1. Is Unitedhealthcare Medicare Still Waiving Copays
2. Waiving Medicare Part D Copays
3. United Healthcare Copay Waived

United Health Care (AARP) announced today they were waiving the cost share on Medicare Advantage plans. The following is the announcement:

Member’s health is our priority. Recently, we shared news that UnitedHealth Group is taking additional action to directly support people affected by the COVID-19 pandemic by providing over $1.5 billion of additional support for our customers. We wanted to share more details with you.

To help member’s get the care they need, we are waiving cost-share (copays, coinsurance and deductibles) for our Medicare Advantage plan members as follows. Members will have a $0 copay for primary care provider (PCP) and specialist physician services, as well as other covered services (listed below) between May 11, 2020 until at least September 30, 2020. By lowering our PCP and specialist copays to $0, along with our telehealth cost-share waiver, we hope to help make it easier for member’s to access care.

Services included
The following services, if covered by a member’s plan, are eligible for a $0 copay under the cost share waiver, but do not include diagnostic tests and certain other services.

To help with this, UnitedHealthcare is waiving member cost-sharing for the treatment of COVID-19 based on confirmed positive diagnosis through the national public health emergecy period for Medicare Advantage, Medicaid, Individual and Group Market fully insured health plans. Implementation for self-funded employer customers may vary.

• FDA-authorized COVID-19 vaccines are covered at $0 cost-share to you through Dec. The Centers for Disease Control and Prevention and state health departments are advising who can get the vaccines and when. Find resources about vaccine availability for your area.
• UnitedHealthcare is waiving cost share (copays, coinsurance and deductibles) for UnitedHealthcare Medicare Advantage plan members for all covered office-based professional services performed by both primary care physicians and specialists with dates of.
• UnitedHealthcare is waiving cost-sharing for COVID-19 inpatient treatment at in-network facilities for Individual and Group Market fully insured plans, as well as UnitedHealthcare Individual Exchange plans.

• Primary care provider (PCP) office visits
• Specialist physician office visits
• Physician assistant or nurse practitioner office visits
• Medicare-covered chiropractic and acupuncture services
• Podiatry services and routine eye and hearing exams
• Physical therapy, occupational therapy and speech therapy
• Cardiac and pulmonary rehabilitation services
• Outpatient mental health and substance abuse visits
• Opioid treatment services

Is Unitedhealthcare Medicare Still Waiving Copays

The $0 copay applies to services from a network provider and out-of-network services covered by the plan.

Member cost share is not waived for the following services, unless they are related to COVID-19 testing or treatments:

• Lab and Diagnostic tests (radiological and non-radiological)
• Part B and Part D drugs
• Durable Medical Equipment, Prosthetics, Orthotics and Supplies
• Renal Dialysis
• Other services not covered by your plan

Copays, Coinsurance and deductibles for services in the following settings are not waived. Members will be responsible for their share of the cost under their benefit:

• Inpatient hospital and Outpatient surgery or observation services
• Skilled Nursing Facilities
• Emergency, Urgent and Ambulance services

Eligible Members
The cost-share waiver applies to all UnitedHealthcare Medicare Advantage members, including members of Special Needs Plans (SNP) and UnitedHealthcare Group Medicare Advantage plans.

This information is posted on our UnitedHealthcare COVID-19 Health and Wellness page for members. Thank you for being a partner in care to our members during this time.

Waiving Cost Share for Medicare Advantage Members for Both Primary Care and Specialist Office Visits

UHC’s member’s health is their priority. Recently, UHC shared news that UnitedHealth Group is taking additional action to directly support people affected by the COVID-19 pandemic by providing over $1.5 billion of additional support for customers. UHC wanted to share more details with you.

To help member’s get the care they need, UHC is waiving cost-share (copays, coinsurance and deductibles) for Medicare Advantage plan members as follows. Members will have a $0 copay for primary care provider (PCP) and specialist physician services, as well as other covered services (listed below) between May 11, 2020 until at least September 30, 2020. By lowering our PCP and specialist copays to $0, along with our telehealth cost-share waiver, UHC hopes to help make it easier for member’s to access care.

Services included
The following services, if covered by a member’s plan, are eligible for a $0 copay under the cost share waiver, but do not include diagnostic tests and certain other services.

• Primary care provider (PCP) office visits
• Specialist physician office visits
• Physician assistant or nurse practitioner office visits
• Medicare-covered chiropractic and acupuncture services
• Podiatry services and routine eye and hearing exams
• Physical therapy, occupational therapy and speech therapy
• Cardiac and pulmonary rehabilitation services
• Outpatient mental health and substance abuse visits
• Opioid treatment services

The $0 copay applies to services from a network provider and out-of-network services covered by the plan.

Waiving Medicare Part D Copays

Member cost share is not waived for the following services, unless they are related to COVID-19 testing or treatments:

• Lab and Diagnostic tests (radiological and non-radiological)
• Part B and Part D drugs
• Durable Medical Equipment, Prosthetics, Orthotics and Supplies
• Renal Dialysis
• Other services not covered by your plan

Copays, Coinsurance and deductibles for services in the following settings are not waived. Members will be responsible for their share of the cost under their benefit:

• Inpatient hospital and Outpatient surgery or observation services
• Skilled Nursing Facilities
• Emergency, Urgent and Ambulance services

Eligible Members
The cost-share waiver applies to all UnitedHealthcare Medicare Advantage members, including members of Special Needs Plans (SNP) and UnitedHealthcare Group Medicare Advantage plans.

United Healthcare Copay Waived

This information is posted on the UnitedHealthcare COVID-19 Health and Wellness page for members.