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UnitedHealthcare Community Plan
UnitedHealthcare Community Plan

Quality & Cost of Care

Your care. Your choice.

Find quality care that's right for you and your family. 

Now you can take an active part in your health by choosing the right care at the right time.

We'll help you every step of the way.  For example, did you know that doctors and hospitals have quality ratings? Did you know that costs could differ a lot between hospitals for the same type of care? Do you know when it's okay to visit the emergency room?

We can help you understand your care options, narrow them down and choose a care provider with confidence. 

View cost and quality information from your phone.

The UnitedHealthcare Health4Me* Mobile app lets you view hospital quality information and estimate detailed costs for more than 500 treatments. It also features a helpful guide of what questions to ask your doctor.

Don’t have the health4Me app yet? Download it from the Apple iTunes App Store as a free download for the iPhone. It is also available as a free download in the Google Play Store for Android phones.

Choosing the type of care.

Remember to always keep your primary care provider informed when using any of the care listed below.


Scheduled Primary Care Provider (PCP) appointments:
Your PCP is the main health care professional who takes care of you. This is the most common type of care. It includes checkups and other preventative care visits. To schedule an appointment, call your PCP’s office directly. When you call to make an appointment, be sure to tell the office what you’re coming in for. If you do not have a PCP, we can help you find a one. Call us at 1-800-464-9484.


Urgent care:
This type of care is for non-life-threatening conditions when your PCP isn’t available or it’s after clinic hours. Common health issues ideal for urgent care include sore throat, flu, ear infection, low-grade fever, minor cuts or burns and sprains. Sometimes, the emergency room is in the same building, so make sure you ask for urgent care.


Emergency care:
This type of care is for emergencies only. Hospital emergency rooms are there to offer treatment for trauma, serious injury and life-threatening symptoms. Reasons to go to the ER include serious illness, broken bones, serious breathing problems, poisoning and severe cuts or burns.

Choosing a primary care provider.

We offer tools and information to help you make more informed and confident health care decisions. This includes a doctor’s quality rating and their contact information. It also lets you know if they’re near you, the languages they know and if they’re accepting new patients.

Find A Provider


Choosing a hospital.

It’s important to choose a hospital you like and that is convenient for you. But you also should consider the hospital’s quality rating and safety score.

The Leapfrog Group has a Hospital Safety Score program that rates hospitals based on the care they provide.
Leapfrog Hospital Ratings

Use Medicare's Hospital compare tool to find hospitals and compare the quality of their care.
Hospital Compare website

Understanding what care providers are charging.

As a Medicaid member, there’s usually no cost to you for a health care visit. However, it’s good to know that you can get cost information. That’s because some forms of health insurance require members to pay a portion of the cost of care, and you may not always have Medicaid. It’s also an important part of understanding how your benefits work.

Here are the average total costs* of some of the common services that our members use: 

Common Services

*These costs are based on the total health care service costs. This does not mean you will have to pay this amount. The cost you will pay is likely $0, but this depends on your plan and benefits. Please call the number on the back of your ID card if you don’t know what your benefits will cover.


Ready to get started?

Call us:
TTY: 711

Monday - Friday
7:30 a.m. – 6:00 p.m.

Lookup Tools

Doctor Lookup

Search for HCBS waiver providers, doctors, hospitals, and specialists in our network.

View Drug List

Find medications covered by this plan.

Pharmacy Lookup

Find a pharmacy in our network near you.

Member Information

Member Website

Already a member? You have access to our member-only website. Print ID cards, chat with a nurse online, and more.

Member Handbook
Member Benefits Grid

More Resources

Member Page

View more news, updates and resources for members.

Member Handbook

Learn More

UnitedHealthcare Community Plan Health Link