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UnitedHealthcare Community Plan Frequently Asked Questions
How can I get transportation to my doctor's appointments?
If you do not have a ride to get medical care and services, UnitedHealthcare Community Plan may provide FREE transportation for you. If there is a bus service near you, you may be asked to use it unless there is a medical reason you can not do so. If you have any special needs, like a special lift or wheelchair van, just tell them when you call to set up your ride. It is best to call 4 days in advance for routine transportation. If you need an ugrent ride to your doctor or Urgent Care Center sooner than the Four day advance notice, call us and we will help you. To set up your ride, call 1-877-892-3995.
I heard some Medicaid health plans have copays. Does your plan have copays?
UnitedHealthcare Community Plan has no copays for any covered services.
Can I go to the emergency room without authorization?
If you have an injury or sudden illness, call your PCP and follow the instructions you are given. If you have an emergency condition, go directly to the nearest emergency room.
If I go out of the state, will UnitedHealthcare Community Plan cover my medical expenses?
If you have a health emergency when you are out of town or out of state, UnitedHealthcare Community Plan will cover the costs. Give the name and phone number of your PCP to the emergency room staff.
Can I see a doctor outside of the county I live in?
Yes, you may see a doctor outside of your residing county if he/she is a participating provider with UnitedHealthcare Community Plan.
How can I find a Specialist?
Your PCP will help you find a UnitedHealthcare Community Plan Specialist if you need one. Our Customer Service Department can also help you find a UnitedHealthcare Community Plan Specialist or you can look at our Provider Directory on this web-site. You still need to work with your PCP to set up the care.
Are there Chiropractic Services through UnitedHealthcare Community Plan?
Yes. Chiropractic care visits are covered from any participating Chiropractor for subluxation of the spine.
Are there Podiatry Services through UnitedHealthcare Community Plan?
Yes, you may see a UnitedHealthcare Community Plan Podiatrist for these services.
Do I have dental coverage through UnitedHealthcare Community Plan?
For members 21 years or older, your UnitedHealthcare plan covers a wide range of dental treatments and services. These services include preventative, diagnostic and minor restorative and oral surgery. Orthodontia is not a covered service. Some Dental Services require "prior authorization" or approval before getting the services.
Here are some dental providers you may see:
- General Dentist — Treats adults
- Endodontist — Specializes in saving teeth; they do root canals
- Periodontist — Provides treatment for gum disease
- Oral Surgeon — Performs dental surgery, including difficult extractions
- Dental Hygienist — Cleans teeth and provide oral health education
- Dental Assistant — Assists the dental provider during treatment
Do I need a referral or authorization to see my OB/GYN?
No, women may see any UnitedHealthcare Community Plan OB/GYN for well-woman or obstetrical care without being sent by their PCP.
Are all medications covered under UnitedHealthcare Community Plan?
UnitedHealthcare Community Plan has a drug formulary that lists all the medications that are covered. If you need a medication that is not on the formulary, your doctor can request a Medical Exception.
What is a formulary?
UnitedHealthcare Community Plan's formulary is a listing of medicines that we cover. UnitedHealthcare Community Plan participates in the Michigan Medicaid Common formulary of Medicaid covered drugs.
Is there a copay for prescriptions?
No, prescriptions are covered in full. There are no copays for any covered services through UnitedHealthcare Community Plan.
How can I get my prescriptions filled?
When your UnitedHealthcare Community Plan doctor gives you a prescription, take it to any UnitedHealthcare Community Plan pharmacy and show them your UnitedHealthcare Community Plan ID card. You can even get many over-the-counter (OTC), medicines when it is medically necessary and your doctor writes a prescription for you.
Does UnitedHealthcare Community Plan cover glasses and how much do you cover?
You do not need to be sent by your PCP for FREE routine eye services. Eye exams, designer type frames and prescription lenses are covered when you see a UnitedHealthcare Community Plan -MarchVision provider. Routine eye exams, certain frames and lenses are covered every 24 months. Replacement frames and lenses are covered once every 12 months for adults and twice every 12 months for children.
I just received my Medicaid card. Why do I need UnitedHealthcare Community Plan card?
When you enroll with UnitedHealthcare Community Plan, we will send you an ID card too. Take both cards with you when you need medical care. With UnitedHealthcare Community Plan, you are part of an HMO. That means you choose a Primary Care Provider (PCP) who will help you get all the medical care you need.
Can I buy coverage with UnitedHealthcare Community Plan?
No, we currently do not offer commercial policies.
How often can I change my PCP?
You are able to change your PCP once a month. However we recommend that you remain with a PCP to establish continuity of care and to build a relationship.
Can I have a different HMO for my children?
Yes, you may choose a different HMO plan for family members.
My friend has UnitedHealthcare Community Plan and she only speaks Russian is there anyone at UnitedHealthcare Community Plan that can speak her language?
Yes, we can speak to members in over 130 different languages.
How often do you contract with new doctors?
UnitedHealthcare Community Plan has over 80 hospitals, over 93 Urgent Care Centers, over 2,400 PCP's and over 6,100 specialty doctors. Contracting is an ongoing process we are always looking to improve and increase our network of providers.
What does a closed panel mean?
A closed panel is when a doctor's practice is full and they are not currently accepting new patients.
How do I get information on my doctor's professional qualifications and whether he/she has been the subject of any disciplinary action?
UnitedHealthcare Community Plan checks the qualifications of all the doctors in our network through a state approved credentialing process. Disciplinary information is available by submitting a Freedom Of Information Act (FOIA) request to the State of Michigan. They can tell you if any action has been taken against a doctor's license.
UnitedHealthcare Community Plan