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Texas Medicaid

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

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.

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Find plans

Medicaid plans

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. 

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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. 

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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.

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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.
View all Dual Special Needs plans

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.

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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 Individual & Family ACA plans (Opens in a New Tab)

Eligibility and enrollment

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Eligibility:

Medicaid provides health coverage for low-income children, families, seniors and people with disabilities.

  • The STAR program covers low-income children, pregnant women and families.
  • The STAR+PLUS plan covers older adults (65 and older) and adults with disabilities (21 and over).
  • The STAR Kids program covers children and adults ages 20 and younger who have disabilities.

Enrollment:

Enrollment is open year-round. Applying for Medicaid is easy and can be through the mail-in packet, by phone, or online. 

Joining us is easy! After you're approved for Medicaid, you can choose UnitedHealthcare.

Renewals

Don't lose benefits

Your health plan renewal date may be coming soon. If you haven’t already, you may need to recertify to keep getting UnitedHealthcare coverage.

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Benefits and features

We want to help you live healthier lives and to have the best possible member experience. 

Transportation benefits

Your transportation benefit provides Non-Emergency Medical Transportation (NEMT) rides to approved Medicaid services. Rides come at no cost to you and ensure your access to health care. Unlimited rides to any Medicaid covered service every year, including, but not limited to:

  • Doctors offices
  • Pharmacies
  • Vision or hearing appointments
  • Dental for waiver members

Service Coordination

At UnitedHealthcare, every STAR + PLUS and STAR Kids member is paired with a Service Coordinator to help them get the medical and long-term services and supports they need. They work with you, your doctors and your caregivers to build a plan of care just for you, based on your goals and needs.

Mental Health benefits

Mental health is as important as physical health. That’s why we have coverage for both. You are eligible for mental health services, also called behavioral health services. Mental health services can help you with personal problems that may affect you and your family. These problems may be stress, depression, anxiety or using drugs or alcohol.

Pregnancy benefits

We’re here to support your pregnancy. Our Healthy First Steps program includes:

  • Personalized support
  • Gift card rewards
  • Connection to resources
  • Wellhop peer support
  • Babyscripts pregnancy app
  • Help finding a provider

Value Added services

In addition to required Medicaid services, we offer value added-services by plan. These unique services were inspired by feedback from members like you. Use them to benefit your health and everyday life.

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
  • Guides around topics that matter most to you
  • Optional weekly check-ins to unlock personalized content

To get started, visit ableto.com/begin

Download the Medicaid 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

ABD newsletters


Disclaimer information
(scroll within this box to view)

Looking for the federal government’s Medicaid website? Look here at Medicaid.gov.

UnitedHealthcare Dual Complete plans

Plans are insured through UnitedHealthcare Insurance Company or one of its affiliated companies, a Medicare Advantage organization with a Medicare contract and a contract with the State Medicaid Program. Enrollment in the plan depends on the plan’s contract renewal with Medicare. This plan is available to anyone who has both Medical Assistance from the State and Medicare. Benefits, features and/or devices vary by plan/area. Limitations, exclusions and/or network restrictions may apply. Benefits, premiums and/or co-payments/co-insurance may change on January 1 of each year.

Premium disclaimer

Dual Special Needs plans have a $0 premium for members with Extra Help (Low Income Subsidy).

Benefit disclaimer

Benefits, features, and/or devices vary by plan/area. Limitations, exclusions and/or network restrictions may apply.

Nurse Hotline disclaimer

This service should not be used for emergency or urgent care needs. In an emergency, call 911 or go to the nearest emergency room. The information provided through this service is for informational purposes only. The nurses cannot diagnose problems or recommend treatment and are not a substitute for your provider's care. Your health information is kept confidential in accordance with the law. The service is not an insurance program and may be discontinued at any time. Nurse Hotline not for use in emergencies, for informational purposes only.

UnitedHealthcare Connected® for MyCare Ohio (Medicare-Medicaid plan)

UnitedHealthcare Connected® for MyCare Ohio (Medicare-Medicaid plan) is a health plan that contracts with both Medicare and Ohio Medicaid to provide benefits of both programs to enrollees. 

UnitedHealthcare Connected® (Medicare-Medicaid plan)

UnitedHealthcare Connected® (Medicare-Medicaid plan) is a health plan that contracts with both Medicare and Texas Medicaid to provide benefits of both programs to enrollees.

UnitedHealthcare Connected® for One Care (Medicare-Medicaid plan)

UnitedHealthcare Connected® for One Care (Medicare-Medicaid plan) is a health plan that contracts with both Medicare and MassHealth (Medicaid) to provide benefits of both programs to enrollees. 

UnitedHealthcare Connected® general benefit disclaimer

This is not a complete list. The benefit information is a brief summary, not a complete description of benefits. For more information contact the plan or read the member handbook. Limitations, copays and restrictions may apply. For more information, call UnitedHealthcare Connected® Member Services or read the UnitedHealthcare Connected® member handbook. 

UnitedHealthcare Senior Care Options (HMO SNP) plan

UnitedHealthcare Senior Care Options (SCO) is a Coordinated Care plan with a Medicare contract and a contract with the Commonwealth of Massachusetts Medicaid program. Enrollment in the plan depends on the plan’s contract renewal with Medicare. This plan is a voluntary program that is available to anyone 65 and older who qualifies for MassHealth Standard and Original Medicare and does not have any other comprehensive health Insurance, except Medicare. If you have MassHealth Standard, but you do not qualify for Original Medicare, you may still be eligible to enroll in our MassHealth Senior Care Option plan and receive all of your MassHealth benefits through our Senior Care Options (SCO) program.

Star ratings disclaimer

Every year, Medicare evaluates plans based on a 5-Star rating system. The 5-Star rating applies to plan year 2024.

Important provider information

The choice is yours

We will provide you with information to help you make informed choices, such as physicians' and health care professionals' credentials. This information, however, is not an endorsement of a particular physician or health care professional's suitability for your needs.

The providers available through this application may not necessarily reflect the full extent of UnitedHealthcare's network of contracted providers. There may be providers or certain specialties that are not included in this application that are part of our network. If you don't find the provider you are searching for, you may contact the provider directly to verify participation status with UnitedHealthcare's network, or contact Customer Care at the toll-free number shown on your UnitedHealthcare ID card. We also recommend that, prior to seeing any physician, including any specialists, you call the physician's office to verify their participation status and availability.

Some network providers may have been added or removed from our network after this directory was updated. We do not guarantee that each provider is still accepting new members.

Out-of-network/non-contracted providers are under no obligation to treat UnitedHealthcare plan members, except in emergency situations. Please call our customer service number or see your Evidence of Coverage for more information, including the cost- sharing that applies to out-of-network services.

American Disabilities Act notice

In accordance with the requirements of the federal Americans with Disabilities Act of 1990 and Section 504 of the Rehabilitation Act of 1973 ("ADA"), UnitedHealthcare Insurance Company provides full and equal access to covered services and does not discriminate against qualified individuals with disabilities on the basis of disability in its services, programs, or activities.

Referrals

Network providers help you and your covered family members get the care needed. Access to specialists may be coordinated by your primary care physician.

Paper directory requests

Paper copies of the network provider directory are available at no cost to members by calling the customer service number on the back of your ID card. Non-members may download and print search results from the online directory.

Inaccurate information

To report incorrect information, email provider_directory_invalid_issues@uhc.com. This email box is for members to report potential inaccuracies for demographic (address, phone, etc.) information in the online or paper directories. Reporting issues via this mail box will result in an outreach to the provider’s office to verify all directory demographic data, which can take approximately 30 days. Individuals can also report potential inaccuracies via phone. UnitedHealthcare Members should call the number on the back of their ID card, and non-UnitedHealthcare members can call 1-888-638-6613 / TTY 711, or use your preferred relay service.

Declaration of disaster or emergency

If you’re affected by a disaster or emergency declaration by the President or a governor, or an announcement of a public health emergency by the Secretary of Health and Human Services, there is certain additional support available to you.

  • Part A, Part B, and supplemental Part C plan benefits are to be provided at specified non-contracted facilities (note that Part A and Part B benefits must be obtained at Medicare certified facilities);
  • Where applicable, requirements for gatekeeper referrals are waived in full;
  • Plan-approved out-of-network cost-sharing to network cost-sharing amounts are temporarily reduced; and
  • The 30-day notification requirement to members is waived, as long as all the changes (such as reduction of cost-sharing and waiving authorization) benefit the member.

If CMS hasn’t provided an end date for the disaster or emergency, plans will resume normal operation 30 days after the initial declaration.