Transportation update
Effective 1/1/2026. MTM is the Non-Emergency Medical Transportation (NEMT) provider for UnitedHealthcare Community Plan of Nebraska. Please contact MTM at 1-888-777-6924 (TTY: 711) to schedule your transportation needs.
UnitedHealthcare Community Plan - Heritage Health
Medicaid
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
Find providers and coverage for this plan.
Search for doctors, hospitals and specialists.
Search for a dentist.
Search for mental health and substance abuse disorder support.
Find medications covered by this plan.
Find a pharmacy near you.
Find a vision provider near you.
Benefits & features
Get the care you and your children need to stay healthy — or to be at your best. That includes:
• Unlimited PCP Visits. See your primary care provider (PCP) for anything that isn't an emergency.
• Urgent and Emergency Services are covered as needed.
• Shots and Vaccines. Routine shots help protect against illness.
• Nurse line. Speak with a registered nurse 24/7.
• Lab and X-rays. Lab tests, x-rays and diagnostic imaging are covered.
• Therapy Services. Physical or other therapy to help you be your best.
• Foot Care. We provide special care to keep your feet healthy.
• Hospitalization. You pay nothing for care in a hospital.
• Chiropractor Services. Limited chiropractic visits are covered
• Lead Screening. Can be done in the doctor’s office or local health department.
• Prescriptions. Many preferred Brand and Genetic Prescriptions are covered.
Nothing is more important than the health and well-being of you and your baby. That’s why our plan benefits include:
• Choice of Birth Centers. Pick from our large network of hospitals or Birthing Center.
• Choice of Doctors. Find a doctor you trust for your pregnancy care.
• Healthy First Steps®. Get extra support and rewards to keep you and your baby healthy.
• Prenatal Visits. Care for you before your baby is born.
• Community Baby Showers. Education on prenatal and postpartum care.
• Electric Breast Pumps are covered.
If you or a family member has special health care needs, you can count on us. Our plan will provide the extra care and services you need. Benefits include:
• Asthma, Allergy, Heart Failure, CAD, Depression, Diabetes and COPD Care. Exams, testing and supplies are covered.
• Care Management. Get personal help managing health conditions.
• Mental Health and Substance Use Services. Get caring help to meet your recovery goals.
• Special Health Care Needs
• Chronic Case Management
Make sure your sight and hearing are at their best. Benefits include:
• Hearing. Tests, checkups and hearing aids, if needed.
• Vision. Routine eye exams, plus frames and prescription lenses are covered.
Vision Provider Lookup
If you are recovering from a serious illness or surgery, you may need extra support. Our plan includes the care and equipment needed to recover safely at home. Benefits include:
• Equipment and Supplies. In-home medical and safety equipment are covered such as: oxygen tanks, hospital beds, wheelchairs or walkers.
• Home Health Care. Medical care in your home, if needed.
• Skilled Nursing Facility. Brief stay at a skilled nursing facility while you recover from sickness or injury.
Other help
Sometimes you might need a little extra help using your health plan. For those times, you can rely on:
• Nurse line℠. Speak with a registered nurse 24/7. Call 1-877-543-4293, TTY 711
• Member Services. Your benefit questions are answered Monday - Friday, 7:00 a.m. - 7:00 p.m. CT or 6:00 a.m. – 6:00 p.m. MT. Call Member Services at 1-800-641-1902, TTY 711 for assistance.
• Language Help. Connect to an interpreter through Member Services at no cost to you. Call Member Services at 1-800-641-1902, TTY 711 for assistance
• Quitting Tobacco. Enroll with the Nebraska Tobacco - Free Quit Line and ask your doctor about support to help you quit. Call 1-800-QUIT-NOW (1-800-784-8669)
Care management
When a member has complex health care needs, a care manager can really help. He or she will:
• Work with you and your care givers on a plan of care.
• Explain medical terms in plain and preferred language.
• Coordinate your doctor appointments.
• Work closely with your providers to ensure your care is seamless, connected, and aligned with your health needs
• Collaborate with your care team on documented needs.
• Make a referral to community social service programs.
• Offer rewards like a gift card for chronic care checkups or well care visits.
Cell phone service
Members who qualify receive minutes, text and data per month when using their own cell phone. We want to help you stay connected! Apply Now! Call Member Services at 1-800-641-1902, TTY 711 for assistance.
Chiropractic care
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 doctor and dentist
Each member can choose a primary care provider (PCP) and a dental home provider (DHP). Use the Doctor Lookup tool to see if your doctor or dentist is in our network.
Your PCP and DHP are your main providers for:
• Preventive care.
• Treatment if you are sick or injured.
• Care coordination with specialists.
For members who don’t have a doctor or dentist, Member Services can help find one that is in our network close by.
Dental care
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.
• With a prior authorization, extractions, limited oral evaluations, crowns, partial dentures, full dentures, oral surgery, and orthodontics (members under age 20) may be covered if medical necessity.
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.
Diabetic support
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.
Disease management
If you have chronic or high-risk illnesses, our disease management services may help you. We provide support for:
• Congestive heart failure.
• Asthma.
• HIV.
• Chronic obstructive pulmonary disease (COPD).
• Coronary artery disease.
Hospitalization
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
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.
Translation Services
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 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.
• 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 other non clinical needs
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
Mental health is about how you feel and act. Your mental health is important. All Heritage Health members can get mental health and substance use disorder services. You may see any in-network mental health doctor without a referral for outpatient treatment.
You can get mental health services without a referral from your Primary Care Provider. Sometimes it makes sense to talk to your Primary Care Provider about any 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 at https://www.liveandworkwell.com/en/public.
We cover:
Mental Health Services
• Individual, group, and family therapy
• Outpatient mental health services
• Inpatient mental health services
• Specialized mental health services for children with autism.
• Mental 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.
Mental Health Crisis Services
What if I have a Mental health crisis?
You are always covered for a 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.
Crisis Services:
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 Nebraska Family Helpline at 1-888-866-8660
Online: Nebraska Family Helpline
No copays
You will not have a copayment for care and services covered by our plan.
Nurse line
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. Call 1-877-543-4293, TTY 711
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.
Over-The-Counter drugs/supplies
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.
Pharmacy
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
Prenatal visits
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.
Quitting tobacco
To quit smoking, call The Nebraska Tobacco Quitline. Nebraska residents get free and confidential access to counseling and support services 24 hours a day,7 days a week. 1-800-QUIT-NOW (1-800-784-8669)
Skilled Nursing Care
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.
Included are:
• Nursing home services.
• 24-hour nursing care when medically necessary
• Help with activities of daily living.
• Physical, occupational and speech therapy.
Therapy services
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.
Transportation
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 1-888-777-6924 (TTY 711).
• 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 1-888-777-6924 (TTY 711).
• 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 1-888-777-6924 (TTY 711) to cancel your ride.
You may also qualify for a bus pass. Call 1-888-777-6924 (TTY 711) 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.
Transplant services
Covered when ordered by a network physician.