COVID-19 Vaccine Information
Expanded information about COVID-19 vaccine administration billing and reimbursement is now available from UnitedHealthcare. We’ve also created a self-paced online course with step-by-step instructions, and we’ve updated our UnitedHealthcare COVID-19 Billing Guide to provide additional guidance to health care professionals.
Click here for more information from the U.S. Food and Drug Administration (FDA) on COVID-19 vaccines authorized for emergency use.
Last update: January 11, 2021, 9:30 a.m. CT
Date Expansion and Cost Share Updates for Telehealth Services
UnitedHealthcare is temporarily expanding the dates through which we are waiving the Centers for Medicare & Medicaid Services (CMS) originating site requirements for Medicare Advantage, Medicaid and Individual and fully insured Group Market health plan members. We are also updating the cost share waiver period for in-network telehealth services. The date changes vary by health plan, so please review each section for details.
A visit with the provider who uses an audio-video or audio-only telecommunications system.
A brief check-in with the provider using a recorded video and/or images submitted by the patient.
Communication between a patient and his/her provider through an online patient portal.
Specific CPT® codes are eligible for reimbusement.
Specific CPT® codes are eligible for reimbursement.
Details on eligible services and reimbursement.
Details on eligible services and reimbursement.
Resources
We’re committed to keeping you up to date on COVID-19 – we’re monitoring your inquiries and working hard to answer your questions. Let us know how we’re doing.
We’ll be making daily updates to this site. Be sure to check back often for the latest information.
The benefits and processes described on this website apply pursuant to federal requirements and UnitedHealthcare national policy during the national emergency. Additional benefits or limitations may apply in some states and under some plans during this time.
We will adjudicate benefits in accordance with the member’s health plan.
Medicaid Providers: UnitedHealthcare will reimburse out-of-network providers for COVID-19 testing-related visits and COVID-19 related treatment or services according to the rates outlined in the Medicaid Fee Schedule.