For UnitedHealthcare Medicare Advantage members directly affected in a material way by the national public health emergency, to meet the Centers for Medicare & Medicaid Services (CMS) requirements, we will:

•  Allow Part A and Part B and supplemental Part C plan benefits to be furnished at specified non-contracted facilities (note that Part A and Part B benefits must, per 42 CFR §422.204(b)(3), be furnished at Medicare certified facilities)
• Waive in full, requirements for gatekeeper referrals where applicable
• Temporarily reduce plan-approved out-of-network cost-sharing to in-network cost-sharing amounts
• Waive the 30-day notification requirement to enrollees as long as all the changes (such as reduction of cost-sharing and waiving authorization) benefit the enrollee

Comprehensive guides that allow you and your staff to find important information for topics such as processing a claim and prior authorizations, as well as protocol information for health care providers.

View available administrative guides and manuals >