Unity Health Insurance Review & Complaints (2024)

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Unity Health has been offering HMO plans to Wisconsin residents since 1994. In 2017, the company joined two other local HMOs as part of Quartz Health Solutions, expanding their network and services.

What is Unity Health?

Unity Health was created in 1994 with the merger of HMO of Wisconsin Insurance Corporation and U-Care HMO, Inc. Over the next decade, the insurer would rank consistently among the 50 top HMO health plans according to the National Committee for Quality Assurance, and in 2005 became a wholly-owned subsidiary of University Health Care and thus part of the UW Health family.

The 2016 collaboration between Unity Health and another local insurer, Gundersen Health Plan, led to the eventual move to the Quartz brand in 2017, which also includes Physician’s Plus.

It is also connected with UW Health and UnityPoint Health – Meriter. In mid-2017, Unity Health began operating under the Quartz brand, although they continue to be a separate legal entity.

The rebranding to Quartz and affiliation with the other major HMO insurers and health systems in the area allows Unity to offer a wider network of care to their current members and offers a new, comprehensive selection of plans to potential new members.

As of the time of this review, the agreements between the companies had been completed, but the rebranding and finalization of combined services were still in progress. Unity was the first to completely rebrand, and their plans are the basis for all Quartz offerings.

What health plans are available through Unity Health?

All of the Unity Health plans through Quartz are HMO plans, offering coverage through a combination of all the affiliate health systems. These health plans are available at four levels: Catastrophic, Bronze, Silver, and Gold. With such a range of plans, Unity caters to a wide range of lifestyle needs.

Catastrophic

There is one catastrophic plan option – the Prime Catastrophic plan, with a $7,350 individual and $14,700 family deductible. Services, aside from preventative, are subject to the deductible, after which they are covered in full.

Bronze

Five Bronze plans are available, three of which include an HSA. These plans each have different deductibles to choose from: $5,000, $6,000, and $6,550. One hundred percent coverage after the deductible is included with the two higher deductibles. The lower $5,000 deductible plan covers services at 80% after the deductible is met.

There are two other Bronze level plans to choose from without an HSA. The Deductible $6,500 plan has copays of $25 for primary care and generic prescriptions, and 40$ coinsurance for all other services after the deductible is met. The Bronze PCP Copay $35 plan has a $6,650 individual deductible. Primary care visits are covered with a $35 copay, and specialist visits have a $75 copay. Prescriptions start at $35 for Tier 1.

Silver

There are five choices at the Silver level. Two HSA plans are offered; the first has a $3,000 individual deductible and covers services at 70% after the deductible. The second has a higher $5,050 individual deductible, with all services covered at 100% after it is met.

The other three Silver plans are PCP Copay plans. The $7,100 individual plan is the highest deductible and has a primary care copay of $75 and specialist copay of $150. Prescriptions start at $15. The second option has a lower deductible, at $5,000 individual. There is a $35 primary care copay and a $75 specialist copay. Again, prescriptions start at $15. The lowest deductible at the Silver level is $3,000 individual, and this plan has a $30 primary care copay and $65 for specialists. This is the only plan that has a separate $500 pharmacy deductible, but prescription copays are lower and start at $15.

Gold

There is one Gold level HSA option. This plan has an individual deductible of $1,800 and pays most services at 90% when that is met. There are four other Gold level plans with varying deductibles and copays. Of all the Gold plans the highest deductible is at $3,500, with copays of $30 for primary care and $60 for specialists. The next highest deductible option is $2,900 individual, with the same copays at $30 for primary care and $60 for specialists.

Both of these plans have prescription coverage starting at $10. There are two more plans; both have a $20 copay for primary care, and the deductibles are offered at $1,700 individual or $1,400 individual. The higher deductible also comes with a higher copay for specialist visits – $70 versus $50 – while prescriptions start at $5 versus $10.

Does Unity Health offer competitive rates?

Unity’s quotes are now run through the Quartz system, which has a relatively simple and basic online process.

We ran a sample quote for a 30-year-old in Dane County, where the company is headquartered. The cheapest rate was for the catastrophic plan, with a monthly premium of $245.84. Rates then climbed into the mid $300’s and all the way up to a monthly rate of $488.65 for the Prime Gold Standard plan – the most expensive our sample quote returned.

Considering the fact that all of these plans are HMOs, with no out-of-network coverage, we found the rates to be high, even compared to other local HMOs. That said, the Quartz affiliation does offer a much wider network of care and more provider access, which may make up for some of the higher costs.

Read more: Best Health Insurance Quotes

Seamless Healing: Navigating Unity Health Insurance’s Claims Process with Ease

Ease of Filing a Claim (Online, Over the Phone, Mobile Apps)

Unity Health Insurance provides various options for filing claims, ensuring flexibility and convenience for policyholders. You can file a claim through their online portal, over the phone, or by using their mobile app. This multi-channel approach allows policyholders to choose the method that suits them best, making it easier to initiate the claims process.

Average Claim Processing Time

The average claim processing time with Unity Health Insurance can vary depending on the specific nature of the claim and the complexity of the case. While Unity Health Insurance strives to process claims efficiently, it’s essential to understand that processing times may differ from one claim to another.

Policyholders are encouraged to check with Unity Health Insurance for specific information regarding claim processing times.

Customer Feedback on Claim Resolutions and Payouts

Unity Health Insurance values customer feedback, including their experiences with claim resolutions and payouts. Customer reviews and feedback play a crucial role in improving their claims process and ensuring policyholders are satisfied with the outcomes.

To get a comprehensive understanding of customer opinions on claim resolutions and payouts, it’s advisable to check online reviews and testimonials.

Empowering Wellness: Unveiling Unity Health Insurance’s Innovations in Digital and Technological Benefits

Mobile App Features and Functionality

Unity Health Insurance offers a mobile app that provides policyholders with convenient access to their insurance information. The app is designed to offer features and functionality that enhance the overall user experience.

Policyholders can use the app to view their policy details, track claims, and even file claims directly from their mobile devices. The app’s user-friendly interface makes managing insurance on the go more accessible and efficient.

Online Account Management Capabilities

Unity Health Insurance provides robust online account management capabilities through their website. Policyholders can log in to their accounts to access a wide range of features, including reviewing policy documents, making premium payments, and checking the status of claims.

The online portal offers a secure and convenient way for policyholders to manage their insurance policies and stay informed about their coverage.

Digital Tools and Resources

In addition to their mobile app and online account management, Unity Health Insurance offers various digital tools and resources to help policyholders make informed decisions about their coverage. These tools may include online calculators, educational resources, and informative articles on health insurance topics.

By leveraging these digital resources, policyholders can gain a better understanding of their insurance options and make choices that align with their needs and preferences.

What is the bottom line?

Unity has had consistently good ratings over the years and has a solid history. They appear to have moved forward quickly with their new brand and affiliation, but time will still be needed to see how that pans out. Their rates are a bit high for an HMO, but they do offer a good network of care and a variety of plan choices. Unless things go downhill under the new brand, we anticipate that Unity/Quartz will likely remain a good choice for those who do not mind the limitations of an HMO when it comes to a health care provider.