Last update: October 12, 2020, 8:50 a.m. CDT
We want care providers to focus on delivering care and providing support to our members. UnitedHealthcare is implementing a cost share waiver for COVID-19-related care and treatment. Some services or facility exclusions may apply. Implementation for self-funded customers may vary. We will adjudicate benefits in accordance with the member’s health plan.
UnitedHealthcare is waiving member cost sharing for COVID-19 treatment. Treatment coverage may vary by health plan. Please review each section below for details. If a member receives treatment under a COVID-19 admission or diagnosis code, we will waive cost sharing (copays, coinsurance and deductibles) for the following:
Treatment coverage may vary by health plan. Please review each section below for details:
Individual and Group Market fully insured health plans
Medicare Advantage Plans and Individual and Group Market Fully Insured Health Plans
If a member receives treatment under a confirmed positive diagnosis of COVID-19 or has a COVID-19 admission between Feb. 4, 2020 and Dec. 31, 2020, providers will need to use code U07.1.
For Medicaid plans, state regulations apply.
For a full list of associated codes and sequencing codes for COVID-19-related visits, see the ICD-10-CM Official Coding and Reporting Guidelines.
For members with a confirmed positive diagnosis of COVID-19, we will waive cost sharing (copays, coinsurance and deductibles) for all COVID-19-related care during inpatient treatment. Non-COVID-19-related services will be covered in accordance with the member’s benefit plan.
For members with a confirmed positive diagnosis of COVID-19, we will waive cost sharing (copays, coinsurance and deductibles) for COVID-19 office visits, including telehealth visits, initial office visits, post-inpatient transitional visits and other visits where COVID-19 is on the claim as a diagnosis. Office visits for conditions not related to COVID-19 are not waived for cost sharing, such as an existing condition or newly diagnosed conditions not related to COVID-19.
We’re committed to keeping you up to date on COVID-19 – we’re monitoring your inquiries and working hard to answer your questions. Let us know how we’re doing.
We’ll be making daily updates to this site. Be sure to check back often for the latest information.
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The benefits and processes described on this website apply pursuant to federal requirements and UnitedHealthcare national policy during the national emergency. Additional benefits or limitations may apply in some states and under some plans during this time.
We will adjudicate benefits in accordance with the member’s health plan.
Medicaid Providers: UnitedHealthcare will reimburse out-of-network providers for COVID-19 testing-related visits and COVID-19 related treatment or services according to the rates outlined in the Medicaid Fee Schedule.