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UNICARE
In 1995 most WellPoint businesses offered outside of California
adopted the brand name, UniCare Life & Health Insurance Company,
then an operating affiliate of WellPoint. In the very next year,
WellPoint took over the group health and life business of Massachusetts
Mutual Life Insurance Company. Later, in 1997, WellPoint acquired
the group health and life business of John Hancock Mutual Life Insurance
Company. The acquiring spree continued till 2000, when WellPoint
acquired Rush Prudential Health Plans, located in Illinois. Those
businesses were finally joined with the existing UniCare businesses.
UniCare is structured into Market Business Units (MBUs), each organized
as a full service organization and serving specific customers. There
are some MBUs that function on a multi-state basis to serve large
employer group businesses. Others concentrate on regions. UniCare
has got an ""A- ""(excellent) rating from A.M.
Best, an independent insurance analyst. The company offers a comprehensive
set of healthcare plans and products at competitive rates. It looks
after the health care needs of over 13 million members, and approximately
42.6 million specialty members. UniCare Life & Health Insurance
Company is part of Health Networks Inc., a publicly traded managed
care company. For six consecutive years, UniCare’s parent
company has been named America’s Most Admired Healthcare Company
by FORTUNE magazine.
UniCare offers a wide variety of products at reasonable costs that
make customers feel that they have control over their own health
care decisions. Its specialty products include pharmacy, life, disability,
and behavioral health benefits. The company also offers a complete
range of managed health care plans. However, not all UniCare products
are available in all states. We can now have a look at a few representative
products of the company:
BasicChoice: These plans offer a line of inexpensive benefit plans.
These BasicChoice plans are designed for service industry groups
that may employ those who are occasionally referred to as the “working
uninsured.” The plans cover most of the common healthcare
benefits such as doctor visits, hospitalization, and prescription
drugs. These plans have benefit maximums that range from $15,000
up to $100.000.
Health Improvement Plans (HIPs): These programs have been designed
to help members with the self-management of serious health conditions
such as asthma, congestive heart failure, and diabetes. Under these
plans, members get educational materials and are assigned a health
coach along with a related team of health professionals who help
the member understand the disease and make difficult personal behavior
changes.
HSA Plans: The company offers a broad range of Health Savings Account
(HSA) plans at competitive rates. The plans vary depending on deductible
amounts and percentage of coverage. There are some plans that pay
100 percent of covered expenses after the deductible is met, up
to $5 million. Other plans pay 80 percent of covered expenses after
the deductible is met, until a specified out-of-pocket amount is
paid by the consumer. After that, 100 percent of covered expenses
are paid up to $5 million.
UniCare’s managed care network comprises excellent doctors,
hospitals, and other health care professionals. The network allows
UniCare members to benefit from negotiated discount rates while
getting excellent care. Being tech-savvy, it has introduced Myunicare.com,
which offers employers an easy way to enroll employees or to maintain
benefits files.
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