UnitedHealthcare® West Benefit Interpretation Policies

The Benefit Interpretation Policies and corresponding update bulletins for UnitedHealthcare West are listed below.

For California members, note that the materials provided to you are guidelines used by this plan to authorize, modify, or deny care for persons with similar illnesses or conditions. Specific care and treatment may vary depending on individual need and the benefits covered under your contract.

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A monthly notice of recently approved and/or revised Benefit Interpretation Policies (BIPs) is provided below for your review. We publish a new announcement on the first calendar day of every month.

The appearance of a health service (e.g., test, drug, device or procedure) in the Benefit Interpretation Policy Update Bulletin does not imply that UnitedHealthcare provides coverage for the health service. In the event of an inconsistency or conflict between the information provided in the Benefit Interpretation Policy Update Bulletin and the posted policy, the provisions of the posted policy will prevail.


Current Benefit Interpretation Policies

For questions, please contact your local Network Management representative or call the Provider Services number on the back of the member’s ID card.