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UnitedHealthcare Community Plan

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State: Wisconsin
Interest: All Plans
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Medicaid SSI

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Medicaid SSI and UnitedHealthcare Dental

Financial hardships or disability can make life difficult in many ways – but having a capable health care plan can help. Medicaid SSI is a program for individuals 19 years and older who receive Medicaid SSI or SSI-related Medicaid because of a disability determined by the Disability Determination Bureau.

What is Supplemental Security Income (SSI)?

Supplemental Security Income (SSI) is a monthly cash benefit paid by the federal Social Security Administration (SSA) and state Department of Health and Services (DHS) to low-income elderly, blind, and disabled residents of Wisconsin.

UnitedHealthcare Dental

If you live outside of Milwaukee, Racine, Kenosha or Waukesha counties, you may get dental services from any dentist who will accept your ForwardHealth ID card. Your dental services are provided by the State, not UnitedHealthcare. Call our Customer Service Department at 1-800-504-9660 for the names of our dentists. You may also view our UnitedHealthcare Dental Provider Directory under the "Find a Provider" tab on our website.

This plan is available in the following counties: Ashland, Bayfield, Brown, Burnett, Calumet, Dodge, Door, Douglas, Fond du Lac, Forest, Green Lake, Jefferson, Kenosha, Kewaunee, Langlade, Manitowoc, Marathon, Marinette, Marquette, Menominee, Milwaukee, Oconto, Oneida, Outagamie, Ozaukee, Pierce, Polk, Portage, Price, Racine, Rock, Sawyer, Shawano, Sheboygan, St. Croix, Taylor, Vilas, Walworth, Washburn, Washington, Waukesha, Waupaca, Waushara, Winnebago and Wood.

To request more information or to join this health care program, start here:

Step 1	Call Us at 1-800-291-2002 TTY# 1-800-947-6644 for hearing impaired.
Step 2	Apply online with the Wisconsin Department of Health Services.

Step 1

Call Us at 1-800-291-2002
TTY# 1-800-947-6644 for hearing impaired.

Step 2

Apply online with the Wisconsin Department of Health Services.

Please call the following number for member information:1-800-504-9660

Benefits

Medicaid SSI Member Handbook (English) (PDF 951.29 KB)

Medicaid SSI Member Handbook (Español) (PDF 814.42 KB)

Wisconsin Covered Services Comparison Chart (PDF 131.97 KB)

You can provide feedback directly to Medicare through their Complaint Form about your Medicare health plan.

As part of our brand changeover to UnitedHealthcare Community Plan, we're improving our websites. But we're not quite done yet. So for now, we're sending you to our old website for the information you need. Rest assured that it's up-to-date and correct, even if it may not be as pretty as the UnitedHealthcare Community Plan website you'll be going to soon. Thanks for your understanding.

Disclaimer information

Advertising:
You must have Medicare Parts A and B, and must reside in the service area of the plan. UnitedHealthcare® Medicare Advantage plans are special needs plans available to all people meeting certain eligibility requirements, such as having both Medical Assistance from the state and Medicare, living in a contracted nursing home, or having a qualifying chronic care condition.

UnitedHealthcare® Medicare Advantage Plans are offered by United Healthcare Insurance Company and its affiliated companies, Medicare Advantage organizations with a Medicare contract. Limitations, co-payments and coinsurance will apply.

Pre Enrollment:
UnitedHealthcare® Medicare Advantage plans are offered by UnitedHealthcare Insurance Company and its affiliated companies, a Medicare Advantage organization with a Medicare contract. UnitedHealthcare Personal Care Plus® (HMO SNP) plan is special needs plans available to all people meeting certain eligibility requirements, such as having both Medical Assistance from the state and Medicare. The benefit information provided herein is a brief summary, not a comprehensive description of benefits. For more information contact the plan. Limitations, copayments, and coinsurance may apply. Benefits may vary by county and plan. Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help that you may receive. For more information, contact Customer Service at 1-877-702-5110, TTY: 711, 7 days a week, between 8 a.m. and 8 p.m. local time. Or write us at UnitedHealth Group, PSMG Privacy Office, MN006-W800, P.O. Box 1459, Minneapolis, MN 55440 or go to www.uhccommunityplan.com. This document is available in alternative formats. You must have both Medicare Parts A and B, and must reside in the service area of the plan. You must continue to pay your Medicare Part B premium if not otherwise paid for under Medicaid or by another third party. Your ability to enroll in a special needs plan is not limited to certain times of the year. For more information, contact Customer Service at 1-877-702-5110, TTY: 711, 7 days a week, between 8 a.m. and 8 p.m. local time. Or write us at UnitedHealth Group, PSMG Privacy Office, MN006-W800, P.O. Box 1459, Minneapolis, MN 55440 or go to www.uhccommunityplan.com. HMO members must use plan providers except in emergency or urgent care situations or for Out-of-area renal dialysis. If you obtain routine care from out-of-network providers neither Medicare nor UnitedHealthcare® Medicare Advantage plans will be responsible for the costs. You may be able to get extra help to pay for your prescription drug premiums and costs. To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227), TTY: 1-877- 486-2048, 24 hours a day, 7 days a week; the Social Security Office at 1-800-772-1213, between 7 a.m. and 7 p.m., Monday through Friday, TTY: 1-800-325-0778; or your state Medicaid office. By enrolling in an MA-PD you will automatically be disenrolled from any existing Medicare Prescription Drug coverage. To receive the highest level of benefit you must use contracted network pharmacies to access your prescription drug benefit except in the case of emergency. The pharmacy network includes retail, mail order, long term care, home infusion and I/T/U (Indian Health Service, Tribes or Urban Indian) pharmacy services. You may obtain your prescriptions from pharmacies outside the contracted network at a reduced benefit. Quantity limitations and restrictions may apply. For information about mail order, names and addresses of network pharmacies or for more information call 1-877-702-5110, or TTY 711, Monday through Friday, 8:00 a.m. to 8:00 p.m. local time. Or write us at UnitedHealth Group, PSMG Privacy Office, MN006-W800, P.O. Box 1459, Minneapolis, MN 55440 or go to www.uhccommunityplan.com.

Disclaimer information

UHC PLANS

Pre Enrollment:
UnitedHealthcare® Medicare Advantage plans are offered by UnitedHealthcare Insurance Company and its affiliated companies, a Medicare Advantage organization with a Medicare contract. UnitedHealthcare Dual Complete™ (HMO SNP) plans are special needs plans available to all people meeting certain eligibility requirements, such as having both Medical Assistance from the state and Medicare. The benefit information provided herein is a brief summary, not a comprehensive description of benefits. For more information contact the plan. Limitations, copayments, and coinsurance may apply. Benefits may vary by county and plan. Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help that you may receive. For more information, contact Customer Service at 1-877-702-5110, TTY: 711, 7 days a week, between 8 a.m. and 8 p.m. local time. Or write us at UnitedHealth Group, PSMG Privacy Office, MN006-W800, P.O. Box 1459, Minneapolis, MN 55440, or go to www.uhcdualcomplete.com. This document is available in alternative formats. You must have both Medicare Parts A and B, and must reside in the service area of the plan. You must continue to pay your Medicare Part B premium if not otherwise paid for under Medicaid or by another third party. Your ability to enroll in a special needs plan is not limited to certain times of the year. For more information, contact Customer Service at 1-877-702-5110, TTY: 711, 7 days a week, between 8 a.m. and 8 p.m. local time. HMO members must use plan providers except in emergency or urgent care situations or for Out-of-area renal dialysis. If you obtain routine care from out-of-network providers neither Medicare nor UnitedHealthcare® Medicare Advantage plans will be responsible for the costs. You may be able to get Extra Help to pay for your prescription drug premiums and costs. To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227), TTY: 1-877-486-2048, 24 hours a day, 7 days a week; the Social Security Office at 1-800-772-1213, between 7 a.m. and 7 p.m., Monday through Friday, TTY: 1-800-325- 0778; or your state Medicaid office. By enrolling in an MA-PD you will automatically be disenrolled from any existing Medicare Prescription Drug coverage. To receive the highest level of benefit you must use contracted network pharmacies to access your prescription drug benefit except in the case of emergency. The pharmacy network includes retail, mail order, long-term care, home infusion and I/T/U (Indian Health Service, Tribes or Urban Indian) pharmacy services. You may obtain your prescriptions from pharmacies outside the contracted network at a reduced benefit. Quantity limitations and restrictions may apply. For information about mail order, names and addresses of network pharmacies or for more information call 1-877-702-5110, or TTY 711, Monday through Friday, 8:00 a.m. to 8:00 p.m. local time. Or write us at UnitedHealth Group, PSMG Privacy Office, MN006-W800, P.O. Box 1459, Minneapolis, MN 55440, or go to www.uhcdualcomplete.com. The plan's contract with the Centers for Medicare & Medicaid Services is renewed annually. Availability of coverage beyond the end of the current contract year is not guaranteed.