Exchange Plans: Prior authorization and site of service updates

Starting Oct. 1, 2021, for UnitedHealthcare Individual Exchange plans, we’re updating the prior authorization requirements and site of service medical necessity reviews for certain surgical, office and magnetic resonance imaging (MRI)/computed tomography (CT) imaging procedures. Here’s what’s changing:

More information is available in our Frequently Asked Questions:


Call Provider Services at 800-666-1353.