Coverage and Resources for Coronavirus (COVID-19)

What does UnitedHealthcare cover for Medicare Advantage and Medicaid members?

UnitedHealthcare will cover Coronavirus (COVID-19) testing, visits related to testing and treatment

  • Testing. If your health care provider agrees that you or your child should be tested, UnitedHealthcare will waive cost-sharing at any CDC-approved testing site for fully insured Medicaid and Medicare members. Examples include your doctor or provider's office, an urgent care center, or emergency room. 

  • Provider visits related to testing. If you need a visit with a health care provider that's related to Coronavirus (COVID-19) testing, UnitedHealthcare will waive cost sharing. This includes visits to see a health care provider, urgent care center, emergency department or a telehealth (virtual visit). This applies to Medicare Advantage and Medicaid health plans.

  • Treatment. UnitedHealthcare is waiving member cost-sharing for the treatment of COVID-19 based on confirmed positive diagnosis until July 24, 2020 for Medicare Advantage, Medicaid, Individual and Group Market fully insured health plans. Implementation for self-funded employer customers may vary.

Remember to always show your UnitedHealthcare ID card. Also, be sure to  let your primary care provider know about any testing or treatment you be be having. 

Telehealth (Virtual Visits) not related to Coronavirus (COVID-19) with preferred telehealth partners

Starting March 31, 2020 until June 18, 2020, if you see an in-network health care provider about something other than or not related to the Coronavirus (COVID-19), UnitedHealthcare will waive cost sharing for telehealth (virtual visits) for its Medicare Advantage and Medicaid fully insured members. Learn more about Telehealth (Virtual Visits).

If you have questions or need information about your benefits

Call the number on your member ID card or sign in to your health account.

How to get a Coronavirus (COVID-19) test

If you think you might have been exposed to Cornavirus (COVID-19) or have symptoms such as fever, cough or difficulty breathing, call your health care provider right away. In many cases, you can talk to a provider using FaceTime, Skype or Zoom, which is called telehealth (virtual visit). If your health care provider agrees you should be tested, they will coordinate where you will get tested.

Mobile and drive-up testing may be an option. You will still require a medical provider order for the test, unless otherwise directed by your respective government agency.

Support for our highest risk members: Medicare Advantage and Medicaid

The CDC says that older adults and people of any age who have serious underlying medical conditions might be at higher risk for severe illness from Coronavirus (COVID-19). Examples of serious underlying medical conditions are chronic heart or lung conditions, asthma, compromised immune system, diabetes, chronic kidney and liver disease. If you are pregnant, have a disability or experiencing homelessness, you may also be at a higher risk. 

If you fall into a category above, your provider may ask you to stay indoors away from others (self-isolate). UnitedHealthcare is here to help you during that time and to help reduce your potential exposure to the virus. We can help you with how to get medications, supplies, food and care. You can also find out about support programs.

Members, please call the phone number on the member ID card. When you call, let them know your health care provider prescribed self-isolation.

Learn about precautions to take if you're a Medicare Advantage member or at risk.

Additional Resources for Members

UnitedHealthcare expanded access to telehealth so you can stay in the comfort of your home and get the right care. Telehealth (virtual visits) can be used for both Coronavirus (COVID-19) and non-Coronavirus (COVID-19) health care needs.

In a stressful time, it can be hard to cope. Talking to someone may help you feel better. Our free 24/7 emotional support line is here for you to call any time at 866-342-6892. This Optum Help Line is staffed by professionally trained mental health experts. It is free of charge and open to anyone.

You may ask your pharmacy for an early prescription refill if you have UnitedHealthcare prescription drug coverage or an OptumRx pharmacy benefit through June 30, 2020. Check your supply to see if you need to ask for a refill. Think about what medication you might need in the coming weeks too. 

Pharmacy delivery is available through Optum Home Delivery by signing into your health plan account. Simply select Optum Home Delivery. Pharmacy delivery is also available through several retail pharmacies.

You can call the number on your member ID card and talk to a nurse if you need help figuring out your risk or are looking for clinical advice and support related to Coronavirus (COVID-19). You can also call to ask a nurse about general health care concerns.

Frequently Asked Questions

Call your health care provider right away if you believe you might have been exposed to Coronavirus (COVID-19) or have symptoms such as fever, cough or difficulty breathing. 

You can find a network health care provider by signing in to your health plan account or by speaking with an advocate by calling the phone number on your UnitedHealthcare member ID card.

Drive-up and mobile testing may be an option.  You will still require a medical provider order for the test, unless otherwise directed by your respective government agency. Your health care provider or government agency will help coordinate where you can be tested.

We do not want you to worry. Talk to your provider. Your provider does not have to do special paper work (called a prior authorization) with UnitedHealthcare through May 31, 2020. As long as you are a member and moving to a different post-acute care setting this is an option. (Examples of post-acute care settings are skilled nursing facility, long-term acute facilities, in-patient rehab or home health care.) The provider who admitted you will simply let us know within 48-hours of your move.  

Learn more about Coronavirus (COVID-19)

Learn about the virus, the symptoms to look for and what you can to you don't get sick and to help keep others safe.  

[Gentle background music plays while text introductions appear on the screen]

COVID-19

What are Coronaviruses?

[Narrator:] Coronaviruses are a family of common viruses that can cause illness in both animals and people.

[Severe Acute Respiratory Syndrome (SARS), Middle East Respiratory Syndrome (MERS)]

Severe Acute Respiratory Syndrome and Middle East Respiratory Syndrome are two well-known coronaviruses.

In January of 2020, the World Health Organization announced a new coronavirus, now called COVID-19, which caused an outbreak of respiratory illness in the city of Wuhan in China’s Hubei Province.

We’re still learning about how this virus spreads, and rely on the United States Centers for Disease Control and Prevention and the World Health Organization for guidance. 

Here’s what we know about COVID-19:
 

How does COVID-19 spread?

Currently, it is thought that it spreads mainly through respiratory droplets that are coughed or sneezed into the air by an infected person.

It may also spread when an individual touches an infected surface and then touches his or her mouth, nose or eyes. 

What are COVID-19 Symptoms?

COVID-19 symptoms may be similar to a respiratory infection.

Primary symptoms may include: fever, cough and shortness of breath.

Some people, the elderly or the immune-compromised, may experience complications including pneumonia and overwhelming infection, known as sepsis.

How to help protect against COVID-19.
To best protect yourself from this coronavirus:

Wash your hands frequently with soap and water for at least 20 seconds.

Use an alcohol-based hand sanitizer.

Avoid touching your eyes, nose and mouth.

Avoid close contact with people who are sick.

Clean and disinfect frequently-touched surfaces, including your phone and computer.

Cover your nose and mouth with tissue when you cough or sneeze, then throw the tissue in the trash immediately.

For updated information, guidance and travel alerts, visit the US Centers for Disease Control and Prevention or the World Health Organization.

UnitedHealthcare will continue to actively monitor public health resources to ensure we respond appropriately to the needs of our customers and members.

Disclaimer: Source: US Centers for Disease Control and Prevention (CDC). https://www.cdc.gov/ World Health Organization (WHO). https://www.who.int/emergencies/diseases/novel-coronavirus-2019

Disclaimer

The benefits described on this website describe federal requirements and UnitedHealthcare national policy, additional benefits may be available in some states and under some plans. 

This page describes benefits we offer to all members in all states. They also include federal requirements. More benefits may be available in some states and under some plans. We have created rules and practices that may apply to some of our products at this time. The information is a summary and is subject to change. For more information, contact your account representative  or call the number on your member ID card.