Policies and Clinical Guidelines

Reimbursement Policies

For reimbursement guidance for Community Plan members, view the current UnitedHealthcare Community Plan Reimbursement Policies. 

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UnitedHealthcare has developed Medical Policies, Medical Benefit Drug Policies and Coverage Determination Guidelines to assist us in administering health benefits. These policies and guidelines are provided for informational purposes, and do not constitute medical advice.

For policy guidance for Medicare Advantage plan members, view the UnitedHealthcare Medicare Advantage Coverage Summaries and corresponding Policy Update Bulletins.