Providence Teachers Union - AFT Local #958, AFL - CIO Learning
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Medical Coverage FAQ

Q. How can I can I find out if my doctors participate in United Health?

A. The best way is to call your doctor directly.  If you are not able to contact your doctor, you can go to the United Healthcare web site.  www.uhc.com Once you enter the site, click on Find a Doctor and follow the instructions. When asked for your plan enter: United Healthcare option PPO.


Q. Will my plan change?

A. No, your co-share, your co-pays, and the services that you receive are all covered by the contract. They will only change if you ratify a contract that has changes to your health care plan.


Q. Where can I get information on my plan?

A. Your plan is listed in Appendix C of the contract.


Q. Will I be able to continue to purchase Blue Cross?

A.  No.


Q. Must I change doctors if my doctor does not accept United?

A. If your doctor doesn’t accept United, you must notify the Providence Teachers Union.   We are gathering information to verify the United Provider Network.  Once we have sufficient data, we will address continuation of coverage for those non-participating physicians, labs, etc. with the City administration.


Q. Can I make office visits or appointments to Physicians that do not  participate in the United Healthcare network?

A.  Yes, you will have to pay the out of network amount.  The amount for  some visits is $10.00 plus 20% of the office visit. For all types of out of network costs see Appendix C of the PTU contract.


Q. Is our plan like other United plans?

A.  No, your plan is in the contract.  It is not a United plan.  United is only  responsible for the administrative management of the City’s healthcare plans.


Q.  Does our health coverage have dollar amount limits for illnesses or medical conditions?

A. No, unless otherwise stated in Appendix C of the PTU contract.


Q. Will I need to get pre-authorization for medical lab tests, X-rays, surgeries etc.?

A. No, unless otherwise stated in Appendix C of the PTU contract.


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