United Healthcare Medicare Provider Directory – UnitedHealthcare is one of the largest health insurance companies in the country, insuring nearly 10% of the market. They offer many Medicare plans, which take the federal and state Medicare program and add their own coverage and benefits. Instead of getting Medicare directly through your state, individuals can sign up for a Medicare plan through UnitedHealthcare, which opens its networks to include thousands of excellent therapists.
Yes, UnitedHealthcare Medicare provides coverage for mental health services including therapy with a qualified professional. UnitedHealthcare is dedicated to providing care for the whole person, which includes finding emotional well-being. For this reason, and because of the federal Medicare mental health policy, UnitedHealthcare Medicare includes many mental health benefits.
United Healthcare Medicare Provider Directory
However, the amount of coverage for each therapy session will vary based on your specific UnitedHealthcare Medicare plan.
Choosing A Doctor
Each UnitedHealthcare plan comes with its own Summary and Benefits document. The Summary and Benefits document lists the coverage provided for each type of service, usually in a line-by-line format. This makes it easy for you to figure out how much therapy coverage your UnitedHealthcare Medicare plan allows—and calculate how much therapy will cost you. When you find your Summary and Benefits document, usually found online through your UnitedHealthcare portal, look for the line “outpatient mental health.” Here, you will find the coverage rates for both in-network and out-of-network therapy visits.
You may also call the phone number on the back of your UnitedHealthcare Medicare card to learn more about your specific plan details and mental health benefit coverage. You will speak with a UnitedHealthcare customer service representative who will be able to answer your questions.
Expect to pay a co-payment of $10 – $60 each time you see your UnitedHealthcare Medicare in-network therapist. UnitedHealthcare Medicare provides less coverage for out-of-network therapists, so your costs may increase if you choose to see a therapist who is not in UnitedHealthcare’s network.
The cost per therapy visit using your UnitedHealthcare Medicare plan will vary based on your location, UnitedHealthcare Medicare plan, and your provider status. Because Medicare is a state-run program, your UnitedHealthcare Medicare plan will look different depending on the state you call home.
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You may also need to get pre-authorization before you start seeing your therapist. UnitedHealthcare may approve you for a certain number of therapy sessions that they will cover, then the rest may be up to you to pay out of pocket.
UnitedHealthcare prioritizes the mental health of its members and wants therapy to be accessible to all. To date, UnitedHealthcare Medicare health insurance plans provide coverage for a wide variety of mental health conditions. These conditions include:
When you begin therapy, your therapist will name a diagnosis for your condition, situation, or goals. They will share this diagnosis with UnitedHealthcare as a way to account for coverage. If you prefer that your therapist not disclose your diagnosis to UnitedHealthcare, consider your out-of-network options. This way, your mental health care stays between you and your therapist — not the insurance company and anyone with access to your insurance account information.
It is important and critical to UnitedHealthcare that all mental health care is based on evidence, clinical rigor, and the diagnosis given. This is a way to ensure proper care and reimbursement for each of its members. They provide coverage for all therapy modalities proven to achieve healthy and desirable outcomes, including:
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Often, therapists use a combination of methods when treating each client individually. As long as the therapist is professionally credentialed and provides appropriate therapeutic services, UnitedHealthcare will cover therapy sessions.
If a therapy approach is not evidence-based—that is, there is no empirical research supporting its effectiveness—UnitedHealthcare Medicare will not cover therapy costs.
This includes life coaching and career training, as these disciplines are based less on mental health diagnosis and more on goal setting and achievement. UnitedHealthcare Medicare does not cover holistic approaches to treatment such as aromatherapy, massage therapy, or nutritional therapy. They also do not cover ketamine and psychedelic treatments, even if the purpose of this treatment is a mental health condition. UnitedHealthcare Medicare does not cover energy work such as reiki healing.
Yes, UnitedHealthcare Medicare provides coverage for online and telehealth therapy. You will find that your coverage will remain the same for all types of visits, in person and online. This means that you will have the same co-payments and coinsurance rates if you see your therapist through a virtual platform as if you saw them in their office.
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Seeing a therapist online is a great way to fit therapy into a packed or limited schedule. It also makes access easier, as you can talk to your therapist from the comfort of your own home. UnitedHealthcare Medicare recognizes these benefits and therefore offers its members the use of teletherapy services.
UnitedHealthcare Medicare does not provide coverage for couples therapy. Most health insurance plans do not offer this as a benefit. This is in part because it is difficult for the therapist to bill for reimbursement under the required diagnosis of a mental health condition.
If you are still interested in couples therapy, there are many ways to make it more affordable. This opens the door for you and your partner or partners to work with a quality couples therapist and grow your relationship.
Depending on your UnitedHealthcare Medicare plan, you may need to see your primary care physician before starting therapy. UnitedHealthcare’s Medicare therapy requirements vary based on your situation and the exact details of your plan, so be sure to check if you need a referral for therapy services before you start your search. Generally, if you have an HMO health insurance plan, you will need a referral so you must visit with your primary care physician before your therapy visits.
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However, if your UnitedHealthcare Medicare plan does not require a referral – such as a PPO or EPO plan – you can start your search for a great therapist as soon as you are ready! The rewards of a doctor-patient relationship don’t happen overnight. They are built on trust – trust that can lead to better communication, emotional support, more accurate diagnoses and potentially life-saving treatments. However, how do you find that doctor?
Some health plans require you to choose a primary care provider (PCP), sometimes called a primary care doctor or physician. While some plans may not require you to choose a PCP, it’s a good idea to have one.
Your PCP can guide you through your care and build an in-depth knowledge of your health over time. When your doctor gets to know your medical history, your habits and your personality, they will probably be able to guide you in the best way of care, monitor the smallest changes in your health, and flags identify reds before they become serious problems.
Sign in to your health plan account to see a list of providers for your UnitedHealthcare plans. You can also browse a list of providers and find a doctor without signing in—but remember to check your specific health plan’s provider network before you make your choice.
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When it comes to your health journey, it feels good to know you have support every step of the way.
Your doctor understands you best and understands your health history and health goals. This is the person you go to first – for everything from routine care to prescriptions and more.
Your doctor also offers you preventive care, such as well-child visits, annual checkups, screening mammograms and immunizations.
And, since most primary care doctors offer virtual visits, you can see them in person or from home.
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So whether your plan requires you to have a primary care doctor or not, it’s a good idea to choose one.
For example, when you see a network doctor for preventive care, most health plans cover the visit at no additional cost.
Now that you know the benefits of having a network doctor, let’s look at how to find the best one for you.
First, go to slash dot com provider search. Next, select your health plan name and select primary care.
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You will be able to see which doctors are in the network, if they are accepting new patients, and what their patient ratings and average costs are.
If you already have a primary care doctor and want to make sure they are in network, no problem. All you have to do is search for them by name.
Remember, no matter where your health journey takes you, your doctor is there to support AND connect you to the
DISCLAIMER: [Certain preventive care items and services, including immunizations, as specified by applicable law, including the Patient Protection and Affordable Care Act (ACA), are provided without sharing any costs with you. These services may be based on your age and other health factors. Other routine services may be covered under your plan, and some plans may require copayments, coinsurance or deductibles for these benefits. Always review your benefit plan documents to determine your specific coverage details.
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Insurance coverage provided by or through UnitedHealthcare Insurance Company or its affiliates. Administrative services provided by United HealthCare Services, Inc. or their affiliates.]
Depending on your situation, you may choose different primary care providers
