Optum Care: A Comprehensive Healthcare Provider
Optum Care is a leading healthcare provider that offers a wide range of medical services through a vast network of physicians, care teams, and healthcare facilities. As part of UnitedHealth Group, Optum Care delivers patient-centered care that improves health outcomes for individuals and families.
**Network of Physicians and Care Teams**
Optum Care boasts an extensive network of healthcare professionals, including over 70,000 employed or aligned physicians nationwide. This network includes primary care doctors, specialists, and advanced practice clinicians who work together to provide comprehensive patient care. Their care teams are designed to offer personalized, coordinated care that addresses each patient’s unique needs.
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Customer Reviews
**Healthcare Facilities and Services**
Optum Care operates over 2,200 locations across 25 states, including primary care clinics, specialty care centers, urgent care facilities, and virtual care platforms. Their services range from preventive care and wellness programs to chronic disease management and mental health support. This diverse range of services ensures that patients can access the care they need, when and where they need it.
**Patient-Centered Care**
Optum Care’s approach is centered on patient-centered care. Care teams take the time to explain treatment options thoroughly and guide patients through their healthcare choices. This focus on personalized care helps patients feel more engaged and empowered in their health decisions, leading to better health outcomes.
**Value-Based Care**
Optum Care is at the forefront of the shift towards value-based care, prioritizing early intervention, rewarding high-quality care, and delivering better outcomes at lower costs. By focusing on preventive care and proactive care management, Optum Care aims to reduce hospital admissions and emergency department visits, ultimately improving patients’ overall health and well-being.
**Integrated Care Delivery**
Optum Care’s integrated care delivery model combines primary, specialty, behavioral, and ambulatory surgical care to provide a seamless patient experience. Their interdisciplinary in-home care model has been shown to reduce hospital admissions and ER visits by double digits, demonstrating the effectiveness of their comprehensive approach.
**Behavioral Health Support**
Optum Care also strongly emphasizes behavioral health support, recognizing the importance of mental health and substance use support in overall health. Their network includes over 430,000 behavioral health professionals, ensuring patients can access timely, accessible, and quality care for their mental health needs.
Optum Care's Network and Medicare Advantage
Optum Care has a vast network of over 60,000 doctors in 2,000 locations nationwide, making it one of the largest providers of care to Medicare Advantage members. Their network includes primary care doctors, specialists, and advanced practice clinicians who work together to provide comprehensive patient care. This extensive network ensures our clients access a wide range of healthcare services, from preventive care to chronic disease management.
**Coordinated Care for Seniors**
Optum Care’s approach to care is centered around the patient. Their doctors take the time to listen and understand each patient’s unique needs, creating personalized care plans that address their specific health goals. This coordinated care model is particularly beneficial for seniors, who often have complex health needs that require ongoing management. By working closely with Medicare Advantage plans, Optum Care ensures that our clients receive seamless, integrated care that addresses their physical, emotional, and social well-being.
**Benefits for Clients**
Choosing Optum Care through a Medicare Advantage plan offers several benefits to our clients:
**Access to a Wide Network of Doctors**: With over 60,000 doctors in their network, Optum Care provides our clients with a broad range of healthcare options, ensuring they can find a doctor who meets their needs.
**Personalized Care**: Optum Care’s doctors focus on building deep relationships with each patient, listening to their concerns, and creating personalized care plans.
**Coordinated Care**: Their integrated care model ensures that all healthcare providers work together to provide comprehensive care, reducing the risk of gaps in care and improving overall health outcomes.
**Cost Savings**: Medicare Advantage plans often offer lower out-of-pocket costs than Original Medicare, making healthcare more affordable for our clients.
**Additional Benefits**: Many Medicare Advantage plans include extra benefits not covered by Original Medicare, such as dental, vision, and hearing coverage, wellness programs and fitness memberships.
**Enrollment and Support**
To help our clients navigate the enrollment process, Optum Care offers various resources, including:
**Licensed Insurance Agents**: Clients can speak with licensed insurance agents who can help them compare Medicare Advantage plans and choose the best option for their needs.
**Online Tools**: Optum Care provides online tools and resources to help clients find doctors and Medicare options in their area.
**In-Person Events**: Clients can attend no-cost, in-person events to learn more about Medicare Advantage plans and how they work with Optum Care.
Optum Care's accessibility
**Patient Portal**:
– **Access to Medical Records**: Optum Care provides a patient portal that allows patients to access their medical records, lab results, and communicate with their care team securely and conveniently.
– **Regional Portals**: The portal is accessible by selecting the appropriate region, ensuring patients can find the information and services specific to their area.
**Special Care Programs**:
– **Disease Management**: Optum offers phone support for managing chronic conditions like diabetes, congestive heart failure, and chronic obstructive pulmonary disease (COPD).
– **Case Management**: Optum healthcare professionals work with patients and their doctors to provide necessary care at home, in hospitals, nursing homes, or assisted living facilities.
– **Medication Review**: Pharmacists help patients understand how to use their medications safely and properly through phone calls or home visits.
– **Supportive Care**: For seniors with multiple ongoing medical problems, a doctor-led team provides home visits to determine the necessary care.
**Accessibility for Individuals with Disabilities**:
– **Website Accessibility**: Optum continuously works to enhance its website and portals to ensure they are accessible to individuals with disabilities.
– **Screen Reader Compatibility**: Optum recommends using NVDA as the preferred screen reader for its portals.
**Comprehensive Care Network**:
– **Wide Network**: Optum Care has an extensive network of over 60,000 doctors and 2,000 locations, making it easier for patients to find accessible care options.
**Telehealth Services**:
– **Virtual Care**: Optum Care offers telehealth options, allowing patients to receive care remotely, which can be particularly beneficial for those with mobility issues or those living in remote areas.
Customer Service and Reviews of Optum Care
Customer Service Contacts
General Customer Support
- Phone: 1-888-870-8842 for general inquiries.
Patient Portal Support
- Phone: 1-914-242-1555 for patient portal assistance in New York.
- Hours: Monday-Friday, 8 a.m.-5 p.m.
- Website: CareMount Medical Patient Portal
Provider Services
- Optum Pay Customer Support: 1-877-620-6194 for inquiries related to electronic payments and registration.
- Provider Services Line: 1-877-614-0484 for credentialing, contracting, and network status inquiries.
Special Care Programs
Disease Management
- Phone Support: 1-949-453-4179 for disease management inquiries.
Case Management
Optum healthcare professionals work with patients and their doctors to provide necessary care at home, in hospitals, nursing homes, or assisted living facilities.
Medication Review
Pharmacists help patients understand how to use their medications safely and properly through phone calls or home visits.
Additional Resources
Patient Portal
- Features: Secure communication with healthcare providers, prescription renewals, and access to medical records.
- Security: Two-step verification is required for online patient portal access to protect healthcare information.
Optum Care Network
- Find a Provider: Patients can find doctors, hospitals, or urgent care centers near them.
- FAQs: Common questions about Optum Care Network are answered on their website.
Common Questions About Optum Care
What is Optum Care?
Optum Care is a healthcare provider that offers a wide range of medical services through a vast network of physicians, care teams, and healthcare facilities. They focus on delivering patient-centered care and improving health outcomes for individuals and families.
How does Optum Care support patients with long-term medical problems?
Optum provides phone support for managing conditions like diabetes, congestive heart failure (CHF), and chronic obstructive pulmonary disease (COPD). Patients can call 1-949-453-4179 for assistance.
What is case management in Optum Care?
Optum healthcare professionals work with patients and their doctors to provide necessary care at home, in hospitals, nursing homes, or assisted living facilities.
How does Optum Care help with medication management?
Optum pharmacists help patients understand how to use their medications safely and properly through phone calls or home visits.
What is supportive care in Optum Care?
This program is for seniors who have trouble living on their own and have at least two ongoing medical problems. A doctor-led team of nurses and social workers visits the home to determine the necessary care.
How do I access my medical records in Optum Care?
Patients can access their medical records, communicate with healthcare providers, and request prescription renewals through the Optum patient portal. For assistance, call 1-914-242-1555.
What are the common issues with Optum Care's customer service?
Recent reviews indicate long hold times, difficulty in reaching customer service, and billing errors. Patients have reported being put on hold for up to 45 minutes and not being able to get through to their care team.
How does Optum Care focus on overall health?
Optum offers wellness programs, including online and in-person classes, exercise and recreational programs, to support overall health.
What is value-based care in Optum Care?
Optum helps providers incorporate value-based care delivery models, focusing on preventive care to provide the right care at the right time and keep costs down.
How does Optum Care support agents and brokers?
Optum provides resources for agents, including search tools for primary care providers, onboarding support, and local marketing teams for educational and sales activities.
Blake Insurance Group
Phone: (888) 387-3687
Email: [email protected]
Hours: Mon-Fri 9:00 am to 5:00 pm
Sat-Sun: Closed
Blake Nwosu
Owner & Principal Agent