Is UnitedHealthcare providing expanded access to telehealth?

Yes. UnitedHealthcare expanded access to telehealth to help members stay at home and reduce exposure to the virus.

24/7 Virtual Visits through designated telehealth providers: While these visits cannot be used to test for or treat COVID-19, they can be useful in determining if members should call their local health care provider regarding COVID-19 testing. These visits are also ideal for urgent care treatment of other illnesses, like the seasonal flu, allergies, pink eye and more.

Cost sharing for members with a telehealth benefit through their employer-sponsored plan will be waived through June 18, 2020.

To access their benefit, members should sign in to their health plan account.

Local telehealth visits with a member’s medical provider: Many medical providers can provide a telehealth visit. Telehealth visits with a member’s health care provider can be used for both COVID-19 and other health needs, keeping members in their home while still receiving the care they need.

For COVID-19 testing related telehealth visits with a health care provider, cost-sharing is waived during this national emergency.

For other health related telehealth visits, cost sharing and coverage will apply as determined by the member’s health benefits plan, through June 18, 2020.

Learn more.

If an employer group’s enrollment drops by more than 10% as a result of the COVID-19 National Emergency, will my rates and premiums on my fully-insured plan be subject to change?

Get the answer in UnitedHealthcare’s COVID-19 Business Disruption Support FAQs.

What if employees are terminated and either they do not elect COBRA or there is no COBRA available because the group health plan has been discontinued?

Get the answer in UnitedHealthcare’s COVID-19 Business Disruption Support FAQs.

If an employer group terminates employees in the middle of the month as a result of COVID-19, will my fully insured coverage extend for the terminated employees until the end of the month?

Get the answer in UnitedHealthcare’s COVID-19 Business Disruption Support FAQs.

Do high-deductible plans with a Health Savings Account (HSA) cover the COVID-19 test prior to reaching a deductible?

Get the answer in UnitedHealthcare’s COVID-19 Testing FAQs.

Does UnitedHealthcare cover the test for COVID-19?

UnitedHealthcare and its self-funded customers will waive cost-sharing for COVID-19 testing during this national emergency. They are also waiving cost-sharing for COVID-19 testing related visits during this same time, whether the testing related visit is received in a health care provider’s office, an urgent care center, an emergency department or through a telehealth visit. This coverage applies to Medicare Advantage, Medicaid, and fully insured and self-funded employer-sponsored plans.

Testing must be provided at approved locations in accordance with U.S. Centers for Disease Control and Prevention (CDC) guidelines.

Other costs beyond the test and test-related physician office, urgent care, emergency room, Virtual Visit and telehealth visit, and items and services related to the visit will be covered based on terms in the medical plan and applicable state and federal mandates. Therefore, deductibles, copayments, and coinsurance would apply to care, and certain services or supplies beyond the test itself and test-related provider visit.

Learn more.

Will diagnostic testing for COVID-19 be covered as a preventive service under the Affordable Care Act (ACA)?

Get the answer in UnitedHealthcare’s COVID-19 Testing FAQs.

What should a client do if they wish to cover more than just the test and test related expenses at no cost share?

UnitedHealthcare is able to accommodate a client that wishes to cover certain services above and beyond cost-share on diagnostic testing or test-related visit or to cover COVID-19 treatment. The client should discuss it with the UnitedHealthcare account team. Learn more.

If the test comes back positive for COVID-19, will the member’s treatment be covered?

Get the answer in UnitedHealthcare’s COVID-19 Testing FAQs.

Is there a special open enrollment period in response to the COVID-19 National Emergency?

To assist members in accessing care in light of COVID-19, United Healthcare is providing its fully insured small and large employer customers with a Special COVID-19 Enrollment Opportunity to enroll employees who previously did not to enroll in coverage. The opportunity will be limited to those employees who previously did not elect coverage for themselves (spouses or children) or waived coverage. See Notice of Special COVID-19 Enrollment Opportunity (English) and Notice of Special COVID-19 Enrollment Opportunity (Spanish) document for details.

• The enrollment opportunity will extend from March 23, 2020, to April 13, 2020. Effective date is April 1.
• Customers are not required to adopt the Special COV/D-19 Enrollment Opportunity. Because of this, no opt out action is required on their behalf. United Healthcare realizes each situation is unique, and each customer must make their own decisions on the enrollment opportunity.
• Dependents, such as spouses and children, can be added if they are enrolled in the same coverage or benefit option as the employee. (Includes domestic partners in states where covered).
• Standard waiting periods will be waived; however, existing eligibility and state guidelines will apply.

Learn more.