UnitedHealthCare Latest Updates

March 2023 Updates:

UHC announces approach to end of Public Health Emergency:

  • Federal government confirmed that May 11, 2023 is the end of the COVID-19 PHE
  • Post-PHE standard approach:
    • Supports return to normal plan benefits in a timely and consistent manner
    • Aligns with commonly acceptable coverage for similar services
    • Reduces variability in covid related services and provider and member confusion
    • Supports timely payment for providers
  • Beginning May 12, 2023, the UnitedHealthcare standard approach and coverage for COVID-19 vaccines, testing and treatment will be as follows:
    • COVID-19 vaccines — Cover ACIP recommended and CDC adopted COVID-19 vaccine and booster serum and administration as part of preventive benefits at zero-dollar cost share, when in network.
    • Over-the-Counter (OTC) tests — No medical or pharmacy coverage of OTC COVID-19 tests for dates of service starting after May 11, 2023, unless mandated by state regulatory requirements. Members may use their account plans, such as Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA) to purchase OTC tests.
    • Surveillance testing — No coverage of in- or out-of-network surveillance testing.
    • COVID-19 lab-based testing — Coverage of FDA approved or authorized COVID-19 lab tests ordered by a physician or health care provider (e.g., pharmacist, nurse or doctor) in accordance with the member’s standard medical plan benefit.
    • COVID-19 treatment — Coverage for FDA approved or authorized COVID-19 treatments, including Paxlovid and molnupiravir (Lagevrio), in accordance with a member’s standard plan benefits.
    • Telehealth — Coverage for telehealth visits in accordance with the member’s standard medical plan benefit for in and out of network (subject to cost share). Includes medical and behavioral telehealth services.
    • Virtual Visits — Coverage for virtual visits in accordance with the member’s standard medical plan benefit, including medical and behavioral.

UHC announces upcoming webinar on Cost & Utilization Reporting:

  • Tuesday, May 16 from 2 – 3 PM
  • Registration is required via this link
  • Flyer available here
  • Webinar will include:
    • Overview of the tool’s functionality
    • How to create common customer reports
    • Demonstration on how to export & print automated & custom reports
    • How to get help using the tool via the online training resource

UHC announces training sessions for SAMx & SAMx Level Funded tools:

  • April, May & June sessions available
  • SAMx (fully insured)
    • UnitedHealthcare fully insured small business – new business and renewals: all states except CA, DC, VT
  • SAMx – Level Funded
    • UnitedHealthcare and Oxford Level Funded small business – new business and renewals:* all states except HI, NH, NV, NY, VT
      *This does not apply to All Savers renewals. Those will remain on MyAllSavers.
  • SAMx (fully insured)

February 2023 Updates:

January 2023 Updates:

December 2022 Updates:

  • United Healthcare to rebrand AllSavers products as United Healthcare Level Funded:
    • All Savers Alternate Funding groups will transition to UnitedHealthcare Level Funded beginning with 4/1/2023 renewal dates
    • Training is going to be offered for our market in PA
    • Applies to small market & 51+ key accounts in AK, AR, AZ, CA, CO, FL, GA, IA, ID, IL, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, NC, NE, NM, NY, OH, OK, OR, PA, RI, SC, TN, TX, UT, VA, WA, WI, WV and WY
    • 2 remaining dates & times to choose from:
    • Learn about the renewal process & member communications

November 2022 Updates:

October 2022 Updates:

September 2022 Updates:

August 2022 Updates:

UHC Broker Connect topics:

  • Addressing social determinants of health & how employers can help
  • Addressing barriers to health equity
  • Employee engagement & wellness

UHC Q4 Broker Blast:

  • View NJ & PA UHC August Broker Blast
    • Up-to-date PA UHC Level Funded product grid
    • Broker Bonus Program thru 1/1/2023 – earn $100 per each enrolled employee in the eligible medical groups sold
    • UHC Specialty Program offerings – “packaged savings”

Upcoming 2022 Summer Broker Webinar Series:

July 2022 Updates:

Broker Connect topics:

  • Benefits to offer to retain employees
  • Self-funded members eligible for travel & lodging benefit for covered medical services
  • Consolidated Appropriations Act reporting requirements
  • PCORI fees due July 31 – self-funded & fully insured clients with self-funded HRAs or FSAs must submit PCORI fees & IRS Form 720 by July 31
  • 2023 HSA & HDHP limits announced
  • Access level funded renewal packages digitally on uhceservices.com

Upcoming 2022 Summer Broker Webinar Series:

July 2022 Strategy Resources:

June 2022 Updates:

Click the links below to access United Healthcare commonly used forms:

Click here to view a Training Schedule for upcoming courses June – September 2022.

  • How to navigate uhceservices
  • Access small business quoting tools
  • View billing & payment information, commission statements, etc

UHC Large Group (51+) PA & DE Webinar Recap:

  • New medical plan designs featuring 100% coinsurance available July 1, 2022
  • Virtual care options available –
    • Virtual primary care
    • UHC NavigateNOW
  • Specialty programs with cost savings when integrated with medical benefits
  • Advocacy solutions – cost savings, better outcomes, improved experiences

PA Only:

  • Bind – $0 deductible plan on the UHC Choice Plus Network
    • Currently available to self-funded groups
  • UHC Benefit Ally – medical coverage plus supplemental benefits
    • Currently available to fully insured large groups (100+)

Benefits of UnitedHealth Premium program

New UHC website addition!  Visit uhcglasses.com to browse, virtually try on, and purchase glasses

 

May 2022 Updates:

Machine-readable files required on public websites by July 1, 2022, for Transparency in Coverage:

  • The government requirement applies to plan years beginning on or after Jan. 1, 2022.
  • Include detailed pricing data for all covered items and services via 3 MRFs:
    • In-network negotiated payment rates
    • Historical out-of-network allowed amounts
    • In-network rates and historical costs for prescription drugs (delayed pending guidance)
  • Details and FAQs here.

Watch now: UnitedHealthcare briefing on long COVID-19, treatments and more:

  • Experts from UnitedHealthcare provide an important update on long COVID-19, boosters, treatments, at-home testing and more.

 

April 2022 Updates:

BrokerConnect-April2022

Visit UnitedHealthcare’s Local Market Hub for Local Health Plan Resources

Attend UHC’s COVID-19 Briefing Webinar April 20, 2022 (3:30-4:30 ET) – Add to your calendar here

UHC Health Engagement Strategies Update for April 2022 – Mental Health Emotional Well Being

 

Recently Archived Updates:

UnitedHealthcare enhancing capabilities for emergency department utilization payout for non-emergency claims

UHC BrokerConnect – Topics include

  • Total Cost of Care Approach – White Paper
  • Enhancing integrated benefits for improved affordability
  • Important 2021 portfolio updates for select funding types

UHC Awareness: The June National Health Observance is Better Back Health Habits

UHC Behavioral Health Resources:

All Savers Employer Monthly Welcome Webinars – Producers* and Agency Staff Welcome for refreshers and additional comfort level with UHC level-funded products.
(Register below for your preferred date)

*All Savers Producer contracting required to quote level-funded products, contact Cheranne Jurena with interest.

 

UHC Broker Connect – Topics include:

  • Behavioral Health Video: Providing adolescent behavioral health support in the COVID-19 era)
  • Are your clients engaging their employees at the right time?
  • Transparency Rule Details

May Mental Health Awareness – Review UnitedHealthcare’s resources surrounding this significant topic

UHC Vaccination Resources

UHC Guidance: COBRA and American Rescue Plan Act and premium tax credits

When employees are balancing multiple conditions, including specialty conditions like cancer or MS, integration is crucial.  Watch UHC’s Spotlight Video: Watch UHC’s Spotlight Video: UnitedHealthcare Specialty Pharmacy with Susan Maddux, Chief Pharmacy Officer

UnitedHealthcare 2021 Q2 Quarterly Newsletter for Pennsylvania

UHC Broker Connect – Topics include

UHC Broker Connect – Topics include:

United HealthCare Pharmacy Updates effective May 1, 2021 – PDL updates available for

UHC Recorded Events – Point of Care Assist Webinar

Bonus Details: UHC 2021 Specialty Benefits Bonus Program

Changes to the UnitedHealthcare Sales Team

  • Groups <50 Eligible:  UHC welcomes new Broker Account Executive, Laura Wilcox to the Western PA team!  Laura will work hand in hand with your NFP-BNGA Team on All Savers (5-50) or Fully Insured (1-50) opportunities.
  • Groups 51-3000 Eligible: Josh Trembulak has been promoted to working with this Key Account space.  Please join us in congratulating Josh on his enhanced role!

UHC Quotes for the above segments can continue to be send to your NFP-BNGA Team via nfpbnraterequest@nfp.com

UHC 2021 Quarterly Broker Blast (PA & DE)