United Healthcare Network: Does It Cover Madison Hospital?

UnitedHealthcare offers a large provider network that includes over 1.7 million physicians and care professionals and 7,000 hospitals and care facilities across the United States. UnitedHealthcare members can download the UnitedHealthcare app or use the Zocdoc online service to find in-network doctors and care providers in Madison, Wisconsin, that accept UnitedHealthcare insurance. While it is not clear if UnitedHealthcare's network includes Madison Hospital, UnityPoint Health - Meriter Hospital and Clinics in Madison is included in the Alliance Premier Ruby Network, which is a part of the UnitedHealthcare network.

UnitedHealthcare members can use the app or Zocdoc to find in-network doctors in Madison, WI

UnitedHealthcare is a health insurance company that provides its members with access to a large provider network of physicians and care professionals. To find in-network doctors in Madison, WI, UnitedHealthcare members can use either the UnitedHealthcare app or Zocdoc.

Using the app, members can sign in to their member accounts to see a list of network providers for their specific plan. They can also search the guest directory to find a provider that's right for them.

Zocdoc is a free online service that helps patients find and book appointments with UnitedHealthcare Doctors in Madison, including primary care doctors and therapists/counselors. Patients can search for providers by symptom or visit reason and filter their results by gender and availability. Zocdoc also allows patients to see verified reviews from other patients and choose providers with high ratings.

Both the UnitedHealthcare app and Zocdoc offer convenient and user-friendly ways for members to find in-network doctors in Madison, WI, ensuring they can access the care they need.

UW–Madison Health Services does not provide emergency, hospitalization, or pediatric care

UnitedHealthcare offers its members access to a large provider network that includes more than 1.7 million physicians and care professionals and 7,000 hospitals and care facilities across the United States.

While UW–Madison Health Services does not provide emergency care, there are several options available for those seeking emergency medical services in the Madison area. The SSM Health St. Mary's Hospital and UnityPoint Health-Meriter Hospital are both located in Madison and are part of the Premier Ruby Network. For life-threatening emergencies, individuals are advised to dial 911 or go to the nearest hospital emergency room.

The University of Wisconsin–Madison also has a dedicated Division of Pediatric Emergency Medicine, which delivers emergency care to children from across the region and state. The American Family Children's Hospital is a nationally ranked facility with pediatric and neonatal surgical intensive care units. This hospital is also a Level I trauma center and the only Level 1 burn center in Wisconsin.

For UW–Madison students seeking hospitalization or emergency room treatment, these services are not covered by student segregated fees. It is recommended that students have hospitalization insurance that includes emergency room coverage, such as the UW–Madison Student Health Insurance Plan (SHIP). SHIP members have access to providers through local and nationwide networks, including the Premier Ruby Network and the Alliance Comprehensive Network.

UW–Madison members have lower costs when using providers in The Alliance Premier Ruby Network

UW–Madison members have access to providers through local and nationwide networks. When using the high-value providers in The Alliance Premier Ruby Network for eligible services, UW–Madison members benefit from lower member cost-sharing. This includes all UW Health Clinics and Hospitals, and UnityPoint Health-Meriter Hospital and Clinics in the Madison area.

The Alliance Premier Ruby Network is part of The Alliance's tiered network system, which incentivizes employees to seek care where the quality is good and the price is low. The tiered system allows employees to make smart healthcare decisions for themselves and their families by providing upfront costs of care. The Alliance Premier Ruby Network is the most customizable network for employers who want to guide their employees toward certain providers to maximize their plan savings.

UW–Madison members can search for providers in the Alliance Premier Ruby Network by entering their address or city and selecting a location. The Alliance search results will default to a search area of 150 miles from the selected location, but this can be adjusted in the "Filters" dropdown. The "Tier" will be displayed, with "Tier 2" providers listed first.

It is important to note that covered visits to Network providers are subject to applicable Deductible, Coinsurance, or Copayment cost-sharing responsibilities as detailed in the online Plan Document. Benefits are payable according to the Plan Document. For specific questions about plan benefits, UW–Madison members can call the SHIP Claims Administrator, Wellfleet, at 1-877-657-5031.

Additionally, through a special arrangement with The Alliance, UW–Madison members have no cost for MRI and CAT scans when provided by select Imaging Providers. Madison providers offering this service include MH Imaging and Smart Scan Medical Imaging.

UnityPoint Health-Meriter Hospital in Madison is part of the Premier Ruby Network

The hospital has received numerous awards and recognitions for its excellence in various fields. It was named one of the nation's 100 Top Hospitals by Truven Health Analytics and has consistently been recognised as "'Most Wired" by Hospitals & Health Networks magazine. They also received the National Research Corporations' Innovative Best Practice award, the Top Rated Adult Doctors award, and the Top Rated Pediatric Doctors award.

UnityPoint Health-Meriter Hospital offers a range of services and has several notable achievements in the healthcare industry. It was the first hospital in the area to offer single-room maternity care to families in southern Wisconsin through its Birthing Center. The hospital also opened the Meriter Orthopedic Clinic and the Digestive Health Center, providing advanced medical services to its patients. Additionally, they implemented electronic medical record systems, including MyChart, MeriterCare, and Care Everywhere, for easy access to patient information.

The hospital is committed to providing comprehensive care to its patients and has a dedicated team of healthcare professionals. They value the importance of spiritual care and have an association with the Association of Spiritual Caregivers. This association provides networking and educational opportunities for its members, who include hospital chaplains, clergy, and other spiritual caregivers. UnityPoint Health-Meriter Hospital also understands the significance of family involvement and encourages visitors, including children, to be a part of the patient's support system.

UnitedHealthcare members can use the app to find care providers and manage their health plan

UnitedHealthcare members can use the UnitedHealthcare app to find care providers and manage their health plans. The app provides instant access to a range of features and services that help members take control of their healthcare needs.

One of the key benefits of the app is the ability to locate network providers near them. Members can search for doctors, clinics, and other healthcare professionals within their plan's network, making it convenient to find the right care provider without having to browse through directories or make multiple calls. The app also provides ratings and reviews of providers, giving members valuable insights into the quality of care they can expect.

In addition to finding providers, the app offers cost transparency. Members can get estimates for out-of-pocket expenses, view copay and coinsurance amounts, and see how their plans cover different types of care. This helps members make informed decisions about their healthcare choices and manage their financial obligations.

The app also serves as a central hub for important health plan information. Members can access their health plan ID cards, view plan spending, check the status of claims, and manage their plan details. This digital format ensures that members have their essential health information readily available whenever they need it.

Furthermore, the UnitedHealthcare app provides convenient features such as the ability to request prescription refills directly from the app and look up drug prices and nearby pharmacies. These features streamline the process of managing medications, making it easier for members to stay on top of their health needs.

By offering tools to find care providers, estimate costs, access health plan details, and manage prescriptions, the UnitedHealthcare app empowers members to navigate their healthcare journey with ease and confidence.

Frequently asked questions