What is group id on insurance card

Your Identifying Information

Your health insurance card usually has your name on it. If you have insurance through someone else, such as a parent, you might see that person’s name on the card instead. The card might also include other information, such as your home address, but this depends on the insurance company.

Policy Number

Insurance cards will have a policy number, usually on the front of the card. Each health insurance policy has an associated policy number. On your card, it is often marked “Policy ID” or “Policy #.” The insurance company uses this number to keep track of your medical bills.

Group Plan Number

If you have health insurance through employer, your insurance card probably has a group plan number. The insurance company uses this number to identify your employer’s health insurance policy. As an employee, you are covered by that policy. Not all insurance cards have a group plan number.

Insurance Company Contact Information

The bottom or back of your health insurance card usually has contact information for the insurance company, such as an address, phone number, and website. This information is important when you need to check your benefits or get other information. For example, you might need to call to check your benefits for a specific treatment, contact your insurance company, or find information on the website.

Coverage Amounts, In and Out of Network, and Co-pays

The “coverage amount” tells you how much of your treatment costs the insurance company will pay. This information might be on the front of your insurance card. It is usually listed by percent, such as 10%, 25%, or 50%. You might see several percent amounts listed together. For example, if you see 4 different percent amounts, they could be for office visits, specialty care, urgent care, and emergency room care.

In Network and Out of Network

You might see another list with 2 different percent amounts. The first percent, which is normally larger, shows how much the insurance company pays doctors and other health care providers who are considered “in network.” “In network” means that the insurance company has an agreement with this group of providers. The second percent amount is the amount your insurance company pays doctors and other health care providers who are “out of network.” Your insurance company does not have an agreement with providers who are outside the insurance company’s network. You are allowed to see providers who are “out of network,” but you will have to pay them more than you would to a provider who is “in network.” When you see any health care provider, you will have to pay the amount that the insurance company does not cover. To find out if a provider is “in network” contact your insurance company.

Co-pays

Finally, you might see a dollar amount, such as $10 or $25. This is usually the amount of your co-payment, or “co-pay.” A co-pay is a set amount you pay for a certain type of care or medicine. Some health insurance plans do not have co-pays, but many do. If you see several dollar amounts, they might be for different types of care, such as office visits, specialty care, urgent care, and emergency room care. If you see 2 different amounts, you might have different co-pays for doctors in your insurance company’s network and outside the network.

Prescription Coverage

Your health insurance company might pay for some or all the cost of prescription medicines. If so, you might see an Rx symbol on your health insurance card. But not all cards have this symbol, even if your health insurance pays for prescriptions. Look at your own card for an Rx symbol. Sometimes, the Rx symbol has dollar or percent amounts next to it, showing what you or your insurance company will pay for prescriptions. If you are not sure whether your health insurance pays for prescriptions or how much it pays, call the number on your insurance card to find out.

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Your member ID card

What you need to know about using your card

When you sign up for health insurance, your health plan will send a member identification (ID) card to you and your covered family members. Your member ID card (or health plan ID card) is proof that you have health insurance. Health care providers use the information from your member ID card to confirm they are part of your plan’s network and to bill your health plan for your care. Some plans have mobile apps that let you share the member ID card on your smartphone or tablet. Keep your member ID card handy when you:

• Go to the doctor
• Go to the hospital
• Have lab work done
• Get a prescription filled (if your plan has drug coverage)

Sign in to get a digital member ID card

Member ID card available on the UnitedHealthcare app

UnitedHealthcare® members with plans through an employer may download the UnitedHealthcare app to view and show their member ID card on their smartphone or tablet.

Request a new member ID card

If your card is damaged, or if you find a mistake on your member ID card, call the number on your card to request a new card. If you have lost your member ID card, contact us.

Examples of information found on member ID cards

Here are some examples of UnitedHealthcare member ID cards. Your member ID card may vary depending on your specific health plan and coverage.

Your member ID number and group number allow healthcare providers to verify your coverage and file claims for health care services. These numbers also help UnitedHealthcare advocates answer questions about your benefits and claims.

• Member ID number: A unique member ID number that links to your specific health insurance benefits and coverage.
• Group number: This number is unique to your company and is the same for all employees who participate in the insurance plan.
• Member/dependents: Your name (if you’re the policyholder) and other family members covered under your health plan.
• PCP: Primary Care Provider. Some plans require members to choose a primary care provider (PCP). If required, your PCP will be listed on your member ID card. A PCP is your main point of contact for most health issues or concerns. It can be a licensed physician, nurse practitioner, clinical nurse specialist or physician assistant.
• Copay: If your plan has copays, the copay for certain services may be listed on your member ID card. Your copay is the fixed amount you pay for certain covered health care services. It is usually paid when you receive the service.
• Your network: Before selecting a primary care provider (PCP), check that they are in your plan network. You can call the service number on your member ID card, or sign in to your health plan account and search the provider directory.
• Referrals required: If this appears on your card, check your benefit plan documents to see which services may require a referral (or recommendation) from your PCP for medical care beyond what your PCP can provide.
• Pharmacy benefits: If your plan includes pharmacy benefits from OptumRx®, your member ID card lists the numbers your pharmacy will need to verify your insurance coverage when filling prescriptions.

The back of your member ID card includes contact information for providers and pharmacists to submit claims. It also includes the member website and health plan phone number, where you can check benefits, view claims, find a doctor, ask questions and more.

A member ID number and group number allow healthcare providers to verify your coverage and file insurance claims for health care services. It also helps UnitedHealthcare advocates answer questions about benefits and claims.

• Member ID number: Each member has a unique member ID number linked to their specific health insurance benefits and coverage.
• Group number: This number is the same for everyone who participates in that insurance plan.
• Member: Your name
• PCP name: Primary Care Provider. Some plans require members to choose a primary care provider (PCP). If required, your PCP will be listed on your member ID card. A PCP is your main point of contact for most health problems or concerns. It can be a licensed physician, nurse practitioner, clinical nurse specialist or physician assistant.
• PCP phone number: Phone number for you to easily call your primary care provider.
• Copay: If your plan has copays, the copay for certain services may be listed on your member ID card. Your copay is the fixed amount you pay for covered health care services. It is usually paid when you receive the service.
• Pharmacy Benefits: If your plan includes prescription drug coverage, your pharmacy will need to see your member ID card to verify your insurance coverage when filling prescriptions.
• Medicare limiting charges apply: When doctors don’t accept Medicare but haven’t opted out entirely, the most they can charge is 15% over what Medicare will pay for that service (in addition to out-of-pocket costs). Limiting charges do not apply to medical equipment or supplies.

The back of the member ID card includes the member website and phone numbers to connect with customer service, speak with a nurse and discuss behavioral health. It also includes contact information for providers and pharmacists to submit insurance claims.

A member ID number and group number let healthcare providers verify your coverage and file claims for health care services. It also helps UnitedHealthcare advocates answer your questions if you call about benefits and claims.

• Member ID number: Each policy holder has a unique member ID number that links to your specific health insurance benefits and coverage. For some members, a unique State ID may also be present on the member ID card.
• Group number: This number is the same for everyone who participates in that insurance plan.
• Member: Your name
• PCP name: Primary Care Provider. This is your main point of contact for most health problems or concerns. It can be a licensed physician, nurse practitioner, clinical nurse specialist or physician assistant. Not all member ID cards contain this information.
• PCP phone number: Phone number for you to easily call your primary care provider.
• Pharmacy Benefits: When your plan includes pharmacy benefits, your pharmacy will need to verify your coverage when filling prescriptions.

The back of the member ID card may include phone numbers to connect with customer service, speak with a nurse and find behavioral health support. It also includes contact information for providers and pharmacists to submit claims.

Preventing medical identity theft

Unfortunately, new health care fraud and abuse schemes are constantly occurring. Thankfully, they are also regularly uncovered. You can help protect yourself and your family by staying informed.

Consider these tips to help safeguard your personal information:

• Treat your member ID card as you would a credit card
• Never provide personal information, such as your member ID number, credit or debit card number (or other personal information) on a phone call you did not initiate
• Do not let anyone except your physician’s office or pharmacy handle your member ID card. If anyone else requests your personal information, do not provide it.
• Never accept “free” medical equipment or services in exchange for your member ID number
• Shred financial documents before discarding
• Monitor your financial accounts regularly

Is policy number the same as group ID?

What is insurance group name?

Where is the ID number located on the insurance card?

Where is the group number on principal insurance card?