UnitedHealthcare coverage policies

UHC-COMM-RP-UHCCP-OBSTETRICAL-SERVICES-POLICY

Obstetrical Services

UHC-COMM-RP-UHCCP-OBSTETRICAL-ULTRASOUND-POLICY-R7112

Obstetrical Ultrasound

UHC-COMM-MD-OBSTRUCTIVE-SLEEP-APNEA-TREATMENT-CS

Obstructive and Central Sleep Apnea Treatment

UHC-EXCH-MD-OBSTRUCTIVE-SLEEP-APNEA-TREATMENT

Obstructive and Central Sleep Apnea Treatment

UHC-POL-obstructive-sleep-apnea-treatment

Obstructive and Central Sleep Apnea Treatment

Effective Oct 1, 2026

UHC-COMM-MD-OCCIPITAL-NEURALGIA-HEADACHE-TREATMENT-CS

Occipital Nerve Injections and Ablation (Including Occipital Neuralgia and Headache)

UHC-EXCH-MD-OCCIPITAL-NEURALGIA-HEADACHE-TREATMENT

Occipital Nerve Injections and Ablation (Including Occipital Neuralgia and Headache)

UHC-POL-occipital-neuralgia-headache-treatment

Occipital Nerve Injections and Ablation (Including Occipital Neuralgia and Headache)

Effective Oct 1, 2026

UHC-DENT-OCCLUSAL-GUARDS

Occlusal Guards

UHC-POL-ocrevus-ocrelizumab

Ocrevus (Ocrelizumab) and Ocrevus Zunovo (Ocrelizumab and Hyaluronidase-Ocsq)

Effective Jan 1, 2026

UHC-COMM-MD-OCREVUS-OCRELIZUMAB-CS

Ocrevus (Ocrelizumab) and Ocrevus Zunovo (Ocrelizumab and Hyaluronidase-Ocsq) – Community Plan Medical Benefit Drug Policy

UHC-EXCH-MD-OCREVUS-OCRELIZUMAB-IEX

Ocrevus (Ocrelizumab) and Ocrevus Zunovo (Ocrelizumab and Hyaluronidase-Ocsq) – Individual Exchange Medical Benefit Drug Policy

UHC-COMM-MD-OCULAR-PHOTOSCREENING-CS

Ocular Photoscreening

UHC-EXCH-MD-OCULAR-PHOTOSCREENING

Ocular Photoscreening

UHC-POL-ocular-photoscreening

Ocular Photoscreening

Effective Jun 1, 2026

UHC-EXCH-RP-COMM-IEX-OFF-CAMPUS-PBDB-FACILITY

Off-Campus Provider-Based Departments Billed with Modifier PO

UHC-POL-COMM-IEX-Off-Campus-PBDB-Facility

Off-Campus Provider-Based Departments Billed with Modifier PO Policy, Facility

UHC-POL-off-label-unproven-specialty-drug-treatment

Off-Label/Unproven Specialty Drug Treatment

Effective Aug 1, 2026

UHC-EXCH-MD-OFF-LABEL-UNPROVEN-SPECIALTY-DRUG-TREATMENT

Off-Label/Unproven Specialty Drug Treatment – Commercial and Individual Exchange Medical Benefit Drug Policy

UHC-COMM-MD-OFF-LABEL-UNPROVEN-SPECIALTY-DRUG-TREATMENT-CS

Off-Label/Unproven Specialty Drug Treatment – Community Plan Medical Benefit Drug Policy

UHC-EXCH-MD-OFFICE-BASED-PROCEDURES-SITE-SERVICE

Office-Based Procedures – Site of Service

UHC-COMM-MD-OMNIBUS-CODES-CS

Omnibus Codes

UHC-EXCH-MD-OMNIBUS-CODES

Omnibus Codes

UHC-POL-omnibus-codes

Omnibus Codes

Effective Jun 1, 2026

UHC-POL-omvoh

Omvoh (Mirikizumab-Mrkz)

Effective May 1, 2026

UHC-EXCH-MD-OMVOH

Omvoh (Mirikizumab-Mrkz) – Commercial and Individual Exchange Medical Benefit Drug Policy

UHC-COMM-MD-OMVOH-CS

Omvoh (Mirikizumab-Mrkz) – Community Plan Medical Benefit Drug Policy

UHC-COMM-RP-UHCCP-ONCE-IN-A-LIFETIME-PROCEDURES-POLICY

Once in a Lifetime Procedures

UHC-EXCH-RP-COMM-ONCE-IN-A-LIFETIME-PROCEDURES-POLICY

Once in a Lifetime Procedures

UHC-POL-COMM-Once-In-a-Lifetime-Procedures-Policy

Once in a Lifetime Procedures Policy, Professional

UHC-POL-oncology-medication-clinical-coverage-policy

Oncology Medication Clinical Coverage

Effective Sep 1, 2026

UHC-EXCH-MD-ONCOLOGY-MEDICATION-CLINICAL-COVERAGE-POLICY

Oncology Medication Clinical Coverage – Commercial and Individual Exchange Medical Benefit Drug Policy

UHC-COMM-MD-ONCOLOGY-MEDICATION-CLINICAL-COVERAGE-POLICY-CS

Oncology Medication Clinical Coverage – Community Plan Medical Benefit Drug Policy

UHC-COMM-RP-UHCCP-ONE-OR-MORE-SESSIONS-POLICY-R0118

One or More Sessions

UHC-EXCH-RP-COMM-ONE-OR-MORE-SESSIONS-POLICY

One or More Sessions

UHC-POL-COMM-One-or-More-Sessions-Policy

One or More Sessions Policy, Professional

UHC-COMM-RP-UHCCP-ONYXCHOMYCOSIS-TESTING-POLICY

Onychomycosis Testing Policy, Professional and Facility

UHC-EXCH-RP-COMM-ONYXCHOMYCOSIS-TESTING-POLICY

Onychomycosis Testing Policy, Professional and Facility

UHC-POL-COMM-Onyxchomycosis-Testing-Policy

Onychomycosis Testing Policy, Professional and Facility

UHC-POL-ophthalmologic-complement-inhibitors

Ophthalmologic Complement Inhibitors

Effective Dec 1, 2025

UHC-COMM-MD-OPHTHALMOLOGIC-COMPLEMENT-INHIBITORS-CS

Ophthalmologic Complement Inhibitors – Community Plan Medical Benefit Drug Policy