VISION AND HEARING
What is the name of the hearing department at UHC?
can we report a reward for housecalls?
No, Housecalls gives the reward to the member once the visit is complete.
Should the member pay for a house call visit?
No, it is 100% covered by UHC
If a member dies, what is the first thing we should ask the family if they have already done it?
If you have already contacted social security to report the death.
Can we send a provider and pharmacy directory through member materials?
yes ,we can.
What is the name of the vision department?
Spectera
Can I pay for a prescription with my over-the-counter amount?
No, member's can only buy vitamins, pills, toilet paper, among others.
Once the member receives their housecall visit, what does the nurse practitioner do after examining them?
They send the visit information to the PCP and the member
How long does it usually take to update on the member side when updating an email address or phone number?
24hrs for them ,immediately to us seeing it in research.
How long does it take for a member to receive their UCard?
may take up to 14 business days.
If the member has a plan that has out-of-network benefits and wants to take a routine hearing exam, would it be 100% covered by UHC?
No, since it is out-of-network coverage, the member has to pay out-of-pocket but the amount would depend on the plan. It does not have the same benefit as an In-network since in this case it would be 100% covered by UHC
Mention 3 activities with which members can earn rewards
annual wellness visit,housecalls,get moving challenge.
Can a family member join the session with the nurse practitioner and the member on the house call visit?
Yes, they can also ask questions that help the member.
Can we change the DOB, Gender and name of the member in maestro?
No, the member must call Social security administration to do the update, since we do not have access to do it.
what does eft mean?and can we send a form to member for this?
Electronic fund transaction, and yes using member materials.
If a member buys a pair of glasses and their allowance is $300 but wants to add something else despite having spent their allowance, will UHC cover any of that extra?
No, once member spend the $300 allowance ,they will have to pay out of pocket ,UHC will not cover the extra.
If a member wants to save their OTC credit or rewards for the next month, is that possible?
No, the balance is not cumulative and expires at the end of the month for rewards and OTC.
If a member undergoes a lab test or any other procedure for an ongoing illness, would it be covered as an annual wellness visit?
No, the member would have to pay according to the co-pay covered by the plan.
What is the TRR 90 code?
It is the code that reports from SSA that the member died.
What is the name of the form member's use to register autopay for social security check?
SSA form.
If a member receives a vision claim and wants to talk about it with us, can we handle this call?
No,we dont have access to see this type of claims,it will be a transfer to Vision.
Do all plans have OTC benefits?
Not all plans have this benefit, always check the medical benefits review.
What checkups are available for the member to undergo with the PCP during the annual wellness visit? Mention 1 of them
Review of the member's medical
Measurement of height,weight and blood pressure
Counseling about preventive services and healthy behaviors
If a member receives a lot of spam calls and wants to stop, can we help them? And if so, how?
yes we can, let's open communication preferences in update member profile and put it on the do not call list
How long does it take for a regular material to arrive at the member's home?
may take 10-13 business days to arrive.