UnitedHealthcare Community Plan Hawki
The Hawki program provides health insurance to uninsured children and teens in Iowa. A lot of parents are surprised to learn that their children are eligible. If your children qualify, you can get low-cost or no-cost coverage. UnitedHealthcare Community Plan is a proud partner of the Hawki program. View the benefits below to see all that our plan offers.
Important Information About Your Plan
UnitedHealthcare Community Plan is honored to have served Iowans in the IA Health Link and Hawki programs. Unfortunately we will no longer be participating in these programs. We will continue to serve our Dual Complete members, and we remain committed to ensuring a smooth and seamless transition for all of our existing IA Health Link and Hawki members. For questions, please call Iowa Medicaid Member Services toll free at 1-800-338-8366 between 8 a.m. and 5 p.m., Monday through Friday, or click here.
Benefits & Features
Well and Sick Care
Get the care your children need to stay healthy — or to be at their best. That includes:
- Choice of Doctor. Find a doctor you trust in our network.
- Unlimited Doctor Visits. Your child can see the doctor as often as needed.
- Shots and Vaccines. Routine shots help protect against illness.
- Medicines. Fill prescriptions at your local pharmacy.
- Urgent Care. Convenient care for a sudden illness or injury.
- NurseLineSM. Speak with a registered nurse 24/7.
Care for Conditions
For children with special health care needs, you can count on us. Our plan will provide the needed extra care and services. Benefits include:
- Asthma and Allergies Care. Exams, testing and supplies are covered.
- Diabetic Support. Insulin, needles and other supplies ordered by your child's doctor.
- Care Management. If your child qualifies, get personal help managing health conditions.
- Mental Health. Counseling and other treatments for issues like ADHD are covered.
- Healthy First Steps. Extra care and support throughout a pregnancy.
Vision and Hearing Care
Make sure your child's sight and hearing are at their best. Benefits include:
- Hearing. Tests, checkups and hearing aids, if needed.
- Vision. Exams and eyewear are covered.
Home Care and Supplies
Children recovering from a serious illness or injury may need extra support. If ordered by a doctor, our plan includes the care and equipment needed to recover safely at home. Benefits may include:
- Durable Medical Equipment. Wheelchairs, hospital beds and more.
- Home Health Care. Medical and personal care in your home, if needed.
Sometimes you might need a little extra help using your child's health plan. For those times, you can rely on:
- NurseLineSM. Speak with a registered nurse 24/7.
- Member Services. Your benefit questions are answered by knowledgeable staff.
- Language Help. Connect to a translator through Member Services.
Asthma and Allergies Care
Does your child have trouble managing asthma or allergy symptoms? A nurse who specializes in breathing issues can really help. You'll get a customized treatment plan and medicine to help:
- Manage flare-ups.
- Reduce symptoms.
Live an active life.
Does your child have a serious health problem? If your child's health needs qualify, then our care managers are in your corner. They will:
- Explain medical terms in plain language.
- Coordinate your child's doctor appointments.
- Provide your care team with your child's medical records.
Your care manager will stay with your child throughout the medical journey. He or she will:
- Think beyond immediate medical needs.
- Make sure you or your child has support at home.
Choice of Doctor
You can choose your child's primary care physician (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.
- Coordination of care with 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 your child has diabetes, we can help. You'll get medicine, supplies and education to help your child reach and stay his or her best.
Our diabetes program also includes self-care training and classes focused on:
- Planning healthy meals.
- Managing stress.
- Living a healthy lifestyle.
If your child has a chronic or high-risk illness, our disease management services are designed to support you.
We have special programs for:
Durable Medical Equipment
Your child's health and safety at home are important. Our plan covers medical equipment ordered by your doctor or case manager*.
*Prior authorization may be needed for some items.
Healthy First Steps®
Our Healthy First Steps® program makes sure that both mom and baby get good medical attention.
We will help:
- Find a doctor for both mother and baby.
- Get good advice on nutrition, fitness and safety.
- Get supplies, including breast pumps for nursing moms.
Trouble hearing can affect your child's everyday life in many ways. Our plan includes services and support to help protect hearing.
- Exams, aids and tests.
- Hearing aids and supplies.
After surgery or a serious illness, your child may need extra care and services to recover. This may include an in-home medical visit to check on how well your child is healing. With approval, our plan covers:
- Medical equipment.
- Disposable medical supplies.
- An in-home medical visit.
This plan pays for all expenses related to a hospital stay, so you can focus on helping your child get better.
Hospitalization coverage includes:
- Nursing care.
- Room and board.
- Supplies and equipment.
- Treatment and therapies.
- Diagnostic tests and exams.
Lab and X-rays
Knowing what's wrong and finding it early can make all the difference for your child. Our plan covers:
- Labs and testing.
- X-rays, scans and other imaging.
We'll help you get the information needed for your child's health.
There are no copays for covered drugs. And we make getting your child's medicine easy. We'll provide a list of covered drugs if you have questions about what prescriptions are covered.
You can fill the prescriptions at local pharmacies in the UnitedHealthcare Community Plan network.
Sometimes you might need a little help understanding your child's health care options. With us, you have someone you can call. We'll answer your questions simply and completely.
We help you find:
- Hospitals or other health facilities.
- Local resources.
Mental health is as important as physical health. That's why we have coverage for both and many doctors in our network that can help.
Required care is 100% covered with no copay*. This includes:
- Behavioral therapy.
- Substance abuse treatment.
*Prior authorization may be needed for some services.
Medical questions and situations can come at inconvenient times. When you have questions about your child's health, you can call a nurse 24 hours a day, 7 days a week.
Our nurses will:
- Listen to symptoms.
- Help with care questions.
- Advise you about getting care for your child at a doctor visit or an urgent care center.
- Help you know when to take your child to the emergency room.
Shots and Vaccines
Routine shots help protect your child from illness. So, our plan covers:
- Recommended shots and vaccines.
- Influenza shots.
Unlimited Doctor Visits
There may be times when your child's health requires repeated doctor visits. Our plan does not limit the number of times your child can see a network provider. This way your child gets care when it's needed. And your doctor can see how your child's health is progressing.
Members get vision exams and eyewear. Coverage includes $100 each year toward frames or contact lenses from a network vision care provider.
Well Child Visits
Well visits with a doctor can help your child stay healthy. These visits can catch health problems early, so they can be treated. Preventive services include:
- Annual checkups for children.
- Well-child care.
- Routine shots and tests.
There are no copayments for preventive care.
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