UnitedHealthcare Community Plan - MO HealthNet Managed Care

The UnitedHealthcare Community Plan – MO HealthNet Managed Care offers a range of benefits. It’s for children, families, pregnant women and adults who meet income requirements. We also offer support to adults with special health care needs. View the benefits below to see all that our health plan offers.

This plan is available in the following counties:

Adair , Andrew , Atchison , Audrain , Barry , Barton , Bates , Benton , Bollinger , Boone , Buchanan , Butler , Caldwell , Callaway , Camden , Cape Girardeau , Carroll , Carter , Cass , Cedar , Chariton , Christian , Clark , Clay , Clinton , Cole , Cooper , Crawford , Dade , Dallas , Daviess , DeKalb , Dent , Douglas , Dunklin , Franklin , Gasconade , Gentry , Greene , Grundy , Harrison , Henry , Hickory , Holt , Howard , Howell , Iron , Jackson , Jasper , Jefferson , Johnson , Knox , Laclede , Lafayette , Lawrence , Lewis , Lincoln , Linn , Livingston , Macon , Madison , Maries , Marion , McDonald , Mercer , Miller , Mississippi , Moniteau , Monroe , Montgomery , Morgan , New Madrid , Newton , Nodaway , Oregon , Osage , Ozark , Pemiscot , Perry , Pettis , Phelps , Pike , Platte , Polk , Pulaski , Putnam , Ralls , Randolph , Ray , Reynolds , Ripley , Saline , Schuyler , Scotland , Scott , Shannon , Shelby , St. Charles , St. Clair , St. Francois , St. Louis , St. Louis City , Ste. Genevieve , Stoddard , Stone , Sullivan , Taney , Texas , Vernon , Warren , Washington , Wayne , Webster , Worth , and Wright .

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How you qualify.

MO HealthNet Managed Care Eligibility

The purpose of the MO HealthNet program is to provide medical services to persons who meet certain eligibility requirements as determined by the Family Support Services (FSD). The goals of the MO HealthNet program are to promote good health, to prevent illness and premature death, to correct or limit disability, to treat illness, and to provide rehabilitation to persons with disabilities. Eligible persons receive a "MO HealthNet Identification Card" and/or a letter from the FSD. The Family Support Division (FSD) determines client eligibility for the MO HealthNet program: the MO HealthNet Division administers the MO HealthNet program including establishment of benefit coverage, rates, claims processing, and all other aspects of daily operations.

If you have questions about the services available through the Family Support Division (FSD) or need additional assistance, please call 855-FSD-INFO (855-373-4636) or visit your local FSD Resource Center.

You have chosen to enroll in

To report a change in address

If you have a change in address please report this change with MO Healthnet. It is important so they can contact you with information about your coverage.

To make a change go here: Welcome to myDSS | mydss.mo.gov and click the “Report a Change” icon.

Find providers and coverage for this plan.

Search for doctors, hospitals and specialists.

Find medications covered by this plan.

Find a pharmacy near you.

Benefits & features

Well and Sick Care

Get the care you and your children need to stay healthy — or to be at your best. That includes:

• Unlimited PCP Visits. See your primary care provider (PCP) as needed.
• Shots and Vaccines. Routine shots help protect against illness.
• Lab and X-rays. Lab tests, x-rays and diagnostic imaging are covered.
• Hospitalization. You pay nothing for care in a hospital.
• Lead Screening. Can be done in the doctor's office or local health department.

Pregnancy Care

Nothing is more important than the health and well-being of you and your baby. That's why your MO HealthNet Managed Care benefit includes:

• Choice of Birth Centers. Pick from our large network of hospitals or birthing centers.
• Choice of Doctors. Find a doctor you trust for your pregnancy care.
• Prenatal Visits. Care for you before your baby is born.

Care for Conditions

If you or a family member has special health care needs, you can count on us. Our health plan will provide the extra care and services you need. Benefits include:

• Asthma Care. Exams and supplies are covered.
• Care Management. Get personal help managing health conditions.
• Disease Management. Focused care for those with critical health needs.
• Behavioral Health and Substance Use Services. Get caring help to meet your recovery goals.

Vision and Dental Care

Make sure your sight and smile are at their best. Your MO HealthNet Managed Care benefits include:

• Vision. Routine eye exams, plus frames and prescription lenses are covered.
• Dental. Cleanings, check-ups and dental work.

Home Care and Supplies

If you are recovering from a serious illness or surgery, you may need extra support. Our plan includes the care and equipment needed to recover safely at home. Benefits include:

• Equipment and Supplies. In-home medical and safety equipment are covered.
• Home Health Care. Medical care in your home, if needed.

Additional Health Benefits

Sometimes you might need a little extra help using your health plan. For those times, you can rely on:

• Electronic breast pumps: Enrolled pregnant members are eligible for an electronic breast pump (limit one).
• Asthma support: Special supplies are available, including a hypoallergenic mattress cover and pillow case.
• Peer support specialists: Coaches can provide support for substance use disorder (SUD) recovery.
• Mom’s Meals: Post-delivery moms can receive 30 meals (2 meals per day for 15 days) delivered to their home. These requests can be made through your case manager or by calling member services.
• YMCA Memberships: Members up to age 17 years of age can receive a Youth Membership to their local YMCA. Just go into your local Y and bring your member ID card to get signed up. Learn more here.
• One Pass: Members 18 and older will have access to this membership which gets them into over 300 gyms across Missouri including the YMCAs, Planet Fitness, Anytime Fitness, and many small local gyms. Information can be found at One Pass UHCMO | Rally Health or learn more here.
• Transportation: Unlimited trips to doctors appointments, dental appointments, WIC, and pharmacy. In addition, members can get rides to grocery stores and food pantries, weight management classes or programs such as their YMCA or local gym, job and vocational training, and substance abuse services for pregnant members. Learn more here. Members and Members family and friends (when assisting the member with a ride) are eligible to submit for gas mileage reimbursement by filling out MTM’s GMR form. You can find the form here. Remember, the form must be signed off by the correct medical personnel to receive reimbursement.
• AbleTo: an app that offers clinical solutions to dial down symptoms of stress, anxiety, and depression. Members can download the app, create an account and choose “upgrade through insurance”, and search for and select United Healthcare and enter the information on your insurance card.

Other Help

Sometimes you might need a little extra help using your health plan. For those times, you can rely on us for assistance:

• Nurse Hotline SM .S peak with a registered nurse 24/7.
• Member Services. Your benefit questions are answered Monday - Friday, 7:00 a.m. - 7:00 p.m. CT
• Language Help. Connect to a language or ASL interpreter through Member Services. We provide aids and services to people with disabilities at no cost to you to help you communicate with us. Such as, letters in other languages or large print, audio, accessible electronic formats, other formats. Or you can ask for an interpreter if English is not your primary language. Qualified American sign language interpreters are also available at no cost. To ask for help, please call the toll-free member phone number listed on your health 1-866-292-0359, TTY 711, Monday through Friday, 8:00 a.m. to 5:00 p.m.

Benefit Updates

YMCA Benefit: Members up to age 17 years of age can receive a Youth Membership to their local YMCA. Just go into your local Y and bring your member ID card to get signed up. Learn more here.

One Pass Benefit: Members 18 and older will have access to this membership which gets them into over 300 gyms across Missouri including the YMCAs, Planet Fitness, Anytime Fitness, and many small local gyms. Information can be found at One Pass UHCMO | Rally Health or learn more here.

Transportation: Unlimited trips to doctors appointments, dental appointments, WIC, and pharmacy. In addition, members can get rides to grocery stores and food pantries, weight management classes or programs such as their YMCA or local gym, job and vocational training, and substance abuse services for pregnant members. Learn more here.

UHC Doctor Chat: As a UnitedHealthcare member, you can skip the waiting room and connect to doctors in seconds with the UHC Doctor Chat app. Doctors are available 24 hours a day, 7 days a week to answer any questions. Learn more here.

Breast Pump Benefit: Members now call Aeroflow at 1-844-867-9890 and their dedicated mom and baby specialists will be able to assist you or visit aeroflowbreastpumps.com/united-qualify.

Asthma Care

Do you or a family member have trouble managing asthma symptoms?
You will get a customized treatment plan and medicine to:

• Manage flare-ups.
• Reduce symptoms.
• Help you stay active.

Babyscripts

Earn great rewards:

• The Babyscripts program rewards you for going to your prenatal and postpartum visits
• Earn up to 3 rewards in all
• Get a gift card just for signing up

To sign up, visit the Apple App Store® or Google Play™ store on your smartphone. Download the Babyscripts myJourney app. Or call 1-800-599-5985, 8 a.m.–5 p.m., Monday–Friday. It’s that simple.

Behavioral Health and Substance Use Services

Inpatient, residential and outpatient services for behavioral health and substance use are covered. The type, amount and length of services provided will be based on the level of your needs. These services are part of your MO HealthNet Managed Care benefits.

Care Management

When a member has complex health care needs, a care manager can really help. He or she will:

• Work with you and family members and friends on a plan of care.
• Explain medical terms in plain language.
• Coordinate your doctor appointments.
• Provide your care team with your medical records.
• Make a referral to community social service programs.

Choice of Birth Center

Where you have your baby is an important choice. That's why you can pick from our large network of hospitals or Birthing Center.

We also encourage you to tour the hospital's birthing center. This way you will be familiar with it and be better informed when you have your baby.

Choice of Doctor

Each member can choose a primary care provider (PCP). Use the Doctor Lookup tool to see if your doctor is in our network.

The PCP is the main doctor for:

• Preventive care.
• Treatment if you are sick or injured.
• Care coordination with specialists.

For members who don’t have a doctor or whose doctor is not in our network, member services can help find a new one close by.

Disease Management

If you have chronic or high-risk illnesses, our disease management services are designed to support you.

Doctor Chat

As a UnitedHealthcare member, you can skip the waiting room and connect to doctors in seconds with the UHC Doctor Chat app. Doctors are available 24 hours a day, 7 days a week to answer any questions. Learn more here.

Equipment and Supplies

Our member's health and safety at home are important.

MO HealthNet Managed Care covers medical equipment ordered by the doctor or care manager. This can include supplies like:

• Oxygen tanks.
• Hospital beds.
• Wheelchairs or walkers.

Home Care

After surgery or a serious illness, you may need in-home medical visit(s) to check on how well you are healing.

MO HealthNet Managed Care covers:

• In-home medical visit(s).
• Medical equipment like hospital beds, walkers or wheelchairs.
• Disposable medical supplies.

Hospitalization

MO HealthNet Managed Care covers expenses related to a hospital stay, so our members can rest and heal.

Hospitalization coverage includes:

• Nursing care.
• Room and board.
• Supplies and equipment.
• Treatment and therapies.
• Diagnostic tests and exams.

And after leaving hospital, we can provide transitional care services. MO HealthNet Managed Care makes sure you get follow-up care to continue healing at home.

Interpreters

You and your doctor need to understand each other. We have interpreters for you if your provider does not speak your language. We also have qualified American Sign Language interpreters available. This is provided at no cost to you when you speak to us, your provider, or Nurse Hotline. SM

We provide aids and services to people with disabilities at no cost to you to help you communicate with us. Such as, letters in other languages or large print, audio, accessible electronic formats, other formats. Or, you can ask for an interpreter if English is not your primary language. Qualified American sign language interpreters are also available at no cost. To ask for help, please call the toll-free member phone number listed on your health 1-866-292-0359, TTY 711, Monday through Friday, 8:00 a.m. to 5:00 p.m.

Lab and X-rays

Knowing what's wrong and finding it early can make all the difference. MO HealthNet Managed Care covers:

• Labs and testing.
• X-rays, scans and other imaging.

We'll help you get the information needed to improve your health or be at your best.

Language Help

Members can get printed information in their preferred language. You will get member materials in English and Spanish. We can give you member materials in a language or format that is easier for you to understand. We also have qualified American sign language interpreters available. Just ask.

We provide aids and services to people with disabilities at no cost to you to help you communicate with us. Such as, letters in other languages or large print, audio, accessible electronic formats, other formats. Or, you can ask for an interpreter if English is not your primary language. Qualified American sign language interpreters are also available at no cost. To ask for help, please call the toll-free member phone number listed on your health 1-866-292-0359, TTY 711, Monday through Friday, 8:00 a.m. to 5:00 p.m.

Member Services

Sometimes you might need a little help understanding your health care options. Call us. We'll answer your questions simply and completely.

We help you find:

• Doctors.
• Pharmacies.
• Hospitals or other health facilities.
• Local resources.

No Copays

You will not have a copayment for care and services covered by MO HealthNet Managed Care.

This includes in network services:

• Visits to doctors
• Treatments at hospitals and clinics.
• Behavioral Health and Substance Use.
• Home medical equipment and supplies to help you be at your best.

Nurse Hotline

Medical questions and situations can come at inconvenient times. When you have questions about your health, you can call a nurse 24 hours a day, 7 days a week.

Our nurses will:

• Listen to symptoms.
• Help with self-care.
• Advise you about getting care at a doctor visit or an urgent care center.
• Help you know when to go to the emergency room.

Pharmacy

All pharmacy benefits are covered by MO HealthNet Fee-for-Service. For more information:

Please contact 1-800-392-2161 or visit the MO HealthNet website at www.dss.mo.gov.

Prenatal Visits

Your pregnancy is a journey you'll want to make with the help of friends, family and a pregnancy doctor.

All recommended prenatal clinical visits and tests are covered by our plan.

At these visits, the clinic will:

• Make sure both you and your baby are healthy.
• Explain what to expect at each stage of your pregnancy.
• Answer your questions.

Quitting Tobacco

Most people know the bad health effects of smoking. And they know they need to quit. That's why we encourage members to talk to their doctor about getting smoking cessation support. UnitedHealthcare Community Plan covers counseling when you enroll with Quit for Life. Medication for smoking cessation is available. Call 1-800-784-8669.

Shots and Vaccines

Routine shots help protect members and their family from illness. MO HealthNet Managed Care covers:

• Pneumonia, influenza and shingles shots.
• Vaccines and Immunizations. Routine shots to help keep your child healthy.
• Other recommended shots and vaccines.

Therapy Services

Physical, occupational and speech therapy can help you recover from a serious injury or illness, or simply reach your full potential.

For children under age 21 and for pregnant women, MO HealthNet Managed Care provides:

• Occupational therapy.
• Physical therapy.
• Speech therapy.

Transplant Services

Covered when ordered by a network physician.

Transportation

Members get unlimited trips to the following:

• Doctors and providers
• Dentists
• Pharmacies
• WIC
• Grocery stores
• Food pantries
• Weight management classes or programs
• YMCA or local gym
• Job and career training
• If you’re pregnant, substance abuse services
• Learn more here
  Members and Member’s family and friends (if helping the member with a ride) can submit a form for gas mileage reimbursement. You can find the form here. Note: The form must be signed off by the correct medical personnel to receive reimbursement.
  

Unlimited Primary Care Provider Visits

There may be times when a member's health requires repeated doctor visits. Our plan does not limit the number the number of visits to a primary care provider (PCP). This way the members get the care they need. And the doctor can see how their health is progressing.

Vision Care

You'll get the care, eyeglasses and treatment that help you see better. Coverage includes:

• One eye exam every 24 months for members 21 and over.
• One eye exam every 12 months for children under 21 and pregnant women.
• One pair of frames and lenses ever 24 months.

This benefit is offered by MARCH Vision Care.

Well Visits

Well visits with your doctor can help keep you healthy. These visits can catch health problems early, so they can be treated. Preventive services include:

• Checkups for adults and children.
• Routine shots and tests.
• Mammograms.

There are no copayments for preventive care.

Member resources

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Member resources

Missouri UnitedHealthcare Community Plan - MO HealthNet Managed Care Plan Details

We want to make it as easy as possible for you to get the most from your health plan. You can preview some of our communication and materials for members below.

If you are a member and need help, call Member Services at 1-866-604-1672 / TTY 711 (8:00 am to 5:00 pm local time, Monday – Friday) to ask for a copy (in large print, other format, or other language) and it will be mailed to you.

New member check list

If you are a new MO HealthNet program member, getting connected during your first 30 days is very important. Here is a to-do list. When you complete this list, it lets us know your choices when it comes to managing your health:

• Complete your Health Risk Assessment (HRA). This is an important first step. It helps you let us know how you are doing today. Call Member Services at 1-866-292-0359 / TTY 711.
• Let us know how you want to hear from us. This includes mail, email, and texting options. We can also help you set a large print, braille, or other format choice. If English is not your first language, we will send materials in your language. You can share these preferences by calling Member Services.
• Choose a Primary Care Provider (PCP). As soon as you can, it is important to choose a Primary Care Provider (PCP) who is part of the UnitedHealthcare provider network. This is your main doctor who sees you for annual checkups, routine sick or well visits, and immunizations (shots). Here are the options for choosing your PCP:
  • Log into your member portal at MyUHC.com/CommunityPlan.
  • You can use our provider search tool to view all of the providers in our network.
  • Call Member Services for help finding a PCP. We can also email or send you a list of providers from which to choose.

  You should also:

  • Schedule an appointment with your PCP.
  • Call Member Services to get started.
  • Ask questions! We want to hear from you. Get connected to resources, programs, and services. Call Member Services to find out about all the extras we offer here at UnitedHealthcare. We want to make this a pleasant and easy experience for you.

  Getting started guide

  Getting Started

  We want to provide you with all the resources and information you need. This useful guide provides a quick resource for getting started, finding help, your benefits, how to connect, getting care, and so much more.

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  Additional languages and formats

  We want you to be able to understand our health information. Here are ways we can make it easier:

  • Member materials are available in other languages. You can also get information in large print, Braille or audio files.
  • Providers who speak different languages. Our provider directory will tell you which ones.
  • Many of our Member Service Navigators speak several languages, too.
  • Our interpreter service supports more than 240 languages over the phone, including American Sign Language.
  • If you have trouble hearing or speaking over the phone, you can use a text telephone. It’s a free service. Call 711 to learn more. Use the number 1-866-604-1672 to get connected with us.

  For help or to find out more, please contact our Member Service Navigators.
  

  Member handbook

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  Hospitals with Emergency Services

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  Member website

  MyUHC.com/CommunityPlan is your secure member website. See your covered benefits, claims, select a new PMP, view your plan documents, review your individual health record, get access to our extra programs, and much more.

  UnitedHealthcare mobile app

  Our UnitedHealthcare® app is available for use on your smartphone. Just search UnitedHealthcare in the App Store or Google Play to download. You can access your digital member ID card, review health benefits, access claims information, locate doctors, and more.

  Advanced directives

  It is your right to choose the medical care you receive. This includes life-saving measures in an emergency.

  Advance directives are instructions you give about your future medical care. These are important if you cannot speak or make decisions for yourself. These instructions help your family and providers understand your wishes. They protect your right to accept or refuse medical or surgical treatment. With advance directives, you can:

  • Let everyone know if you would or would not like to use life-support machines
  • Let everyone know if you would like to be an organ donor
  • Give someone else permission to say yes or no to medical treatments

  Advance directives are only used if you cannot speak or make decisions for yourself. It does not take away your right to make a different choice if you later become able to speak or make medical decisions for yourself. You can make an advance directive by:

  • Talking to your doctor and family
  • Choosing someone to speak or decide for you, known as a health care representative
  • Creating a Power of Attorney or Living Will

  Ready to make your advance directive? You can visit PREPARE for your care. This site offers a free advance directive form. This form is available in English and Spanish.

  Additional benefits

  Member value added benefits

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  Flu season

  Flu Season

  Flu Notice

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  National Flu Campaign Questions & Answers

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  Safe Sleep Training

  The Department of Social Services Children’s Division initiative to decrease infant sleep related deaths has developed Part 1 of Safe Sleep Training, intended for the general public parents/caretakers, and direct service providers!

  The following is the link to the training: https://health.mo.gov/training/cd-safe-sleep-training/index.html To gain successful access to the training, you will need to open the link without using Internet Explorer.

  The Children’s Division will soon begin the development of Part 2 of the Safe Sleep training, intended as an advanced education for direct service providers.
  

  Renewing your coverage

  The Family Support Division (FSD) is required to check the eligibility of all MO HealthNet (Missouri Medicaid) participants each year. This is called an annual renewal. Please use this link to the State’s renewal page for steps to complete your annual renewal.

  UHC Doctor Chat

  As a UnitedHealthcare member, you can skip the waiting room and connect to doctors in seconds with the UHC Doctor Chat app. Doctors are available 24 hours a day, 7 days a week to answer any questions. Learn more here.

  Your rights and responsibilities

  You have certain rights and responsibilities when you enroll. It is important that you fully understand both your rights and your responsibilities. For detailed information about your rights and responsibilities download here.

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  Appeals and Grievances

  You may not always be happy with UnitedHealthcare Community Plan of Missouri. We want to hear from you. UnitedHealthcare Community Plan has people who can help you. UnitedHealthcare Community Plan cannot take your benefits away because you make a grievance, appeal, or ask for a State Fair Hearing.

  Learn more about the appeals and grievances process.

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  Newsletters

  2024

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  2023

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  2022

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  Learn more

  • FAQs
  • Glossary
  • Links to health information

  Enrollment information

  The MO HealthNet Managed Care plan specialists can answer questions and help you enroll.

  8:00 am to 5:00 pm local time, Monday – Friday

  You have chosen to enroll in

  This plan is not currently available in the ZIP code entered.

  Get the details

  Visit the Missouri Department of Social Services site for more information on eligibility and enrollment.

  Enrollment information

  The MO HealthNet Managed Care plan specialists can answer questions and help you enroll.

  8:00 am to 5:00 pm local time, Monday – Friday

  You have chosen to enroll in

  This plan is not currently available in the ZIP code entered.

  Get the details

  Visit the Missouri Department of Social Services site for more information on eligibility and enrollment.

  Member information

  You have access to our member-only website. Chat with a nurse online and more.

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  Member information

  You have access to our member-only website. Chat with a nurse online and more.

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  See what UnitedHealthcare has to offer.

  Video transcript

  It’s your health. It’s your choice.

  Everyone deserves affordable health care, including you.

  That includes qualifying adults, pregnant women, and children.

  If that’s you, check out UnitedHealthcare Community Plan Your MO Healthnet Managed Care Health Plan.
  

  We have the MO HealthNet benefits that can make a real difference in your life. All at no cost to you.

  • Find a doctor you trust in our network
  • Vision coverage
  • Transportation to and from doctor appointments for eligible members
  • 24/7 Nurse Hotline to answer your health questions
  • Care Management

  Sometimes, you might need a little help. Get benefits not covered by MO HealthNet.

  • Support during pregnancy and after
  • Resources on health topics for kids and teens
  • Support and treatment to reach a healthy weight
  • Asthma support

  We also offer resources to help you make the most of your plan, including:

  • Member advocates
  • Social Services support
  • Nutrition coaching
  • Health education tools

  Visit my d-s-s dot m-o dot gov forward slash healthcare for more information.

  Helping you live a healthier life.

  We are here for you, Missouri.

  Remember to choose

  UnitedHealthcare Community Your MO Healthnet Managed Care Health Plan.

  And get the plan that gets you more.

  To learn more about UnitedHealthcare Community Plan, visit UHCCommunityPlan dot com forward slash MO.

  We are here for you, North Carolina

  Remember to choose UnitedHealthcare Community Plan.

  And get the Plan that gets you more.

  To learn more about UnitedHealthcare Community Plan, visit UHCCommunityPlan.com forward slash NC.

  Please select your county.

  Individual & Family ACA Marketplace Plans Disclaimer (scroll within this box to view)

  The benefits described may not be offered in all plans or in all states. Some plans may require copayments, deductibles and/or coinsurance for these benefits. This policy has exclusions, limitations, reductions of benefits, and terms under which the policy may be continued in force or discontinued. For costs and complete details of the coverage, review your plan documents, call or write your insurance agent or the company, whichever is applicable. Plan specifics and benefits vary by coverage area and by plan category. Please review plan details to learn more.

  UnitedHealthcare Individual & Family plans medical plan coverage offered by: UnitedHealthcare of Arizona, Inc.; Rocky Mountain Health Maintenance Organization Incorporated in CO; UnitedHealthcare of Florida, Inc.; UnitedHealthcare of Georgia, Inc; UnitedHealthcare of Illinois, Inc.; UnitedHealthcare Insurance Company in AL, KS, LA, MO, NJ, and TN; Optimum Choice, Inc. in MD and VA; UnitedHealthcare Community Plan, Inc. in MI; UnitedHealthcare of Mississippi, Inc.; UnitedHealthcare of New Mexico, Inc.; UnitedHealthcare of North Carolina, Inc.; UnitedHealthcare of Ohio, Inc.; UnitedHealthcare of Oklahoma, Inc.; UnitedHealthcare of South Carolina, Inc.; UnitedHealthcare of Texas, Inc.; UnitedHealthcare of Oregon, Inc. in WA; and UnitedHealthcare of Wisconsin, Inc. Administrative services provided by United HealthCare Services, Inc. or its affiliates.

  This policy has exclusions, limitations, reduction of benefits, and terms under which the policy may be continued in force or discontinued. For costs and complete details of the coverage, call or write your insurance agent or the company, whichever is applicable. By responding to this offer, you agree that a representative may contact you.

  1 Unless otherwise required, benefits are available only when services are delivered through a Designated Virtual Network Provider. Virtual visits are not intended to address emergency or life-threatening medical conditions and should not be used in those circumstances. Services may not be available at all times, or in all locations, or for all members. Check your benefit plan to determine if these services are available. Data rates may apply. Certain prescriptions may not be available and other restrictions may apply.

  2 Tier 2 prescriptions for $5 or less not available on all medications. 3-month fills apply to select maintenance medications only. Applicable formulary requirements such as prior authorization and quantity limits may apply to your pharmacy benefits. Walgreens discount valid until 12/31/24. Discount valid only for in-store purchases of eligible Walgreens brand health and wellness products by current members eligible for the UnitedHealthcare discount program. Discount cannot be used online. For a full list of Walgreens brand health and wellness products and exclusions, please visit www.walgreens.com/smartsavings.

  Last Updated: 08.21.2024 at 10:19 PM CDT

  Disclaimer information (scroll within this box to view)

  Looking for the federal government’s Medicaid website? Look here at Medicaid.gov.

  UnitedHealthcare Dual Complete plans

  Plans are insured through UnitedHealthcare Insurance Company or one of its affiliated companies, a Medicare Advantage organization with a Medicare contract and a contract with the State Medicaid Program. Enrollment in the plan depends on the plan’s contract renewal with Medicare. This plan is available to anyone who has both Medical Assistance from the State and Medicare. Benefits, features and/or devices vary by plan/area. Limitations, exclusions and/or network restrictions may apply. Benefits, premiums and/or co-payments/co-insurance may change on January 1 of each year.

  Premium disclaimer

  Dual Special Needs plans have a $0 premium for members with Extra Help (Low Income Subsidy).

  Benefit disclaimer

  Benefits, features, and/or devices vary by plan/area. Limitations, exclusions and/or network restrictions may apply.

  Nurse Hotline disclaimer

  This service should not be used for emergency or urgent care needs. In an emergency, call 911 or go to the nearest emergency room. The information provided through this service is for informational purposes only. The nurses cannot diagnose problems or recommend treatment and are not a substitute for your provider's care. Your health information is kept confidential in accordance with the law. The service is not an insurance program and may be discontinued at any time. Nurse Hotline not for use in emergencies, for informational purposes only.

  UnitedHealthcare Connected® for MyCare Ohio (Medicare-Medicaid plan)

  UnitedHealthcare Connected® for MyCare Ohio (Medicare-Medicaid plan) is a health plan that contracts with both Medicare and Ohio Medicaid to provide benefits of both programs to enrollees.

  UnitedHealthcare Connected® (Medicare-Medicaid plan)

  UnitedHealthcare Connected® (Medicare-Medicaid plan) is a health plan that contracts with both Medicare and Texas Medicaid to provide benefits of both programs to enrollees.

  UnitedHealthcare Connected® for One Care (Medicare-Medicaid plan)
  

  UnitedHealthcare Connected® for One Care (Medicare-Medicaid plan) is a health plan that contracts with both Medicare and MassHealth (Medicaid) to provide benefits of both programs to enrollees.

  UnitedHealthcare Connected® general benefit disclaimer

  This is not a complete list. The benefit information is a brief summary, not a complete description of benefits. For more information contact the plan or read the member handbook. Limitations, copays and restrictions may apply. For more information, call UnitedHealthcare Connected® Member Services or read the UnitedHealthcare Connected® member handbook.

  UnitedHealthcare Senior Care Options (HMO SNP) plan

  UnitedHealthcare Senior Care Options (SCO) is a Coordinated Care plan with a Medicare contract and a contract with the Commonwealth of Massachusetts Medicaid program. Enrollment in the plan depends on the plan’s contract renewal with Medicare. This plan is a voluntary program that is available to anyone 65 and older who qualifies for MassHealth Standard and Original Medicare and does not have any other comprehensive health Insurance, except Medicare. If you have MassHealth Standard, but you do not qualify for Original Medicare, you may still be eligible to enroll in our MassHealth Senior Care Option plan and receive all of your MassHealth benefits through our Senior Care Options (SCO) program.

  Star ratings disclaimer

  Every year, Medicare evaluates plans based on a 5-Star rating system. The 5-Star rating applies to plan year 2024.

  Important provider information

  The choice is yours

  We will provide you with information to help you make informed choices, such as physicians' and health care professionals' credentials. This information, however, is not an endorsement of a particular physician or health care professional's suitability for your needs.

  The providers available through this application may not necessarily reflect the full extent of UnitedHealthcare's network of contracted providers. There may be providers or certain specialties that are not included in this application that are part of our network. If you don't find the provider you are searching for, you may contact the provider directly to verify participation status with UnitedHealthcare's network, or contact Customer Care at the toll-free number shown on your UnitedHealthcare ID card. We also recommend that, prior to seeing any physician, including any specialists, you call the physician's office to verify their participation status and availability.

  Some network providers may have been added or removed from our network after this directory was updated. We do not guarantee that each provider is still accepting new members.

  Out-of-network/non-contracted providers are under no obligation to treat UnitedHealthcare plan members, except in emergency situations. Please call our customer service number or see your Evidence of Coverage for more information, including the cost- sharing that applies to out-of-network services.

  American Disabilities Act notice

  In accordance with the requirements of the federal Americans with Disabilities Act of 1990 and Section 504 of the Rehabilitation Act of 1973 ("ADA"), UnitedHealthcare Insurance Company provides full and equal access to covered services and does not discriminate against qualified individuals with disabilities on the basis of disability in its services, programs, or activities.

  Referrals

  Network providers help you and your covered family members get the care needed. Access to specialists may be coordinated by your primary care physician.

  Paper directory requests

  Paper copies of the network provider directory are available at no cost to members by calling the customer service number on the back of your ID card. Non-members may download and print search results from the online directory.

  Inaccurate information

  To report incorrect information, email provider_directory_invalid_issues@uhc.com. This email box is for members to report potential inaccuracies for demographic (address, phone, etc.) information in the online or paper directories. Reporting issues via this mail box will result in an outreach to the provider’s office to verify all directory demographic data, which can take approximately 30 days. Individuals can also report potential inaccuracies via phone. UnitedHealthcare Members should call the number on the back of their ID card, and non-UnitedHealthcare members can call 1-888-638-6613 / TTY 711, or use your preferred relay service.

  Declaration of disaster or emergency

  If you’re affected by a disaster or emergency declaration by the President or a governor, or an announcement of a public health emergency by the Secretary of Health and Human Services, there is certain additional support available to you.

  • Part A, Part B, and supplemental Part C plan benefits are to be provided at specified non-contracted facilities (note that Part A and Part B benefits must be obtained at Medicare certified facilities);
  • Where applicable, requirements for gatekeeper referrals are waived in full;
  • Plan-approved out-of-network cost-sharing to network cost-sharing amounts are temporarily reduced; and
  • The 30-day notification requirement to members is waived, as long as all the changes (such as reduction of cost-sharing and waiving authorization) benefit the member.

  If CMS hasn’t provided an end date for the disaster or emergency, plans will resume normal operation 30 days after the initial declaration.