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This fact sheet is meant to be used in conjunction with the assistance of an enrollment agent. Pleas e call or email for more information.
UnitedHealthOne fact sheet in Texas
Products available
The following products are currently available in Texas:
- individual health insurance
- dental insurance
- vision insurance
- continuity coverage
- FACT membership
- small business benefit plans
- short term medical insurance
- New! disability income insurance
Click on the quote link above for more information on each product.
Provider Information
Find a UnitedHealthcare participating network provider hospital, doctor, dentist or other specialist located near you.
Become a participating provider
Texas-specific coverage provisions
Texas insurance law includes the following provisions that affect individual health insurance:
- Treatment of TMJ disorders is covered the same as any other illness.
- Formulas necessary for the treatment of phenylketonuria are covered the same as any other illness.
- If a designated "Center of Excellence" is not used for a listed transplant, covered expenses will be reduced by 25%.
- A preexisting condition is an injury or illness for which the covered person received medical advice or treatment within the 12 months immediately preceding the effective date of coverage.
- The limited exclusion for AIDS does not apply.
- Eligible children will also include your grandchild (under 26) who is your dependent for federal income tax purposes at time of application.
- The policy provides coverage for mental disorders and substance abuse as required by applicable state law. Specific details are included in the certificate at issue.
- Medically necessary is a defined term and means that a service, medicine, or supply is necessary and appropriate for the treatment of an illness or injury as determined by Golden Rule based on factors stated in the policy.
- The Coordination of Benefits provision also takes into account personal injury protection coverage, whether provided under a group or individual contract.
- Notification requirements do not apply.
- The 14-day waiting period for the coverage of illnesses does not apply.
- List-billing of individual insurance policies to an employer or association is permitted
- Payment for individual insurance by an employer is permitted
- Find more information on the state insurance department Website
Videos
   Dental Insurance Short Term Medical Insurance Plus Short Term Medical Insurance Value |
Brochures and forms
The following forms are available by email from OnlineNavigator in PDF format:
- Printable Dental Application
- Printable Health App
- Printable Short Term App
- Dental Brochure
- Health Plans Brochure
- Short Term Brochure
- EFT Authorization
- FACT Marketing Folder
- Comparison of FACT Benefits
- Authorization for Disclosure of Personal Information (General)
- Qualified Medical Expenses
- HSA Problem Solved Brochure
- List Bill Set Up Worksheet
- List Bill Packet
- ERISA Safe Harbor Rule Requirements
- List Bill Employer Payor Agreement
- Employer Payor for Multiple Applicants Packet
- Employer Payor for Multiple Applicants Agreement
- Prescription Drug List (4 Tier)
- Prescription Drug List (Discount Card and Preferred Price Card)
- Network Availability Listing
- Heart Murmur Inquiry
- Short Term Application and Payment Information
A brochure on disability income insurance can be downloaded in PDF format.
Continuity Product information
Brochure
Rates
Application
FACT Membership
Brochure and enrollment packet
Ratings and reviews
See UnitedHealthcare's National Committee on Quality Assurance report card for Texas
News
7/7/2011 The Healthy Texas program is now available to members of the restaurant association. See the summary chart for a listing of benefit plan choices.
6/17/2011 UnitedHealthcare Healthy Texas Seminar announced. UnitedHealthcare, the Rio Grande Valley Hispanic Chamber of Commerce and Lone Star Insurance Services will host a seminar for small-business owners on Healthy Texas, a statewide health initiative to offer affordable health insurance to small-business employees and their families. The seminar takes place June 23, from 8:30 to 10 a.m. at the Lone Star National Bank, 520 E. Nolana, Suite 110, in McAllen. Registration begins at 8 a.m. The seminar will feature Darrell Been, director of small business sales at UnitedHealthcare Employer & Individual, who will explain the program, its benefits and how to apply. UnitedHealthcare has been selected to provide insurance plans for Healthy Texas, an employer-based, public-private health insurance program offered by the Texas Department of Insurance. RSVP to the RGVH chamber at (956) 928-0060.
OnlineNavigator is a trademark of Freedom Benefits Association, P.O. Box 333, Newport NJ 08345. Tony Novak is an independent insurance producer licensed in all states and the District of Columbia. Other company names, products or trademarks are not affiliated with OnlineNavigator or Freedom Benefits. UnitedHealthOne is a brand name used for products underwritten, administered, and/or provided by Golden Rule Insurance Company (Indiana domiciled, CA certificate of authority number 4407), American Medical Security Life Insurance Company (Wisconsin domiciled, CA certificate of authority number 08079), PacifiCare Life and Health Insurance Company(Indiana domiciled, CA certificate of authority number 5813), PacifiCare Life Assurance Company (Colorado domiciled, CA certificate authority number 5814), Oxford Health Insurance, Inc., Oxford Health Plans (NJ), Inc., or UnitedHealthcare Insurance Company. UnitedHealthcare Services, Inc., Dental Benefit Providers, Inc., Spectera, Inc. Health Insurance plans are medically underwritten and availability varies by state. Coverage may be provided by multiple policies/certificates. Additional Products are provided by: Careington International Corporation. EyeMed Vision Care, or International Medical Group, Inc. (Indiana domiciled). This Web site and its contents are not intended for use in New Mexico and online quotes are not available in South Carolina. Residents of these states should see the alternate listings and individual insurance exchange information at www.FreedomBenefits.net .
Comments, feedback, questions and corrections are welcome to help keep content relevant and up-to-date.
