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Group PCP Rider

The Primary Care Physician (PCP) Rider is offered to employers located in Unity's Service Area (except Dane County) who select a Unity HMO plan and who want the freedom to use providers who are not Unity participating PCPs.

With this rider, employees can choose either a participating or non-participating PCP. When choosing a non-participating PCP, employees are responsible for charges that exceed Unity's Fee Schedule.  A Fee Schedule lists the maximum amount Unity will reimburse providers for covered services.

To assist employees in determining what their financial responsibility may be when receiving care from a non-participating PCP, Unity provides the following guidance:

 

Looking for Insurance?

For more information on Unity Health Insurance group coverage options, please contact us today. You may also call a sales representative at (800) 926-8227.


*CPT/HCPCS Codes - CPT is an acronym for Current Procedural Terminology. These codes are used for professional services, such as services rendered by physicians who treat patients in an office setting, during an inpatient hospitalization, or for outpatient hospital services. HCPCS stands for Healthcare Common Procedure Coding System. These codes are used for billing supplies, materials, injections and durable medical equipment.