Covered home healthcare expenses include charges by an approved home healthcare agency for the following services furnished as part of a home healthcare plan:
- Part-time or intermittent nursing care by or under the supervision of a registered nurse (RN) or licensed practical nurse (LPN), or services from a home health aide, up to the maximum of 120 visits per year
- Respiratory, occupational, speech and physical therapies provided by a home healthcare agency
- Medical supplies, appliances and equipment, drugs and medicines prescribed by a physician and provided by the home healthcare agency, if such items would have been covered under the Plan while hospital-confined
- Nutrition counseling or services, or special meals provided by or under the supervision of a registered dietitian or nutritionist
Home healthcare services provided by a social worker or a family member are not covered.
For out-of-network benefits you must obtain prior authorization from UnitedHealthcare five business days before receiving services including nutritional foods and private duty nursing or as soon as is reasonably possible. If you fail to obtain prior authorization as required, benefits will be subject to a $400 penalty.