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UnitedHealthcare Community Plan - Heritage Health
UnitedHealthcare Community Plan offers a range of benefits. It’s for pregnant women, children, families and adults who meet income requirements. There are no costs to you for Medicaid benefits and services. View the benefits below to see all that our plan offers.
This is a current summary of health services and drug coverage provided by UnitedHealthcare Community Plan of Nebraska. A detailed description of the benefits can be found in the Member Handbook.
This plan is available in the following counties:
Adams, Antelope, Arthur, Banner, Blaine, Boone, Box Butte, Boyd, Brown, Buffalo, Burt, Butler, Cass, Cedar, Chase, Cherry, Cheyenne, Clay, Colfax, Cuming, Custer, Dakota, Dawes, Dawson, Deuel, Dixon, Dodge, Douglas, Dundy, Fillmore, Franklin, Frontier, Furnas, Gage, Garden, Garfield, Gosper, Grant, Greeley, Hall, Hamilton, Harlan, Hayes, Hitchcock, Holt, Hooker, Howard, Jefferson, Johnson, Kearney, Keith, Keya Paha, Kimball, Knox, Lancaster, Lincoln, Logan, Loup, Madison, McPherson, Merrick, Morrill, Nance, Nemaha, Nuckolls, Otoe, Pawnee, Perkins, Phelps, Pierce, Platte, Polk, Red Willow, Richardson, Rock, Saline, Sarpy, Saunders, Scotts Bluff, Seward, Sheridan, Sherman, Sioux, Stanton, Thayer, Thomas, Thurston, Valley, Washington, Wayne, Webster, Wheeler, and York.
- UnitedHealthcare Community Plan - Heritage Health
The State of Nebraska determines Medicaid eligibility for the plan. In general terms, eligibility is limited to those who are unable to pay for medically necessary services and who meet certain eligibility requirements.
Find providers and coverage for this plan.
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Benefits & Features
Asthma, Allergy and COPD Care
Do you or a family member have trouble managing asthma or COPD symptoms?
You will get a customized treatment plan and medicine to:
- Manage flare-ups.
- Reduce symptoms.
- Help you stay active.
When a member has complex health care needs, a care manager can really help. He or she will:
- Work with you and family members and friends on a plan of care.
- Explain medical terms in plain language.
- Coordinate your doctor appointments.
- Provide your care team with your medical records.
- Make a referral to community social service programs.
- Offer rewards like a gift card for chronic care checkups or well care visits.
Cell Phone Program
Eligible members can get health support with mobile phone service at NO COST to you from select Lifeline service providers. We want to help you stay connected! Apply Now! Call Member Services at 1-800-641-1902, TTY 711 for assistance..
Children's Health Support
- Rewards program for well-child visits.
- 4-H program includes information on healthy eating and exercise.
- Dr. Health E. Hound® provides nutritional education and promotes fitness and healthy habits.
Medicaid limits coverage of chiropractic services to: (i) Certain spinal X-rays; (ii) Manual manipulation of the spine; (iii) Certain evaluation and management services; (iv) Traction; (v) Electrical stimulation; (vi) Ultrasound; and (vii) Certain therapeutic procedures, activities, and techniques designed and implemented to improve, develop, or maintain the function of the area treated.
Choice of Birth Center
Where you have your baby is an important choice. That’s why you can pick from our large network of hospitals or Birthing Center.
We also encourage you to tour the hospital’s birthing center. This way you will be familiar with it and be better informed when you have your baby.
Choice of Doctor
Each member can choose a primary care provider (PCP). Use the Doctor Lookup tool to see if your doctor is in our network.
Your PCP is your main doctor for:
- Preventive care.
- Treatment if you are sick or injured.
- Care coordination with specialists.
For members who don’t have a doctor or whose doctor is not in our network, Member Services can help find a new one close by.
Getting a yearly dental check-up is important to your health. Your coverage includes:
- Two exams and cleanings per year for children and adults.
- Bitewing X-ray once every 12 months and one complete set of X-rays every three years.
- Minor restorations such as filling.
- Major restorations such as crowns and root canals (one of each per 12 months).
- Deep cleanings and surgical treatment for gum disease.
- Partial or full dentures, and repairs to partials or full dentures.
- Sedation and nitrous oxide (known as laughing gas) if medically necessary.
Sometimes people have a hard time going to the dentist. They may be sensitive to touch. They might need extra time or gentle care. Let us help you find the right dentist for you or your family. Call Member Services at 1-800-641-1902, TTY 711.
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. Our diabetes program also includes self-care training and classes focused on:
- Managing stress.
- Living a healthy lifestyle.
- Wellness Rewards for getting needed exams.
If you have chronic or high-risk illnesses, our disease management services may help you. We provide support for:
- Congestive heart failure.
- Chronic obstructive pulmonary disease (COPD).
- Coronary artery disease.
Equipment and Supplies
Our member’s health and safety at home are important.
Our plan covers medical equipment ordered by the doctor or care manager. This can include supplies like:
- Oxygen tanks.
- Hospital beds.
- Wheelchairs or walkers.
We provide the exams you need to help keep your feet in great shape. And if you have diabetes, good foot care can help prevent much more serious problems.
Our podiatry coverage includes:
- Routine foot exams.
- Tips about foot care and choosing the right shoes.
- Information about nerve damage warning signs.
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.
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.
Trouble hearing can affect your everyday life in many ways. Our plan includes services and support to help protect your hearing.
- Exams, aids and tests.
- Hearing aids and batteries.
After surgery or a serious illness, you may need in-home medical visit(s) to check on how well you are healing.
With approval, our plan covers:
- In-home medical visit(s).
- Medical equipment like hospital beds, walkers or wheelchairs.
- Disposable medical supplies.
This plan pays for expenses related to a hospital stay, so our members can rest and heal.
Hospitalization coverage includes:
- Nursing care.
- Room and board.
- Supplies and equipment.
- Treatment and therapies.
- Diagnostic tests and exams.
And after leaving hospital, we can provide transitional care services. We make sure you get follow-up care to continue healing at home.
Hospice services are covered when they are ordered by a physician.
Lab and X-rays
Knowing what’s wrong and finding it early can make all the difference. Our plan covers:
- Labs and testing.
- X-rays, scans and other imaging.
We’ll help you get the information needed to improve your health or be at your best.
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 Advocates 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 1-800-641-1902, and they will connect you to us.
You can also get information in large print, Braille, or audio files.
All of the language interpretation and material translations/alternate formats are available at no cost to you.
Member Services Advocates
Managing your health care alone can be hard, especially if you are dealing with many health problems at the same time. If you need extra support to get and stay healthy, we can help. All our UnitedHealthcare members have access to Member Service Advocates.
Your Advocate can help you:
- Understand the Heritage Health program.
- Get information in a different format, like audio (CD or flash drive), large print, or Braille.
- 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 Clinical Coordinator if needed.
- Find resources located near you to help you with other problems like food, housing, transportation, employment, feeling safe or getting an education.
- Make sure you are aware of other State programs and services available to you, such as SNAP (Supplemental Nutrition Assistance Program) or WIC (Women, Infants and Children) program benefits.
- 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.
Remember, answers to any questions you have are just a click away at myuhc.com/CommunityPlan. Or you can call Member Services at 1-800-641-1902, TTY 711, 7:00 a.m.–7:00 p.m. CT (6:00 a.m.–6:00 p.m. MT), Monday–Friday
Mental Health and Substance Use Services
Behavioral health is about how you feel and act. It is also called mental health. Your behavioral/mental health is important. All Heritage Health members can get behavioral/mental health and substance use services. You may see any in-network behavior/mental health doctor without a referral for outpatient treatment.
You can get behavioral/mental health services without a referral from your Primary Care Provider. Sometimes it makes sense to talk to your Primary Care Provider about any behavioral/mental health problems you believe you may have. That way, your Primary Care Provider can help to refer you to an appropriate provider in our network. If you want to find a provider on your own, you can search for one at any time and make an appointment. You can also call Member Services at 1-800-641-1902, TTY 711, for help or visit liveandworkwell link.
Behavioral/Mental Health Services
- Individual, group, and family therapy
- Outpatient behavioral health services
- Inpatient behavioral health services
- Specialized behavioral health services for children with autism.
- Behavioral health rehabilitation services
Substance Use Disorder Services
- Outpatient opioid (pain medication) treatment
- Residential treatment
Additional health resources can be found at myuhc.com/CommunityPlan. Find the balance, support, and care you need to live the healthiest life possible.
Behavioral Health Crisis Services
What if I have a behavioral health crisis?
You are always covered for a behavioral health, mental health, and substance use emergency. An emergency means a condition that comes on suddenly, is life threatening, is painful, or other severe symptoms that cannot wait to be treated.
Emergency services are covered anywhere in the United States. If you think you have a life-threatening emergency, call 911 or go to the nearest hospital location where emergency providers can help you.
As soon as it is possible, please call us to arrange for follow-up care after an emergency.
If you think you have an emergency, no matter where you are, call 911 or go to the nearest hospital location where emergency providers can help you. As soon as it is possible, please call your doctor or behavioral health provider to arrange for follow-up care after the emergency is over.
If you need to talk to someone, we are here for you. If you do not feel like it is time to call 911 but need help right away, you can call our Behavioral Health Crisis Hotline 24/7 at 1-800-641-1902.
You will not have a copayment for care and services covered by our plan.
Medical questions and situations can come at inconvenient times. When you have questions about your health, you can call a nurse 24 hours a day, 7 days a week.
Our nurses will:
- Listen to symptoms.
- Help with self-care.
- Advise you about getting care at a doctor visit or an urgent care center.
- Help you know when to go to the emergency room.
Select over-the-counter drugs and supplies are covered 100% with your doctor’s prescription.
Your health care costs may include non-prescription medicines and supplies like aspirin, cough medicine or diabetic testing supplies. Covered 100% with your doctor’s prescription.
Our plan includes prescription drugs and refills, and we make getting your medicine easy. Medicare and other insurance copays may apply. You can fill your prescriptions at:
- Local pharmacies.
- Services that deliver right to your door.
When you have a prescription filled, be sure to check that:
- It’s included on the Preferred Drug List (PDL).
- It’s written by a network provider.
- It’s filled at a network pharmacy.
- You show your member ID card when you have it filled.
Prescription Drug Copays
You can receive many available PREFERRED brand name and generic drugs with no copay. Brand NON-PREFERRED prescriptions drugs have a $3 copay.
If the Center of Medicare and Medicaid Services (CMS) shows you’re copay exempt, you will not have to pay the $3 copay. You may be copay exempt if you are:
- 18 years old or younger.
- Pregnant or gave birth within the last 60 days.
- Staying in an inpatient hospital, long-term care facility, residential facility, adult family home or center for the developmentally disabled.
- Staying in a medical facility and spending most of your income on medical costs.
- A Native American getting services from an Indian Health Center.
- Receiving waiver services under a 1915(c) waiver.
- Receiving assistance from the State Disability Program.
90 Day Supply
You will be able to get a 90-day supply of select prescription medications from a retail pharmacy. With a 90-day supply, you won’t need to get a refill every month. You’ll have three months between refills.
- Talk with your pharmacist - Your pharmacist can call your doctor to get a new prescription for a 90-day supply.
- Talk with your doctor - Your doctor can write you a new 90-day supply prescription for the medicine above. We’ve let your doctor know about this change to your pharmacy benefit.
If you have any questions, please call Member Services at 1-800-641-1902, TTY 711, 7:00 a.m.–7:00 p.m. CT (6:00 a.m.–6:00 p.m. MT), Monday–Friday
Your pregnancy is a journey you’ll want to make with the help of friends, family and a pregnancy doctor.
All recommended prenatal clinical visits and tests are covered by our plan.
At these visits, the clinic will:
- Make sure both you and your baby are healthy.
- Explain what to expect at each stage of your pregnancy.
- Answer your questions.
Most people know the bad health effects of smoking. And they know they need to quit. That’s why we encourage members to talk to their doctor about getting smoking cessation support. Counseling is covered when you enroll with the Nebraska Tobacco-Free Quit Line. Medication for smoking cessation are available through Nebraska Medicaid. Call 1-800-784-8669.
After a serious illness, surgery or injury, you may need extra nursing and therapy. If needed, our plan covers short stays in a skilled facility where you can heal.
- Nursing home services.
- 24-hour nursing care.
- Help with activities of daily living.
- Physical, occupational and speech therapy.
Shots and Vaccines
Routine shots help protect members and their family from illness. Our plan covers:
- Pneumonia, influenza and shingles shots.
- Vaccines and Immunizations. Routine shots to help keep your child healthy.
- Other recommended shots and vaccines.
Physical, occupational and speech therapy can help you recover from a serious injury or illness, or simply reach your full potential.
Our plan provides:
- Occupational therapy.
- Physical therapy.
- Speech therapy.
If you need a ride, your benefits include transportation. We cover trips for Nebraska Medicaid coverable services within a 20-mile radius of your home. These include: medical, mental health, dental and vision appointments along with trips to the pharmacy.
Following these simple rules will help you get a ride:
- Call 3+ business days ahead of time
- Call Transportation Services at 1-833-583-5683 (TTY 1-866-288-3133) 7:00 a.m.–7:00 p.m. CT (6:00 a.m.–6:00 p.m. MT), Monday–Friday or visit www.modivcare.com.
- Have your Medicaid ID card available.
- Know the name and address of your health care provider and the date and time of your appointment.
- Be specific about where you need a ride to
- If you’re not sure how long your appointment will take, the return ride will be scheduled for “Call for Pickup.” That means you need to give Transportation Services a call when you’re ready to go home at 1-833-583-5683 (TTY 1-866-288-3133).
- 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, cane, or walker.
- Members under the age of 13 must have a parent or guardian with them.
- Transportation may be limited to a provider near you.
- If you cancel your visit, call 1-833-583-5683 to cancel your ride.
You may also qualify for a bus pass. Give Modivcare 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.
Covered when ordered by a network physician.
Unlimited Primary Care Provider Visits
There may be times when a member’s health requires repeated doctor visits. Our plan does not limit the number the number of visits to a primary care provider (PCP). This way the members get the care they need. And the doctor can see how their health is progressing.
You'll get the care, eyeglasses and treatment that let you see life more clearly. Coverage includes:
· Annual eye exams.
· Prescription lenses.
This benefit is offered by March Vision.
Wandering and Elopement
We will provide members and families with door and window alarms (up to six per household) to help reduce wandering without caregiver awareness.
Well visits with your doctor can help keep you healthy. These visits can catch health problems early, so they can be treated. Preventive services include:
- Checkups for adults and children.
- Routine shots and tests.
There are no copayments for preventive care.
UnitedHealthcare Mobile App
This free moble app allows you to access key information on the go. You can search for nearby doctors, view your member handbook or view your member ID card.
The UnitedHealthcare mobile app can be downloaded to an Apple(R) or Android(R) smartphone or tablet.
How to Contact Us
If you have questions about your health plan, call us. Our toll-free Member Services number is 1-800-641-1902, (TTY 711). They can talk to you from 7 a.m. – 7 p.m. local time.
How We Support Cultural Competency
UnitedHealthcare Community Plan of Nebraska seeks to understand the cultural differences of the people we serve. Our goal is to develop and improve our materials and programs to support the diverse needs of Nebraskans. Staff training focused on:
- Using your primary language.
- Being aware of the different cultural groups in Nebraska.
- Ways to support cultural beliefs related to health and wellness.
- Treating each person with care and respect.
- To avoid labels.
- How to work with members with limited English.
- How to support those with special health care needs.
- Cultural sensitivity training.
UnitedHealthcare On My Way
UnitedHealthcare OMWTM (UnitedHealthcare On My Way) is an interactive website that helps you get ready for real life. It’s easy and fun, and has important information all on one secure site.
Download the brochure to learn more about:
Money: Set up a budget and learn about taxes.
Housing: Understand and compare housing options.
Work: Create a resume and learn interview tips.
Value Added Benefits
2024 Value Added Benefits
Quality Improvement Program
Quality Improvement - Evaluation Summary
Grievances and Appeals
You are our customer and are very important to us. We want to make your health care program a good one. We want to make sure you are happy with our program, so you can file a complaint at any time.
If you are not happy, please call Member Services at 1-800-641-1902, TTY 711. We want to help you solve any health care problems. We will try to help you on the phone.
We hope we can solve your problem with your first phone call. There may be times when you don’t agree. Maybe you still feel unhappy. So we made “Quality Steps” just for you. These steps give you every chance to let us learn more about your problem.
Quality steps for grievances:
- Call us and tell us your problem. We will try to solve your problem on the first call. Member Services: Toll-free 1-800-641-1902, TTY 711
- If you are not happy with the answer, call or write to us and let us know at: Write to: UnitedHealthcare Community Plan Attn: Appeals and Grievances P.O. Box 31364 Salt Lake City, UT 84131 Call: Toll-free 1-800-641-1902, TTY 711
- When your call or letter is received, our Appeals and Grievance Department will promptly do a thorough review of the case and make a decision.
- Contract allows 90 calendar days to resolve a grievance, estimated timeframe is set to 60 calendar days.
- We welcome your input regarding your complaint.
- You may get help in telling us about your problem or in appealing the decision by calling our Member Services. You may ask them for help with filing a grievance or appeal or filling out forms. You may ask for an interpreter.
- If you have a complaint about Non-Emergent Medical Transportation, please call Member Services at 1-800-641-1902, TTY 711.
- You can ask for a copy of the rules we used to make our decision.
- You can have someone else, such as a family member, friend, health care provider, lawyer or the Medicaid Enrollment Center, help you with the appeal.
- You can ask to see and receive a copy of the information in our files that we used to make our decision.
- You can send written comments or documents for us to look at when we review your appeal
State Fair Hearing
A member or his/her representative may request a State Fair Hearing only after receiving notice that the MCO is upholding the adverse benefit determination.
You can do this at any time within 120 calendar days from the date of the MCO’s notice of resolution. You can ask for services to continue during the State Fair Hearing, so long as the authorization for service has not expired or the service limits have been met.
However, you may need to pay for the health service if you continue the service during the State Fair Hearing and the decision is that you should not have received the service.
You can write to the State at: Department of Health and Human Services MLTC Appeal Coordinator P.O. Box 94967 Lincoln, NE 68509-4967
You can also call our customer service center for assistance: Member Services at 1-800-641-1902, TTY 711.
You may ask them for help with: ∙ Filing a grievance or appeal ∙ Filling out forms ∙ Help if you need an interpreter
You can request additional help by calling Member Services at 1-800-641-1902, TTY 711, 7:00 a.m.–7:00 p.m. CT (6:00 a.m.–6:00 p.m. MT), Monday–Friday.
You may call the Department of Health and Human Services (DHHS) Legal Services at 1-402-471-7237.
Advance Directive/Power of Attorney Forms
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 1-800-641-1902 for support. We will connect you with someone who can help.
To learn more, please visit the Nebraska Department of Health and Human Services. This site explains the law in Nebraska. 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 Nebraska. 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
Member Newsletters 2016 - Current
Member 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.
Member rights and responsibilities
UnitedHealthcare Community Plan rights and responsibilities statement
As a UnitedHealthcare Community Plan member, you have certain rights and responsibilities. It is important that you understand them. These rights and responsibilities do not change your health care coverage in any way. If you have any questions about your rights or your health care coverage, please call Member Services at 1-800-641-1902, TTY 711.
As a UnitedHealthcare Community Plan member, you have a right to:
- Request information on Advance Directives
- Be treated with respect, dignity, and privacy
- Courtesy and prompt treatment
- Receive culturally competent assistance including having interpreter services during appointments and procedures
- Receive information about UnitedHealthcare Community Plan, your rights and responsibilities, your benefit plan and which services are not covered.
- Know the qualifications of your health care providers
- Give your consent for treatment unless you are unable to do so because your life or health is in immediate danger
- Discuss any and all treatment options with your provider without interference from us
- Refuse treatment through an Advance Directive or withhold your consent for treatment
- Be free from any form of restraint or seclusion used as a means of coercion, discipline,
- retaliation, convenience or to force you to do something you don’t want to do
- Obtain available and accessible health care services covered by the health plan
- Receive information about our network providers and practitioners, and choose a provider from our network
- Change your provider at any time for any reason
- Tell us if you are not satisfied with your treatment or with UnitedHealthcare Community Plan; when you tell us, you can expect a timely response from us
- Appeal any payment or benefit decision we make
- Request and review your medical records maintained by your provider and request changes and/or additions to any area you feel is needed
- Request disenrollment and be notified at the time of enrollment and annually of your disenrollment rights
- Be free to exercise these rights without adversely affecting your treatment by the MCO, its
- providers, or MLTC
- Be given information about your illness or condition, understand your treatment options and alternatives, presented in a manner appropriate to your condition and ability to understand the information, regardless of cost or whether such services are covered by UnitedHealthcare Community Plan, and participate with your providers in making decisions about your health care including the right to refuse treatment
- Get a second opinion with a network provider
- Expect that health care professionals are not prohibited or otherwise restricted from advising you about your health status, medical care or treatment regardless of benefit coverage
- Make suggestions about UnitedHealthcare Community Plan’s member rights and responsibilities policies
- You have the right to additional information upon request, such as information on how your Health Plan works and a provider’s incentive plan, if they apply
You also have the right to ask for more information about:
- Our structure and operation
- Our physician incentive plan
- Our service utilization policies
- How to report alleged marketing violations to MLTC
- Reports to the State about transactions between UHC and other parties
As a UnitedHealthcare Community Plan member, you have a responsibility to:
- Understand your benefit plan and follow it to obtain the most benefits
- Show your ID card to providers; prevent others from using your ID card
- Give health care providers true and complete information; ask questions about your treatment so that you understand
- Work with your provider to set treatment goals and follow the treatment plan you and your provider agree upon
- Get to know your provider before you are sick
- Keep appointments or tell the health care provider when you cannot keep the appointment
- Treat UnitedHealthcare Community Plan staff, providers, and their staff with respect and courtesy
- Tell us your opinions, concerns, and complaints
- Get any approvals needed before you receive treatment
- Use the emergency room only when there is a serious threat to life or health
- Notify us of any change in address or family status.
- Make sure that each provider you see is in the network
- Follow the advice of your providers and understand possible results if you do not follow their advice
- Give your providers and us information that could help improve your health
Extra Benefits and Support
Get extra benefits and support. You can rely on:
- Healthy Rewards. Earn rewards for completing important preventive services.
- Mom's Meals. High risk pregnant mothers with food needs. Your clinical coordinator can coordinate delivery of healthy meals after you are discharged from a hospital stay.
- White Bison. Self-help addiction prevention and recovery resource/support for American Indian and Alaskan Native member.
- Youth Club Organizations. Vouchers for youth to groups such as Boys and Girls Clubs of America, 4-H and the YMCA.
- Breast Pumps. Electric breast pump with provider’s prescription.
Call Member Services at 1-800-641-1902, TTY 711, 7:00 a.m.–7:00 p.m. CT (6:00 a.m.–6:00 p.m. MT), Monday–Friday.
Choice of Doctor
You will have a primary care provider (PCP) who will be your main doctor. Your PCP is the person you see for most of your care. This includes checkups, treatments, vaccinations, minor injuries, and health concerns. Talk to your PCP about any other concerns you may have. Your PCP can help you decide the right options for you.
Your PCP 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.
High School Equivalency (GED)
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 aged 16 or older can be part of this program.
Please contact Member Services for more information.
Self-Care – 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