UnitedHealthcare has identified a system error that potentially impacts your 2025 deductible, coinsurance limit, or out-of-pocket maximum. Due to the error, amounts applied to the deductible were also applied to OOPM 2 (coinsurance limit). As a result, some claims were paid at 100% when they should have been paid at 90%. This issue has since been corrected.
Not all plan members are affected. UnitedHealthcare’s claims team is working to determine which claims need to be adjusted. You will be notified if you have claims that were impacted. Anyone impacted will receive another letter notifying them in mid-June.
Once the correction is completed, your Explanation of Benefits (“EOB”) will reflect any adjustments, and your providers may bill you for the adjustment amount. If you have any questions about your claims, you may reach out to UnitedHealthcare's Customer Service at 1-888-332-8885. You may also view additional details and affected claims on your myuhc.com account.