Exchange Plans Policies

These policies apply to UnitedHealthcare Individual Exchange Plans benefit plans, formerly referenced as Value & Balance, in Arizona, Maryland, North Carolina, Oklahoma, Tennessee, Virginia, and Washington.  Beginning on January 1, 2022, these policies will also apply to Alabama, Florida, Georgia, Illinois, Louisiana, Michigan, and Texas.  For other states, please refer to Commercial Policies.

Medical & Drug Policies and Coverage Determination Guidelines for UnitedHealthcare Individual Exchange Plans

Reimbursement Policies for UnitedHealthcare Individual Exchange Plans

More UnitedHealthcare Policies and Clinical Guidelines: