Point Comfort — USA Network

Inside the United States, the plan uses the UnitedHealthcare PPO Network and the Prime Therapeutics Management Prescription Network. Choosing an in-network provider or pharmacy will allow for lower out of pocket expenses and direct billing, making seeking treatment quicker and more convenient.

Find in-network doctors and pharmacies below:

USA Provider Network
UnitedHealthcare Logo

When seeking treatment, mention your plan is part of the UnitedHealthcare Network.

To find mental health providers, please use the search tool.
The facilities listed in this PDF are NOT in-network.
USA Rx Prescription Network
Prime Therapeutics Management

When picking up a prescription medication, be sure to use a pharmacy that accepts the Prime Therapeutics Management Rx Network so you won’t have to pay up front for your prescriptions.

Frequently Asked Questions

Learn more about finding providers and seeking treatment below.

  • Are there any services that require pre-certification?

    Yes, the following services must always be pre-certified with the insurance company.

    • Inpatient care
    • Any Surgery or Surgical Procedure
    • Care in an Extended Care Facility
    • Home Nursing Care
    • Durable Medical Equipment
    • Computerized Tomography (CAT Scan)
    • Magnetic Resonance Imaging (MRI)
    • Ultrasound
    • Positron emission tomography (PET)
    • Chemotherapy/Radiation Therapy
    • Interfacility Ambulance Transfer
    • Inpatient Treatment of Mental Health Disorders
    • Specialty Medications
    • Physical Therapy

    In the event of an emergency, services must be pre-certified within 48 hours, or as soon as reasonably possible. If services are not pre-certified per the policy requirements, there will be a 50% reduction in benefits.

    To pre-certify, contact PCU directly using the contact details below.

    Please view your policy wording for a full list of services that require pre-certification and more information about this requirement.
  • Who should I contact if I need help finding a doctor/hospital that accepts my insurance plan?

    For assistance finding in-network doctors, hospitals, or pharmacies, please contact Point Comfort directly for assistance. The contact details can be found on your insurance ID card.

  • What are the benefits of visiting an in-network doctor/hospital?

    By going in-network, the provider will be able to bill Point Comfort directly, so you won’t need to pay for your visit upfront. In-network providers are contracted with your insurance plan, so the visit will generally be less expensive than if you were to visit an out-of-network provider.

    If you end up at an out-of-network doctor or hospital, you may need to pay for the expenses upfront at the time of your visit and then file a claim with Point Comfort to be reimbursed.
  • Do I need to file a claim after visiting the doctor? Yes — you are required to submit a claim with Point Comfort once per condition. You can access the claim form (and the accident questionnaire if your visit was due to an accident) and view more about how to submit your claim through the Claim Center.
  • What should I do if I was required to pay for my prescription medication upfront? If you were required to pay for your prescription at the pharmacy, you will want to file a claim with Point Comfort to be reimbursed for your eligible medical expenses. Be sure to keep a copy of your Rx medication label and the receipt from the pharmacy, and submit this with your claim. You can learn more about the claims process through the Claims Center.