COVID-19 CMS Out of Network Notification
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