Understanding UHC/UMR/Optum Plans Rates

The amounts below are the amounts documented in the first 2 quarters of 2024

Each amount below is the amount the plan pays. So if you owe a deductible, you would owe the below amount. If you owe a co-insurance you would owe the coinsurance percentage amount of the amount below.

UHC Optum UMR Plans Contracted Rates 2024

Diagnostic Intake Session=$175.53

60 Minute Session=$147.67

45 Minute Session=$100.26

30 Minute Session=$75.91

Family Therapy (30-60 minutes)=$99.50

Family Therapy without client present (30-60 minutes)=unknown

Sample UHC Optum UMR Plans EOB

Fee we charge $200

CO -$99.74

PR 1 Deductible $100.26

Insurance pays $0

This means that the patient has a deductible they have not met and $113.24 needs to be paid to the provider. Insurance pays $0.

Each amount below is the fee we bill health insurance and families that make over $250,000 a year. 

Diagnostic Intake Session (may be required to be repeated annually or every 3-5 years by the state of MN or health insurance plan) (the appointment is up to an hour or more and the paperwork completed by the therapist can take up to 2 hours.) $300

60 Minute Session=$250

45 Minute Session=$200

30 Minute Session=$150

Family Therapy (30-60 minutes)=$200

Family Therapy without client present (30-60 minutes)=$200

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