Copay For Unitedhealthcare

Posted : admin On 1/3/2022

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

UnitedHealthcare (UHC) announced that, as of Jan. 1, 2021, providers will be required to report the amount their patients receive in copay assistance for office-administered treatments.

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.

Copay For Unitedhealthcare Medicare

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.

  • 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
  1. $10 copay $30 copay $50 copay 60% of usual & customary fees; after deductible Optum RX Mail Order (90 day supply) Tier I or Preferred Generic/Generic Tier II or Preferred Brand Tier III or Non-Preferred Brand $25 copay $75 copay $125 copay N/A Specialty Drug Pharmacy (30 day supply) $100 copay N/A UMR.COM UMR PLAN ADVISOR Look up in network.
  2. UnitedHealthcare’s $0 Copay for Kids Promoting better health for children At UnitedHealthcare, we understand the importance of the relationship with your primary care physician. The $0 Copay for Kids program helps build the patient- doctor relationship while promoting better health and lower costs.

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:

Unitedhealthcare Copay For Prescriptions

  • 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.