UnitedHealthcare Individual and Family Marketplace Plans in Georgia

UnitedHealthcare Individual and Family Marketplace plans offer affordable, reliable coverage options from UnitedHealthcare Insurance Company.

As part of the American Rescue Plan Act (2021), many individuals and families are now eligible for lower monthly premiums for Marketplace health coverage in Louisiana.

In Louisiana the Individual and Family Marketplace plans will utilize the Individual Exchange Benefit Plan network of providers. These plans:

  • Are specifically designed for for the Health Insurance Marketplace, otherwise known as the Exchanges.
  • Utilize a customized, more focused network of care providers.
  • Require the member to be assigned a PCP to manage their health care needs.
  • Require the PCP to submit electronic referrals for members to see a network specialist.
  • Require prior authorization and notifications.

Out of Network / Out of Area Benefit Coverage

It is important to note that Individual and Family Marketplace members have NO OUT-OF-NETWORK or OUT-OF-AREA benefit coverage, except for emergency services and related admissions, unless specifically approved by UnitedHealthcare.  Members must receive eligible services at participating provider locations within the service area if they are to be considered as covered.

Provider Services phone number (dedicated to Individual and Family Marketplace Plans): 888-478-4760

UnitedHealthcare offers plans in three metal levels in Georgia--Bronze, Silver, and Gold--and enrollment for 2022 coverage is open through Jan. 15, 2022.

Medical plan coverage offered by UnitedHealthcare of Georgia, Inc. Administrative services provided by United HealthCare Services, Inc. or their affiliates.