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UnitedHealthcare, Synapse Health agreement expands to additional states 

UnitedHealthcare, Synapse Health agreement expands to additional states 

SKOKIE, Ill. - UnitedHealthcare has announced that Synapse Health will manage durable medical equipment (DME) orders for certain UnitedHealthcare Medicare Advantage plans in additional states beginning April 1, 2026. 

For individual HMO and PPO plans, Synapse will manage DME for members in these states: Arkansas, Iowa, Kansas, Minnesota, Missouri, Nebraska, North Dakota, Oklahoma, South Dakota and Wisconsin. 

For chronic special needs plans (C-SNP), Synapse Health will manage DME for members in these states: Indiana, Iowa, Kansas, Kentucky, Michigan, Minnesota, North Carolina, North Dakota, Ohio, Oklahoma and Wisconsin. 

For dual special needs plans (D-SNP), Synapse Health will manage DME for members in these states: North Dakota, South Dakota and West Virginia. 

UHC says DME providers will need to join the Synapse Health network to continue to provide standard DME for most UnitedHealthcare Medicare Advantage Plan members. Synapse Health will contact providers about joining its network. 

The change impacts the following mail-order supplies and standard DME products: 

  • Diabetic supplies 
  • Enteral 
  • Home ambulatory 
  • Hospital beds 
  • Insulin therapy 
  • Mobility aids  
  • Negative pressure wound therapy 
  • Ostomy 
  • Oxygen 
  • Respiratory 
  • Respiratory vest 
  • Sleep 
  • Urological 
  • Ventilators 
  • Wheelchairs — standard 
  • Wound care   

In July, UHC announced that beginning Oct. 1, 2025, the DME ordering and fulfilment process in Illinois, Indiana, Kentucky, Michigan, Ohio and West Virginia would be managed by Synapse Health for members with individual HMO and PPO UnitedHealthcare Medicare Advantage plans. Additionally, the DME process for C-SNP in Illinois would also be managed by the company. 

In May, UHC announced that beginning Aug. 1, 2025, the DME ordering and fulfillment process in Alabama, South Carolina, Tennessee and Virginia will be managed by Synapse Health for members with individual HMO and PPO UnitedHealthcare Medicare Advantage plans, as well as C-SNP. Additionally, the DME process for C-SNP plans in Georgia will also be managed by Synapse Health

Last year, UnitedHealthcare entered into a capitated arrangement with Synapse Health for standard DME in Georgia and North Carolina for its Medicare Advantage plan members enrolled in HMO and PPO plans.    

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