UnitedHealthcare (UHC) recently announced that, effective January 1, 2026, coverage for remote patient monitoring (RPM) under all of its plans (including Medicare Advantage and commercial) will be limited to patients with heart failure or hypertensive disorders during pregnancy.
This unfortunately means that RPM for patients with hypertension, COPD, diabetes, and other health conditions will no longer be reimbursable under UHC plans. Traditional Medicare and all non-UHC Medicare Advantage plans continue to cover RPM.
To help navigate this decision here is some of the key information and resources focused around the current situation:
United HealthCare's MA RPM Policy, including the reasoning for discontinuing RPM coverage against the robust base of clinical evidence: Evidence refuting UHC's reasoning and supporting RPM for common chronic conditions.
Medicare's enrollment schedule; currently Medicare is in an open enrollment period until Dec. 7th (as well as from January 1 to March 31, 2026), allowing patients to switch their insurance coverage and continue their RPM program without interruption.
Knowledge base guide to patient search, to help identify patients you have entered with UHC as their insurance provider (this is a user based input so not all patients will have up to date insurance information in our platform).
To assist impacted organizations Prevounce has outlined some important next steps that minimize the negative impact of this rollback:
- Identify impacted patients: Using the Prevounce portal, or your EHR system, find patients on UHC's Medicare Advantage or commercial plans and determine if they will remain covered under the 2026 changes (heart failure, gestational hypertension).
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Notify impacted patients: Inform affected patients about this change in coverage and how it will impact their RPM enrollment. Consider alerting UHC Medicare Advantage patients that Medicare open enrollment periods run from from October 15 to December 7, 2025 and from January 1 to March 31, 2026. Switching to a new insurance provider would allow them to continue RPM services.
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We've created a patient-facing resource that to you can share with them on the policy change and possible next steps:
- UHC MA Rollback Patient Facing One Pager (Prevounce design)
- Editable UHC MA Rollback Patient Facing One Pager (docx)
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We've created a patient-facing resource that to you can share with them on the policy change and possible next steps:
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Make your voice heard: Practices have the option of continuing to submit RPM claims to UHC and appealing denials (we recommend consulting with a billing expert before taking this approach to ensure preparedness), as well as documenting and sharing their success with remote patient monitoring.
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