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
UnitedHealthcare provides a range health care alternatives designed to meet the needs of our members. With our broad network of contracted care providers, health care services come from local physicians and hospitals that many plan members know and trust. Not all health care providers in a given state participate in all plans.
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.