Many wise individuals have said, “The only constant thing in life is change!” This same phrase applies to the healthcare industry. Recently, Optum announced major changes/ updates to the member service coverage in a plan designed for members of United Healthcare’s (UHC) fully insured plans. Effective July 1st 2021 , Optum fully insured plans will exclude benefits provided to members outside of their service area as defined in their member certificate of coverage. This change applies to medical and behavioral health services (Psychiatric and/or Substance Use) and impacts services that are already subject to prior authorization. This change in coverage is causing providers all across the nation to ask questions of how this will impact their patients, their businesses and their future!
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