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Healthy U Table of Contents

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Healthy U Table of Contents Healthy U Table of Contents GENERAL INFORMATION ..................................................................................................................................................... 3 WELCOME ........................................................................................................................................................................... 4 BIENVENIDOS ...................................................................................................................................................................... 7 UNIVERSITY OF UTAH HEALTH PLANS CONTRACTING CRITERIA ........................................................................................... 9 PARTICIPATING FACILITIES & ANCILLARY SERVICES ........................................................................................................... 10 HOSPITALS ................................................................................................................................................................................ 10 HOSPITALS, LONG TERM ACUTE CARE (LTAC) ................................................................................................................................. 11 URGENT CARE CENTERS ............................................................................................................................................................... 11 PUBLIC HEALTH CENTERS / CLINICS ................................................................................................................................................ 12 RURAL HEALTH CLINICS ............................................................................................................................................................... 13 AMBULATORY SURGERY CENTERS .................................................................................................................................................. 13 CARDIAC MONITORING ............................................................................................................................................................... 13 DIABETES EDUCATION CENTERS .................................................................................................................................................... 14 DIABETES SUPPLY CENTERS .......................................................................................................................................................... 14 DIALYSIS CENTERS ...................................................................................................................................................................... 14 HEARING CENTERS ...................................................................................................................................................................... 15 HOME HEALTH AGENCIES ............................................................................................................................................................ 15 HOME INFUSION SERVICES ........................................................................................................................................................... 18 HOME MEDICAL SUPPLIES / DURABLE MEDICAL EQUIPMENT (DME) ................................................................................................... 19 HOSPICE CARE ........................................................................................................................................................................... 21 INFUSION SUITES ........................................................................................................................................................................ 23 LABORATORY / PATHOLOGY ......................................................................................................................................................... 23 LABORATORY DRAW STATIONS ..................................................................................................................................................... 24 LANGUAGE INTERPRETER SERVICES ................................................................................................................................................ 25 MAMMOGRAPHY SCREENING CENTERS ........................................................................................................................................... 25 PERSONAL/HOME CARE AGENCIES ................................................................................................................................................ 26 RADIOLOGY / IMAGING CENTERS ................................................................................................................................................... 26 REHABILITATION SERVICES............................................................................................................................................................ 27 SKILLED NURSING FACILITIES ......................................................................................................................................................... 27 SLEEP STUDY LABS ...................................................................................................................................................................... 28 VISION CENTERS (OPTICAL SUPPLIERS) ........................................................................................................................................... 28 PARTICIPATING PRIMARY CARE PROVIDERS ...................................................................................................................... 30 PARTICIPATING SPECIALTY PROVIDERS ............................................................................................................................. 31 INDEX OF PROVIDERS BY LANGUAGES SPOKEN ................................................................................................................. 32 INDEX ................................................................................................................................................................................ 33 Healthy U General Information University of Utah Health Plans uhealthplan.utah.edu General Information My Doctors: Name: Phone: Name: Phone: Name: Phone: Name: Phone: U of U Health Plans Customer Service: Phone: 801-213-4104 or 1-833-981-0212 Hours: Mon – Fri, 8 AM – 6 PM Email: [email protected] Fax: 801-281-6121 U of U Health Plans Website Address: uhealthplan.utah.edu U of U Health Plans Claims: Phone: 801-213-4104 or 1-833-981-0212, option 1 Mail to: P.O. Box 45180 Salt Lake City, UT 84145-0180 U of U Health Plans Care Management: Phone: 801-213-4104 or 1-833-981-0212, option 2 Because providers may be added to or deleted from University of Utah Health Plans at any time, please verify that providers are in your plan network by calling University of Utah Health Plans Customer Service at 801-213-4104 or 1-833-981-0212. Directories are subject to change. Members may be responsible for out-of-pocket expenses if a provider is non-participating. Members are 02/14/2020 encouraged to confirm that a provider is participating with their plan, prior to scheduling an appointment. If you have questions or need a Page 3 translator, please contact our Customer Service Department at 1-833-981-0212. Healthy U Welcome WELCOME TO HEALTHY U “Emergency Medical Condition” means, unless otherwise defined in an applicable Benefit Plan, a This directory lists the providers in the Healthy U medical condition manifesting itself by acute network. All non-emergency services must be symptoms of sufficient severity, including severe received from Healthy U providers. If you are pain, such that a prudent layperson, who possesses having an emergency, you may see any provider an average knowledge of medicine and health, including providers who are not in the Healthy U could reasonably expect the absence of immediate network. medical attention to result in: (a) placing the Choosing Your Doctor: patient’s health (or, with respect to a pregnant A Primary Care Physician (PCP) is a doctor you see woman, the health of a woman or her unborn child) for most of your medical care. Healthy U PCPs are in serious jeopardy; (b) serious impairment of bodily listed in the front of this handbook. You do not function; (c) serious dysfunction of any bodily organ have to pick a PCP; but we think you should. or part. Severe bleeding, unconsciousness, and A PCP will: fracture are examples of Emergencies. The See you for routine check-ups. determination of whether Emergency Services are Treat you when you are sick or injured. Covered Services shall rest with University. Such Refer you to a specialist (if needed). determination shall be consistent with the Approve all non-emergency hospital stays. definition of “Emergency Medical Condition” as Be your contact if you need care after office stated above and shall be subject to the appeals hours (except emergencies). process of University. Notwithstanding any other provision in this Agreement, University shall not Choose a PCP from the list of providers in this deny payment for Emergency Services provided by directory. These are the kinds of doctors who are Provider to Members in accordance with USC 42, PCPs: Section 1395 et seq of the Emergency Medical Family or General Practice (for all ages) Treatment and Active Labor Act (EMTALA). Internal Medicine (for adults) “Emergency Services” means covered inpatient and
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