UnitedHealthcare Kidney and Cancer Resource Services: what the carrier describes.
UnitedHealthcare describes Kidney Resource Services for end-stage renal disease and Cancer Resource Services for members diagnosed with cancer. These are access and guidance programs for serious conditions, and employers should confirm how they apply to their group.
What the program is and what members do.
What the programs are
UnitedHealthcare describes Kidney Resource Services (KRS) as a program for members diagnosed with end-stage renal disease who are preparing to start dialysis or are receiving dialysis. It describes Cancer Resource Services as providing access to top-performing cancer centers across the country through a Centers of Excellence network.
How members use them
For kidney, the carrier says members get consultation from a KRS clinical consultant, access to some of the nation’s leading dialysis centers, and continued consulting and monitoring of their care. For cancer, the carrier describes access to its cancer center network and planned, coordinated care from a team of experts. UnitedHealthcare says a member signs in to their account or calls the number on the member ID card to learn more about the program.
What they cover or do not
The carrier describes consultation, guidance and access to a network of centers. Treatment itself is paid under the plan’s own benefits. The carrier lists potential benefits of the cancer network, and we would treat those as the carrier’s description and not as a promise for any one member.
Eligibility, funding and plan design.
Who can use them
The page describes Kidney Resource Services for members with end-stage renal disease and Cancer Resource Services for members diagnosed with cancer. The page does not state a line of business, so we would not assume the program applies to every UnitedHealthcare group. Confirm eligibility for your group.
How it is funded or sold
The member page does not discuss cost or sale. On its employer care management page, UnitedHealthcare describes Standard Care Coordination for fully insured employers and Personal Health Support for self-funded (ASO) employers, and says each gives access to condition-specific clinical programs. Whether a program carries a separate charge is not stated, so confirm it for the group.
Where it fits in plan design
These programs sit alongside the medical benefit for high-cost, high-stakes conditions. For employers with stop-loss or a self-funded plan, we would look at how access to a centers network interacts with network rules, travel provisions and any stop-loss reporting.
What to settle before relying on it.
Are both programs part of our package?
The kidney and cancer programs are listed separately. We would ask UnitedHealthcare to confirm in writing that both apply to the group, and whether any fee applies.
How do network and travel rules work?
Access to a centers network can involve care away from home. We would ask what the plan covers for travel, lodging and out-of-network cost sharing when a member uses a designated center.
How does a member find out and who reaches out?
The public page tells members to sign in or call. We would ask whether the carrier contacts members at diagnosis, and how that outreach is handled with care so it is not experienced as a sales call at a hard moment.
Common questions about this program.
What is Kidney Resource Services?
UnitedHealthcare describes it as a program for members with end-stage renal disease preparing for dialysis or receiving it, including clinical consultant guidance and access to dialysis centers.
What is Cancer Resource Services?
The carrier describes it as access to top-performing cancer centers across the country through a Centers of Excellence network, with coordinated care from specialist teams.
Does the plan cover treatment at those centers?
Treatment is paid under the plan’s own benefits and network rules. Employers should confirm how the plan treats care at designated centers.
Send us your renewal.
We’ll tell you whether it looks competitive, where we see opportunity, and the five questions we’d put to your carrier. No cost, and no obligation to move anything.
The renewal letter
Your current plan summary
Contribution split by tier
Enrolled counts by tier
Four documents — two more if your group is 50 or more. Nothing else; every extra one is a reason to postpone.
An independent employee benefits consulting firm. We look at the entire benefits program: cost, plan performance, risk and administration.
Switch to CFH. Unhappy with your broker? Your employees won’t notice. You will. →
Cookies on This Site
We use cookies to keep the site working properly and to understand how it is used. You can decline anything that is not essential. See our Privacy Policy for the detail.
- Essential: needed for the site to load and for you to move around it. These cannot be switched off.
- Analytics: tell us which pages get read, so we know what is worth writing more of.
- Advertising: set by third parties such as ad and social platforms to measure and target campaigns.