Is occupational therapy covered by Medicare Advantage with UnitedHealth?

Answered by 12 licensed agents

Please call your insurance company to find covered therapists in your area. They will tell you of any required co-pays.

Answered by Christopher Boyd on August 6, 2025

Agent Licensed in IN, KY, MI, OH, PA & TN

Answered by Christopher Boyd Medicare Insurance Agent

Answered by Voss Speros on August 5, 2025

Broker Licensed in AZ, CA, CO & 14 other states

Answered by Voss Speros Medicare Insurance Agent
This is a very specific question, which you should consult with your agent since there are so many plans and your agent should be able to look at the Evidence of coverage from your plan in order to give you an accurate answer.

Answered by George Ibanez on August 6, 2025

Broker Licensed in AR, AL, AZ & 40 other states

Answered by George Ibanez Medicare Insurance Agent
Yes but Providers must submit a prior authorization request for the entire plan of care, including the full duration and number of visits requested. New authorization requests starting on or after Jan. 13, 2025, up to the first 6 visits of a member’s initial plan of care will be covered without conducting a clinical review when the first 6 visits take place within 8 weeks of the first date of service.

Answered by Don Hudson on August 12, 2025

Broker Licensed in FL

Answered by Don Hudson Medicare Insurance Agent
Typically, the answer is yes. Most Medicare Advantage plans (including United Healthcare) cover physical and occupational therapy with a copay per date of service. Plans will vary from region to region, so be sure to consult your plan's Benefit Summary to see the exact amount. Also be aware that you will need a physician's order to receive PT or OT. If you wish to discuss your particular plan in more detail don't hesitate to contact me.

Answered by Jason Miller on August 25, 2025

Broker Licensed in AZ

Answered by Jason Miller Medicare Insurance Agent
Yes, occupational therapy (OT) is generally covered under UnitedHealthcare Medicare Advantage (MA) plans as part of their required benefits. All Medicare Advantage plans must provide at least the same level of outpatient OT services covered under Original Medicare Part B. just keep in mind, prior authorization might be required.

Answered by Anna Davis CIC-RSSA on August 6, 2025

Broker Licensed in CA

Answered by Anna Davis CIC-RSSA Medicare Insurance Agent
Occupational Therapy is a Medicare covered benefit. All Medicare Advantage plans are required by Medicare to cover at minimum what Medicare covers. The answer is Yes, but you may need to find an in-network provider with UnitedHealth for them to cover you.

Answered by Joanna Finnegan on August 6, 2025

Broker Licensed in ID, CA, CO, MT, OR & WA

Answered by Joanna Finnegan Medicare Insurance Agent
Yes. OT is a benefit under Medicare Advantage plans. You will have a copay and you need a Doctor to place the order.

Answered by Heidi Delaney on August 6, 2025

Broker Licensed in CO, AZ, KS & 5 other states

Answered by Heidi Delaney Medicare Insurance Agent
Yes, it is covered By UnitedHealthCare. Different plans have different coverage. They co-payment vary.

Answered by Nikolaya Krasteva on August 5, 2025

Broker Licensed in IL, AZ, FL & 9 other states

Answered by Nikolaya Krasteva Medicare Insurance Agent
Contact UHC for details on their plan coverage. Contact UHC for details on their plan coverage. Contact UHC for details on their plan coverage.

Answered by Gary Henderson on August 6, 2025

Agent Licensed in TX, AK, AL & 46 other states

Answered by Gary Henderson Medicare Insurance Agent
All Advantage plans must follow original Medicare in all the coverages. Hence all Advantage plans will cover occupational therapy. However the co-pays of plans will be different.

Answered by Andrew Kramer on August 6, 2025

Agent Licensed in FL

Answered by Andrew Kramer Medicare Insurance Agent
Yes, occupational therapy is generally covered under UnitedHealth's Medicare Advantage plans; however, coverage specifics may vary. While UnitedHealthcare does cover occupational therapy, the extent of coverage, including potential copayments, deductibles, and whether prior authorization is required, depends on the specific plan and provider.

Answered by Selina Herrin on August 18, 2025

Broker Licensed in GA, AL, AR & 23 other states

Answered by Selina Herrin Medicare Insurance Agent

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