The university-sponsored Medicare Advantage plans are employer-sponsored group Medicare Advantage plans; therefore, members are not limited to utilizing network providers and can see any Medicare-willing provider. Non-network providers are reimbursed up to the Medicare-allowed amount. Therefore, a non-network provider will receive the same reimbursement as they receive under original Medicare. See the chart in question 1 to determine how your claim will be processed for providers who accept Medicare but are not in the UHC Group National PPO Network.
Reviewed 2017-06-07
