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We are here for you, North Carolina

We’re here to help make things a little easier. That’s why our Medicaid health plan includes so many extras for your health and everyday life.

Helping people is at the heart of all we do

Get the Medicaid plan that gives you more. All North Carolinians deserves affordable health care, including you. That includes adults, people with disabilities, pregnant women and children. UnitedHealthcare has services and extras that can make a real difference in your life.

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

We’re here to help you feel healthier and happier

At UnitedHealthcare Community Plan of North Carolina, we believe Medicaid benefits includes more than just medical services. Our Medicaid benefits include support for your whole self — body, mind and spirit. Because feeling well comes from feeling whole.

View the videos below to learn more about UnitedHealthcare Medicaid.

Ernestine Surgeon:

I've already had wonderful experiences when I called and needed new meter. I'm a diabetic. Soon as I called, everything I said, she was like, “Don't worry, we got a company. They take care of us very well.” Got my meter in a couple of days and they were able to get my doctor to okay the amount of strips that I needed. So it’s the little things that actually make your day better and makes your life more complete.

Cammeader Hammie:

I know myself, they keep me updated with extra benefits that we can do when we go to the doctor's office. They call. I have gotten some calls to check on me to see how I was doing. They gave me information where I can call them back if I need any help or problems I might have or support I might need.  Just a phone call makes you say, okay they really, really care about me. They called me to check up on me and I usually don't get that from a health service person. So that is good.

If you've got Medicaid make sure medicaids got you too, by keeping your contact information up to date every year Medicaid has to confirm your eligibility. That means we need to be able to reach you with information or questions. You'll get a letter letting you know what we need or that your coverage has been automatically renewed.

If we don't have what we need, we'll contact you to provide any missing information reply right away. So you can keep your Medicaid coverage. If you're no longer eligible for Medicaid, we'll send you a letter about other health coverage options and financial help that can lower your cost.

Four out of five consumers can find coverage for less than $10 a month. And all plans cover things like prescription drugs doctor visits hospital stays Mental Health Services and more. Don't wait whether you still qualify for Medicaid or not. Make sure you have a plan to stay covered.

Keep your health keep your coverage.

What makes us different is our people. The commitment that our people have to meeting the needs of the individuals that we serve. That's what I love about United HealthCare. That's what I love about our team in North Carolina is our commitment to people, our commitment to working with stakeholders to really make the health care system better for everyone.

Every individual has different needs. Every individual has different challenges.

Was very proud and excited to be a part of United Healthcare. I've already had wonderful experiences when I called and needed a new meter. I'm a diabetic. Soon as I called everything I said she was like, “Don't worry, we got a company. They take care of us very well.” Got my meter in a couple of days and they were able to get my doctor to okay the amount of strips that I needed.

So it’s the little things that actually make your day better and makes your life more complete.

They call. I have gotten some calls to check on me to see how I was doing. They gave me information where I can call them back if I need any help or problems I might have or support I might need. Just a phone call makes you say, okay they really, really care about me. They called me to check up on me and I usually don't get that from a health service person.

So that is good.

20% of a person's health is based on health care services that they receive from their physician, from their hospital. The other 80% is based on what’s referred to as social determinants of health. Those are their non-medical or non health issues, things like transportation, having a job, access to good healthy foods. United Healthcare is committed to ensuring that we address and close those social determinants of health issues.

Some of the things that we have been doing and that we continue to do, one around food insecurity.

Well, the support from United Healthcare is really tremendous because it will be transformational from the standpoint of enabling us to bring food where it's needed most. Fresh fruits and vegetables are difficult to access for many families because of cost and even transportation. And having a mobile pantry that can bring food where it's needed most, as well as basically eliminating both the transportation issue as well as the cost issue, is really a game changer for families.

They really stand on the grounds with us being boots on the ground to help meet those growing needs in the community. And with the economy right now coming out of the pandemic, our needs have grown even more. And because of United Healthcare, we could continue to stand on the front lines against hunger and meet immediate emergency needs of our community.

You know, as we think about our mission of helping people live healthier lives and making the health care system work better for everyone, the reality is no one can do it alone. Our commitment is continued collaboration and work with our physicians, with our hospitals, with our faith based organizations, our community based organizations, many, many and all entities that impact health in any way.

It takes all of us working together to make it happen. And so I'm really excited about the progress we've made. But more to come.

UnitedHealthcare Community Plan Medicaid

Your extra benefits may include

Education

Ged exam voucher and materials ($160 value)

Prenatal

Car seat, breast pump, lactation services and doula programming ($2200 value)

Wellness

  • 6 months fresh fruits and vegetables
  • Yearly Gym memberships for 18 and over 

Youth

  • $75 for YMCA sports program (ages 3-18)
  • $75 online sensory store gift card for ages 5-18 with ADHD/Autism diagnosis 

Other

  • Up to $100 yearly for vitamins, massage, and acupuncture
  • Free virtual doctor visits by mobile app, 24/7
  • Smartphone with free unlimited data, and texts
  • HEPA Filter Vacuum and asthma products
  • 14 home-delivered meals after hospital stay

Choice of doctor

Each member can choose a primary care provider (PCP). Use the Doctor Lookup tool to see if your doctor is in our network.

The PCP is the main doctor for:

  • Preventive care.
  • 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. 


Member information

Member handbooks

Member handbook - English
Member handbook - Español

Find a Provider

Member services:

1-800-349-1855 / TTY 711

Member website

Sign in and you'll get tools that help you use your plan. You can view your Member ID card and get help with using your benefits. It just takes a few minutes to register. Then you can log in anytime.


How to enroll

1. Online - www.ncmedicaidplans.gov
2. Phone - 1-833-870-5500 (TTY 1-833-870-5588), 7 a.m. to 5 p.m., Monday through Saturday 
3. Mail - Fill out the enrollment form you receive in the mail.
4. Mobile app - Download the free mobile app - NC Medicaid Managed Care 
5. Need help - If you want help choosing a plan, an independent team of enrollment specialists can give you more information about the health plans available to you. Call an enrollment specialist at 1-833-870-5500 (TTY 1-833-870-5588) or visit www.ncmedicaidplans.gov

Featured programs and benefits


Connect to care — from your local pharmacy

We’re teaming up with local pharmacies to offer our members a virtual care option with UHC Doctor Chat. Skip the waiting room and visit with a health care provider online. Providers are available anytime the pharmacy is open and can answer questions, big or small.

At the pharmacy, you’ll have access to your online visit on a pharmacy computer or tablet located in a private space. The pharmacy staff will help you log in to your online visit, too.

Use UHC Doctor Chat for:

  • Sick kids
  • Coughs, fevers, sore throat
  • Earaches, stomach pain, diarrhea
  • Rashes, allergic reactions, animal/insect bites
  • Back/abdominal pain
  • Sports injuries, burns, heat-related illness
  • Urinary tract infections
  • General health questions

Depending on symptoms during the video chat, the provider might suggest getting a rapid test. Here’s some good news — you can get the test right there at the pharmacy.

Get started today

To find a local pharmacy offering UHC Doctor Chat, click here. English | Español

ASKK LLC dba Southside Discount Pharmacy
3085 Waughtown Street, Winston-Salem, NC 27107
1-336-830-8774

Broad Street Pharmacy
8055 Broad Street, Rural Hall, NC 27045
1-336-696-0444

Carolina Pharmacy-Arboretum
8035 Providence Rd. Suite 300, Charlotte, NC 28277
1-704-909-4700

Josefs Pharmacy
2100 New Bern Ave, Raleigh, NC 27610
1-919-212-2555

Moose Pharmacy Concord
270 Copperfield Blvd, Suite 101, Concord, NC 28025
1-704-784-9613

Moose Pharmacy Locust
1750 West Main Street, Locust, NC 28097
1-704-888-2114

Moose Pharmacy Salisbury
1408 W Innes St., Salisbury, NC 28144
1-704-636-6340

Moose Pharmacy-Mt. Pleasant
8374 W. Franklin St., Mt. Pleasant, NC 28214
1-704-436-9613

Village Pharmacy of Wake Forest
900 S Franklin St Suite 102, Wake Forest, NC 27587
1-919-556-2757

Wilson Value Drug Store
404 East Nash Street, Wilson, NC 27893
1-252-293-4177

You 1st Pharmacy
240 E Garrison Blvd., Gastonia, NC 28054
1-980-320-0160

Questions? Call Member Services at 1-800-349-1855, TTY 711


Virtual care – Doctor Chat

  • 24/7 access to live virtual visits with a doctor
  • Get the answers, treatment and follow-up care you need - at no cost to you
  • To download the app, search for “UHC Doctor Chat” on the App Store® or Google Play®, or visit www.uhcdoctorchat.com
  • Receive up to six virtual breastfeeding visits. For more information or to book an appointment, text UHCNC4MILK to 1-888-458-1364, visit www.simplifed.com/united-nc, or call 1-844-799-0538
  • Participate in virtual pregnancy support groups.  Visit momandbaby.wellhop.com to learn more. 
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One Pass Fitness Center

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 a new benefit for members ages 18 and over. 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 North Carolina, including: Anytime Fitness, Gold's Gym, O2 Fitness, LA Fitness, Planet Fitness, Snap Fitness, Corelife Fitness, YMCA and many more!
  • Access to a digital library of more than 20,000 on-demand and livestream classes
  • A workout builder to customize your exercises
woman-power-walking

Depression and anxiety

Depression is a real illness. It can be treated.

You can feel like yourself again. Depression is an illness like diabetes or heart disease. The first step is to accept that you need help. The second step is to talk to your doctor or provider.

Note: If you or someone you know is in suicidal crisis or emotional distress, get emergency help right away.

Call 911 or Call the National Suicide Prevention Lifeline for 24/7, free and confidential support. Call 1-800-273-8255 and 1-800-799-4889 (TTY)

  • Feeling unhappy, down or sad every day or feeling worthless, guilty, helpless or hopeless.
  • Loss of interest in hobbies, activities and people you once enjoyed.
  • Trouble sleeping or sleeping more than usual, or feeling tired, weak or low in energy.
  • Loss of appetite or eating too much.
  • Having trouble concentrating, remembering or making decisions.
  • Thinking or talking about suicide.

Find out more online at liveandworkwell.com.


Well and sick care

Get the care you need to stay healthy — or to get better if you are injured or sick. Member benefits include:

  • Care Coordinator. Someone to coordinate the services and care you need for your health.
  • Choice of Doctor. Find a doctor you trust in our network.
  • Hospitalization. You pay nothing for care in a hospital.
  • Lab and X-rays. Lab tests, x-rays and diagnostic imaging are covered.
  • Medicines. Fill prescriptions at local pharmacies.
  • Nurse Hotline. Speak with a registered nurse 24/7.
  • Pregnancy Care. Extra care and support for both you and your baby.
  • Shots and Vaccines. Routine shots to help protect against illness.
  • Therapy Services. Physical or other therapy to help you be your best.
  • Well Visits. Annual physical exams, checkups, shots and lab tests.
  • Unlimited Doctor Visits. See your doctor as often as needed.
  • Urgent Care. Convenient care for a sudden illness or injury.

Mother and baby

Nothing is more important than the health and well-being of a mother and her baby. That’s why member benefits include:

  • Prenatal Visits. Care for you before your baby is born.
  • Get baby products of your choice.
  • Electric breast pump
  • Community-Based Doula Programs (up to $1,200 value)
  • Community baby showers with gifts, resources, and education up to $100 in rewards for baby products
  • BabyScripts®. Get extra support and rewards to keep you and your baby healthy. 
    • Download the myJourney app for more information.
  • Text4baby. Receive text messages with helpful tips and reminders.
  • Wellhop. Participate in virtual pregnancy support groups. Visit momandbaby.wellhop.com to learn more.

Care for conditions

If you have asthma, diabetes or another long-term condition, you can depend on us. Our plan makes sure you get the care and services you need. Benefits include:

  • Asthma and Allergies Care. Exams, testing and supplies are covered.
  • Care Management. If you qualify, get personal help managing health conditions.
  • Diabetic Support. Medicine, needles, wipes and other supplies for managing diabetes.
  • Kidney Disease Care. Dialysis, medicine and treatments are covered.
  • Behavioral Health Disorders. Counseling and other treatments are covered.
  • Obesity Care. We cover screenings and counseling for obesity
  • Special Needs Unit. Services for members with special health care needs.
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Vision and hearing care

Make sure your sight and hearing are at their best. Benefits include:

  • Hearing. Tests, checkups and hearing aids, if needed, are provided.
  • Vision. Covers eye exams and glasses if needed.
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Transportation

Emergency: If you need emergency transportation (an ambulance), call 911.

Non-emergency: UnitedHealthcare Community Plan of North Carolina can arrange and pay for your transportation to help you get to and from your appointments for Medicaid-covered care. This service is free to you. If you need an attendant to go with you to your doctors appointment, or if your child (18 years old or younger) is a member of the plan, transportation is also covered for the attendant, parent or guardian. Non-emergency transportation includes personal vehicles, taxis, vans, mini-buses, mountain area transports and public transportation.

How to get non-emergency transportation. Call 1-800-349-1855, TTY 711 up to 2 days before your appointment to arrange transportation to and from your appointment.

Non-emergency transportation services via personal vehicles, taxis, vans, mini-buses, mountain area transports and public transportation are provided through our contracted transportation company ModivCare. You can contact ModivCare to request or cancel a trip by calling Member Services at 1-800-349-1855, TTY 711 and choosing the option for Transportation. Rides for routine appointments should be scheduled at least 2 business days in advance by calling between 7:00 a.m. and 6:00 p.m., Monday through Saturday. Rides for urgent appointments can also be made after hours by calling Member Services.

Responsibilities of the member:

  • To use those transportation resources which are available and appropriate to their needs in the most efficient and effective manner.
  • To utilize transportation services, such as gas vouchers, appropriately.
  • To travel to the requested location and receive a Medicaid covered service.
  • To make timely requests for transportation assistance.
  • To be ready and at the designated place for transportation pick-up or cancel the transportation request timely.
  • To follow the instructions of the driver.
  • To respect and not violate the rights of other passengers and the driver, such as not creating a disturbance or engaging in threatening language or behavior.

Member no-shows:

  • A no-show is when the member does not go to the medical appointment.
  • The member must be ready and at the designated place for pick-up at the time required by the transportation vendor.
  • The member must complete their trip and show evidence in order to be issued reimbursement for their mileage.
  • The member must call the number provided for trip requests to cancel scheduled transportation at least 24 hours in advance.
  • Members who miss three or more trips in a three-month period, or who risk the safety of other passengers or the driver may be suspended from transportation services for up to 30 days.
  • You can get additional information on our Non-Emergency Medical Transportation policy by calling Member Services at 1-800-349-1855, TTY 711.

To view the UnitedHealthcare Community Plan of North Carolina NEMT Policy click here

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Other extras for members

Sometimes you might need a little extra help using your health plan. For those times, you can rely on:

  • BabyScripts. Earn rewards for keeping you and your baby healthy.
  • Language Help. Connect to a translator through Member Services.
  • Member Advocate. Someone to get you information, services and care.
  • Nurse Hotline. Speak with a registered nurse 24/7.
  • Quitting Tobacco. Coaches and supplies to help you quit using tobacco.
  • Social Services. We’ll help you find community services.
  • Transportation. We pay for rides to and from medical visits or qualified trips to the Pharmacy.
  • Weight Control. Support and treatment to reach a healthy weight.

Member engagement - your voice matters

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North Carolina HealthTalk member newsletter

Our NC 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.

EnglishEspañol


Member Advisory Counsel

UnitedHealthcare is honored that you chose us for your medical needs and we value your opinions about your experience. We believe your voice matters and we want to learn from you about how we can make our services better for you. Every 3 months, we have listening sessions during our virtual Member Advisory Committee (MAC) Meetings, and we would be honored if you wanted to join us. To do so, please contact Member Services at 1-800-349-1855 / TTY 711

These listening sessions help us understand how we’re doing, and what we could do better. It gives us a chance to hear what you think about topics like:

  • Benefits and programs
  • Concerns from members and community partners
  • The best way to provide services
  • Our network of doctors, hospitals and other providers
  • How we can better support people in our communities

*UnitedHealthcare Member Advisory Committee members can receive up to $75 per quarter for attending meetings.

Questions:

Q. Who is eligible to join the listening sessions?

A. To be eligible, you must be a UnitedHealthcare Community Plan of North Carolina member over the age of 18 or the parent, guardian or caregiver of a member.

Q. When do the listening sessions take place?

A. Listening sessions will take place once a quarter. Specific dates and times will be provided prior to each meeting.

Q. How do I participate in the Member Advisory Committee?

A. Members can participate by meeting in-person or virtually via computer or phone. We will provide locations and call-in information in advance of the meetings. If participating virtually, we ask that you use the camera on our computer or phone if available so you can be fully engaged with other members.

Q. How do I earn the $75 stipend each meeting?

A. Members who attend and participate in the quarterly meetings will receive a $75 stipend, in the form of a gift card, for each meeting (up to $300 per year). A $75 gift card will be mailed out to you within one week of the meeting.

Q. What are the guidelines to receive the stipend?

A.  UnitedHealthcare Member Advisory Committee members can receive up to $300 stipend every 12 months or $75 for each consecutive meeting they attend. Limit four gift cards per member. The stipend will be provided as a gift cared that could expire within 6 months of the issue date. The stipend may affect Medicaid status and could be considered taxable income. UnitedHealthcare is not responsible for determining how the stipend would impact Medicaid status and/or tax filings. UnitedHealthcare is not responsible for lost or replaced stipend cards.

Learn about plan types

North Carolina 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.

Medicare Card

Dual Special Needs (D-SNP 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.

Exchange Card

Individual and Family plans

Individual and Family Plans, also known as the Health Insurance Marketplace (R) plans, help individuals, families, and small businesses shop for and enroll in affordable healthcare coverage.  Whether you qualify for these programs depends on your expected income, household members, and other information.