Moving to UHA from another health insurer?
If you’re moving to UHA from another health insurer and you need to ensure continuity of ongoing medical care or prescriptions for you or a covered dependent, please read the instructions below and complete our Transition of Coverage Questionnaire (TCQ).
New Members: Transition of Coverage Questionnaire
What to expect after submitting your form
To help minimize interruptions in care, please submit one TCQ for each covered member. This questionnaire takes about 5–10 minutes to complete per member. Be aware that some medical services and/or prescriptions may require prior authorization.
New Members: Transition of Coverage Questionnaire
What to expect after submitting your form
Once you’ve submitted your TCQ, our team will review your information and contact you if additional details are needed.
Reviews are generally completed within 15 calendar days.
Important information to note: Completion of this questionnaire does not guarantee coverage of medical services and/or prescriptions. Coverage is subject to plan benefits and member eligibility at the time of service.
Questions?
Contact UHA Customer Services at (808) 532-4000, or toll-free at (800) 458-4600, or contact us online and ask to be connected to Health Care Services.