Welcome to UnitedHealthcare Individual Exchange plans, also referred to as Individual and Family plans. These plans are offered through the Health Insurance Marketplace, or the Exchange, where individuals can research, compare, and purchase health plans.

Here, you can access a variety of resources to help you work with us as you care for members who have these state-specific plans.

Interactive guide

Access this self-paced guide for everything you need to know about our Individual Exchange plans

Quick reference guide

Get answers about working with the plans in our quick reference guide

Actions you can take in the Provider Portal

Sign in to the UnitedHealthcare Provider Portal to manage your account and complete tasks

Get training Actions you can take in the Provider Portal arrow_forward

Verify your participation

Check if you’re in-network for an Individual Exchange plan

Update patient information

Provide accurate patient information to help make claims processing faster

Submit a referral

Refer your patients to a specialist within minutes

Submit or check claims

Review a claim’s status or send us a new claim with ease

Check eligibility

Confirm patient eligibility and review information about their benefits

Helpful links

State-specific plan information

Find pharmacy information about prescription drug lists, clinical criteria and prior authorization forms.

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Individual Exchange plan news

You may see more Individual Exchange members

Updated process for prior authorization requests

New oral oncology prior authorization process

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