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Texas, we’ve got you covered

No-cost or low-cost health coverage from UnitedHealthcare. Learn about the Texas Medicaid health plans, Dual Special Needs Plans and individual and family plans we offer in Texas.

Helping people is at the heart of all we do

We’re here for you. Texas Medicaid members need a managed care plan they can count on. UnitedHealthcare Community Plan has a long history of providing high quality health care to pregnant women, children, people with disabilities and older adults in the State of Texas. We’d be honored to serve you, too.

Medicaid plans

STAR

Most people in Texas get their coverage through the STAR managed care program. The STAR program covers low-income children, pregnant women and families.

UnitedHealthcare’s Texas STAR plan covers all Texas Medicaid benefits, including doctor visits, hospital stays, prescription medications, and rides to and from medical appointments and pharmacies. We also offer extra services called “value-added services,” like sports and school physicals for children.

Choose “View plan details” to see what our Texas Medicaid Plan offers you.

STAR+PLUS

Our Texas STAR+PLUS plan covers older adults (65 and older) and adults with disabilities (21 and over).

UnitedHealthcare’s Texas STAR+PLUS plan covers traditional Medicaid benefits like doctor visits, hospital stays and prescription medications. We also offer extra services called “value-added services,” like allowances for vision and dental services.

At UnitedHealthcare, every STAR+PLUS member is paired with a Service Coordinator, to help them get the medical and long-term services and supports they need.

Choose “View plan details” to see what our Texas Medicaid Plan offers you.

STAR Kids

The STAR Kids program covers children and adults ages 20 and younger who have disabilities.

UnitedHealthcare’s Texas STAR Kids plan covers traditional Medicaid benefits like doctor visits, hospital stays and prescription medications. We also offer extra services called “value-added services,” like health and wellness services and online resources to support STAR Kids families.

At UnitedHealthcare, every STAR Kids member is paired with a Service Coordinator, to help them get the medical and long-term services and supports they need.

Choose “View plan details” to see what our Texas Medicaid Plan offers you.

Dual Special Needs plans

Dual Special Needs plans (also called Dual Health plans or D-SNPs for short) are for people who have both Medicaid and Medicare. Dual plans cover most doctor visits, hospital stays and prescription drugs. They offer many extra benefits beyond those you get with either Original Medicare or Medicaid.

Children's Health Insurance Program

Children's Health Insurance Program (CHIP)

Our Texas Children's Health Insurance Program (CHIP) plan is for children and young adults 18 and under. You can choose your child's doctor. And your kids get extras that other plans don’t offer. Choose "View Plan" to see what our CHIP plan offers your family.

Individual & Family ACA plans

UnitedHealthcare offers Individual & Family ACA plans in Texas. They’re designed to give you the coverage you need without breaking the bank.

Choose from plans in the Bronze, Silver and Gold metal levels. They each come with a variety of benefits, including reliable support from our customer service experts.

See why Texans choose UnitedHealthcare

Whatever plan you choose, UnitedHealthcare will help you get the care you need.

  • Large variety of network providers
  • No-cost virtual visits
  • Low- or no-cost prescription drugs

Ensuring access to high-quality, affordable care that meets the unique needs of each member.

Providing value by managing costs and improving the health of the people we serve.

UnitedHealthcare works with local organizations and the state of Texas to help remove barriers to better health.

1Benefits, features, and/or devices vary by plan/area. Limitations, exclusions and/or network restrictions may apply. Other hearing exam providers are available in the UnitedHealthcare network. The plan only covers hearing aids from a UnitedHealthcare Hearing network provider.

At UnitedHealthcare we want to make sure you can access all the benefits your plan provides.

If you’ve had a change in your health status and your doctor determines you need a wheelchair, your plan is here for you.

To make sure you get the equipment you need with the coverage you have, follow these simple steps.

You may need a wheelchair evaluation referral from a healthcare provider in your plan’s network for wheelchairs with special features.

Next a Durable Medical Equipment or DME vendor in your health plan network is located.

In many cases, your healthcare provider can help locate an in-network provider and send the referral.

If the health care provider does not complete this step we can help you find an in-network provider and schedule an appointment.

It is important to understand what your insurance does and does not cover, so that you don’t have unexpected expenses.

And we can help you with that.

Once the referral has been sent to the identified provider the evaluation will be performed by a physical therapist, an occupational therapist or a physiatrist who specializes in determining proper seating and positioning.

This evaluation may take place in your home or in the DME provider’s office.

If the assessment takes place at the provider office, be sure to bring your wheelchair with you if you have one.

During the visit you may be asked to provide additional information including your health status and risk factors, transportation needs, and information on your home environment (if the assessment does not take place in your home).

Wheelchairs may take anywhere from 60 to 90 calendar days to be delivered.

Factors such as supply chain issues and availability of parts may cause additional delay.

Your DME provider can assist you with a loaner chair during the waiting period if needed.

When your new wheelchair is delivered be sure to sit in it to ensure proper fit and adjustments.

And even if you have experience with wheelchairs do take the time for the vendor to provide instructions on the use of the chair and its features, care and maintenance.

If any equipment you are requesting is not a covered benefit you may be asked to pay out of pocket for the equipment.

The vendor should provide you with a clear explanation of why it is not part of your benefits.

Generally, a wheelchair should last at least five years, although growing children may need a new chair more often.

If you already use a wheelchair and it’s damaged and unable to be repaired you may also be eligible for a new wheelchair.

Over time your insurance and DME providers may change.

So, be sure and keep all the information about the chair, the DME provider, the coverage and any documentation on any repairs or changes made.

Remember, if you have any questions or need more information visit myuhc.com/CommunityPlan or call member services at the number on the back of your member ID card.

 

Texas health plans as low as $0 cost

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TX Medicaid Plans

  • No- or low-cost
  • Pregnant women and children
  • Low-income individuals with families
  • All ages
  • Blind and disabled individuals
Kids in circle

Children's Health Insurance Program (CHIP)

  • Children in low-income families that earn too much money to qualify for Medicaid
  • Ages 18 and younger
  • Low-cost
Therapy session happy patient

TX Dual Special Needs plans

  • Those qualifying for both Medicaid and Medicare
  • Individuals 65 and up
  • Blind and disabled individuals
  • Offers benefits beyond traditional Medicaid
  • No-cost plan
Father hugging young daughter

TX Individual and Family plans

  • Unemployed or self-employed people
  • Students
  • People between jobs
  • Retirees who aren't yet eligible for Medicare

Featured programs

AbleTo

New On-Demand Self Care for no cost

You can get the Self Care app from AbleTo at no cost. Self Care offers you:

  • Meditation tools to help you relax
  • Mood and habit tracking so you can find patterns and see how your behaviors affect your mood
  • Guides around topics that matter most to you
  • Optional weekly check-ins to unlock personalized content

To get started, visit ableto.com/begin

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Is it time to renew your Medicaid coverage?

We have trained staff offering guidance on the renewal process for UHC members. Contact the member advocate team for a learning session near you.

Email: CSTXMAEvents@uhc.com
Or call: 1-888-887-9003, TTY 711. Ask the operator to connect you with a Member Advocate.

man and child

Medicaid: More for you in 2024

As a UnitedHealthcare Medicaid member, you’ll get extra benefits that some plans don’t offer. Not all plans are the same. UnitedHealthcare Community Plan provides:

  • Well and sick care
  • Home care and supplies
  • Transportation
  • Asthma and COPD support
  • Case management
  • Choice of doctor

We also offer extra services called Value Added Services (VAS).

Depression Meds Support Hotline

Dual Special Needs plans in 2024

Texans on a UnitedHealthcare Dual Special Needs Plan (or dual health plan) get many extra benefits beyond those you get with either Original Medicare or Medicaid.

That includes:

  • A monthly credit to buy healthy food and OTC products or pay utility bills
  • $0 copay on covered generic and brand-name prescriptions including home delivery
  • An allowance for covered types of preventive and comprehensive dental
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Individual and Family plans

UnitedHealthcare is offering individual and family plans in Texas that are designed to provide the best possible coverage at an affordable price.

We have plan choices in all three metal levels, bronze, silver and gold, offering a variety of benefits. With most plans, you get:

  • $0 virtual care with a doctor who's specially trained to provide online urgent, specialty and primary care
  • Prescriptions as low as $3 Pay for Tier 1 generic drugs at Walgreens
  • Member-only discounts, like 20% off Walgreens-brand health and wellness products
  • Digital fitness classes at no extra cost
  • Access to a library with thousands of live and on-demand digital fitness classes
Provider holding Rx with patient

Well and sick care

Get the support you need to stay healthy — or to get better if you’re injured or sick. Pregnant moms also get extra support to keep you and your baby healthy. That includes:

  • Hospital care — You pay nothing for care in a hospital
  • Testing — Lab tests, x-rays and diagnostic imaging are covered
  • Transportation — We pay for rides to and from medical visits or pharmacy
  • Well visits —Annual checkups to help keep you healthy
  • Prior Authorization Information
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Pregnancy care

Nothing is more important than the health and well-being of you and your baby. That’s why our STAR plan benefits include:

  • Choice of doctor — Find a doctor you trust in our network
  • Choose a birth center — Deliver at your choice of hundreds of hospitals across Texas
  • Prenatal visits — Care for you before your baby is born
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Rides and more

Sometimes you might need a little extra help using your health plan. For those times, you can rely on:

  • Transportation — We offer rides to and from medical visits or the pharmacy
  • Interpreters — An interpreter can go with you to medical visits
  • Language help — Translated medical materials are available at no cost
  • 24/7 NurseLine — Available 24 hours a day, 7 days a week. Call the number on the back of your Member ID card.
  • Member services — Call 24/7 to get answers to your benefit questions 
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HealthTalk member newsletter

The newsletter is a great way to learn about our health plan and important health topics. Now you can read it whenever, wherever you want. Check back quarterly for a new edition.

Medicaid newsletters
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ABD newsletters
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Learn about plan types

Dual Special Needs Plans (D-SNP)

Dual Special Needs Plans (also called dual health plans or D-SNPs for short) are for people who get both Medicaid and Medicare. Dual plans cover doctor visits, hospital stays and prescription drugs. They offer more benefits and extras than Original Medicare. You’ll keep all your Texas STAR Medicaid benefits too.

Medicaid plans

TX Medicaid is health insurance for people with low incomes. You might be able to get Medicaid in Texas if you’re pregnant, have children or live with a disability. In some cases, other adults also may qualify. Costs to you are low and based on your ability to pay. It’s important to know that Medicaid rules and coverage differ from state to state.

Exchange plans

Exchange plans, also known as the Health Insurance Marketplace (R) plans, help individuals, families, and small businesses shop for and enroll in affordable healthcare coverage.  Whether you qualify for these programs depends on your expected income, household members, and other information.