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Please note, we are experiencing high call volume. The answer to your question may be found here – log in to view your plan benefits, Change address, view bill, cancel plan, change dependent coverage, search for doctors and more.
Follow this link to find the latest information on what we are doing to help our members.
Experiencing symptoms? If you have illness symptoms and are unsure if you need to see a doctor, start with this online symptom checker: bouyhealth.com/symptom-checker The use of the symptom-checker is anonymous and will make a recommendation based on your answers.
Fraud may be rising. Awareness is important. During this time, be aware and on the lookout for fraud and phishing scams. Golden Rule Insurance Company will only request secure information from you through your password-protected member account. Learn more helpful tips to protect yourself from health care fraud here.
Arkansas Authorization Requirements and Clinical Criteria
A. Prior Authorization of Non-Urgent Healthcare Services (A.C.A. 23-99-1105) UnitedHealthcare Life Insurance Company (UHCLIC) acting on behalf of the Health Plan must make an authorization or non-authorization determination and notify the subscriber (member) and provider of the determination/decision within 2 business days of obtaining all the information needed to make the determination.
B. Prior Authorization of Urgent Healthcare Service (A.C.A. 23-99-1106) UHCLIC acting on behalf of the Health Plan must make an expedited authorization or adverse determination on an urgent request and notify the subscriber (member) and provider of the determination no later than 1 business day after receipt of all information needed to complete the review.
C. Retrospective Denial (A.C.A 23-99-1108) UHCLIC may not revoke (cancel), limit, condition, or restrict an authorization for a period of 90 days from the date the provider received the authorization.
D. Written Clinical Criteria Written clinical criteria can be found on UnitedHealthcare Medical & Drug Policy and Coverage Determination Guidelines pages. Per A.C.A. 23-99-1104 Statistics are made readily available regarding prior authorization approvals and denials.
You may request a printed copy of a network provider directory by:
Please Note:
Every Delaware provider that you use must clearly disclose to you in writing if they (or any provider practicing in their group practice or facility) are not in your network (non-network). Each non-network provider in Delaware must obtain your written consent prior to treating you, and require you to sign a network disclosure statement indicating you will accept financial responsibility for any non-network services which may not be covered by your plan. You cannot be balanced billed by a non-network provider if the non-network provider (or the facility based provider employing non-network facility based providers) fails to provide you with the required network disclosure statement and obtain your written consent. This requirement includes the disclosure of non-network lab services ordered by your provider or facility.
Maryland insureds or enrollees may access information about proposed rate increases and submit comments regarding proposed rate increases on the Maryland Insurance Administration’s website.
Find information on the Maryland Gap Referral and Appeal Review Process.
If at this time you find it hard to pay your dental plan's premium, there is guidance in place for COVID-related relief that may help you. In summary, if your plan was in good standing (premium paid) as of March 1, 2020, then you may elect:
To activate this option if needed, simply give us a call at 1-800-657-8205.