All of our patients are very important to us and we keep our patients’ best interests in mind with every decision we make. In order to continue to provide the highest level of one-to-one care to our patients, as of March 20, 2025, we will no longer be contracted with United Healthcare (UHC). As such, we will no longer accept the following plans: United Healthcare (UHC), GEHA, UMR, Optum Health, UHC Medicare Advantage PPO and HMO, AARP Medicare Complete, All Savers, Oxford, Medica, Surest and Secure Horizons. United plans that are considered Medicare Supplemental Plans will still be accepted, based on Medigap plan rules in Massachusetts, when Medicare is the primary insurer. United Healthcare products currently administered by Harvard Pilgrim (as indicated by a Harvard Pilgrim logo on the card) will remain in network under our contract with Harvard Pilgrim Healthcare.
If you are seeking care at Harmeling PT and have one of the United Healthcare plans above, we will not be able to submit claims for in-network coverage on or after March 20, 2025. If you choose to continue your care with us beyond that point, you will be asked to provide payment at the time of service (a “fee for service” payment system) and then have the option of personally seeking reimbursement from UHC if you have out of network benefits.
If you are unhappy with the decision, we encourage you to reach out to United Healthcare directly to voice your concerns.
WHAT DOES “OUT OF NETWORK” MEAN?
Providers who are “out of network” are those who do not participate in that health plan’s network. Since Harmeling PT will no longer be in-network with UHC, we will no longer be able to submit claims on behalf of our UHC patients.
WHAT DOES “FEE FOR SERVICE” MEAN?
“Fee for service” means that you pay a flat rate at the beginning of your appointment. Please call to inquire about our fee for service rate. If you have out of network benefits, you can personally seek reimbursement from UHC after your visit