Referral requirements for Medicare Advantage HMO/HMO-POS …
Starting Jan. 1, 2026, most members enrolled in UnitedHealthcare Medicare Advantage HMO and HMO-POS plans will be required to obtain a referral from their primary care provider (PCP) before …
UnitedHealthcare HMO & HMO-POS Plan Referral Requirements
Effective January 1, 2026, UnitedHealthcare Medicare Advantage HMO & HMO-POS plans will require referrals for specialist visits.
Which services do not require a referral? As long as the providers are in your plan’s network and service area, there are a few exceptions that do not require a referral: • Any services from network OB/GYN …
UHC PCP Referral Requirements - hcintellect.com
Effective Jan. 1, 2026, UHC Medicare Advantage HMO and HMO-POS members require PCP referrals for most specialist services. PCPs must submit referrals prior to visits to avoid claim denials and …
UnitedHealthcare Medicare Advantage Referral Requirements 2026 …
From January 1, 2026, UnitedHealthcare (UHC) will be requiring its members who are signed up for Medicare Advantage HMO and HMO-POS plans to receive a referral from their primary care provider …
UnitedHealthcare Referral Rules 2026 - wchsb.com
Jan 1, 2026 · Key Takeaways Starting January 1, 2026, most UnitedHealthcare Medicare Advantage HMO members must obtain a PCP referral before seeing a specialist. This is one of the largest …
UnitedHealthcare to Enforce Specialist Referral Requirement in 2026
Beginning January 1, 2026, the majority of members of UnitedHealthcare Medicare Advantage HMO and HMO-POS plans will need to get a referral from a primary care practitioner (PCP) before seeing …
UnitedHealthcare Medicare Advantage Referral Requirement – What ...
Starting January 1, 2026, most members enrolled in UnitedHealthcare Medicare Advantage HMO and HMO-POS plans will be required to obtain a referral from their Primary Care Provider (PCP) before …
Starting Jan. 1, 2026, most members enrolled in UnitedHealthcare Medicare Advantage HMO and HMO-POS plans are required to obtain a referral from their PCP before accessing certain specialist …
What is a POS health plan? Understanding POS plans
Yes, to schedule an appointment with a specialist, POS plans require a referral from your primary care provider. You may also need a referral for some out-of-network providers.