UnitedHealthcare Compass

UnitedHealthcare Compass is an innovative commercial plan built on the fundamentals of patient-centered health. It is offered as an Individual Exchange plan in certain states with off Exchange versions when required by state law. Members choose a primary care physician (PCP) to help them navigate to high-quality, cost-effective care.

KEY FEATURES

  • Customized, more focused network of care providers tailored for Compass members.
  • Find participating providers using our online provider directory.
  • Members are required to select a PCP.
  • The member's PCP must send electronic referrals for members to see a network specialist.
  • Standard prior authorization and notification requirements apply. For details, go to Advance Notification section of the administrative guide.

BENEFITS

  • Compass has a limited network service area in certain states where coverage is available.
  • No coverage is provided outside the network service area, except for emergency and urgent services.

Plan Models

Network Provider With Referral

Network Provider Without Referral

Non-network Provider*

Compass

Network benefits

No coverage*

No coverage

Compass Balanced

Network benefits

Lower-level benefit

No coverage

Compass Plus

Network benefits

Lower-level benefit

Non-network benefit

* Except for emergency services and related admissions.