Oxford Health Plan (2019) Group Insurance Reviews – aka UHC United Health Plan

Latest Update from – Oxford Health Insurance

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Oxford Group Health Has been fined million by DFS

So what if Oxford Health or UHC got fined million?

If you are Oxford Health Group insurance customer, and your company has only 1 or 2 employees enrolled in the plan, you will almost certainly be audited.

In the past, we have always able to get some leeway to provide all the audit documentation for Oxford health. not anymore.

Come August/1st/2019, all Oxford Health/UHC small groups plan will be terminated…

If complete audit paperwork hasn’t been submitted prior to good renewal deadline.

This may or may not have anything to do with DFS,

We still think Oxford Health is a very good carrier.

We are combining Public reviews from Google GMB (Google my business), BBB (Better Business Bureau), Public review from Yelp & our Broker insider insights to give you the single most comprehensive unbiased review.

Is Oxford Health Plans HMO or PPO? Is Oxford the same as United Healthcare?

Does Oxford Freedom Plan require a referral? & many other questions, along with combining the 4 reviews from GMB, BBB, Yelp & our bias/unbiased review, is hopefully why you are here.

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Is Oxford Health good insurance?

Yes, that is likely the reason you have found our article on Google.

Well, Oxford Health is not to be related to the famous Oxford University in Oxford, England. Rather it is a subsidiary of United Health Care (UHC), or, publicly listed as United Health Group on the NYSE exchange.

Oxford Health Insurance 2019 insider guide.  Is it right for you?  Evaluate Doctor’s networks, Urgent Care Center, Hospitals, Payment links, CSR and many more.

We are brokers,  to UHC, Empire BCBS, Healthfirst and many others.

Very often, we are being asked?

UHC-Is-World-Largest-Insurance-Carrier-?

UHC-Is-World-Largest-Insurance-Carrier-?

Is the biggest health insurance company the best or worst?

I can surely tell you that UHC parent company, United Health Group is surely the largest health insurance carrier in America, if not the work.

According to our screen capture, with net revenue of close to $190 billion in 2016, it is more in 2019, UHC revenue is more than Iraq GDP.

However, the biggest company may not equal to the best.

The bigger company comes with less flexibility.

Check out Youtube complaint of HIV medication decline

On the above, it is a pissed consumer who has his HIV Medication declined by UHC/Oxford, most likely the Optum unit.

Many consumers didn’t realize, the health insurance company is there to work for their executive and a lesser extent, their shareholders.

It is never in the for-profit company’s best interest to take good care of its consumers.

In this person case, I am pretty sure that by law, UHC or Oxford has to cover a version of the medication that will keep him alive.

Conveniences and nightmare of Mail Order Prescription.

While, the specific medication that he is looking to get, maybe a lot of conveniences (he can only take the medication once a week versus daily), but it is not in the interest of the insurance carrier. In this case, Oxford or UHC’s Optum unit.

Hence, there is a lot of problem with formulary or what plans is best.

In my opinion, there is no such best plan that fits everybody.

zero-premium-medicare-scam?

Click to find out if you are eligible for zero-premium medicare.

Click to learn more about zero-premium-medicare-scam?

Who else is not suitable for Oxford Health or UHC.

If you like to visit your neighborhood pharmacy for the regular maintenance medication, like your diabetic supplies or your Lipitor, you might not like Oxford, UHC.

Optum, the health information technology, and services firm of the UnitedHealth Group will make it useful to get their maintenance medication by mail orders.

Is the OptumRx part of United Healthcare?

OptumRx is UnitedHealth Group’s free-standing pharmacy care services business, managing more than one billion prescriptions annually.

It includes 90-day prescription options at pharmacies nationwide at-home delivery prices and 24/7 access to pharmacists.

Why would people want to get their medication mailed to their homes?

See for yourself.

https://www.consumeraffairs.com/rx/prescription_solutions.html

https://www.yelp.com/biz/optum-rx-sugar-land

I am not going to repeat the many negative feedback provided by the public.

The most useful thing from reading this article is, in the event where your life maintaining or saving medication did not arrive in time, you should always be able to call Optum, Oxford or UHC, to have them overwrite and provide you with the access to get your medication at a local pharmacy.

Insurance company profits can never triumph over a person’s livelihood.

Oxford can offer 3 plans for down to 3 enrolled.

So we can mix & match the PPO, HMO & EPO plans, in fact, we can offer 3 plans for a small group of 3 employees.

Often time, people may find that Oxford/UHC plans are overwhelming and confusing.

I think the last time we counted, there were about 47 plans for New York alone that is being offered by it’s Northeast subsidiary, which is Oxford.

So Oxford Health, Optum is both subsidiaries of UHC.

In fact, there are so many smaller company that is operating in different names and capacities within the United Health Group. Check out the latest filing fro the SEC.

https://www.sec.gov/Archives/edgar/data/731766/000119312503075552/dex21.htm

Oxford Health Plans was founded in 1984, Oxford Health Plans, Inc. provides health plans to employers and individuals primarily in New York, New Jersey, and Connecticut, through its direct sales force, independent insurance agents and brokers.

Oxford’s commercial insured products and services include traditional health maintenance organizations, preferred and exclusive provider organizations, point-of-service plans and consumer-directed health plans.

The Company also offers Medicare plans and third-party administration of employer-funded benefits plans. More information about Oxford Health Plans, Inc. is available at www.oxfordhealth.com.

 

UnitedHealth GROUP AND OXFORD HEALTH PLANS COMPLETE MERGER (Click here for full article)

The background of Oxford Health…

Who-is-Oxford-Health

So how does it matter to you (Click here)?

If you did click on the above link, you will be overwhelmed by the total of 47 plans Oxford Health is offering, just on the 2nd quarter alone in 2019.

The 47 plans are 10 folds that some other carriers are offering.

However, it also gives a lot of flexibility or the opportunity for people to either pick the best services available or to get the cheapest plan available.

If you click to view all the plans offered at the 2nd Quarter in 2019, you will actually be surprised to find out that Oxford Health insurance is even cheaper than OSCAR.

So, in short, don’t stress yourself out, as the premium you pay with or without a broker is the same, feel free to call us for help.

Oxford becomes better or worst by merging with UHC

Oxford Health used to service only Connecticut, New Jersey, and New York.

Oxford-Service-Areas

After the merging process has completed, Oxford Health members now have access to the National Network.

The UnitedHealthcare Choice Plus Network is available to most Oxford Health members on an
in-network basis.

For those groups enrolled in products with an out-of-network benefit, the national network benefit enhancement was automatic.

So the merger or acquisition by UHC allows Oxford member access to the nationwide choice plus network.

Eligible Oxford Health members can visit their doctor close to home or work and yet feel free to walk into the office of a UnitedHealthcare Choice Plus doctor while they are away with the comfort of knowing they are seeing an in-network doctor.

Choice Plus is now the network for all Oxford USASM products, making this an even more appealing plan to multisite groups headquartered in the Oxford service area.

However, the devil is in the details

Given the complexity of the Megastructure and the close to 50 plans that are offered by Oxford Health. (and with integration to UHC Choice plus networks)

We cannot take responsibility for user reading the information from here and make your own health insurance decision.

Even the health insurance carriers like UHC, BCBS always charge their end-users the same premium regardless of having a broker like us, so by not using a broker, we cannot be held responsible for your own decision.

MyUHC.com

The MyUHC.com access available for most of the United Health Care enrolled member are not available for members in the tri-state area, (that is, New York, New Jersey & Connecticut)

For members in the tri-state area, the online portal for Oxford Health is OXHP.com

The HMO, EPO & PPO problem?

Yes, it is, by choosing the wrong HMO, EPO vs PPO combination, you will end up having an insurance plan that doesn’t cover you out of the network, like when your New York plan cannot cover you while you are in New Jersey and vice versal.

Meet the Oxford Metro Network

Oxford Health insurance has 3 networks.

Oxford Metro Network Review (from UHC)

Healthy New York is Metro Now, VERY IMPORTANT.

The Oxford Metro Network is our latest network option available for New York employers.  This network was introduced to small businesses in 2016.

Since it is relatively new, it has the smallest participation of doctors and hospitals.

With some of the most competitive rates in the Oxford New York service area, the Oxford Metro Network may be just what you’re looking for to help balance employer costs and employee satisfaction.

Metro health plans are less expensive than other Oxford health plans but these plans require doctor referrals from the Primary Care Physician (PCP).

Unlike the Freedom and Liberty Networks, The Metro does not offer National coverage

With our 30-year track record for serving businesses like yours with our Oxford plans, we help deliver stability and are committed to the New York market.

Access to nearby pharmacies, doctors, and hospitals:

• The Oxford Metro Network provides access to retail pharmacies including major chains, mass merchants and supermarkets, Duane Reade, Walgreens, and Walmart are just some of the pharmacies where Oxford Metro Network members can fill prescriptions.

Prescriptions can no longer be filled at CVS, Target or many non-chain pharmacies.

Click here for the most current list of eligible pharmacies which can be found on oxfordhealth.com.

• Enrolled members can get care from over 28,000 physicians and 76 hospitals in New York.

• Access to more than 14,500 physicians and 62 hospitals in New Jersey.

In summary, you get what you pay for.  It is an extremely affordable plan and perfect for people who don’t care about top doctors.

Click to see their rates here.

Oxford Liberty Network Review (from UHC)

The Oxford Liberty Network is our mid-size network option available in our New York service area.

With a variety of plan options designed to fit your budget, the Oxford Liberty Network may be just what you’re looking for to help balance employer costs and employee satisfaction.

Liberty HMO plans do not have employee participation requirements so these plans are a good fit for a business with only a few employees.

A small business with only 2 employees could qualify for the HMO plan provided there is at least 1 employee on the payroll.

With our 30-year track record for serving businesses like yours, Oxford continues to deliver stability and is committed to the New York market.

Access to nearby doctors and hospitals:

• Enrolled members can get care from over 51,177 physicians and 100 hospitals in New York.

• Access to more than 884,000 physicians and 5,634 hospitals nationwide through the UnitedHealthcare Choice Plus Network.

• PCP referral required for all in-network specialist visits (except OB/GYN)

With that being said, only the proper configuration, hence, you need a broker like us.

Oxford Freedom Network Review (From UHC)

The Oxford Freedom Network is our largest network of participation of doctors and hospitals in the eastern region.

Oxford understands that consumers want choice, flexibility, and access to quality healthcare coverage.

That’s why Oxford introduced the first point-of-service plans to the tri-state area in 1988. Oxford’s Freedom Plan gives members the freedom to choose how they want to receive care, in- or out-of-network.

Plus, members have access to one of the area’s quality network, our Freedom Network, with more than 60,000 providers,  available in New York, New Jersey, and Connecticut.

With a variety of plan options designed to fit your budget, the Oxford Freedom Network may be just what you’re looking for to balance employer costs and employee satisfaction.

It also has National coverage through the UnitedHealthcare Choice Plus network.

Freedom plans have the best health care coverage options but they are also the most expensive health plans Oxford has to offer.

This network is good for a small business that wants to offer the most comprehensive coverage to its employees and is willing to pay more for the highest level of coverage.

With our 30-year track record for serving businesses like yours, Oxford continues to deliver stability and is committed to the New York market.

Access to nearby doctors and hospitals or nationwide:

• Enrolled members can get care from over 57,090 physicians and 100 hospitals in New York.

• Access to more than 884,000 physicians and 5,634 hospitals nationwide through the UnitedHealthcare Choice Plus Network

• PCP referral required for all in-network specialist visits (except OB/GYN)

We have a mostly smaller group on our book, as for the larger group, we have placed them with PEO.

As for smaller company groups, Oxford Health is the most flexible and powerful carrier out there.

Our reviews/comments for all 3 networks

You got what you paid for, but the good news is, you have the flexibility of mixing and matching up to 3 or 4 plans for a small group of 3 or 4 employees or business partners.

Very Stable Doctor Networks.

Despite a slew of negative reviews for their Metro Networks, the Oxford Health doctor network almost never changed since the inception, with the exception of introducing the Metro Network a few years ago.

In summary, Oxford Health Pros & Cons

PROS

• Oxford makes our list of one of our top health plan providers in New York because it is one of the most widely accepted health coverage in the tri-state area. The company offers over 100 health plans within their 3 networks;  The Freedom Network, Liberty Network, and the new Metro Network.

• All plans provide coverage to a vast network of doctors and hospitals in the New York region. Downstate coverage areas include The 5 boroughs – Manhattan, Brooklyn, Bronx, Queens, Staten Island, and Long Island, Nassau and Suffolk counties.

• Upstate coverage includes Westchester, Dutchess, Orange and Sullivan Counties. The Freedom and Liberty networks provide national coverage through the UnitedHealthcare Choice Plus network.

• If you are an immigrant, the network doctors are immigrant-friendly with many speaking a second language.

• You can turn to Oxford On-Call for your health concerns.  It is a 24/7 health care guidance service provided by a registered nurse. (Click here for more details)

In short, if you are looking for a health plan with one of the best networks of coverage, Oxford is tough to beat.

CONS

• Oxford is way more COMPLICATED. (Please click to find out for yourself)

Because Oxford Plan is so complicated, it is almost always done with the help of a Broker, that is why they have always been one of our favorites.  Empire BCBS is very complicated as well, but we don’t like to deal with them, that is for the sake of our client.  We will leave it on another topic.

There are no good or bad plans or companies.  Remember, it is always what is best for you!

Oxford Health Plans is one of the most premier providers of health insurance in the New York Tri-State area.

If your small business is willing to pay more to get the best coverage available, Oxford should be on your list of health insurance companies to compare.

Bonus For You

Oxford Health is featuring a Wellness Week with classes designed to help you keep your fitness goals on track.

You don’t need to be an Oxford Health member to participate.

Sign up today for a $5 class during our spring Wellness Week in April 2019.1
Wellness Week starts Monday, April 8, and goes through Sunday, April 14, 2019.

Please click here to sign up

Useful links related to Oxford Health Insurance.

Please click below for more information about:

Oxford Customer Service

Oxford Language Assistance

Oxford Login

Oxford Medicaid/Medicare

Oxford Contact/Phone Number

Oxford Providers

Oxford Urgent Care

Oxford Gym

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Oxford United Healthcare (UHC): One of the Best Health Insurance Companies in New York Tri-State area

The first sentence is meant to clarify the confusion of Oxford, UHC, United Healthcare. Oxford merged with its parent company, United Healthcare, in 2004– making it one of the largest health insurance companies in the US.

UHC, short for United Healthcare has been in the Fortune 500 list for 24 years and is one of the most admired companies in the healthcare sector.

UHC has a massive member base, around 115 million people, and one of the largest nationwide provider networks.

Oxford health insurance is the division that provides group health insurance for small businesses in New York, New Jersey, and Connecticut.

Hence, UHC, Oxford Health & United Healthcare are technically the same entity.

About UnitedHealthcare Oxford NY

United Healthcare acquired Oxford Health Insurance for 4.9 billion in 2004. However, Oxford acts as more as an independent entity in the tri-state area. Oxford is much more localized than United Healthcare but also has access to United Healthcare’s nationwide provider network as a result of their collaboration. It has the ability to offer the countrywide doctor & pharmacy network via UHC. United Healthcare is a for-profit managed healthcare company serving 115 million people in 2016.

UHC Oxford Networks, Plans, and Rates in NY, NJ, and CT

If you are trying to find doctors who take Oxford insurance, you’ll notice that Oxford has 4 main types of plans: the Freedom, Garden State, Liberty, and Metro networks. Out of these four options, the Freedom, Liberty, and Metro Networks are based in NY.

uhc oxford provider networks freedom liberty garden state metro

 

 

Let’s go through these plans one by one to understand their coverage features.

Oxford Insurance Freedom Network: The Freedom Network is a PPO plan available to members in NY. Because it is a PPO, the Freedom Network is Oxford’s largest provider network and offers a variety of plans. Under this network, members have access to over 57,090 physicians and 100 hospitals in New York. Members are able to see any provider who participates in the Freedom Network, as well as non-network providers at a higher out-of-pocket cost.

Oxford Insurance Liberty Network: The Liberty Network also offers coverage in NY but differs from the Freedom Network in that it is an EPO. This means members do not have the option to see doctors outside of the network. Under this network, you would have access to over 51,177 physicians and 100 hospitals in New York. Something important to note is that if you are in the tri-state area, you will have access to the tri-state area Liberty EPO. However, if you are outside of this region, members of both the Liberty and Freedom Networks receive nationwide service through a United Healthcare Choice Plus Network.

Oxford Metro Network: The Oxford Metro Network offers coverage in the New York Metropolitan area as well as New Jersey. Keep in mind that this does not include peripheral areas like Long Island. Members of this network have access to more than 28,000 physicians and 76 hospitals in New York. They also can receive care from over 14,500 physicians and 62 hospitals in New Jersey.

United Healthcare small-group plans come in tiers: bronze, silver, gold, and platinum. We recommend the HMO Metro and PPO plans depending on your specific needs. However, feel free to view all their rates in our comprehensive rate sheet.

Here’s one of the most common mistakes you can make:

While these are Oxford’s current networks, insurance companies change their provider networks all the time. Furthermore, the notices they send out to inform members and brokers frequently get overlooked. Sometimes, members who don’t realize their physicians are no longer a part of their network so they keep visiting them. Later, they receive bills from doctor visits that they thought were covered by their insurance and end up paying out-of-pocket.

We’ve seen this happen far too often, which is why we pay very close attention to memos and notices from insurance companies. We ensure that our clients don’t experience any unanticipated network changes so they can be prepared.

Reviews

Oxford Insurance Pros: United Healthcare Oxford is one of the better insurance companies available. They provide nationwide coverage and have a great variety of plans to choose from. In fact, within just the 3 networks that cater to New Yorkers specifically (Freedom, Liberty, and Metro), there are over 100 plan options. Their HMO, PPO, and EPO plans are well-suited for small businesses of under 100 employees.

Oxford Insurance Cons: On the other hand, Oxford is one of the more expensive small group health options available. This may partially be due to the very extensive coverage they offer, but may not be right for everyone. On the Better Business Bureau, Oxford/UnitedHealth Group has an A+ rating despite its 1.5 stars from customer reviews. They also had 1,273 complaints in the last 3 years– 382 of which were closed in the past 12 months. Many negative reviews on any insurance site, however, often come from a lack of understanding of how plans may work. Furthermore, members may often overlook network changes that may lead to confusion and anger about why their doctor is suddenly not covered by their insurance.

Overall, United Healthcare Oxford is one of the better coverage options available, although at an expensive cost. Before you can decide on a plan, however, there are many things to consider like how to find a doctor, which provider network you need, and the rates for each plan.

If you need any help in the process we are happy to walk you through it. Feel free to fill out a quick health insurance quote form, or give us a call at 212-484-9888.

 

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