Employees can access limited chiropractic care at no additional cost

UnitedHealthcare will begin making benefit updates focused on lower back pain that aim to improve alignment with evidence-based protocols such as non-pharmacologic treatment and reduction in low value services (e.g., spinal injections and spinal imaging). 

Employees with new-onset low back pain will have access to 3 network physical therapy or chiropractic visits per plan year at no additional cost to them. To be eligible, employees must have physical therapy or chiropractic benefits remaining—i.e., these benefits do not extend the employee’s physical therapy or chiropractic benefit maximum.

Benefits of back care:

  • Early treatment may provide pain relief and help prevent chronic pain.
  • 3 lower back care network visits are covered at $0 out-of-pocket.
  • 6-time lower probability of surgery if member chooses a conservative path of care first.1

Beginning Jan. 1, 2020, low back pain benefit changes that were previously introduced for select Small Business markets will be expanded to include additional product lines and markets. These benefit changes apply to UnitedHealthcare PRIME, fully insured small business customers.

Small Business expansion

Click here to view available products by market and products for new and renewing Small Business PRIME customers on Jan. 1. Markets and products that have already launched are also noted.

The low back pain benefit changes are available nationally for self-funded (ASO) groups on an opt-in basis. They are also available to Key Accounts, fully insured groups in various markets. 

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Footnotes

  1. UnitedHealthcare ASO employer study 2015–2016.