Ruth
• Medical Director - Vera Dvorak, MD
• Director of Provider Relations - Gary Simmons
• Government Relations - Elizabeth Sammis

Other Contacts
• Regional Vice President- Susan Shick
 

Specialized Health Care Services
Service In-House Contracted
Mental Health X X- UBH
Pharmacy Benefit Mgmt. X X- UPHS/Medco
Vision Care X X- Spectera
Dental Care X X- Dental Benefit Providers
Disease Mgmt. X X- Optum
Utilization Mgmt. X X- Optum

 

Market Segment
Market Segment HMO/POS PPO
Individual X
Small Group (2-49 Employees) X X
Large Group (50+ Employees) X X
Administrative Services Only (ASO) X X

 

Network Providers Under Contract (numbers are combined HMO/PPO)
Network Providers HMO PPO PAR
PCPs 2796 2796
Physician Specialists 5461 5461
Hospitals 78 78
OB/GYNs 730 730

 

Enrollment (as of January 31, 2007)
Standard HMO 138791
Point-of-Service (POS) 39527
PPO 116403
PPO (leased network) 112457

 

Virginia HMO Service Area:
Counties
all EXCEPT: Amherst, Appomattox, Brunswick, Campbell, Carroll, Charlotte, Culpeper, Dickenson, Essex, Fluvanna, Frederick, Grayson, Greene, Halifax, Henry, Highland, King George, Lancaster, Lee, Lunenburg, Madison, Mathews, Mecklenburg, Middlesex, Northumberland, Pittsylvania, Prince Edward, Prince George, Richmond, Rockbridge, Russell, Scott, Shenandoah, Smyth, Warren, Washington, Wise, Wythe

Cities
all EXCEPT: Bedford, Bristol, Danville, Galax, Harrisonburg, Lexington, Lynchburg, Martinsville, Norton, Staunton, Winchester