2 Select Plan (required)

Choose a Health Plan UnitedHealthcare Options PPO UnitedHealthcare Select Plus POS UnitedHealthcare Select EPO UnitedHealthcare Select HMO UnitedHealthcare Select Plus HMO UnitedHealthcare Choice UnitedHealthcare Choice Plus UnitedHealthcare Choice HMO/Choice Plus HMO

3 Select Physician or Facility type (required)

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