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UnitedHealthcare Community Plan - Indiana Hoosier Care Connect
Hoosier Care Connect is a program that serves members who are aged, blind or disabled, including children in foster care, and wards of the State.
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 Hoosier Care Connect
Get the health care you deserve.
Hoosier Care Connect is a program that serves members who are aged, blind or disabled, including foster children and wards of the State.
This plan is available in all Indiana counties.
To see if you qualify, you can:
- Visit the State of Indiana’s website at in.gov/Medicaid/members
- Call 1-800-403-0864
- Visit a local FSSA office. A list of office locations can be found here: https://www.in.gov/fssa/dfr/
We can also assist with interpreter services, including American Sign Language. To ask for help, please call 1-800-832-4643, TTY 711, Monday through Friday, 8 am to 8 pm EST.
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.
Find a vision center.
Find a dentist near you.
Benefits & Features
Sometimes there are good ways to feel better that may not be covered by your benefits. We will reimburse up to $200 a year. You will need to turn in copies of your receipts to participate in this program. This includes, but is not limited to:
- Vitamins and minerals
- Herbal remedies
- Therapeutic massage
- Essential oils
Asthma and COPD Support
We can help you control your asthma or COPD.
If you need help getting the services or supplies you need, contact Member Services. We can help you.
- Get supplies or medications
- Make an appointment with your doctor
- Connect you with a care manager for personal support
Choice of Doctor
You will have a primary medical provider (PMP) who will be your main doctor. Your PMP is the person you see for most of your care. This includes checkups, treatments, vaccinations, minor injuries, and health concerns. Talk to your PMP about any other concerns you may have. Your PMP can help you decide the right options for you.
Your PMP is your main doctor for:
- Preventive care like check-ups, cancer screenings and vaccinations
- Treatment if you are sick or injured
- Referrals to specialists for certain conditions
Use the Doctor Lookup Tool to see if your doctor is in our network. If you do not have a doctor or if your doctor is not in our network, we can help you find a new one close to you. You can change your PMP at any time.
Customer Engagement Center
You will have a personal Member Service Navigator assigned to help you throughout your health care journey. Your Navigator can help:
- Understand the Hoosier Care Connect program
- Find a doctor, dentist, or eye doctor
- Explain your benefits and coverage
- Talk to you about special programs that are available to you
- Connect you with a Care Manager if needed
- Find resources located near you to help you with other problems like food, housing, transportation, employment, feeling safe, or getting an education
- Help you update your personal contact information like address, phone number, or email
- Make sure we know how you would like to be contacted (email, phone, or mail)
- Resolve issues with providers, including specialty care, and behavioral health
- Assist with challenges due to prior approval, payment for services, care delivery, and family welfare
If you have diabetes, we'll help make life a little easier for you. You'll get medicine, supplies, and education to help you reach and stay your best. You are also rewarded with gift cards for taking simple steps to manage your diabetes.
Emergency Room Visits
If you have an emergency, go to the nearest emergency room. This is a covered service. You do not need any approval to go to the emergency room. While you are at the emergency room, you will get all the services you need. The doctors and nurses will let you know when you are stable enough to leave.
Post-stabilization services are also covered. This is any care you get after the emergency is over. If you need more tests or services, the emergency room staff will call UnitedHealthcare to request approval. This only happens once your condition is stable.
Equipment and Medical Supplies
Your health and safety at home are important.
Our plan covers medical equipment ordered by your doctor. This can include supplies like:
- Hospital beds
- Oxygen tanks and supplies
- Walkers or wheelchairs
Our One Pass Fitness program is limited to members aged 18 and older. You can try one option or try them all! One code gives you free access to:
- Gyms across the state, like YMCA and Anytime Fitness
- Online programs like Daily Burn and Yoga Works
We can also send you an at-home fitness kit. This kit contains exercise gear and instructions to get the most out of your workout.
Members can join by visiting YourOnePass.com.
Our podiatry coverage includes routine foot care.
If you have certain problems like diabetes, good foot care can help prevent much more serious problems. We provide the needed exams to help keep your feet in great shape.
Foster Care Support
Foster care is a temporary service provided for children who can no longer remain in their own homes due to safety issues. We have programs to help support guardians and children in foster care.
Health Watch is a program to help ensure that children in foster care are being seen by their doctor for all age-appropriate screenings and treatment.
UnitedHealthcare’s On My Way (OMW) is a tool designed to help young adults transition from foster care to adulthood and independence. This tool can be found in the member secure portal.
The OMW tool can connect transition-aged foster care youth with peer support staff and has modules that teach the following skills:
- Money management
- Securing housing
- Creating a resume
- Finding a job
- Applying for college
- Personal goal setting
- The platform also provides a vault for youth to store secure documents such as birth certificates and driver’s license information for their convenient access after transitioning from foster care to adulthood
Call Member Services to learn more about these and other foster care support programs.
Free Rewards Program
Earn rewards when you take care of your health. Rewards may change. Call Member Services for more information. You can get a gift card for activities like:
- Dental visit (rewarded once a year, all ages)
- Stop using tobacco (available one time)
- Well visit with your child’s PMP (rewarded once a year, ages 3-21)
- Adult annual check-up (rewarded once a year, ages 20 and older)
- A follow-up provider visit within 7 days after an emergency room visit for alcohol or drug use (available one a year)
- A follow-up provider visit within 30 days after an emergency room visit for alcohol or drug use (available once a year)
Healthy First Steps®
When you are pregnant, you receive help and advice from your relatives and friends. Yet every pregnancy is different. This program will support you through your pregnancy. Contact Member Services to get started.
We can help you:
- Find a doctor for both mother and baby
- Learn about nutrition, fitness, and safety
- Receive items to help you and your baby get a healthy start
High School Equivalency (HSE)
It is never too late to finish high school. We can help you get your High School Equivalency (HSE). This program is free. Any member age 16 or older can be part of this program.
Please contact Member Services for more information.
After surgery or a serious illness—or if you have a disability—you may need extra help with daily tasks. With approval, and ordered by your doctor, our plan covers:
- Time-limited skilled nursing services
- Specialized therapies, including physical therapy, speech-language pathology, and occupational therapy
- Medical supplies
This plan pays for all hospital expenses related to a hospital stay, so you can focus on resting and healing.
Our plan covers:
- Inpatient care
- Outpatient care
- Labs, X-rays and other tests
And after you leave the hospital, you are not alone. We are here to help you get any needed follow-up care to continue healing at home.
Individuals with Special Needs
We have many services that support individuals with special needs. We are here to make sure you have:
- A Member Service Navigator to be your personal guide and help you understand the health care system
- Help to get all your needed services
- Support with social needs, such as housing, job opportunities, and healthy food
- Help getting a ride to and from health care appointments
- Materials available in the formats you need
We also offer specialized dental care for our members who are sensitive to touch. Please contact Member Services to learn more.
Internet at Lower Costs
You can request these discounts:
- Up to $30 per month toward internet service
- Up to $75 per month for households on qualifying Tribal lands
- One-time discount of up to $100 to buy a laptop, desktop computer, or tablet from participating providers
Internet access has many benefits. You can get virtual visits, take classes, and stay connected with your health plan. All Hoosier Care Connect members qualify for this program.
Kidney Disease Care
Kidney disease is a serious medical condition. After the kidneys stop working, regular treatments, called renal dialysis or an organ transplant are needed to live. Dialysis uses a machine to clean the blood just like healthy kidneys do.
Our plan includes:
- Health education and support
- Organ transplant if needed
Lab & X-rays
Knowing what is wrong and finding it early can make all the difference. Our plan covers:
- Labs and testing
- X-rays, scans, and other imaging
We will get you the information you need in order to help improve your health or to be at your best
To better assist you with your health concerns, you and your doctor need to be able to understand one another. For non-English speakers, this task can become more difficult. We can arrange for an interpreter to be at your medical appointments. We want to help reduce language barriers between you and your doctor.
We also have Member Service Navigators who speak more than one language. We may have someone who speaks your language. We can also connect you with our interpreter service which covers more than 240 languages.
Lead Screening in Children
Lead poisoning is dangerous. If it is not treated in small children, it can cause long term problems. Lead can be found in:
A special blood test is ordered by your doctor to check for lead poisoning. The test is usually given between the ages of 6 months and 2 years. If your child has not been tested, your doctor might want to test up to the age of 6 years. More testing may be needed if your child has tested positive for lead. For more information, contact Member Services. You can also talk to your child’s doctor at their next well visit.
Getting medications is an important part of your health care. If your doctor prescribes a medicine that is listed on the preferred drug list (PDL) it is covered. If your drug is not listed on the PDL, your provider may request another drug that is listed on the PDL. We may pay for other medicines with prior approval.
You can get your prescriptions filled at any pharmacy in our network. Many are available 24 hours a day, 7 days a week. For a list of pharmacies, use your provider directory or go to myuhc.com/CommunityPlan/IN.
If you have a problem getting your medications call Member Services. Your pharmacist can also call the pharmacy help desk. That number is on the back of your member ID card.
90 day supply benefit
Members can fill a 90-day supply of select maintenance medications. Maintenance medications are typically those medications you take on a regular basis for a chronic or long-term condition.
With a 90-day supply, you will not need to get a refill every month. To learn more details, talk to your doctor or pharmacist. For a complete list of medications included in this benefit, call Member Services at 1-800-832-4643, TTY 711.
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: 1-866-801-4407, TTY 711.
Our nurses will:
- Listen to your symptoms
- Help with self-care
- Advise if you can get care 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
Do you need a mobile phone? Our program offers unlimited talk, text, and data. Visit www.mybenefitphone.com and apply today.
Quit using Tobacco or Vaping Products
Quitting is hard, but we can help. Did you know that 20 minutes after you quit, your heart rate drops to a normal level? And within 24 hours after quitting the carbon monoxide level in your blood drops to normal.
Talk to your doctor about quitting. You can also text READY to 34191. Or call 1-800-QUIT-NOW (1-800-784-8669) to get free coaching, counseling and supplies to help you quit. During 2023, earn a $25 gift card when you complete any smoking cessation program.
Right Choices Program
The Right Choices Program is a program to help you make better medical decisions.
If you are selected for the Right Choices Program, you will have one primary medical provider (PMP), one pharmacy, and one care manager. This group of experts will help you get the right healthcare at the right time and at the right place.
Please call Member Services for more information.
Sanvello – support for well-being and mental health
We offer a free mobile app that is free to all members. It offers cool tools like:
- Mood tracker
- Guided journeys
- Coping Tools
- Community support
To get the app, download it on the App Store or get it on Google Play.
You can also get a free upgrade to the premium version of this app in 3 easy steps:
- Download and open the app
- Create an account and choose “upgrade through insurance”
- Search for and select UnitedHealthcare, then enter the information available on your UnitedHealthcare member ID card
Shots and Vaccines
Routine shots help protect you from illness.
Our plan covers:
- Shots and vaccines recommended by your PMP
- Flu shots
- COVID-19 shots and boosters
- Pneumonia shots
- Shingles shots
Physical, occupational, and speech therapy can help you recover from a serious injury or illness, or simply reach your full potential.
Your doctor can order therapy for you if it is needed. This includes:
- Occupational therapy
- Physical therapy
- Speech therapy
- In-home therapy
If you need a ride, your benefits include transportation. We cover trips to:
- Medical appointments
- Food bank
- WIC appointments
- Medicaid eligibility appointments
Following these simple rules will help you get a ride:
- Call 3+ business days ahead of time
- Call 1-800-832-4643, TTY 711 to set up your ride
- If you cancel your visit, call 1-800-832-4643 to cancel your ride
- Have your Medicaid ID card available
- Rides are only for approved reasons
- Know the address of your health care provider and the date and time of your appointment
- Be specific about where you need a ride to
- After your visit, call for a ride home
- If your doctor gives you a prescription you can stop at the pharmacy to get it
- Let us know if you have special needs like a wheelchair
- Members under the age of 16 must have a parent or guardian with them
- Transportation may be limited to a provider near you
You may also qualify for a bus pass or friends and family mileage reimbursement. Give Member Services a call to schedule a ride or ask questions about getting transportation services.
This service is for rides planned in advance. If you have a life-threatening emergency, call 911. An ambulance will be provided if you need to be sent to the hospital.
Well visits with your doctor can help you stay healthy. These visits can catch health problems early, so they can be treated. You should see your PMP every year for a well check, even if you are not sick or your symptoms are under control. Preventive services include:
- Checkups for adults and children
- Well-baby care
- Care for women expecting a baby
- Routine shots and tests
- Cancer screenings
There are no copayment for preventive care.
Welcome to UnitedHealthcare Community Plan Indiana Hoosier Care Connect
Become familiar with 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
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.
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.
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 time. When you have questions about your health, you can call a nurse 24 hours a day, 7 days a week: 1-866-801-4407, 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
UnitedHealthcare Mobile App
Our mobile app is for people on the go and includes many of the same features as the member website. Find it at the App Store or Google Play.
Preventive Care, Wellness and Health Conditions Guides
Getting to the doctor when you are healthy is important. We have guides to help you know what to expect at each well visit. You can also talk to Member Services for support and information.
We also have helpful guides for most health problems and conditions. These materials can be found on https://member.uhc.com/communityplan.
You will find condition-specific and general health topics, including:
- Children's Health
- Chronic Pain
- Heart Health
- Men’s Health
- Traumatic Brain Injury
- Virtual Visits
- Weight Management
- Women’s Health
- Brain Health
- Exercise & Fitness
- Healthy Eating
Caring for others can be rewarding. But being a caregiver can also be difficult, 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
Being healthy is not always about your urgent medical needs. Sometimes you may need help connecting to resources out in the community. We call these social needs. These are things like housing, getting food every day or feeling safe. We can also help you with finishing your education. You can call Member Services for help. You can also visit UHCHealthierLives.com.
We also offer special programs that include:
- Free fitness program to exercise at home or at a gym
- Low-cost internet service at home
- Free phone service
- Money back if you use alternative medicine, such as home herbal remedies, vitamins, acupuncture, or massage
- On My Way online program that guides and supports teens as they start their journey to independence and adulthood
Renewing Your Coverage
Hoosier Care Connect
If you want to keep your benefits you must renew your Medicaid. For some Hoosier Care Connect members an annual redetermination is required. 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 Hoosier Care Connect program.
Some people will have an automatic annual renewal for Hoosier Care Connect. These exceptions are:
- Supplemental Security Income (SSI) recipients enrolled in Hoosier Care Connect
- Foster care youth and wards of the state
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.
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.
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 Manager 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 UHC 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.
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.
We offer many brochures about health conditions. Talk to Member Services about your health needs. We will connect you with a Care Manager. They will help you create a plan of care. They can also help you get the services you need.
2023 Member Rewards
Pharmacy Reimbursement Form
Release of information form
This form is used to give another person permission to receive or give information about you and your health.
Revocation of release form
This form takes away permission for someone to receive or give information about you and your health.
Prebirth selection form
Are you having a baby? Use this form to pick a doctor for your baby before you deliver.
Alternative Healing Reimbursement Form
Ask about this pain management program to get money back each year.