Primary Care Provider
As a member of UnitedHealthcare Community Plan, one of the first things you will want to do is to choose a Primary Care Provider (PCP). Your PCP will provide and coordinate all your healthcare, including referrals to specialists, with the exception of emergencies, mental health and women’s healthcare. Each covered family member may choose a different PCP within UnitedHealthcare Community Plan. If you do not choose a PCP, we will select one for you, which you can change later.
Please feel free to call our Member Services line, at 1-877-542-8997 (TTY: 711) and we will be happy to help you find or change your PCP.
To find a PCP or a Specialist in our network, please visit these online directories for complete information, including names, addresses, specialties, new patient’s availability and languages spoken. If you would like us to provide you with a printed version at no cost, please call us, at 1-877-542-8997 (TTY: 711).
As a UnitedHealthcare Community Plan member, you're eligible for Behavioral Health Services, also called mental health services.
For more information on services available and approvals for services, please refer to your Medical Benefits Book.
Search for a Mental Health Clinician or Facility
Download Additional Behavioral Health Resources (PDF 382.96 KB)
Emergency and Urgent Care
The Emergency and Urgent Care List tells you what a real emergency is and provides a list of many urgent care centers that you can use. You can use these centers when you are sick or need medical care right away and your PCP is not available, but it's not a life-threatening situation. Urgent care centers are usually open in the evenings and on weekends.
Emergency rooms (ERs) are for major injuries or sudden sicknesses that may be life threatening and need medical care right away. In an emergency, you should call 911 or go to an ER immediately.
For more information your covered dental benefits contact:
Health Care Authority/ProviderOne 1-800-562-3022
To find a provider that takes Apple Health visit: https://fortress.wa.gov/hca/p1findaprovider
The UnitedHealthcare Community Plan Preferred Drug List (PDL) is a list of covered prescription drugs, and drugs needing prior authorization for enrollees in Washington Apple Health. Prior authorization is when your doctor has to call us before giving you the prescription to see if we will cover it.
Preferred Drug List for Washington Apple Health (PDF 878.92 KB)
Preferred Drug List Updates for Washington Apple Health (PDF 1.03 MB)