Optum Primary Care - Winter Park Aloma (2024)

FAQs

Can you use Optum without insurance? ›

Yes, we have an affordable self-pay fee schedule to help accommodate patients without insurance.

No. Optum isn't an insurance plan. We're a group of doctors who contract with most major health insurance plans. These include HMOs, PPOs, Original Medicare, Medicare Advantage and supplement plans.

OptumCare, a part of the Optum subsidiary of UnitedHealth Group (UHG), provides data driven, integrated direct-to-patient care including physicians, home health, urgent care and surgical care totaling over $15 billion of revenue in 2016.

Optum Rx offers a full spectrum of pharmacy care services that are making drugs more affordable and creating a better experience for consumers, filling more than 1.6 billion adjusted retail, mail and specialty drug prescriptions annually.

UnitedHealthcare and Optum have access to data around claims, labs, gaps in care and more. This data enables UnitedHealthcare and Optum to bring forward rich point-of-care solutions, which can help promote better health outcomes and lower costs to better serve their members and customers.

Fees will apply at a rate of 0.5% per consolidated payment ($5 for every $1,000 in payments.) Fees will be billed monthly, and taxes may apply.

Optum was formed as a subsidiary of UnitedHealth Group in 2011 by merging UnitedHealth Group's existing pharmacy and care delivery services into the single Optum brand, comprising three main businesses: OptumHealth, OptumInsight and OptumRx. In 2017, Optum accounted for 44 percent of UnitedHealth Group's profits.

Before choosing a health insurance policy for yourself, your family, or your employees, you must know what types are available. Some popular health insurance policy options are: Preferred provider organization (PPO) plans. Health maintenance organization (HMO) plans.

Can I use Optum Perks discounts even if I have insurance? Yes, but Optum Perks cannot be combined with insurance. The majority of the time, insurance has lower drug costs.

OptumRx Inc., a prescription drug benefit provider, has agreed to pay $20 million to resolve allegations that it improperly filled certain opioid prescriptions in violation of the Controlled Substances Act.

Is Optum a Medicare Advantage plan? ›

As an Optum patient with Medicare Advantage, you get a primary care doctor and care team focused on your unique health needs at age 65 and beyond.

Guideline overview

Optum determines medical necessity and appropriate level of care according to a hierarchy of criteria based on the applicable Medicare Advantage benefit plan package (Evidence of Coverage).

Delivering compassion, savings and better outcomes

Our full-spectrum pharmacy services provide affordable access to prescription medications and therapies. Optum simplifies how consumers, clients and partners navigate the pharmacy space — to deliver improved experiences, better health outcomes and a lower cost of care.

Recently on 12/13/2023, Aetna informed us, their Medicare agents, that Optum Health Network will no longer be in-network for Aetna HMO Medicare plans effective January 1, 2023.

401(k) savings plan. Childcare benefits. Short-term/ long-term disability coverage. Basic life insurance and AD&D.

Your HSA card is the fastest and most convenient way to pay for qualified expenses. You can pay for everyday items like bandages, sunscreen, glasses, prescriptions, doctors visits and much more.

Pay your bills for qualified medical expenses online at optumbank.com. Pay out of pocket and reimburse yourself. You can do that online or by withdrawing money with your debit card from any ATM with the MasterCard® logo. Order Optum Bank checks.

Vendors such as Wal-Mart, Target, Walgreens and CVS are all approved vendors.