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UniCare is becoming Wellpoint
Same doctors. Same hospitals. Same commitment. New name.
 

UniCare Providers

We’re here to work with you to improve the health care of UniCare GIC members.

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Our Plans

To more accurately reflect our mission of supporting our members’ whole health, UniCare is becoming Wellpoint. All UniCare health plans will officially become Wellpoint as of July 1, 2024.

Annual enrollment for Group Insurance Commission members is April 3 – May 1.

Enhanced Personal Health Care

Our value-based, patient-centered care program provides support for making changes to the delivery system that drives better care.

Provider Notices

UniCare is becoming Wellpoint as of July 1, 2024
 

March 2024 Provider Newsletter.

To more accurately reflect our mission of supporting our members' whole health, UniCare will become Wellpoint on July 1, 2024. 

Download frequently asked questions for providers.

Change Healthcare Cybersecurity Event Frequently Asked Questions

 

On February 21, 2024, we were alerted that one of our vendors, Change Healthcare (a subsidiary of Optum), experienced a cybersecurity event. As of publishing, Change Healthcare has confirmed that their systems are unavailable. These FAQ were updated February 25, 2024. Check back frequently for updates.

Download FAQs

HIV PrEP Benefit (October 2023)

HIV Pre-Exposure Prophylaxis (PrEP) service is a covered benefit under all UniCare plans since 2021. Coverage includes medications (subject to your prescription drug benefit) testing, monitoring, and adherence counseling.

The preventive diagnosis codes included in this benefit are:

  • Z11.4 – Encounter for screening for HIV
  • Z11.3 – Encounter for screening for infections with a predominantly sexual mode of transmission
  • Z11.59 – Encounter for screening for other viral diseases
    • Z20.6 – Contact with and (suspected) exposure to HIV
    • Z20.2 – Contact with and (suspected) exposure to infections with a predominantly sexual mode of transmission
    • Z20.5 – Contact with and (suspected) exposed to viral hepatitis
  • Lab tests ordered to evaluate conditions potentially associated with long-term use of PrEP medication (i.e., creatinine to assess for potential kidney injury) should include Z79.899 (Other long-term, current drug therapy)

Effective October 1, 2023, the following diagnosis code has been added as a covered benefit:

  • Diagnosis code Z298.1 – Encounter For HIV Pre-Exposure Prophylaxis (other specified prophylactic measures). This diagnosis code is covered under UniCare’s preventive benefit policy.

Important Resources