Build a healthy future for you and your baby — and earn great rewards — through Baby Blocks. This program helps keep you and your baby healthy during your pregnancy and your baby’s first 15 months of life.
Baby Blocks includes:
Email appointment reminders.
Fun program to keep track of appointments.
Reward cards for clothing and more.
Do you have a serious health problem? If so, our case managers are in your corner. They will:
Explain medical terms in plain language.
Coordinate your doctor appointments.
Provide your care team with your medical records.
The care manager will stay with you throughout your medical journey. He or she will:
Think beyond your medical needs.
Make sure you have support at home.
Choice of Doctor
Each member can choose a primary care physician (PCP). Use the “Doctor Lookup” tool to see if your doctor is in our network.
Your PCP is your main doctor for:
Treatment if you are sick or injured.
Referrals to specialists for certain conditions.
For members who don’t have a doctor or whose doctor is not in our network, we can help find a new one close by.
If you have chronic or high-risk illnesses, our disease management services are designed to support you.
We have special programs for:
Chronic obstructive pulmonary disease (COPD)
Coronary artery disease (CAD)
Congestive heart failure (CHF)
High Risk Pregnancy and Neonatal Intensive Care Unit
Sickle Cell Disease
Equipment and Supplies
Some members may need extra support to live safely at home.
Our plan covers medical equipment ordered by a member's doctor or care manager. This can include supplies like:
Walkers or wheelchairs.
We provide the exams needed to help keep feet in great shape. And for those with diabetes, good foot care can help prevent much more serious problems.
Our podiatry coverage includes:
Routine foot exams.
Tips about foot care and choosing the right shoes.
Information about nerve damage warning signs.
Home Health Care
After surgery or a serious illness, you may need extra help with day-to-day tasks. You may even need an in-home medical visit to check on how well you are healing. With approval from your doctor, our plan covers:
In-home medical visits.
Medical equipment like hospital beds, walkers or wheelchairs.
Disposable medical supplies.
Help with personal care.
This plan pays for all expenses related to a hospital stay - the member will never be changed. Our plan covers:
Room and board.
Supplies and equipment.
Treatment and therapies.
Diagnostic tests and exams.
And after leaving the hospital, you are not alone. We make sure the follow-up care is available to continue healing at home.
UnitedHealthcare offers services to help you talk with your doctor or other health care workers. You can get this service if you do not speak English or have hearing and speech barriers. You do not need a referral from your doctor to get these services.
Interpreter services are offered free of charge.
Lab and X-rays
Knowing what’s wrong and finding it early can make all the difference. Our plan covers:
Labs and testing.
X-rays, scans and other imaging.
We’ll help you get the information needed to improve your health or be at your best.
You may be able to receive information in your preferred language or format, including Braille. Just ask. We also have people at our member service centers who speak more than one language. Chances are, we have someone who speaks your language. All languages required by the State of California are covered, plus more.
Prescriptions and certain over-the-counter items are covered by our plan.
You may receive a prescription from a UnitedHealthcare doctor or specialist. You can fill your prescription at any UnitedHealthcare contracted pharmacy. Just show your State Benefit Identification Card (BIC) and your UnitedHealthcare Identification card to the pharmacy when you get your prescriptions filled.
We’re looking out for you. Our local member advocates can help solve problems, provide training and education, and work on issues that concern you.
Answer your questions about your benefits.
Help with doctor issues or complaints.
Help you clarify your health care benefits.
Sometimes you might need a little help understanding your health care options. With us, you have someone you can call. We’ll answer your questions simply and completely.
We can also help you find:
Find a doctor.
Change your primary care physician.
Questions on benefits.
Just call 1-866-270-5785, TTY: 711 Monday - Friday, 7:00 am – 7:00 pm PT.
You pay nothing for covered services.
While your health care is low-cost or free, the care quality is high. You get:
Care from highly skilled and compassionate doctors.
Treatments at respected hospitals and clinics.
Prescription drugs and over-the-counter medicines. to symptoms.
Medical questions and situations sometimes happen at inconvenient times. When you have questions about your health, you can call a nurse 24 hours a day, 7 days a week: 1-877-543-3409 (TTY 711).
Our NurseLineSM will:
Listen to the symptoms.
Help with self-care.
Advise you about getting care at a doctor visit or an urgent care center.
Help you know when to go to the emergency room.
If you have a life threatening emergency, go immediately to the emergency room or call 911.
Outpatient Mental Health
Mental Health is as important as physical health. That’s why we have coverage for both.
Mental Health Screening:
A mental health screening will be completed to determine if you are in mild or moderate distress or have acute impairment of mental, emotional or behavioral functioning.
This screening can be completed by a PCP, UnitedHealthcare Community Plan of California, Inc. or county mental health plan.
Outpatient Mental Health Services- Covered by UnitedHealthcare Community Plan of California:
If your mental health screening results determine you are in mild to moderate distress, UnitedHealthcare Community Plan of California covers the following outpatient mental health services:
Outpatient mental health services
Individual and group mental health evaluation and treatment (psychotherapy)
Psychological testing when clinically indicated to evaluate a mental health condition
Psychiatric consultation for medical management
Screening and Brief Intervention (SBI)
Outpatient laboratory, supplies and supplements
Drugs (excluding anti-psychotic drugs which are covered by Medi-Cal fee-for-service)
Neuro behavioral testing
Neuro psychological testing
Outpatient mental health services do not require a referral from your PCP.
For help finding more information on mental health services provided by UnitedHealthcare Community Plan of California, Inc., call 1-866-270-5785, TTY 711.
Specialty Mental Health Services- Covered by County Mental Health Plan
If your mental health screening results determine you have acute impairment of mental, emotional or behavioral functioning, you may be eligible for specialty mental health services.
Your PCP or UnitedHealthcare Community Plan of California, Inc. can refer you to the county mental health plan to receive an assessment.
County mental health plans cover specialty mental health services for Medi-Cal beneficiaries who meet criteria.
Specialty mental health services may include the following inpatient and outpatient services:
Outpatient specialty mental health services:
Mental health services (assessments, plan development, therapy, rehabilitation, and collateral)
Medication support services
Day treatment intensive services
Day rehabilitation services
Crisis intervention services
Crisis stabilization services
Targeted case management services
Therapeutic behavioral services
Intensive care coordination (ICC)
Intensive home-based services (IHBS)
Therapeutic foster care (TFC)
Adult residental treatment services
Crisis residental treatment services
Acute psychiatric inpatient hospital services.
Psychiatric inpatient hospital professional services.
Psychiatric health facility services.
For help finding more information on specialty mental health services provided by the county mental health plan, call the county at 1-888-724-7240.
Mental Health is as important as
physical health.That’s why we have
coverage for both.
Sometimes the basics are hard to do yourself after an illness or injury. If needed, we provide help with:
Your pregnancy is a journey you'll want to make with the help of friends, family and a pregnancy doctor, or OB-GYN.
All recommended prenatal clinical visits and tests are covered by our plan.
At these visits, the clinic will:
Make sure both you and your baby are healthy.
Explain what to expect at each stage of your pregnancy.
Answer your questions.
Most people know the bad health effects of smoking. And they know they need to quit. We support our members to help them quit. The only thing they won’t get from us is a lecture.
Text4baby can help new and expecting mothers keep themselves and their babies healthy.
You’ll get text messages each week throughout your pregnancy and your baby’s first year. Each text contains health and safety tips for topics like:
Labor and delivery.
Car seat safety.
So you and your baby can make a great start on life.
Physical, occupational and speech therapy can help members recover from a serious injury or illness, or simply reach their full potential.
Our plan covers limited visits for:
Transportation services are provided by LogistiCare.
Members can get round trip transportation to and from health care locations as needed. That includes trips to:
Doctor or therapy visits.
To schedule a ride with LogistiCare, members should call LogistiCare at 1-844-772-6623 Monday through Friday from 7:00 a.m. to 7:00 p.m. PT. Rides should be scheduled at least 3 business days before your appointment.
Members can get the care, eyeglasses and treatment that let them see life more clearly.
Prescription lenses and frames for member under 21 years of age or pregnant.
Well visits with your doctor can help keep you and your family healthy. These visits can catch health problems early, so they can be treated. Preventive services include: