UnitedHealthcare COPD and asthma programs: what the carrier describes and what to confirm.
UnitedHealthcare describes two separate respiratory programs, one for COPD and one for asthma. This page covers what the carrier says each offers and what an employer should confirm.
What the program is and what members do.
What the programs are
UnitedHealthcare describes a COPD Management Program designed to help people with chronic obstructive pulmonary disease, and a separate Asthma Disease Management Program that provides information and resources to members living with asthma.
How members use them
For COPD, the carrier says the program helps members reduce or eliminate risk factors, follow medication and treatment plans, manage co-morbidities including depression, and maintain a healthier lifestyle. For asthma, it says members learn to avoid triggers, recognize warning signs of an attack, follow their medication regimen and manage the condition and co-morbidities. UnitedHealthcare says a member signs in to their account or calls the number on the member ID card to learn more about the program.
What they cover or do not
The carrier describes education, resources and support. Medications, inhalers, visits and equipment are paid under the plan’s own benefits. The page does not state what is included at no cost to the member.
Eligibility, funding and plan design.
Who can use them
The page describes the COPD program for individuals with COPD and the asthma program for members living with asthma. The page does not state a line of business, so we would not assume the program applies to every UnitedHealthcare group. Confirm eligibility for your group.
How it is funded or sold
The member page does not discuss cost or sale. On its employer care management page, UnitedHealthcare describes Standard Care Coordination for fully insured employers and Personal Health Support for self-funded (ASO) employers, and says each gives access to condition-specific clinical programs. Whether a program carries a separate charge is not stated, so confirm it for the group.
Where it fits in plan design
These programs fit as a support layer alongside the pharmacy and medical benefit. For employers with respiratory conditions in the covered population, we would check how the programs connect with the formulary tiers for controller and rescue medications.
What to settle before relying on it.
Are both programs part of our package?
The carrier lists COPD and asthma as separate programs. We would ask UnitedHealthcare to confirm in writing which of the two apply to the group, and whether any fee applies.
How are members identified and invited?
The public page tells members to sign in or call. We would ask whether the carrier also reaches out proactively, and how an employer sees participation without seeing individual health information.
How does it coordinate with the pharmacy benefit?
Following a medication plan is part of what the carrier describes. We would ask how the program works with the formulary and prior authorization so members are not given advice that conflicts with coverage rules.
Common questions about this program.
What does UnitedHealthcare say the COPD program does?
The carrier says it is designed to help members reduce or eliminate risk factors, follow medication and treatment plans, manage co-morbidities including depression, and maintain a healthier lifestyle.
What does the asthma program include?
The carrier says it provides information and resources to help members avoid triggers, recognize the warning signs of an attack, follow their medication regimen and manage their condition.
Is either program available to every group?
The public page does not state a line of business or plan type. Employers should confirm availability for their group.
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