2025 Medicare Advantage plan updates

Updates include Dual Complete Special Needs Plans

Learn more about UnitedHealthcare Medicare Advantage updates for 2025. Get the latest details on plans, coverage areas and resources to help you care for  UnitedHealthcare Medicare Advantage plan members.

Explore our resources

• 2025 Medicare Advantage Plan Overview: Check out our interactive guide for important things you need to know about our Medicare Advantage plans, including UnitedHealthcare Medicare National Network, UnitedHealth Passport® and changes to the UCard (member ID)
• Quick reference guides/frequently asked questions: Get quick answers for doing business with us and find information for delegated provider groups

Things to know about our Medicare Advantage plans

• Members enrolled in health maintenance organization (HMO) and point of service (POS) plans are required to choose a participating primary care provider (PCP) in their plan’s home service area. Members of preferred provider organization (PPO) plans are strongly encouraged to select a PCP.
• Some UnitedHealthcare Medicare Advantage HMO and POS plans are referral plans. You can check plan referral requirements online.
  • Important: UnitedHealthcare does not track or manage referrals and does not require providers to submit referrals to process claims for our Medicare Advantage plans. However, PCPs can submit referrals through UHCprovider.com if specialist care providers request a referral.
  • Referrals are not required for members who travel outside their plan service area and access covered services using the National Network or their Passport travel benefit. Learn more about UnitedHealthcare Medicare National Network and Passport in the interactive guide.
• Prior authorization and advance notification requirements will apply to some services. Learn more about our prior authorization requirements.

Additional resources

Check out these resources for Medicare, plan-specific information by state, protocols, education, training and more:

• Medicare policies and guidelines
• Medicare Made Clear: Introduction to Medicare
• UnitedHealthcare plans by state
• Care provider administrative guides and manuals
• Health care professional education and training

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