UnitedHealthcare Navigate

UnitedHealthcare Navigate is an innovative commercial plan built on the fundamentals of patient-centered health. It is offered as an Individual Exchange plan in certain states and off the Exchange to our Commercial groups. Members choose a Primary Care Physician (PCP) to help them navigate to high-quality, cost-effective care.

KEY FEATURES

  • Customized, focused network of care providers tailored for Navigate 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

Plan Models

Network Provider With Referral

Network Provider Without Referral

Non-network Provider*

 

Navigate

Network benefits

No coverage*

No coverage

Navigate Balanced

Network benefits

Lower-level benefit

No coverage

Navigate Plus

Network benefits

Lower-level benefit

Non-network benefit

* Except for emergency services and related admissions.