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UnitedHealthcare·AL, AZ, CO, FL, GA, IL, IN, IA, KS, LA, MD, MI, MS, MO, NE, NJ, NM, NC, OH, OK, SC, TN, TX, VA, WA, WI, WY·Protocol
Effective date
Not stated
We identified it
Jan 12, 2026
Days to comply

Summary

UnitedHealthcare has updated their Individual Exchange Plans policies page, providing a centralized location for reimbursement, medical, and drug policies that apply to Individual and Family plans across 27 states. The policy directs providers to state-specific resources for Nevada, Massachusetts, and New York.

Action Required

Action needed
Review the updated UnitedHealthcare Individual Exchange Plans policies page to ensure familiarity with the centralized policy structure. Billing teams should bookmark the appropriate policy sections (reimbursement policies, medical policies, or medical benefit drug policies) based on their state and verify they are referencing the correct policies for Individual Exchange plan claims.