United Health Care Policy

As of 10/1/2024, Healthy Aging Physical Therapy is no longer accepting UnitedHealthcare Medicare Advantage plans as a primary insurance. This change comes in response to recent adjustments UHC has made to their prior authorization requirements and inconsistent reimbursement policies, which have significantly increased the administrative burden on our practice and, in some cases, led to non-payment for services already provided.

What are my options if I have UHC Medicare Advantage?

If you wish to work with Healthy Aging Physical Therapy, you may elect to work with us through our Wellness365 program. While these sessions are private-pay, you may be able to seek reimbursement from UHC if you have Out of Network Benefits. Our rates for Wellness365 Tier 1 (PT and OT) sessions are $200 for Initial Evaluation and $150 for each follow up session (1 Hour). These sessions need to be paid for at time of visit.

How to I check if I have Out of Network Benefits and how do I seek reimbursement for services?

We recommend calling the member services number on the back of your insurance card. You can ask:

  • Do I have out-of-network coverage for outpatient therapy?

  • Do I need prior authorization to receive outpatient therapy?

  • What is my patient responsibility for Out of Network services?

  • Do I need to meet an out-of-network deductible first and what is it?

  • What do I need to do to submit for reimbursement for services?

Please note:

You are responsible for submitting any required documentation to UnitedHealthcare. We are not able to guarantee reimbursement and are not responsible for any claims denied or partially paid by UHC.