About UnitedHealthcare Coverage in Pierre
UnitedHealthcare operates 16 distinct plans in Pierre, SD, with a combined in-network roster of 135 doctors across 32 medical specialties. Among the five largest insurers we track in Pierre, UnitedHealthcare ranks #4 by provider count, the leader is Medicare with 211 in-network doctors. Use this page to confirm a specific provider is in-network, understand which UnitedHealthcare plans have the widest reach in Pierre, and compare coverage against other major insurers before scheduling care.
UnitedHealthcare sells EPO, HMO, POS plan types in Pierre. 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 is a Medicare Advantage carrier in Pierre with 2 plans available to seniors, listed below with star ratings and premiums. UnitedHealthcare does not currently sell ACA marketplace plans in SD; commercial coverage shown above comes through employer groups.
Data is sourced from the federally-mandated CMS Transparency in Coverage filings that every insurer must publish monthly. Medicare Advantage plans come from the CMS MA Landscape File. Last refreshed June 30, 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 Pierre
UnitedHealthcare organizes its Pierre 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 135-doctor network that offers plans of each type.
A high PPO share means most UnitedHealthcare doctors in Pierre 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 Pierre.
Percentages don’t sum to 100% because most doctors participate in several plan types simultaneously.
UnitedHealthcare Plans in Pierre
UnitedHealthcare contracts with doctors at the network level in Pierre. Each network below is a contract; your specific plan (printed on your member ID) maps to one of them.
Choice HMO
HMO
111
Choice Plus POS
POS
111
Navigate EPO
EPO
111
NEXUSACO OA EPO
EPO
111
NEXUSACO OA POS
POS
111
Select EPO
EPO
111
Select Plus POS
POS
111
Choice EPO
EPO
110
Core EPO
EPO
108
Core POS
POS
108
Doctors Plan EPO
EPO
108
Charter EPO
EPO
106
UnitedHealthcare Medicare Advantage Plans in Pierre
2 UnitedHealthcare Medicare Advantage plans available to seniors in Pierre. Each plan combines Medicare Parts A, B and usually D (prescription drugs) into one product, with star ratings and monthly premiums shown.
Star ratings (1-5) reflect overall plan quality measured by CMS. a 4-star plan generally indicates above-average member experience and care coordination. Premiums shown are the monthly cost on top of the standard Medicare Part B premium.
Source: CMS Medicare Advantage Landscape File. Star ratings reflect overall plan performance per CMS quality measures. Premiums shown are monthly Part C+D consolidated.
Top Specialties Accepting UnitedHealthcare
UnitedHealthcare’s Pierre network spans 32 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 Pierre, 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.
Physician Experience in UnitedHealthcare’s Pierre Network
Years since medical school graduation is a reasonable proxy for experience, though it doesn’t capture fellowship training, subspecialty certifications, or years spent in specific clinical settings. For UnitedHealthcare’s Pierre network the breakdown below gives a quick sense of whether you’re picking from a predominantly early-career roster or one weighted toward veteran practitioners.
A network heavy on early-career doctors (0–5 years) often means lower wait times for new patients and exposure to the latest training, while veteran providers (30+ years) typically bring deeper pattern recognition for unusual presentations. A balanced distribution. roughly one-quarter in each bucket. is a healthy signal that the insurer has depth at every career stage, not just new graduates filling out its directory.
Telehealth Coverage in Pierre
23 of 135 UnitedHealthcare in-network providers (17%) offer telehealth visits in Pierre. Video appointments are typically covered for follow-ups, medication refills and adjustments, mental-health sessions, dermatology triage, and low-acuity primary care.
Availability and reimbursement still vary by state regulation and specific plan. Psychiatry, behavioral-health, and primary-care telehealth is near-universal at this point; procedural specialties (cardiology, orthopedics) typically offer video visits for pre-op consults and post-op follow-up but not initial diagnostic visits. Call the office with your UnitedHealthcare member ID to confirm your plan covers the visit type you need.
Top specialties offering telehealth in Pierre
Top Hospitals Serving UnitedHealthcare Patients in Pierre
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.
Avera St Mary's Hospital
Pierre, SD
Avera Mckennan Hospital & University Health Center
Sioux Falls, SD
Avera Missouri River Health Center
Gettysburg, SD
Avera Hand County Memorial Hospital And Clinic
Miller, SD
Winner Regional Healthcare Center - Cah
Winner, SD
Avera Heart Hospital Of South Dakota
Sioux Falls, SD
Coverage Compared in Pierre
Side-by-side provider counts for the five largest commercial and government insurers tracked in Pierre. 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 Pierre provider list with the same filters, plan breakdown, and hospital affiliations that you’re seeing here.
Nearby Cities with UnitedHealthcare Coverage
Cities closest to Pierre where UnitedHealthcare has an in-network provider base of meaningful size. Useful if you’re willing to drive a short distance for a hard-to-find specialist, have two offices to choose between, or are planning a move inside the region.
The mileage figures are straight-line distances computed from average practice-address coordinates, not drive-time. Counts reflect each nearby city’s UnitedHealthcare network size. a small count doesn’t mean no coverage, just that your in-Pierre options are likely more plentiful.
Frequently Asked Questions
Common questions about UnitedHealthcare coverage in Pierre
How do I find an UnitedHealthcare in-network doctor in Pierre, SD?
UnitedHealthcare has 135 in-network providers across 32 medical specialties in Pierre. This list is compiled from federally-mandated CMS Transparency in Coverage filings, last verified June 30, 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 Pierre?
UnitedHealthcare sells 3 distinct plan types in Pierre: EPO (111 doctors), HMO (111 doctors), POS (111 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.
Does UnitedHealthcare offer Medicare Advantage in Pierre?
Yes. UnitedHealthcare offers 2 Medicare Advantage plans in Pierre for 2026, with plan types including PPO D-SNP. The average CMS star rating across these plans is 4.5 of 5. Medicare Advantage (Part C) bundles Parts A and B with usually Part D prescription drug coverage, often adding dental, vision, and wellness benefits. Enrollment is open during the annual election period each fall.
What's the highest-rated UnitedHealthcare Medicare Advantage plan in Pierre?
UHC Dual Complete SD-Q1 (PPO D-SNP) (PPO D-SNP) holds UnitedHealthcare's top CMS star rating in Pierre at 4.5 of 5, with a $42 monthly premium. Star ratings reflect overall plan quality based on member experience, customer service, drug pricing, and clinical care measures. Plans rated 4 or higher generally indicate above-average performance.
Which hospitals in Pierre accept UnitedHealthcare?
Hospitals where UnitedHealthcare doctors most commonly practice in Pierre include AVERA ST MARY'S HOSPITAL, AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER, AVERA MISSOURI RIVER HEALTH CENTER, AVERA HAND COUNTY MEMORIAL HOSPITAL AND CLINIC. 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 Pierre?
UnitedHealthcare's Pierre network is largest in Nurse Practitioner (20), Neurology (17), Physician Assistant (14). 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 Pierre?
UnitedHealthcare ranks #4 of 5 major insurers tracked in Pierre by provider count, with 135 doctors. Medicare leads at 211 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 Pierre.
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 June 30, 2026.
What if my doctor isn't listed here?
This list reflects UnitedHealthcare's submitted network data as of the last federal filing on June 30, 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 Pierre provider list was last refreshed June 30, 2026. Doctor and network data come from the federally-mandated CMS Transparency in Coverage filings that every insurer must publish monthly. Medicare Advantage plans come from the CMS MA Landscape File. Refresh cadence: monthly for provider data, annually for marketplace and Medicare plans.
Related healthcare resources
Patient resources for Pierre UnitedHealthcare members.
Common health topics
Common medications
Common procedure costs
Data freshness
Last verified June 30, 2026 · Source: CMS Transparency in Coverage federal filings · Refresh cadence: monthly