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Beginning January 15, 2022, UnitedHealthcare Fully Insured and Level Funded individual and group health plan members can get up to eight FDA-authorized or approved OTC COVID-19 at home tests at no cost to them, after reimbursement, and without a doctor’s prescription.

There are two ways that eligible members can receive reimbursement for these COVID-19 at home test kits:

• Preferred Retailers – The list of Preferred Retailers and their websites may be found in the Preferred Retailer list on uhc.com.
• Other retailers or online – For purchases of FDA-authorized or approved OTC COVID-19 at home tests at any in-store or online retailer other than at the in-store pharmacy counter, members must submit a receipt for reimbursement via the UnitedHealthcare member portal for a maximum reimbursement of $12 per test. Many COVID-19 tests are sold as a two-pack so that means the test pack would be reimbursed at $24 ($12 for each test).

For more information/details, please see these UHC resources:

• COVID-19 At Home Test FAQs
• COVID-19 Resource Center
• OTC at home testing page
• Preferred Retailers

UnitedHealthcare has created new enrollment forms for UnitedHealthcare Level Funded plans.  The new enrollment forms will be required for all submitted business beginning with 11/1 effective dates. 

As a courtesy, we have compiled the forms and created separate enrollment packages for Small and Large group.

UnitedHealthcare AllSavers product name is officially changing to UnitedHealthcare Level Funded.

This name change will take effect beginning with 11/1 effective dates.

The All Savers portfolio update, effective 9/1/21 is now live. The following are the big talking points:

Prescription Drug Lists

• Advantage & Essential Prescription Drug List on Standard Select Network
• Specialty Medication Cost Share (SMCS)

Plan Designs

• Personal Protect Plan Category 
  • Networks: Choice+/Choice
  • 100% Coinsurance
  • Deductible Levels: $3000, $4000, $5000, $6000, $7000 and $8500
  • Prescription Benefit Option applies: Advantage or Essential
  • 1 – 3% higher premium compared to Traditional PPO/EPO 100% plans
  • No Emergency Room Copay
• HSA plan with Core Plus Preventive Prescription Drug List

Please see below for the new plan grid as well as the popular “Why All Savers” brochure.  Please remember we can enroll All Savers groups with a minimum of 5 EEs enrolling.

2021 All Savers Plan Grid

“Why All Savers” Brochure

Based on recent guidance for the Affordable Care Act, most printed 1095-B forms will have been suppressed and not mailed in January. These were previously sent to fully insured group subscribers. However, since the forms are no longer required for federal tax purposes, they are not required to be mailed in January like they have in the past. [Read more..]

UnitedHealthcare has released its 2017 4th Quarter Survival Guide for Fully Insured and Level-funded products.  Product portfolios, value added benefit information, and much more is included in the pdf attached below.  If you have any questions, please contact your TIE Sales rep at 972.991.6500.

2017 Broker Survival Guide