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Did you get moved to a different health plan?
You can choose to keep your UnitedHealthcare benefits for the 2023 plan year. Make your plan selection between November 8 and December 29. Here's how:
Healthy Louisiana Plan
Our Healthy Louisiana plan offers a range of benefits along with extras. View the benefits below to see all that our plan offers. It's for pregnant women, adults and children under the age of 21.
The following UHC support includes:
- Help Finding a Network Care Providers: If you need help finding a care provider in the UHC network or obtaining early prescription can call Member Services at 1-866-675-1607 (TTY: 711). The number for Member Services is always located on the back of your UHC ID member card.
- UHC Mobile App: UHC member app that provides instant access to your member ID card, network care providers, personal health benefits and more. app is available as a free download at the App Store or Google Play.
Remember, if you need assistance please contact UnitedHealthcare Member Services at 1-866-675-1607 (TTY: 711).
Be Ready. Be Safe.
UnitedHealthcare and the State of Louisiana want to ensure all residents are informed during emergencies, such as severe weather or flooding. Please visit www.GetAGamePlan.org for emergency preparedness guides and tips to keep you and your loved ones safe all year long.
For plan participants who may have misplaced their medical ID cards, call 866-633-2446, 8 a.m. – 8 p.m. (local time), Monday through Friday. If you have a smartphone, download the UnitedHealthcare Mobile app. It provides instant access to ID cards, network care providers, personal health benefits and more. The UnitedHealthcare Mobile app is available as a free download at the Apple iTunes App Store and the Android Market on Google Play.
This plan is available in the following parishes:
Acadia, Allen, Ascension, Assumption, Avoyelles, Beauregard, Bienville, Bossier, Caddo, Calcasieu, Caldwell, Cameron, Catahoula, Claiborne, Concordia, De Soto, East Baton Rouge, East Carroll, East Feliciana, Evangeline, Franklin, Grant, Iberia, Iberville, Jackson, Jefferson, Jefferson Davis, La Salle, Lafayette, Lafourche, Lincoln, Livingston, Madison, Morehouse, Natchitoches, Orleans, Ouachita, Plaquemines, Pointe Coupee, Rapides, Red River, Richland, Sabine, St. Bernard, St. Charles, St. Helena, St. James, St. John the Baptist, St. Landry, St. Martin, St. Mary, St. Tammany, Tangipahoa, Tensas, Terrebonne, Union, Vermilion, Vernon, Washington, Webster, West Baton Rouge, West Carroll, West Feliciana, and Winn.
More information on eligibility and enrollment can be found on the Healthy Louisiana website.
Healthy Louisiana Plan
Healthy Louisiana Plan Eligibility
You must qualify for Medicaid to be a member of this health plan.
Medicaid is a program for people with low to moderate incomes who meet certain eligibility requirements.
To see if you qualify for Medicaid, call the Medicaid hotline toll free at 1.888.342.6207 or visit the Louisiana Medicaid website.
UnitedHealthcare is helping members who may be affected by severe weather and flooding. If you need help please call member services at 1-866-675-1607, TTY 711.
A free emotional-support help line is also available to everyone at 1-866-342-6892, TTY 711 and is open 24 hours a day, seven days a week. The service is free of charge and open to anyone. Trained Optum mental health specialists can help you manage stress and anxiety. Callers may also be referred to community resources to help with other concerns, including financial and legal matters.
Get the details
Find providers and coverage for this plan.
Search for doctors, hospitals and specialists.
Search for behavioral health providers and resources.
Find medications covered by this plan.
Find a pharmacy near you.
Find a dentist near you.
Benefits & Features
Do you or a loved one have a serious health problem or a high-risk pregnancy? If so, our case managers are in your corner. They will:
- Explain medical terms in plain language.
- Coordinate your doctor appointments.
The case manager will stay with you or your loved one throughout the medical journey. He or she will:
- Think beyond your medical needs.
- Assess home situation and help where possible.
- Make sure you have support at home.
So you can focus on getting better.
Choice of Doctor
Members can choose a primary care provider (PCP). Use the Doctor Lookup tool to see if your doctor is in our network.
The PCP is your main doctor for:
- Preventive care.
- Treatment if you are sick or injured.
For members who don't have a doctor or whose doctor is not in our network, we can help find a new one close by.
Choice of Birth Center
Where you have your baby is an important choice. That's why you can pick from partner hospitals across Louisiana.
We encourage you to tour the hospital's birthing center. This way you will be familiar with it. And you'll be more relaxed when you have your baby.
Whether chiropractor services are your primary or alternative treatment method, you're covered. This benefit is available for members under the age of 21. A referral from your primary care physician is required.
Members over the age of 21 who are managing pain can get up to six (6) visits per year with an in-network chiropractor.
Regular checkups help keep teeth and gums strong and healthy. Healthy Louisiana members under the age of 21 get:
- 2 exams per year.
- Cleanings and x-rays.
- Fluoride treatments.
These services are offered through MCNA Dental (Managed Care of North America) and DentaQuest.
Members age of 21 and above get up to $500 in coverage for:*
- Regular exams.
- Cleanings and x-rays.
*This is an added benefit offered by UnitedHealthcare Community Plan.
If you have diabetes, we'll make life a little easier for you. You'll get medicine, supplies and education to help you reach and stay your best.
Our diabetes program also includes self-care training and classes focused on:
- Planning healthy meals.
- Managing stress.
- Living a healthy lifestyle.
Members age 21 and above who qualify as well as complete HbA1c labs and LDL-C screenings may be eligible for a yearly $50 voucher to use toward a purchase from a catalog of over the counter health products. This is an added benefit offered by UnitedHealthcare Community Plan.
If you have a chronic health condition like asthma or diabetes, UnitedHealthcare Community Plan has a program to help you live with your condition and improve the quality of your life. These programs are voluntary and available at no cost to you.
Equipment and Supplies
Some members may need extra support to live safely at home.
Our plan covers medical equipment ordered by your doctor or provider. Some examples include:
- Hospital beds.
- Oxygen tanks.
- Wheelchairs or walkers.
We provide the exams needed to help keep your feet in great shape. And for those with diabetes or a circulatory condition, good foot care can help prevent much more serious problems.
Our podiatry coverage includes:
- Office visits.
- Certain radiology and lab procedures.
- Other diagnostic procedures.
Take free classes to help improve your health or to address a condition. Our plan includes classes on diabetes, nutrition and more.
Healthy First Steps®
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:
- 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.
- Get supplies, including breast pumps for nursing moms.
- Connect with community resources such as Women, Infants and Children (WIC) services.
* Value added benefit offered by UnitedHealthcare Community Plan
Trouble hearing can affect your everyday life in many ways. Our plan includes services and support to help protect the hearing of members under the age of 21.
Our plan covers:
- Exams and tests.
- Hearing aids and batteries.
Home Health Care
After surgery or a serious illness you may need extra help with day-to-day tasks like cleaning, cooking or dressing.
You may even need an in-home medical visit to check on how well you are healing. With approval, our plan covers:
- An in-home medical visit.
- Medical equipment like hospital beds, walkers or wheelchairs.
- Disposable medical supplies.
This plan pays for all necessary expenses related to a hospital stay, so you can rest and heal.
Our plan covers:
- Nursing care.
- Room and board.
- Supplies and equipment.
- Treatment and therapies.
- Diagnostic tests and exams.
And after leaving the hospital, our members are not alone. We make sure they get follow-up care to continue healing at home.
Both doctor and patient need to understand one another. If needed, we can arrange for a medical interpreter to be at medical appointments.. Our member services team has interpreters who speak over 170 languages. We also offer American Sign Language (ASL).
Lab and X-ray Services
Knowing what's wrong and finding it early can make all the difference. Our plan covers medically necessary:
- Labs and testing.
- X-rays, scans and other imaging.
We make sure our members get the information needed to help improve their health.
You can receive information in your preferred language. Just ask. We also have people at our customer service centers who speak more than one language. Over 170 languages are supported. Call Member Services for help with interpreters and American Sign Language. They can also help if you need information in large print, Braille or audio files on a CD or flash drive.
Our plan includes prescription drugs and refills. Some members may have a small copayment.
And we make getting your medicine easy. You can fill your prescriptions at the network pharmacy of your choice, including local pharmacies and mail order pharmacies.
Sometimes you might need a little help understanding your health care options. With us, you have someone you can call 24/7. We'll answer your questions simply and completely.
We can also help you find:
- Home health providers.
- Dentists and vision providers.
- Adult Health Services.
Mental Health/Substance Use Treatment
Mental health is as important as physical health. That's why we cover both.
- Behavioral health services.
- Substance use treatment.
- Certain medications.
Medical questions and situations come at inconvenient times. For questions about health, you can call a trained nurse 24/7.
Our Nurse Hotline nurses will:
- Listen to the symptoms.
- Provide guidance on self-care.
- Advise the member about getting care at a doctor visit or an urgent care center.
- Help know when to go to the emergency room.
Sometimes continued care is needed after leaving the hospital or urgent care. For example, after a serious illness, surgery or injury. In these cases, a nurse will make home visits to:
- Provide medical care.
- Answer any questions and concerns.
The basics can be hard to do if you have a disability or you've had a serious illness or injury.
We can help. A few examples include:
Long-term personal care is available for members 21 or older with disabilities.
A pregnancy is a journey that's better with the help of friends, family and a pregnancy doctor, or OB/GYN.
All of your recommended prenatal clinical visits and tests are covered.
At these visits, the clinic will:
- Make sure mom and baby are healthy.
- Explain what to expect at each stage of pregnancy.
- Answer questions.
Shots and Vaccines
Routine shots help keep you healthy. Our plan covers:
- Pneumonia, influenza and shingles shots.
- Tetanus, Diphtheria and Whooping Cough vaccines.
- Other recommended shots and vaccines.
Our plan provides rides to and from health care locations. That includes trips to:
- Doctor and therapy visits.
- Health departments.
- Vision clinics.
Unlimited Doctor Visits
There may be times when your health requires regular visits to a doctor or specialist). Our plan does not limit the number of times children or adults can see their doctors. This includes sick visits, well visits and specialists. For children, EPSDT screenings are also covered. This way you get care when you need it. And the doctor can see how your health is progressing.
With Healthy Louisiana, members under the age of 21 receive:
- Regular eye exams.
- Eyeglass frames.
- Prescription lenses.
Members over the age of 21 can get:*
- One routine eye exam every two years with no copay.
- $100 allowance for frames/lenses or $105 allowance for contact lenses every two years.
* This is an added benefit offered by UnitedHealthcare Community Plan.
Unlimited well visits with your doctor are important for good health. These visits can catch health problems early, so they can be treated.
Preventive services cover:
- Checkups for adults and children.
- Well-baby care.
- Care for women expecting a baby.
- Routine shots and tests.
Our plan encourages a healthy approach to eating and living. To help our members be their best, we cover:
- Screening for obesity.
- Support for healthy diet and exercise choices.
Some members may also qualify for weight management classes, including (WW) Weight Watchers. *
* Some limitations may apply.
Wellhop for Mom & Baby
Connect with other expectant moms. Get support and information during your pregnancy and after you deliver. This program is part of your health plan and there is no extra cost to you.
Here’s how it works:
- Join video conversations every other week with women who have similar due dates and a group leader.
- Chat and share experiences with moms from your group on the Wellhop app or website.
- Visit the Wellhop library. You’ll find articles, videos and more.
Are You Prepared for Hurricane Season?
UnitedHealthcare Community Plan wants to help you make sure you are prepared for hurricane season and the resulting hazards such as storm surge, high winds, tornadoes, and flooding
How to Contact Us
If you have questions about your Health Plan, please call us. Our toll-free Member Services number is 1-866-675-1607 (TTY: 711, for the hearing impaired).
There will be people who can speak to you 24 hours a day, 7 days a week in English, Spanish, and Vietnamese when you call.
You can also contact us by e-mail at LA_MemberServices@UHC.com
Integrated Health Services Member Handbook
Physical Health Services Handbook
Are You Prepared for Hurricane Season?
UnitedHealthcare Community Plan wants to help you make sure you are prepared for hurricane season and the resulting hazards such as storm surge, high winds, tornadoes, and flooding.
Here are steps you should take before disaster strikes:
• Assemble an emergency preparedness kit including: food; water; extra cash; first aid supplies; a flashlight; a radio; a multi-purpose tool; medications and medical items; copies of personal documents; ID cards; cell phone with chargers; map of the area; an emergency blanket; emergency numbers; sanitation supplies such as disinfecting bleach; and other essential items. Consider the special needs of family members and supplement kits with items that fit your needs (such as baby supplies or pet food). Be sure to include your UnitedHealthcare Community Plan and Medicaid ID cards.
• Identify ahead of time where to go if you are told to evacuate. Choose several places, such as a friend's home in another town, a motel or a shelter and have their phone numbers on hand. You may need to take unfamiliar routes if major roads are closed or clogged so be sure to have a map. Develop a plan for family communication in the event of an emergency and agree on evacuation routes so everyone knows what to do and where to go.
• Listen to NOAA (www.noaa.gov) Weather Radio or local radio or TV stations for evacuation instructions. If advised to evacuate, do so immediately. You can find more information at www.getagameplan.org. There, you can sign up for text updates and even a smartphone application to help you plan.
Good to Know
• Be sure to update your address and phone contact information with us regularly so we can reach you in case of an emergency. Do this by calling Member Services, 1-866-675-1607 (TTY: 711) or Nurse Hotline, 877-440-9409.
National Flu Campaign Questions and Answers
Mental Health & Substance Use Member Handbook
Member Newsletters 2016 - Current
Member Newsletters Prior to 2016
Member Advisory Council Information and Minutes
The UnitedHealthcare Member Advisory Council provides members, community agencies, and providers with an opportunity to learn more about the services available, provide input on programs offered and feedback on ways to increase quality and satisfaction to our plan membership.
Member Advisory Council meetings are held statewide four times a year.
If you are a UnitedHealthcare Community Plan member and would like to participate, please contact Member Services at 1-866-675-1607, TTY: 711.
2022 Enrollee Advisory Council – Quarterly Meetings
1st Quarter: February 08, 2022
2nd Quarter: June 28, 2022
3rd Quarter: August 09, 2022
4th Quarter: November 08, 2022
2021 Meeting Minutes
Q4 - November 9, 2021
Member Advisory Council Information and Minutes Archives
2020 Meeting Minutes
Q1 - March 10, 2020
Q2 - June 9, 2020
Q3 - September 8, 2020
Q4 - December 8, 2020
2019 Meeting Minutes
Q1 - March 12, 2019
Q2 - June 11, 2019
Q3 - September 10, 2019
Q4 - December 17, 2019
Sharing Your Information
The Interoperability and Patient Access rule (CMS-9115-F) was passed in 2020 by the Centers for Medicare & Medicaid Services (CMS). The rule makes it easier for you to access and share your health data. For example, using your smart phone app to find out about claims, medications and more. This shared data is found with certain insurance plans.
Apps can get information starting from 2016. The year apps can start collecting health data is based on when you enrolled in your current plan. Why share data between you, health care providers and the apps? It helps everyone work together to improve patient care. This may help reduce your health care costs, too.
Third-party app guide
Protect your health information. This is information about you and your health.
Your privacy is important. Third-party apps may collect your health information. Third party means the app is not ours. The app is not working for us. Make sure you understand your apps. Read their privacy policies. Choose apps with strong privacy and security.
You should know:
• What health information the app will collect
• What other information the app will collect
• If your identity will be stored
• If and how the app will use your information
• If and how the app will share your information
• Why and with whom the app will share your information
• If the app will sell your information
• If and how the app will let you know about changes to its policies
• If and how you can limit the app’s use of your information
• If and how the app protects your information
• How using this app could affect others, such as your family
• If and how you can see your information and correct any mistakes
• How to send complaints to the app
• How to delete your account or information
• If and how you can stop the app from seeing or using your information
• If and how the app will let you know if there is a security breach
Sensitive health information
You must first allow us to give apps sensitive health information about:
• Substance use disorder
• Reproductive health
• Communicable disease
• Other sensitive health information
We will not release this information to apps without your permission.
The Health Insurance Portability and Accountability Act (HIPAA) is a federal privacy law that protects health information. It limits how it is stored and shared.
It protects information in apps that are from health plans or health care providers.
It does not protect information in apps that are not from health plans or health care providers.
All apps are subject to the Federal Trade Commission (FTC) Act. It protects against unfair or deceptive acts. An example is if an app shares your information after saying it won’t.
If you believe an app has improperly used your information:
• You can file a complaint with the Health and Human Services Office for Civil Rights (OCR). Use the OCR complaint portal.
• You can file a complaint with the FTC. Use the FTC complaint assistant.
Fraud and Abuse
Anyone can report potential fraud and abuse. If you become aware of fraud or abuse, call Member Services at 1-866-675-1607, TTY 711, to report it or you can email us at: firstname.lastname@example.org
You can also report suspected fraud or abuse directly to the state of Louisiana by calling the Louisiana Department of Health (LDH) toll-free at 1-800-488-2917.
Complete the appropriate fraud report form available on the Louisiana Medicaid website: http://www.medicaid.la.gov and click on the “Report Fraud” button.
Medicaid Program Integrity
Attn: Medicaid Fraud Control Unit
P.O. Box 91030
Baton Rouge, LA 70821-9030
Fraud Reporting Fax Line 1-225-219-4155
Healthy Louisiana Plan