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Virginia, we've got you covered

Helping people is at the heart of all we do

You’ll find UnitedHealthcare serving members and communities across Virginia. Helping our members get the care they need – and working closely with local groups to help our communities grow even stronger and healthier.

We offer many plans to help Virginians get healthy. And stay healthy. Including Medicaid plans, Exchange Plans and Dual Special Needs Plans for those who qualify for both Medicaid and Medicare.

Plus, we offer one of the largest provider networks in Virginia. Which gives you more options to choose the doctors and specialists that fit your health care needs.

Medicaid health plans as low as $0 cost

$0 cost for:

  • Pregnant women, children
  • Men and women between ages 19-64
  • Adults with special health needs, who don't qualify for Medicare

Low or $0 cost:

  • For adults needing extra support and care
  • Includes help from a care coorindator
  • In-home services available 

Low or $0 cost

  • Children up to age 19 whose working parents do not qualify for Medicaid.
  • Includes UnitedHealthcare extras that other plans don't offer.

Get extras with UnitedHealthcare

You get the Medicaid coverage you expect, including doctor visits, emergency care, prescription drugs, and mental health services. PLUS you get these extras:

Free rides

Get rides to medical and non-medical locations. Includes clinics, grocery stores, places of worship, fitness centers/gyms and more. 

Sticks for Kicks

Up to two $50 gift cards to Footlocker for any qualifying vaccinations for members up to age 18.

Up to $100 in gift card rewards

Programs that deliver extra support during and after pregnancy.  

Sanvello™ subscription

The #1 app for stress, anxiety and depression, with over 3.5 million users. Free standard fitness center membership and free access to digital fitness solutions for members age 18 and up.

Adult and child dental care

For questions or to find a dentist in your area, call the DMAS Dental Benefits Administrator at 1-888-912-3456.

Information is also available on the DMAS website at https://www.dmas.virginia.gov/for-members/benefits-and-services/dental/ or the DentaQuest website at http://www.dentaquestgov.com/ 

Join us! Get started today.

Find out if you qualify for Medicaid.

To see if you may be eligible, answer a few questions at CommonHelp.com  

Apply online or call.

Once you set up your account, it’s easy to apply here. You can also apply by phone 1-855-242-8282.

Choose us.

Watch for your approval packet in the mail. Call the Managed Care Helpline 1-800-643-2273. Tell them you choose UnitedHealthcare Community Plan. 

Important news and dates

Want to switch to UnitedHealthcare Community Plan? We’d love to serve you. Open Enrollment dates by region:

Medallion Plans:

  • Tidewater: February 19 – April 30
  • Central: April 19- June 30
  • Northern/Winchester: June 19 - August 31
  • Western/Charlottesville: August 19 - October 31
  • Roanoke/Alleghany: December 19- February 28
  • Southwest: December 19 – February 28 

Join us! Get started today.

Find out if you qualify for Medicaid.

To see if you may be eligible, answer a few questions at CommonHelp.com  

Apply online or call.

Once you set up your account, it’s easy to apply here. You can also apply by phone 1-855-242-8282.

Choose us.

Watch for your approval packet in the mail. Call the Managed Care Helpline 1-800-643-2273. Tell them you choose UnitedHealthcare Community Plan. 

Features and Benefits for Medicaid Plans

Pregnant-couple

Sticks for Kicks

Earn $50 in  Foot Locker® gift cards

Sticks for Kicks is an exciting new benefit for UnitedHealthcare® Community Plan members up to age 18. When they get a qualifying “stick” (shot), they’ll earn a $50 gift card to buy “kicks” (shoes) and activewear at Foot Locker. If they get another qualifying stick, they can earn a second $50 Foot Locker gift card (up to $100 total).

What vaccines qualify for Sticks for Kicks?

Your child’s primary care provider (PCP) will know what shots your child may need. There’s no cost to you. Vaccines are covered by your health plan.

Qualifying vaccines

Members can earn a single $50 gift card for getting one of the vaccinations recommended for their age group. If they get any 2 vaccines listed, they can earn up to $100.

Age 5–6

  • DTaP
  • IPV Polio (oral vaccine also eligible)
  • MMR
  • Varicella
  • Influenza
  • Covid-19

Age 7–10

  • Influenza
  • Covid-19

Age 11–12

  • Tdap
  • HPV
  • Meningococcal
  • Influenza
  • Covid-19

Age 12+

  • Influenza
  • Meningococcal (16-year-olds only)
  • COVID-19

Questions about Sticks for Kicks?

Call Member Services at 1-844-752-9484, TTY 711. We can answer any questions you have or help you to find a doctor or make an appointment.

Pregnant-couple

One Pass Fitness Center Benefit — new for 2023

One Pass is a new fitness program

One Pass™ is a complete fitness solution for your personal health goals and needs. One Pass is available at no cost to you. It’s new to Virginia Medallion members ages 18 and over for 2022. And it’s only from UnitedHealthcare®.

Fitness to fit your life

Want to go to the gym? One Pass gives you a free membership to many fitness locations near you. Prefer

to work out at home? You can access livestream classes or pre-recorded videos in private. Just starting out? The workout builder will walk you through each exercise and help you create a customized workout program just for you.

There’s no end to all the ways One Pass can help you stay fit and live your healthiest life. 

One Pass gives you

  • Unlimited access to 300+ select fitness locations* in Virginia, including: Anytime Fitness, Golds Gym, H2 Health, LA Fitness, Planet Fitness, Rehab Associates, Snap Fitness and YMCA
  • Access to a digital library of more than 20,000 on-demand and livestream classes
  • A workout builder to customize your exercises
Pregnant-couple

We cover Virginia

Get extras with UnitedHealthcare

You get the coverage you expect, including doctor visits, emergency care, prescription drugs, and mental health services. PLUS you get these extras:

Free rides. Get rides to medical and non-medical locations. Includes clinics, grocery stores, places of worship and more. [Non-medical locations are new in 2021] 

  • Kicks for Grades. A $50 gift card to FootLocker® for students with 3.5 GPA or higher. [New in 2021]
  • Up to $100 in incentives. Programs that deliver extra support during and after pregnancy.
  • Sanvello™ subscription. The #1 app for stress, anxiety and depression, with over 3.5 million users. [New in 2021]
  • Adult and child dental care. For questions or to find a dentist in your area, call the DMAS Dental Benefits Administrator at 1-888-912-3456. Information is also available on the DMAS website at https://www.dmas.virginia.gov/for-members/benefits-and-services/dental/ or the DentaQuest website at http://www.dentaquestgov.com/ 
Pregnant-couple

More for you in 2023

You’ll get extra benefits that some plans don’t offer.

  • Eye exam and glasses/contacts
  • $50 Footlocker gift card for qualifying vaccines
  • Fresh meals delivered to your door after a hospital stay
  • Rides to medical and non-medical sites
  • Weight Watchers
  • Gift cards for healthy actions
  • Smart phone, minutes and unlimited texts, through SafeLink Wireless

Changes for Green Card Holders in 2023

Starting April 1, 2021, Green Card holders (lawful permanent residents) with five years or more of residency in the United States may now be eligible for free or low-cost health coverage from Virginia Medicaid. The five years starts from the date you entered into the United States.

To find out more or to apply, individuals can do one of the following:

UnitedHealthcare Mobile App

This free mobile 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® or Android® smartphone or tablet.

Healthy First Steps®

Build a healthy future for you and your baby, and earn great rewards. Our UnitedHealthcare Healthy First Steps® program helps keep you and your baby healthy during pregnancy and your baby’s first 15 months of life.

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.

Rides where you need to go

You get free round-trip rides to health care appointments – and to many other approved locations. Includes trips to churches, grocery stores, DMV, food banks, WIC appointments, and more.

Reading-newsltter

HealthTalk Member Newsletter

Our HealthTalk newsletter is now online. The newsletters are a great way to learn about our health plan and important health topics.

You can read it whenever, wherever you want. Check back quarterly for a new edition.

Adults, Family, Kids Focus English | Español

Quitting Tobacco

Using a mix of medication support, phone-based behavioral coaching and web-based learning and support tools, the Quit For Life® Program is a tobacco cessation program available to all eligible members.

Weight Watchers

We will provide 10 Weight Watchers meeting vouchers annually to qualified members who are 10 years of age and older. Members will learn valuable skills about healthy eating and weight loss. Reviews are coordinated through the individual’s Care Coordinator and require approval.

Health Education

How stress affects you

When you're stressed, your body knows it. Your heart starts pounding and your muscles tense. Everyone has stress in their life now and then. But chronic stress can have negative effects on both your physical and your mental health. 

It can affect:
Digestion. Stress slows the release of stomach acid and causes the colon to work faster. This can result in stomachaches or diarrhea.

Heart rate and blood vessels. Your heart rate, blood pressure and cholesterol may increase. This raises your risk for
heart attacks and strokes.

Immune system. Stress makes wounds heal slower. You’re also more likely to get colds and infections.

Weight. Stress makes you crave fats and carbohydrates. If you gain weight in your abdominal area, you’re at greater
risk for heart disease and diabetes.

Mental health. Stress makes you tense and anxious. This can lead to depression, headaches or other problems such as trouble sleeping.

Regain your balance. If stress has taken over your life, here are some ideas to regain control:

Make time for regular exercise. Check with your doctor to see what types of exercise are right for you.

  • Do things you enjoy.
  • Learn how to relax. 
  • Treat yourself well.

If your stress is still an issue, talk with your doctor. He or she can recommend someone who can help you find other ways to manage your stress.

Find out more online at liveandworkwell.com

woman-power-walking

Healthy weight. Getting exercise.

Losing weight does not have to be hard. Getting more exercise is one of the best ways. Try to get 60 minutes or more of exercise every day. It doesn’t have to mean doing hard exercises or going to the gym every day. Just move your body. Here are some ideas:

Move! Dancing to your favorite tunes can help you burn more than 300 calories an hour. 

If you do play video games, play interactive ones where you have to move. You don’t even have to leave the house to move – try exercises like jumping jacks, marching in place, going up and down stairs, push-ups or sit-ups at home.

Walk! Take a walk with a friend outside. Walk your dog or your neighbor’s dog, or walk your cat! Instead of driving, walk or bike to school or a friend’s house.

Clean! Vacuum your room. Wash the car. Mow the lawn. Your parents will be happy, and it’s another chance for you to get more exercise, and maybe even have some fun.

Unplug! Limit your time watching TV or using your smartphone, computer or other device. Keep screen time to less than two hours a day. When you do watch TV or use your phone – try marching in place or exercising while you watch/play.

Learn about plan types

Medicare Card

Dual Special Needs Plans (DSNP)

Dual special needs plans (also called "dual" plans) 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 Medicaid benefits too.

Virginia Medicaid Card

Medicaid Plans

Medicaid is health insurance for people with low incomes. You might be able to get Medicaid 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.

See Plans in Virginia

UnitedHealthcareCommunityPlan

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).

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 2023.

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.