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Indiana PathWays for Aging is a Medicaid program that serves members who are age 60 and older. It is a long term services and supports program. Many people in this program also qualify for the D-SNP (Medicare Dually-Eligible Special Needs Program).
UnitedHealthcare Community Plan — Indiana PathWays for Aging
Indiana PathWays for Aging is an Indiana health coverage program for Hoosiers aged 60 and older who are eligible for Medicaid. Research shows that most older adults – 75% or more – want to age at home and in their communities. Indiana PathWays for Aging makes it possible for Hoosiers to age their way. Our plan offers more choices for people to get nursing facility level of care at home or in a community setting, while living independently. Note that a nursing home might be the right choice for some.
FSSA has contracted with UnitedHealthcare to administer the Indiana PathWays for Aging program. UnitedHealthcare is your health plan.
This plan is available in the following counties:
Adams, Allen, Bartholomew, Benton, Blackford, Boone, Brown, Carroll, Cass, Clark, Clay, Clinton, Crawford, Daviess, DeKalb, Dearborn, Decatur, Delaware, Dubois, Elkhart, Fayette, Floyd, Fountain, Franklin, Fulton, Gibson, Grant, Greene, Hamilton, Hancock, Harrison, Hendricks, Henry, Howard, Huntington, Jackson, Jasper, Jay, Jefferson, Jennings, Johnson, Knox, Kosciusko, La Porte, Lagrange, Lake, Lawrence, Madison, Marion, Marshall, Martin, Miami, Monroe, Montgomery, Morgan, Newton, Noble, Ohio, Orange, Owen, Parke, Perry, Pike, Porter, Posey, Pulaski, Putnam, Randolph, Ripley, Rush, Scott, Shelby, Spencer, St. Joseph, Starke, Steuben, Sullivan, Switzerland, Tippecanoe, Tipton, Union, Vanderburgh, Vermillion, Vigo, Wabash, Warren, Warrick, Washington, Wayne, Wells, White, and Whitley.
- UnitedHealthcare Community Plan — Indiana PathWays for Aging
Get the Health Care You Deserve.
Indiana PathWays for Aging is a Medicaid program that serves members who are age 60 and older. It is a long term services and supports program. Many people in this program also qualify for D-SNP (Medicare Dually-Eligible Special Needs Program).
How to enroll
To see if you quality, you can:
- Online: Visit the State of Indiana’s website at in.gov/Medicaid/members
- Call: Call the program helpline for Indiana PathWays for Aging at 1-877-284-9294.
Need help? Our Indiana PathWays for Aging plan staff can answer questions and help you get connected so that you can enroll.
- Call us toll-free at 1-800-832-4643. TTY users may dial 711. We are open 8 am-8 pm, ET, Monday-Friday.
We can also help with interpreter services, including American Sign Language.
- Online: Visit the State of Indiana’s website at in.gov/Medicaid/members
Find Providers and Coverage for this Plan.
Find doctors, hospitals, behavioral health, and other specialists.
Find medications covered by this plan.
Find a pharmacy near you.
Search for behavioral health providers and resources.
Find a vision center.
Find a dentist near you.
Benefits & Features
Whether it is for a procedure that is done the same day (outpatient) or includes an overnight stay (inpatient), hospital services are covered.
We want members and their families to enjoy safe and affordable housing. We can help with a plan to improve a current home or plan a move to a different home. A Care Coordinator will work to collect goals and share options that address the needs of our members.
Informal Helper Support
Many members have friends and family who often help out or check in on them. We have programs to help the people who help our members. Talk to a Care Coordinator to learn more.
Long-term care is available. Members and those who support them can talk to a Care Coordinator to understand all available options. We will work to set goals that match up with the member’s desired outcome. All members must be screened and approved for long-term care.
Medical Equipment and Supplies
Coverage is available for medical supplies, equipment, and devices that can be used in the home. A Care Coordinator can help arrange for needed equipment and supplies.
Nursing Home Care
Nursing home care is available. Members and those who support them can talk to a Care Coordinator to understand all available options. We will work to set goals that match up with the member’s desired outcome. All members must be screened and approved for nursing home care. This can be approved for a short-term or a long-term stay.
Out-of-State Medical Services
There are limits when getting services outside of Indiana. Please see the member handbook for details. If members are experiencing an emergency, visiting an emergency room is covered.
Prescribed medications are covered. All health plans follow the same rules about the medications that are covered as part of the Indiana PathWays for Aging program. The same list of approved medications is used. This is called the Preferred Drug List, or PDL.
Most office visits are covered. See the member handbook for details.
When it is time to renew benefits and coverage, this is called redetermination. The Indiana Family and Social Services Administration (FSSA) will mail you a “Notice of Renewal” reminder, which may ask you for information. Carefully read the directions that come with your renewal form. You may be required to sign the form and return it with some information, or you may only need to review the form and report if any of the information has changed within the last year. If it is all correct, you will not have to respond. You must remain Medicaid eligible to stay in the Indiana PathWays for Aging program.
Rehab Center Stays
There are rules for staying in a rehabilitative unit. The member’s Care Coordinator can help answer questions or explain any limits or prior approval needed.
Substance Abuse Treatment
Members can get residential treatment if they are getting help due to alcohol or drug use. This includes overnight stays in a facility. The member’s Care Coordinator can help answer questions or explain any limits or prior approval needed.
For members who do not drive or have trouble finding a ride, transportation is covered. UnitedHealthcare members have free transportation (ride) benefits for:
- A provider visit or health care appointment
- Pharmacy trips
- Urgent (upon approval) and recurring appointments
- Eligibility redetermination appointments with the state
- Curbside grocery pickup or food bank visits
- Health-related education classes
- Local fitness centers
- State or county agency appointments
- Parole meetings
There are additional options available for members who are eligible for the HCBS Waiver. These rides must be part of the member’s service plan. The member’s Care Coordinator will make sure needed transportation is on the service plan.
Routine vision care is covered. UnitedHealthcare offers 1 free eye exam each year. We also offer an allowance for the cost of glasses or contact lenses once a year.
Learn more about all the benefits and resources available to you as a member. This welcome letter provides a brief overview of the plan and what to expect as a UnitedHealthcare member.
Getting Started Guide
Additional Languages and Formats
We get member materials to you in a language or format that makes it easier for you to understand. Our provider network includes many doctors who speak different languages. Our provider directory shows which languages doctors speak. Additionally, many of our Member Service Navigators speak multiple languages. When you call, we will be able to connect with our interpreter service which offers support in more than 240 languages. We assist with interpreter services, including American Sign Language.
If you have trouble hearing over the phone you can use a text telephone. This free service allows persons with hearing or speech disabilities to place and receive telephone calls. Call 711. Give them the number 1-800-832-4643, and they will connect you to us.
You can also get information in large print, Braille, or audio files.
Health Care Terms and Phrases
The Just Plain Clear® Glossary contains thousands of health care terms defined in plain, clear language to help you make informed decisions. Visit justplainclear.com to use this free and helpful tool. This resource is currently available in English, Spanish, Burmese, Chinese, and Portuguese.
Find a Provider
There are many ways to choose a health care provider. It is important to find providers who are a good fit for you. Ideas include:
- Talk to a friend or family member about who they see.
- Call the provider office and ask questions.
- Choose based on where the office is located.
- View a list of providers that accept your health plan here.
We want you to feel good about the quality of the providers you choose. Health care providers include:
- Primary Medical Providers (PMPs)
- Behavioral health providers
- Eye doctors
- Urgent care clinics
- Medical equipment companies
You can also get information about the quality of health care providers by using these links below:
Of course, you can also call Member Services at 1-800-832-4643. We will help you make the choice that’s right for you.
Medical questions can come up at any time. When you have questions about your health, you can call a nurse 24 hours a day, 7 days a week: 1-800-832-4643 / TTY 711.
Our nurses will:
- Listen to your symptoms
- Help with self-care
- Advise if you can get care at your next doctor visit or need an urgent care center
- Help you know when it is time to go to the emergency room
Earn rewards for connecting with us and making healthy choices. When you earn a reward, you get to pick something from our member rewards catalog. An online version of the member rewards catalog can be found at MyUHC.com/CommunityPlan. Members may call Member Services to get a catalog sent to them. Members can leave feedback on the rewards offered. They can also suggest future rewards.
2024 Member Rewards
We connect people with resources for free services when needed. Talk to a Care Coordinator to learn 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.
Self Care App
This is a free health and well-being mobile app. Get tools to help with stress, anxiety, and coping. It is free to members and those who help them. Talk to a Care Coordinator to learn more.
We offer a variety of transportation options. This includes trips to the gym, trips to a food bank, grocery pick-up, rides for non-medical appointments, or a stop at the pharmacy after a doctor visit.
We have resources to help you stop using tobacco products.
The Indiana Tobacco Quitline is 1-800-784-8669. Get free coaching and supplies. You can also text READY to 34191 to register for free services.
Quit Buddy: We offer an additional program to help you quit. Earn up to $50 in gift cards during this eight-week program. Cash out as you reach each $10 goal, or collect one big reward at the end! Choose rewards from Target, Walmart, Amazon, or Starbucks. Call Member Services for details.
Get fresh fruits and vegetables by mail. Talk to a Care Coordinator to learn more.
Work out for free at many fitness centers across the state, or choose to exercise online. Call Member Services to learn more.
Education About Health Conditions
We offer many brochures about health conditions. Talk to Member Services about your health needs. We will connect you with a Care Coordinator. They will help you create a plan of care. They can also help you get the services you need.
Caring for others can be rewarding. But being a caregiver can also be difficult, and can cause stress and burnout. We have a program to help you cope. We offer monthly calls. Topics include:
- Understanding care options
- Home safety
- Pain management
- Staying connected
- Living with grieving and loss
Feel free to join us on a monthly caregiver call:
When: Third Tuesday of each month
Time: 3:00 pm EST
How: Dial 1-844-767-5679. Enter access code 1893910
If you get long-term help from a friend or family member, we offer a special program to support them. Talk to a Care Coordinator to learn more.
Being healthy is not always about your medical needs. Sometimes you need help connecting to resources out in the community. We call these social needs. These are things like housing, getting food every day, getting to the grocery or feeling safe. We can also help you get access to help with employment or finishing your education. Want to find help on your own? Check out UHCHealthierLives.com. You can also talk to your Care Coordinator or Member Services. They can give you referrals to local organizations.
Our newsletter is a great way to learn about our health plan and important health topics. It is available online so you can read it whenever and wherever you want.
A Postbook creates deeper relationships with a relative or friend. Pick your Postbook pal, and share post cards based on ideas in the journal. We include postage and supplies.
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. If you speak another language, please call us at 1-800-832-4643 for support. We will connect you with someone who can help.
To learn more, please visit the Indiana State Department of Health. This site explains the law in Indiana. It also has other forms available.
If you have an advance directive then your providers and all those around you must honor those wishes. If you get services that you did not agree to, you have the right to complain to the state of Indiana. You can complain orally or in writing. We can help you file a complaint. If you are an authorized person who is speaking on behalf of a member who cannot make decisions for themselves, these same rights apply.
Pharmacy Reimbursement Form
Release of Information Form
Revocation of Release Form
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.
You are our hero, and your voice matters. HERO stands for Health, Empowerment, Opportunities, and Resources. The purpose of the HERO Council is to listen to what you say. We act on your ideas to improve our programs and services. We host meetings in person and by phone each month. Members earn a reward for attending. Anyone who helps the member is welcome to join the meeting. We offer refreshments, and free rides or mileage reimbursement. We can arrange an interpreter if you need one. Meetings include games, prizes, community speakers, and information-sharing.
We would like to hear from you! Call Member Services to join.
Filing a Grievance or Appeal
We want to hear from our members about any questions, complaints, or concerns you may have. If you have a grievance, please call Member Services toll-free, at 1-800-832-4643, TTY 711.
If you are not happy with your care or treatment by Member Services, Care Coordinator or a provider, you may file a grievance. You may file a complaint or grievance against us (the health plan) or a provider at any time.
Members may file a grievance verbally with Member Services from 8 am to 8 pm EST, Monday through Friday, at 1-800-832-4643, TTY 711. All members can file a grievance through this process.
You can also send a letter. Please include your name, address, member ID, reason for your grievance, and any other information you think is important. That address is:
UnitedHealthcare Grievances and Appeals
P.O. Box 31364
Salt Lake City, UT 84131-0364
You have other rights that include appeals and a State Fair Hearing. For detailed information about complaints and appeals, contact Member Services or view the Appeals and Grievances section of the Member Handbook.
If you are not happy with the outcome of a grievance or appeal, you have the right to request to change health plans for just cause. Requests can be made by phone or mail to Maximus. Maximus is the state enrollment broker. They process a just cause request only after a grievance has been completed. Maximus is the organization to contact about changing health plans. The phone number is 1-866-963-7383. You can also send a letter. The address is:
101 W. Ohio Street
Indianapolis, IN 46204
Fraud, Waste and Abuse
Fraud, waste, and abuse are serious problems. There can be penalties under law. To make a report, call the UnitedHealthcare Fraud Hotline at 1-844-359-7736. You can also call Member Services at 1-800-832-4643. We will not use your name in your report. You will not get in trouble for reporting this. We will look into the matter for you. The State of Indiana also has a fraud, waste, and abuse toll-free hotline. You can call 1-800-403-0864. Reports can be made anonymously. TTY users may dial 711 for all options.
For more information about fraud, waste, or abuse, or to make a report online go here.