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UnitedHealthcare Community Plan - KanCare 2023 Value Added Benefits

Healthy Rewards program
Earn Debit Card Rewards for completing your annual health assessment and well-child visits. Use rewards for hundreds of healthy items. Reward amounts are $10 to $75
annually. *

Wellness for all
All members can get $50.00 benefit for a healthy activity. Participating organizations include: many YMCA, Boys and Girls Clubs, and Parks and Recreation locations in Kansas. Or members can receive a fitness kit for healthy activities at home.

Adult dental
Any adult member, 21 or over, can visit a participating dental provider. Benefit can be for: screenings, X-rays, cleanings, and restorative fillings. Up to $500 per calendar year.

More rides
Adult members can get up to 12 rides per year of 10 miles each way. Rides can be to: the pharmacy, grocery store, food bank, prenatal classes, job interviews, job training, shopping for work clothes, local community activities, and more.

Adult members can also get 12 rides per year to and from support group meetings.

Members in in Wyandotte, Johnson, Sedgwick, and Shawnee counties can get up to $25 in bus passes, per year.

Education
Adults over age 19 can get help with education advancement. Includes: GED, Coding Classes, English as a second language, Resume Writing Workshops. Health plan will pay up to $200 annually for education.

Special benefits for pregnant members
Pregnant members completing first prenatal exam within the first trimester (or 42 days from enrollment) can earn a $75 debit card*

Pregnant members can enroll in Babyscripts, an app with information on nutrition, exercise, newborn care, pregnancy, and more. They can earn up to $75 in rewards, for completing specified appointments.

Pregnant members with diagnosis of hypertension or preeclampsia can get a blood pressure monitor.

School Supplies
Members who are in foster care can get a school supply box.

Vision
Adult members 21 and over can get an additional $60 per year for enhanced frames.

Nutrition
Members who complete a Create Better Health SNAP Education class will receive a food journal and cooking item valued at $50.00.

Dining with Diabetes
Members with diagnosis of type 2 diabetes or their caregivers, can attend Dining with Diabetes classes, through K-State Research and Extension.

Home helper catalog
Members on FE, PD and I/DD waivers can choose an item from our catalog. Member works with their care coordinator. ($50 value)

Internet
Members on the FE, PD, I/DD or Autism waivers may be invited to get internet services covered, as incentive for completing specific health activity.

Pest control
Waiver members who own their home can work with their care coordinator to set up pest control services, up to $250 max annually.

Respite care
I/DD waiver members who are getting home services can get 40 hours of respite care.

Meals
Members can get 14 meals (two meals per day, for seven days) if discharged from a medical facility, have mobility needs, no family support to assist with food access, and are at risk for readmission due to nutritional issues.

On My Way
Young adult members can access this website, that helps prepare them for adult life. OMW teaches skills like managing money, getting housing, finding job training, and applying for college.

Sesame Street Food for Thought
A program to help families eat better. The program teaches families with children (age 2 to 8) about healthy food.

Mental Health First Aid training
A training that teaches how to recognize signs of a mental health condition, and how to help a person in a mental health crisis.

Seeking Safety training
A training that teaches coping skills to help adults, children and youth find safety from trauma and/or substance abuse.

Sanvello™ app
Members can access the premium version of the Sanvello™ app. App offers self-care, coaching, therapy, and peer support for stress, anxiety, and depression.

Assurance Wireless
Free smartphone with unlimited messaging for members 18 years and older. Max one device per household that qualifies to federal eligibility criteria.

Wellness Calendar
FE members will receive a calendar in the mail.

Weighted Blankets
Members on the Autism or SED Waivers and foster care members will receive a weighted blanket to provide support for anxiety.

*Debit cards can be used at specific retailers. Debit cards can be used for CMS approved health items.

Learn more about KanCare

Individual & Family ACA Marketplace Plans Disclaimer
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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: 09.28.2023 at 06:53 PM CDT

Disclaimer Information
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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).

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 2023.

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.