UnitedHealthcare (UHC) continues to improve access to care by refining its prior authorization process for Medicare Advantage plans. As of March 2025, key updates now allow patients to begin physical therapy faster and with less administrative burden.
✅ What’s New?
- Real-time Eligibility: Therapists can now instantly verify a patient’s coverage when submitting information via UHC’s portal. This means treatment can start the same day as the initial consultation, if clinically appropriate.
- Shortened Submission Form: For plans requesting 6 or fewer visits within 8 weeks, providers can use a simplified form without additional documentation.
- Automatic Approval: The first 6 visits are immediately approved. Any visits beyond that will be reviewed for medical necessity.
- No Need to Wait: Treatment can begin even before formal authorization is granted — as long as it’s within the 6-visit, 8-week window.
🎯 Who Benefits?
- Patients: Faster access to care.
- Providers: Fewer administrative delays.
- You, with Medicare Advisors: Offering patients simpler, faster Medicare Advantage coverage options.
🌟 Why Choose Medicare Advisors?
At Medicare Advisors, we go the extra mile to ensure our clients get the most efficient, stress-free insurance experience. Thanks to our partnerships with industry leaders like UHC, we provide up-to-date guidance and support you can trust.
📞 Want a Medicare Advantage plan that lets you start therapy right away?
Contact us today — Medicare Advisors is New Jersey’s #1 trusted Medicare insurance broker.