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Group Medicare programs and services for health and wellness

Retirees enrolled in one of our UnitedHealthcare Medicare Advantage HMO or PPO plans can take advantage of a variety of health and wellness programs and services.

Programs and services	What's covered
Routine medical exams	Initial visit for individuals new to Medicare Annual checkup Mammograms, pelvic exam, breast exam and pap smears for women
Screenings to help detect problems and maintain health	Abdominal aortic aneurysm (AAA) Bone mass Colorectal cancer Depression Diabetes Glaucoma Heart disease Heart health HIV Lung cancer Prostate cancer
Screenings and behavioral counseling	Alcohol misuse Sexually transmitted disease/infection (STD/STI) Body mass index Obesity
Tests, therapy ordered by a primary care provider	Hepatitis C screening Medical nutrition therapy
Diabetes and kidney health	Diabetes self-management training Dialysis training Kidney disease education
Vaccines and immunization	Influenza (flu) Pneumonia
Smoking cessation	Smoking cessation help

Does Medicare pay for wellness programs?

UnitedHealthcare’s Group Medicare Advantage plans include some coverage for wellness programs. Typical offerings include:

Fitness membership
Once yearly in-home health assessment
Health reminders and rewards
NurseLine support
Caregiver resources

Offer personalized help for your group with Advocate4Me

UnitedHealthcare offers the Advocate4Me® program, designed to help plan participants receive the most from their coverage and get caring, expert guidance.¹ With just a phone call, Advocate4Me connects members to an experienced professional who can help with a variety of needs, like:

Questions about enrollment
Where to find a doctor
Guidance on more complex issues like appeals

Each advocate is dedicated to seeing that every inquiry is resolved to the satisfaction of the retiree.

Improving retiree health with UnitedHealthcare HouseCalls

Qualified retirees enrolled in a Group Medicare Advantage plan can take part in the UnitedHealthcare^® HouseCalls program. HouseCalls supports and complements members’ regular care through a visit with a licensed health care practitioner in the privacy of their home – at no additional cost.

Practitioners work with participants to understand their health status and provide information that may help maintain or improve health. UnitedHealthcare uses HouseCalls visits to help coordinate care with the retiree’s doctors, which may make it easier to identify treatment needs, recommend preventive services and assist in health education.

At the end of their HouseCalls visit, retirees receive a checklist of topics to discuss with their doctor. UnitedHealthcare follows up with their physician to share the results. Members who have experienced a HouseCalls visit have indicated an average satisfaction rate of 98%.²

Learn more about HouseCalls

Video transcript

These days, you can have just about anything delivered to your door.

How about a home delivery of good health and wellness? It comes from UnitedHealthcare and is called HouseCalls.

HouseCalls is a yearly health and wellness visit that happens in the privacy of your very own home. No driving to an appointment. No sitting in a waiting room.

Here’s how it works.

Our HouseCalls team finds a time that’s convenient for you and schedules the visit. A health care practitioner, a physician’s assistant, medical doctor or nurse practitioner, comes to you at the scheduled time. The clinician completes a health evaluation, including a physical exam and other important screenings, then YOU decide what happens next.

You can discuss questions to ask your doctor at your next appointment, review instructions from your last doctor’s appointment or chat about other health concerns you haven’t had a chance to talk to your doctor about. Whatever you need.

The visit takes about 45-minutes to an hour – plenty of time to answer your important health questions.

Your practitioner will even send a summary of your HouseCalls visit to your doctor.

And unlike those other home deliveries – there’s no additional cost for a HouseCalls visit, it’s a feature of your medical plan. If you’re in good health or you already see your doctor regularly – you might not think HouseCalls is for you, but it is. Think of it as an extra layer of care – valuable one-on-one time you don’t always get in the doctor’s office.

So, when you get a phone call from our HouseCalls team – take advantage of this great program and schedule your HouseCalls visit. Or just call us and make an appointment!

It’s Easy. It’s Convenient. It’s UnitedHealthcare HouseCalls.

Medicare utilization management

The goal of utilization management is to help ensure individuals get access to the right care in the most appropriate setting. UnitedHealthcare is dedicated to helping optimize clinical outcomes while being effective stewards of health care resources. Our programs may include:

Intake notification
Pre-service review
Concurrent review
Post-service review

Get started

Employers, plan sponsors and brokers can get information and personalized assistance from a UnitedHealthcare representative.

Request a quote

Looking for an individual Medicare Part D prescription drug plan?

If your former employer does not provide retirement coverage, UnitedHealthcare offers prescription drug plans (PDP) to help you save money and give you peace of mind.

Find information about prescription drug plans

Have a question or need help with your health plan account?

If you get your UnitedHealthcare plan through your employer or former employer, or have an AARP^® Medicare or UnitedHealthcare Medicare plan, we’re here to help.

Register or sign in to your member account