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Hawai‘i, we’ve got you covered
No-cost health coverage from UnitedHealthcare Community Plan. Learn about UnitedHealthcare Medicaid Med-QUEST Integration health plans we offer in Hawai‘i.
Helping people is at the heart of all we do
Everyone deserves affordable health care. At UnitedHealthcare Community Plan, we are dedicated to helping people live healthier lives.
We offer a variety of programs for you and your family to get healthy — and stay healthy. We cover adults, kūpuna, people with disabilities, hāpai moms and keiki.
See why Hawai‘i chooses UnitedHealthcare
- Large variety of network providers
- No-cost virtual visits
- Mail-order prescription medications
- Basic dental and vision coverage
- Behavioral Health Services
- Programs to support healthy pregnancies
Take action to prevent the flu. A seasonal flu shot has been shown to prevent flu illnesses, doctor visits and hospitalizations, and can be lifesaving for children. UnitedHealthcare s covers pneumonia, influenza, and shingles shots.
1Benefits, features, and/or devices vary by plan/area. Limitations, exclusions and/or network restrictions may apply. Other hearing exam providers are available in the UnitedHealthcare network. The plan only covers hearing aids from a UnitedHealthcare Hearing network provider.
Value Added Benefits
- Pregnant women and children
- Single Adults, families and Kupuna
- Those who meet income requirements
- Children and Adults with Disabilities
- Those who have a long term disability due to age, illness or injury
- Open to all ages
UnitedHealthcare® mobile app
Healthy First Steps/Hāpai Mālama
Build a healthy future for you and your baby and earn great rewards with Healthy First Steps. Our program will help you take the right steps to keep you and your baby healthy. Plus you can earn $20 just for signing up. We will help you:
We will help you:
- Choose a pregnancy provider and a pediatrician (child’s doctor)
- Schedule visits and exams and arrange rides to your visits
- Earn rewards for going to visits throughout your pregnancy and baby’s first 15 months of life
Medicaid: More for You in 2023
Some of the benefits you may qualify for include:
- Pre-and postnatal care for pregnant individuals and newborns
- A large provider network
- Vison and dental coverage
- Mail order prescription drug coverage
- Mental health coverage
- Substance use disorder treatment services
- People who may be dealing with stress, depression, anxiety or using drugs or alcohol
Behavioral Health Services
Behavioral health is as important as physical health. That’s why we have coverage for both.
Required care is 100% covered with no co-pay, including testing and diagnosis, behavioral therapy and medication.
Mental health services can help you with personal problems that may affect you and/or your family. These problems may be stress, depression, anxiety or using drugs or alcohol. We can help.
Did you lose your job recently?
Virtual visits with Doctor Chat
It’s not always easy to visit a doctor in person. Virtual visits (or telehealth) let you talk to a doctor 24/7 using your computer, tablet or smartphone. Telehealth is a good option to treat common conditions that have standard treatments. Here are some examples:
- Cold, flu, and fever
- Cough, aches, and sore throat
- Allergies, skin rash, and irritation
- Urinary tract/bladder infection
- Ear infections
- Sinus infections
- And more
Our Med-QUEST plan provides unlimited round trips to and from health care locations. That includes rides to:
- Doctor or therapy visits
- Health departments
- Vision clinics
- Urgent care centers
A healthier life is in your future
Keeping a healthy weight. Stopping unhealthy habits. Doing what’s needed to keep you and your family healthy. It all may seem impossible at times. But we have programs that can help. Our UnitedHealthcare Healthy Behaviors program gives you access to a personal health coach and resources to help with things like:
- Losing weight
- Quitting smoking
- Substance abuse
- Pregnancy and newborn care (UnitedHealthcare Healthy First Steps®)
Our health coaches work with you and your doctor(s) to help you set goals and track progress. You’ll also have the chance to get rewards when you reach certain milestones.
What is Medicaid Med-QUEST?
Med-QUEST (Quality, Universal Access, Efficiency, Sustainability, Transformation) is a division of the Department of Human Services that provides healthcare benefits to Hawai’i residents who are eligible for Medicaid.
The Med-QUEST Division provides health care benefits to Hawai‘i residents who are eligible for Medicaid through QUEST Integration.
With QUEST Integration, all eligible members of your family can choose a health plan that fits their health care needs.
And when you reach age 65 and transition into Medicare or if you develop a disability, you won’t need to change your health plan. You can stay in the same health plan.
You can choose traditional Medicare or a different Medicare Advantage plan. All QUEST Integration health plans offer Medicare plans and many provide extra benefits at no cost. Using the same health plan for Medicare and Medicaid may help you coordinate services, get more benefits, and lower your drug costs. Visit medicare.gov to learn about your options.
Who is eligible for Medicaid Med-QUEST?
To qualify for Medicaid, potential members or their children must:
- Be a Hawai‘i resident
- Be a U.S. citizen or a legal resident
- Meet certain resource and income limits
- People whose Medicaid eligibility is based primarily on their income will be eligible under the following Federal Poverty Level (FPL) thresholds:
- Children – up to 313% FPL
- Pregnant Women – up to 196% of the FPL
- Parent/Caretaker relatives – up to 105% of the FPL
- Adults under the age of 65 (not receiving Supplemental Security Income or Medicare)– up to 138% of the FPL
People who are 65 and over, or blind or disabled, may have eligibility determined using the following income and asset thresholds:
- Income up to 100% of the FPL and up to $2,000 in assets for a single person household or up to $3,000 for a household of two; or
- If income is greater than 100% of the FPL and assets up $2,000 for a single person household or up to $3,000 for a household of two, may be eligible for medical assistance under the Medically Needy Spenddown program, provided he or she has medical expenses greater than the determined spenddown amount.
What documents are needed to apply for Medicaid Med-QUEST?
When applying for services, potential members will need to take or mail (if available) the following documents:
- Pay stubs or other papers to show all family members' monthly income.
- Social Security numbers for all individuals who want Medicaid (not required for children less than 6 months of age).
- Papers that show family resources for all individuals who want Medicaid (for example: bank records, make, model, and year of your vehicles). This is not needed if they are applying because someone is pregnant or if they are applying only for children (age 18 or younger).
- Legal resident papers if the potential member is not a U.S. citizen and he/she wants Medicaid for them self.
- Proof of residence (for example: gas, electric, or water bill, letter from his/her landlord). This is not needed if applying only for children (age 18 and younger).
- Information about any job-related health insurance available to your family.
- NOTE: Potential members may ask a friend or other person you choose to be their "authorized representative" to apply for him/her. He/she may also ask for a language or a sign interpreter to help him/her apply. Ask for an interpreter when calling to set up an appointment.