OPTUM for your family member?

Optum, a health services company, partners with UnitedHealthcare to bring specialized healthcare benefits and clinical support and expertise to skilled nursing facilities.

Why choose Optum?

• Frequent attention & communication from Optum Clinician
• Coordination and Management of resident care in the nursing facility
• Personalized care led by a highly-trained nurse practitioner or physician assistant
• Support to help enhance the quality of care in the nursing facility.
• Timely evaluation of acute change in condition
• Offers supplemental benefits that include podiatry & medical transportation
• No premium or copay for PCP and Specialist services rendered in a SNF

Key Benefits of the Program

• Skilled Nursing/Part A benefit without 3 day hospital stay
• No cap or limits for therapy if needed
• Dental Benefit ($500/year)
• Routine Podiatry (two visits per year)
• Eye Exam and Eyewear ($150 credit per year)
• Hearing Exam and Hearing Aid ($1600 credit every two years)
• Non-Emergent Transportation (12 one-way trips)

Resident Enrollment/Eligibility

• Long-term resident of participating skilled nursing facilities
• Must be a resident for 90 days with no active discharges plan
• Cannot have End-Stage Renal Disease (ESRD) at time of enrollment
• Must be eligible for Medicare Part A and enrolled in Part B
• Enrollment does not affect Medicaid benefits

HVA Senior Living Alliance Members and Associate Members currently participating in OPTUM:

• Manchester
• St. Pauls
• Wesbury United Methodist
• Sarah Reed Senior Living
• Pleasant Ridge Manor - West

For additional information:

Contact Tom Erickson, Senior Navigator - HVA Senior Living Alliance @ 814-806-4556