How UHC coverage works here
Guzman & Baker submits claims directly to United Healthcare on your behalf. You pay your cost-share at the time of service. The amount you owe depends on your specific UHC plan and where you are in your plan year. Your costs may include:- Copay — A fixed per-visit amount you pay for each outpatient mental health session.
- Coinsurance — A percentage of the allowed cost you pay after your deductible is met.
- Deductible — The annual out-of-pocket amount you must reach before UHC shares in the costs.
Common UHC plan types
UHC Choice Plus (PPO)
A flexible plan that lets you see any licensed provider. You pay less when you see in-network providers like Guzman & Baker, and more for out-of-network care.
UHC HMO
Covers care within a designated network. You may need a referral from your primary care provider. Confirm with UHC whether a referral is required before your first session.
UHC Navigate (EPO)
Covers services only from providers within the UHC Navigate network. Out-of-network care is not covered except in emergencies. Verify that our practice is in your specific Navigate network.
UHC HDHP / HSA-eligible
High-deductible plans often paired with a Health Savings Account. You typically pay the full allowed cost per session until your deductible is satisfied.
Using your UHC member ID
Your UHC member ID appears on the front of your United Healthcare insurance card. This number identifies your plan and links your claims to your account. You will need it to:- Call member services to verify your benefits
- Access your account on myuhc.com or the UnitedHealthcare app
- Provide to our office when scheduling or submitting paperwork
If you do not have your physical card, you can access a digital version of your UHC ID card by logging into myuhc.com or downloading the UnitedHealthcare app.
How to verify your UHC benefits
Before your first appointment, take a few minutes to confirm your mental health benefits. This prevents billing surprises.Find your UHC member ID card
Locate your United Healthcare card. You will need your member ID, group number, and the member services phone number printed on the back.
Call UHC member services
Call the behavioral health or member services number on the back of your card. Ask the representative about your outpatient mental health benefits.
Ask the right questions
When you reach a representative, ask:
- Is Guzman & Baker Behavioral Health Services (NPI: 1669265328) in my network?
- What is my copay or coinsurance for outpatient mental health visits?
- Do I have a deductible, and how much have I met so far?
- Do I need a referral or prior authorization for therapy?
- Are there any limits on the number of sessions covered per year?
Check myuhc.com (optional)
Log in to your UHC member account online to review your summary of benefits, track your deductible, and search for in-network providers.
What to complete prior to your first appointment
Submit the following in your secure patient portal prior to your first session:- Your United Healthcare insurance card (front and back)
- Complete additional intake forms (sent to you before the appointment in your patient portal)
- A form of payment for your copay or cost-share amount
Some UHC plans require prior authorization before therapy begins. If your plan has this requirement, contact our office as soon as possible. We can work with you to submit the request so authorization is in place before your first session.