Synapse Health will soon manage DME orders in select states

Beginning Aug. 1, 2025, the durable medical equipment (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 Chronic Special Needs Plans (C-SNP). Additionally, the DME process for C-SNP plans in Georgia will also be managed by Synapse Health.

We previously launched a capitated DME arrangement with Synapse Health for individual UnitedHealthcare Medicare Advantage members in Georgia and North Carolina, effective Sept. 1, 2024.

We understand this is a change to our existing provider network, and to the current DME ordering and fulfillment processes. However, considering feedback from our providers and members, we recognized an opportunity to improve the experience for everyone — ordering physicians, DME suppliers and members.

What this means for you

DME prescribers

Beginning Aug. 1, 2025, you should prescribe DME through the Synapse Health e-prescribing portal. In the next few months, a Synapse Health team member will connect with you to answer any questions. You can also schedule personalized 1-on-1 trainings, or view self-help resources on the Synapse Health website. 

For our members who require continuous DME services after Aug. 1, 2025, Synapse Health will collaborate with existing DME providers to ensure continuity of care or facilitate the transition to a new DME provider. Synapse Health may contact you if a new order or documentation is required to support the patient’s ongoing DME needs or plan of care.

DME providers 

DME providers will need to join the Synapse Health network to continue to provide standard DME for most UnitedHealthcare Medicare Advantage Plan members and C-SNP members in Alabama, South Carolina, Tennessee, Virginia, and for UnitedHealthcare members with C-SNP plans in Georgia. Synapse Health will contact you with details about joining their network, or you may contact Synapse Health at JoinOurNetwork@synapsehealth.com.

What’s included in this change

This new arrangement will apply to the following mail order supplies and standard DME products:

What’s not included with this change

This new arrangement won’t apply to the following products:

This new arrangement also won’t apply to the following Medicare Advantage plans:

• Dual Special Needs Plans (D-SNP) 
• Institutional Special Needs Plans (I-SNP)
• Institutional Equivalent Special Needs Plans (IE-SNPs) 
• Group retiree plans

Questions?

• Online: Visit the Synapse Health website
• Phone: Call Synapse Health at 888-336-9363