About UnitedHealthcare Coverage in St Augustine
UnitedHealthcare operates 19 distinct plans in St Augustine, FL, with a combined in-network roster of 204 doctors across 40 medical specialties. Among the five largest insurers we track in St Augustine, UnitedHealthcare ranks #4 by provider count, the leader is Medicare with 566 in-network doctors. Use this page to confirm a specific provider is in-network, understand which UnitedHealthcare plans have the widest reach in St Augustine, and compare coverage against other major insurers before scheduling care.
UnitedHealthcare sells EPO, POS, HMO plan types in St Augustine. A PPO (Preferred Provider Organization) lets you see any provider without a referral; out-of-network care is covered but you pay a higher share. An HMO (Health Maintenance Organization) requires you to pick a primary-care doctor and get referrals for most specialist care, usually in exchange for lower premiums. An EPO (Exclusive Provider Organization) is in-network only, like an HMO, but skips the referral requirement. A POS (Point of Service) plan blends HMO-style in-network with PPO-style out-of-network options. Your plan name is on your member ID card.
UnitedHealthcare also sells 17 ACA marketplace plans on healthcare.gov for St Augustine residents, listed below with metal tiers (Bronze through Platinum) and plan types. UnitedHealthcare does not currently offer Medicare Advantage in this area.
Data is sourced from the federally-mandated CMS Transparency in Coverage filings that every insurer must publish monthly. Marketplace plans come from the CMS Qualified Health Plan Public Use File. Last refreshed July 14, 2026. Networks change between filings, so even when a doctor appears here we recommend calling their office with your member ID to confirm current network status before your visit.
Plan Type Mix in St Augustine
UnitedHealthcare organizes its St Augustine network into several plan types, each with different rules about which doctors you can see and what referrals you need. The bars below show the unique-provider share of the 204-doctor network that offers plans of each type.
A high PPO share means most UnitedHealthcare doctors in St Augustine accept the insurer’s broader preferred-provider plans. these give you maximum choice and don’t require referrals to specialists. A high HMO share signals a tighter gatekeeper model: lower premiums but you usually need your primary-care doctor to refer you before a specialist will bill. EPO and POS bars sit between those two on both flexibility and cost.
Because individual doctors typically participate in multiple UnitedHealthcare plan types at once, these percentages don’t sum to 100%. the same provider can appear as both PPO and OAP coverage. What the chart tells you is which plan categories have meaningful depth in St Augustine.
Percentages don’t sum to 100% because most doctors participate in several plan types simultaneously.
UnitedHealthcare Plans in St Augustine
UnitedHealthcare contracts with doctors at the network level in St Augustine. Each network below is a contract; your specific plan (printed on your member ID) maps to one of them. For consumer plan names, see the section below.
NEXUSACO OA EPO
EPO
176
NEXUSACO OA POS
POS
176
Charter EPO
EPO
174
Choice EPO
EPO
174
Choice Plus POS
POS
174
Select EPO
EPO
174
Select Plus POS
POS
174
Doctors Plan EPO
EPO
173
Core EPO
EPO
169
Core POS
POS
169
Navigate EPO
EPO
165
Choice HMO
HMO
143
UnitedHealthcare ACA Marketplace Plans Available in St Augustine
17 UnitedHealthcare plans sold on healthcare.gov for St Augustine. These are the consumer plan names you’ll see during open enrollment, with metal tier (Bronze/Silver/Gold/Platinum) and plan type (PPO/HMO/EPO/POS).
Bronze plans have lower monthly premiums and higher out-of-pocket costs; Gold and Platinum have higher premiums but lower copays. Your plan choice affects which UnitedHealthcare doctors above are in-network. the network labels above map to one or more of these plans.
UHC Gold Advantage ($0 Virtual Urgent Care, $1 Tier 2 Rx)
Network: Individual Exchange Benefit Plan Network
UHC Gold Advantage+ ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision)
Network: Individual Exchange Benefit Plan Network
UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx)
Network: Individual Exchange Benefit Plan Network
UHC Gold Standard
Network: Individual Exchange Benefit Plan Network
UHC Silver Advantage ($0 Virtual Urgent Care, $5 Tier 2 Rx)
Network: Individual Exchange Benefit Plan Network
UHC Silver Advantage+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision)
Network: Individual Exchange Benefit Plan Network
UHC Silver Standard
Network: Individual Exchange Benefit Plan Network
UHC Silver Standard-
Network: Individual Exchange Benefit Plan Network
UHC Silver Standard+ (Dental + Vision)
Network: Individual Exchange Benefit Plan Network
UHC Silver Value ($0 Virtual Urgent Care, $5 Tier 2 Rx)
Network: Individual Exchange Benefit Plan Network
UHC Silver Value+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision)
Network: Individual Exchange Benefit Plan Network
UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care)
Network: Individual Exchange Benefit Plan Network
UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision)
Network: Individual Exchange Benefit Plan Network
UHC Bronze Standard
Network: Individual Exchange Benefit Plan Network
UHC Bronze Standard+ (Dental + Vision)
Network: Individual Exchange Benefit Plan Network
UHC Bronze Essential ($0 Virtual Urgent Care)
Network: Individual Exchange Benefit Plan Network
UHC Bronze Essential- ($0 Virtual Urgent Care)
Network: Individual Exchange Benefit Plan Network
Source: CMS Qualified Health Plan Public Use Files (PY 2026). ACA marketplace plans only. Does not include employer-group or Medicare plans.
Top Specialties Accepting UnitedHealthcare
UnitedHealthcare’s St Augustine network spans 40 distinct medical specialties. The mix reflects where the insurer has negotiated the deepest physician contracts. primary-care specialties and behavioral health tend to dominate, with surgical and sub-specialty networks typically narrower.
Click any specialty below to see a filtered list of just those in-network providers in St Augustine, including ratings, locations, years of experience, and contact information. For specialties with fewer than 10 in-network providers, you’ll likely want to check nearby cities too. the section further down on this page has your geographic options.
Top Hospitals Serving UnitedHealthcare Patients in St Augustine
Hospitals with the most UnitedHealthcare-network physicians practicing there. Large affiliation counts indicate that UnitedHealthcare has a durable relationship with the facility, which typically means smoother prior-authorizations for admissions, lab work, and follow-up care coordinated under one roof.
Hospital coverage is a separate contract from physician coverage. your UnitedHealthcare plan may cover a doctor who admits at Hospital X but classify the hospital itself as out-of-network, leaving you with a surprise facility bill. Before scheduling anything inpatient or procedural, call both the doctor’s office and the hospital billing line with your member ID to confirm both sides are in-network for the specific plan you hold.
Flagler Hospital
Saint Augustine, FL
Baptist Health Medical Center - Jacksonville
Jacksonville, FL
Northeast Georgia Medical Center, Inc
Gainesville, GA
Halifax Health Medical Center
Daytona Beach, FL
Adventhealth Palm Coast
Palm Coast, FL
Sentara Northern Virginia Medical Center
Woodbridge, VA
Coverage Compared in St Augustine
Side-by-side provider counts for the five largest commercial and government insurers tracked in St Augustine. These numbers show raw network breadth. they don’t adjust for quality, specialty mix, or your specific plan’s tier structure, but they’re a useful first filter when choosing a carrier at open enrollment.
If UnitedHealthcare’s provider count looks limited for your needs, the alternatives below may fit better. Click any row to open that insurer’s St Augustine provider list with the same filters, plan breakdown, and hospital affiliations that you’re seeing here.
Frequently Asked Questions
Common questions about UnitedHealthcare coverage in St Augustine
How do I find an UnitedHealthcare in-network doctor in St Augustine, FL?
UnitedHealthcare has 204 in-network providers across 40 medical specialties in St Augustine. This list is compiled from federally-mandated CMS Transparency in Coverage filings, last verified July 14, 2026. Filter by specialty, plan type, gender, telehealth or experience above to narrow your search, then click any provider for full credentials and contact details. Always confirm coverage with your specific plan before scheduling.
What UnitedHealthcare plan types are available in St Augustine?
UnitedHealthcare sells 3 distinct plan types in St Augustine: EPO (178 doctors), POS (178 doctors), HMO (143 doctors). PPO plans give you the broadest provider choice without referrals; HMO plans require a primary-care referral but typically have lower premiums; EPO plans skip the referral but stay in-network only; POS plans blend HMO in-network rules with PPO out-of-network options. Choose by reading what's printed on your member ID card and matching it to one of the rows in the Plans section above.
What UnitedHealthcare ACA marketplace plans cover St Augustine?
UnitedHealthcare sells 17 consumer plans on healthcare.gov for St Augustine, FL, including UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care), UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision), UHC Bronze Essential ($0 Virtual Urgent Care) and 14 others. Available plan types are HMO. These plans appear on healthcare.gov during open enrollment (typically November to January) and through special enrollment periods after qualifying life events.
What metal tiers does UnitedHealthcare offer in St Augustine?
UnitedHealthcare's ACA marketplace presence in St Augustine spans 4 metal tiers: Expanded Bronze (4), Bronze (2), Gold (4), Silver (7). Metal tiers describe the cost-sharing balance, not provider quality. Bronze plans have the lowest monthly premiums but you pay more per visit. Silver plans are eligible for federal cost-sharing reductions if your income qualifies. Gold and Platinum plans cost more monthly but reduce out-of-pocket costs for specialist visits, hospital stays, and prescriptions.
Which hospitals in St Augustine accept UnitedHealthcare?
Hospitals where UnitedHealthcare doctors most commonly practice in St Augustine include FLAGLER HOSPITAL, BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE, NORTHEAST GEORGIA MEDICAL CENTER, INC, HALIFAX HEALTH MEDICAL CENTER. This is inferred from physician affiliations rather than direct insurer-hospital contracts, so confirm hospital network status separately with both your UnitedHealthcare plan and the hospital's billing department before scheduling any inpatient or surgical procedure. Even when a doctor is in-network, the hospital where they admit may not be.
Which medical specialties have the most UnitedHealthcare providers in St Augustine?
UnitedHealthcare's St Augustine network is largest in Diagnostic Radiology (30), Physician Assistant (22), Family Practice (15). Primary care, behavioral health, and physical therapy tend to dominate insurer networks because high patient volumes drive deeper provider contracts. Surgical sub-specialties typically have narrower networks. Click any specialty in the section above to see a filtered list of those in-network providers.
How does UnitedHealthcare compare to other insurers in St Augustine?
UnitedHealthcare ranks #4 of 5 major insurers tracked in St Augustine by provider count, with 204 doctors. Medicare leads at 566 providers. Larger network size means more provider choice but doesn't guarantee that your specific doctor is in-network with any insurer. The Coverage Compared section above shows side-by-side counts for the top five carriers in St Augustine.
How do I verify a doctor is in-network with UnitedHealthcare?
Three steps: first match the doctor's name against this list, second call the provider's office with your member ID to confirm they currently accept your specific UnitedHealthcare plan, and third check UnitedHealthcare's own member portal for the most authoritative real-time status. Networks change between monthly federal filings; our data was last refreshed July 14, 2026.
What if my doctor isn't listed here?
This list reflects UnitedHealthcare's submitted network data as of the last federal filing on July 14, 2026. Doctors join and leave networks between filings, so a current in-network provider may be missing if they joined recently. Call the doctor's office to ask whether they currently accept UnitedHealthcare, then check UnitedHealthcare's own member portal for confirmation.
When was this UnitedHealthcare data last updated?
The UnitedHealthcare St Augustine provider list was last refreshed July 14, 2026. Doctor and network data come from the federally-mandated CMS Transparency in Coverage filings that every insurer must publish monthly. ACA marketplace plan data comes from the CMS Qualified Health Plan Public Use File for plan year 2026. Refresh cadence: monthly for provider data, annually for marketplace and Medicare plans.
Related healthcare resources
Patient resources for St Augustine UnitedHealthcare members.
Common health topics
Common medications
Common procedure costs
Data freshness
Last verified July 14, 2026 · Source: CMS Transparency in Coverage federal filings · Refresh cadence: monthly