UnitedHealthcare Community Plan - Indiana Hoosier Care Connect

Medicaid

Hoosier Care Connect is a program that serves members who are aged, blind or disabled, including children in foster care and wards of the State.

This plan is available in all counties.

Benefits & Features

Well and Sick Care

Get the assistance you and your family needs to stay healthy, to get better if you are injured or sick or — simply achieve your potential. That includes:

  • Hospitalization. You pay nothing for care in a hospital
  • Therapy Services. Therapy visits to help you recover or achieve your potential.
  • NurseLineSM. Speak with a registered nurse 24/7.
  • Well Visits. Annual checkups to help keep you and your family healthy.
  • Health Screenings and Vaccinations. Routine tests and shots to help protect against illness.
  • Virtual Visits. Connect to a live doctor through a smart phone or computer for non-emergent visits.

Behavioral health is about how you feel and act. It is also called mental health. Your mental health is very important. All members can get mental health and addiction services. You may see any in-network doctor without a referral for outpatient treatment.

You are able to get behavioral health services without a referral from your PMP. Sometimes it makes sense to talk to your PMP about any behavioral health problems you have. That way, your PMP can help to refer you to a behavioral health provider with UnitedHealthcare Community Plan. If you want to find a behavioral health provider on your own, you can search for one at any time and make an appointment. You can also call your Member Services Advocate at 1-800-832-4643, TYY 711, for help.

We cover:

Behavioral Health Services 

  • Individual, group and family therapy 
  • Outpatient behavioral health services 
  • Inpatient behavioral health services 
  • Specialized behavioral health services for children with autism

Substance Use Disorder Services 

  • Outpatient opioid (pain medication) treatment 
  • Residential treatment
  • Targeted case management

If you believe you need access to behavioral health services, talk with your PMP or call your Member Services Advocate.. 

Search for a behavioral health specialist

What if I have a behavioral health crisis?
You are always covered for a behavioral health, mental health, drug or alcohol use emergency. An emergency means a behavioral health condition that comes on suddenly, is life threatening, is painful, or other severe symptoms that cannot wait to be treated.

Emergency services are covered anywhere in the United States. If you think you have a life-threatening emergency, call 911 or go to the nearest hospital location where emergency providers can help you.

As soon as possible, call us to arrange for follow-up behavioral health care after an emergency.

A behavioral health crisis is a moment when someone's behavior can put themselves or others in danger, especially if they do not get help, such as:

  • Threatens to or talks about hurting or killing themselves
  • Feels hopeless
  • Feels rage or uncontrolled anger
  • Feels trapped, like there is no way out
  • Engages in reckless behaviors
  • Feels anxious, agitated, or unable to sleep
  • Increases alcohol or drug use
  • Withdraws from friends and family
  • Encounters dramatic mood changes
  • Sees no reason for living

Crisis Services:
If you think you have an emergency, no matter where you are, call 911 or go to the nearest hospital location where emergency providers can help you. As soon as possible, call your doctor or behavioral health provider to arrange for follow-up care after the emergency is over.

If you need to talk to someone, we are here for you. If you do not feel like it is time to call 911 but need help right away, you can call our Behavioral Health Crisis line 24/7 at 1-866-293-1796.

Here are additional Behavioral Health Services and Crisis Intervention Contacts:

Teen Link: 1-866-833-6546
Online: http://www.866teenlink.org

Suicide Prevention: 1-800-273-8255
TTY Users: 1-800-799-4TTY (4889)
Online: http://www.suicidepreventionlifeline.org

Additional health resources can be found here. Find the balance, support and care you need to live the healthiest life possible.

Nothing is more important than the health and well-being of you and your baby. That's why our plan benefits include:

  • Prenatal Visits. Care for you before your baby is born. 
  • Choice of Doctor. Find a doctor or OB/GYN you trust in our network. 
  • Healthy First Steps®. Extra support to help you and your baby stay healthy with additional gift opportunities
  • Care Management Services. For high risk pregnancies during pregnancy and for two months after delivery
  • Postpartum Visits. Care for you after your baby is born 

Our care coordination services will help you and your doctors address your health care needs. Our goal is to help you get the right care at the right time and in the right place. We do this by working together with you and your doctors on your individual care plan. We coordinate all your needs including physical, behavioral health and social needs. Care coordination includes:

  • Complex care management
  • Care management
  • Disease management

If you have asthma, diabetes or another health condition, you can depend on us. Care Managers want to learn more about you. Then they can help you learn self-care and how to get help from others. Care Managers may meet with your PMP and other health resources to make sure they are working together. Care Managers work to make sure you have all the services you need, including non-medical services like food and housing. Our programs include testing, medication, treatment, education, support and supplies:

  • ADHD
  • Asthma
  • Autism and disorders like it
  • Congestive Heart Failure 
  • COPD
  • Coronary Artery Disease 
  • Depression
  • Diabetes
  • Heart disease
  • Hepatitis
  • HIV
  • Hypertension or high blood pressure
  • Kidney disease
  • Pregnancy
  • Sickle cell disease
  • Substance Use Disorder

Regular eye exams are important. Members are eligible for routine eye exams and prescription eyeglasses. Call your doctor to schedule a routine eye exam. You can schedule an appointment with any participating vision care provider. 

The following vision services are covered for members under age 21: 

  • One routine eye exam per year — no referral is necessary 
  • One pair of prescription eyeglasses every twelve months 

The following vision services are covered for members age 21 and over: 

  • One routine eye exam every two years — no referral is necessary 
  • One pair of prescription eyeglasses every 5 years

Getting a yearly dental check-up is important to your health. Your coverage includes: 

  • Two exams and cleanings per year 
  • Bitewing X-ray once every 12 months and one complete set of X-rays every three years 
  • Minor restorations such as filling 
  • Major restorations such as crowns and root canals (one of each per 12 months) 
  • Deep cleanings and surgical treatment for gum disease 
  • Partial or full dentures, and repairs to partials or full dentures 
  • Sedation and nitrous oxide (known as laughing gas) if medically necessary

Managing your health care alone can be hard, especially if you are dealing with many health problems at the same time. If you need extra support to get and stay healthy, we can help. All of our Hoosier Care Connect members have access to their own Member Services Advocate.

Your Member Services Advocate can help you:

  • Understand the Hoosier Care Connect program
  • Find a doctor, dentist or eye doctor
  • Explain your benefits and coverage
  • Talk to you about special programs that are available to you
  • Connect you with a Care Manager if needed
  • Find resources located near you to help you with other problems like food, housing, transportation, employment, feeling safe or education
  • Make sure you are aware of other State programs and services available to you, such as SNAP (Supplemental Nutrition Assistance Program) or WIC (Women, Infants and Children) program benefits
  • Help you update your personal contact information like address, phone number or email
  • Make sure we know how you would like to be contacted (email, phone or mail)
  • Resolve issues with providers, including specialty care and behavioral health
  • Assist with challenges due to prior approval, payment for services, care delivery and family welfare

Contact your Member Services Advocate, Monday through Friday from 8am - 8pm Eastern, at 1-800-832-4643 or TTY 711. The phone number is answered 24/7 should you have an urgent need after hours.  

Get extra benefits and support. You can rely on:

  • Healthy Rewards. Earn rewards for completing important preventive services.
  • Low-cost Internet. Contact your Member Services Advocate to see if you qualify.
  • High School Equivalency. We can help you to earn your high school diploma. 
  • Health Education. Free coaching to help improve your health.
  • Language Help. Connect to a translator through Member Services.
  • Quitting Tobacco. Coaches and supplies to help you quit using tobacco.
  • Mom's Meals. Your care manager can coordinate delivery of healthy meals after you are discharged from a hospital stay. 
  • Alternative healing. If you use special vitamins, herbal medicines, massage or acupuncture, we reimburse up to $100 of those costs each year.

Contact your Member Services Advocate to learn more. We are available Monday through Friday, 8 am to 8 pm Eastern time, by calling 1-800-832-4643, TYY 711.

Alternative Healing

Sometimes there are good ways to feel better that may not be covered by your benefits. UnitedHealthcare Community Plan will reimburse up to $100 for alternative healing. You will need to turn in copies of your receipts to participate in this program. This includes, but is not limited to:

  • Vitamins and minerals
  • Herbal medications or remedies
  • Therapeutic massage
  • Acupuncture

Asthma and COPD Support

We can help you control your asthma or COPD.

If you need help getting the services or supplies you need, contact your Member Services Advocate. We can assist with the process of getting supplies or medications, make an appointment with your doctor, or connect you with a care manager for personal support.

Choice of Doctor

You will have a primary medical provider (PMP) who will be your main doctor. Your PMP is the person you see for most of your care. This includes checkups, treatments, vaccinations, minor injuries and health concerns. Talk to your PMP about any other concerns you may have. Your PMP can help you decide the right options for you.

Your PMP is your main doctor for:

  • Preventive care like check-ups, cancer screenings and vaccinations
  • Treatment if you are sick or injured
  • Referrals to specialists for certain conditions

Use the Doctor Lookup Tool to see if your doctor is in our network. If you don’t have a doctor or if your doctor is not in our network, we can help you find a new one close to you. You can change your PMP at any time.

Customer Engagement Center

You will have a personal Member Services Advocate (MSA) assigned to help you throughout your health care journey. Your MSA can help:

  • Understand the Hoosier Care Connect program
  • Find a doctor, dentist or eye doctor
  • Explain your benefits and coverage
  • Talk to you about special programs that are available to you
  • Connect you with a Care Manager if needed
  • Find resources located near you to help you with other problems like food, housing, transportation, employment, feeling safe or education
  • Help you update your personal contact information like address, phone number or email
  • Make sure we know how you would like to be contacted (email, phone or mail)
  • Resolve issues with providers, including specialty care and behavioral health
  • Assist with challenges due to prior approval, payment for services, care delivery and family welfare

Diabetes Support

If you have diabetes, we'll help make life a little easier for you. You'll get medicine, supplies and education to help you reach and stay your best. You are also rewarded with gift cards for taking simple steps to manage your diabetes.

Equipment and Supplies

Your health and safety at home are important.

Our plan covers medical equipment ordered by your doctor. This can include supplies like:

  • Hospital beds
  • Oxygen tanks
  • Walkers or wheelchairs

Foot Care

Our podiatry coverage includes routine foot care.

If you have diabetes or a circulatory condition, good foot care can help prevent much more serious problems. We provide the needed exams to help keep your feet in great shape.

Foster Care Support

Foster care is a temporary service provided for children who can no longer remain in their own homes due to safety issues. We have programs to help support guardians and children in foster care.

Health Watch is a program to help ensure that children in foster care are being seen by their doctor for all age-appropriate screenings and treatment

United Healthcare’s On My Way (OMW) is a tool designed to help young adults transition from foster care to adulthood and independence. This tool can be found in the member secure portal.

The OMW tool can connect transition-aged foster care youth with peer support staff and has modules that teach the following skills: 

  • Money management 
  • Securing housing 
  • Creating a resume 
  • Finding a job 
  • Applying for college
  • Personal goal setting 
  • The platform also provides a vault for youth to store secure documents such as birth certificates and driver’s license information for their convenient access after transitioning from foster care to adulthood

Call Member Services to learn more about these and other foster care support programs.

Free Rewards Program

Call Member Services to learn more about how you can earn one of these rewards:

  • $50 gift card for one-time completion of your Health Needs Survey within the first 90 days 
  • $25 gift card for diabetes HbA1c screening 
  • $25 gift card for yearly well child visit or adolescent well care 3 to 21 years old 
  • $25 gift card for lead screening (under age 2) 
  • $25 gift card for annual dental visit

Healthy First Steps®

When you're pregnant, you receive help and advice from your mom, aunts, sisters and girlfriends. Yet every pregnancy is different. This program will support you through your pregnancy. Contact your Member Services Advocate to get started.

We can help you:

  • Find a doctor for both mother and baby.
  • Learn about nutrition, fitness and safety.
  • Find out what extra gits you could be eligible for.

High School Equivalency (HSE)

It’s not too late to finish high school. UnitedHealthcare Community Plan can help you get your High School Equivalency (HSE). Any member age 16 or older can be part of this program.

Please contact your Member Services Advocate for more information.

Home-based Services

After surgery or a serious illness—or if you have a disability—you may need extra help with day-to-day tasks. With approval, and ordered by your doctor, our plan covers:

  • Time-limited skilled nursing services 
  • Specialized therapies, including physical therapy, speech-language pathology and occupational therapy 
  • Medical supplies

Hospitalization

This plan pays for all hospital expenses related to a hospital stay.

This plan pays for all expenses related to a hospital stay, so you can focus on resting and healing.

Our plan covers:

  • Inpatient care
  • Outpatient care
  • Labs, X-rays and other tests

And after you leave the hospital, you are not alone. We are here to help you get any needed follow-up care to continue healing at home.

Individuals with Special Needs

We have many services that support individuals with special needs. We are here to make sure you have: 

  • A Member Services Advocate to be your personal guide and help you navigate the health care system 
  • Help to get all your needed services 
  • Support with social needs, such as housing, job opportunities and healthy food 
  • Help getting a ride to and from health care appointments 
  • Materials available in the formats you need

We also offer specialized dental care for our members with sensory issues. Please contact your Member Services Advocate to learn more.

Internet at Lower Costs

We can help you apply for low-cost internet services through AT&T or Xfinity. Call Member Services for more information.

Kidney Disease Care

Kidney disease is a serious medical condition. After the kidneys stop working, regular treatments, called renal dialysis or an organ transplant are needed to live. Dialysis uses a machine to clean the blood just like healthy kidneys do.

Our plan includes:

  • Dialysis.
  • Medications.
  • Health education and support.
  • Organ transplant if needed.

Lab & 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.

Language Help

You and your doctor need to understand each other. Not speaking English well makes this difficult. We can arrange for a medical interpreter to be at your appointments.

We also have Member Services Advocates who speak more than one language. Chances are, we have someone who speaks your language or they can connect you with our interpreter service which covers more than 170 languages.

Lead Screening in Children

Lead poisoning is dangerous. If it is not treated in small children, it can cause long term problems. Lead can be found in: 

  • Paint 
  • Soil 
  • Dust 
  • Air 
  • Pottery

A special blood test is ordered by your doctor to check for lead poisoning. The test is usually given between the ages of 6 months and 2 years. If your child has not been tested, your doctor might want to test up to the age of 6 years. More testing may also be necessary if your child has tested positive for lead. For more information, contact your Member Services Advocate. You can also talk to your child’s doctor at their next well visit.

Medicines

Getting prescription medications is an important part of your health care. If your doctor prescribes a medicine that is listed on your plan’s preferred drug list (PDL), it is covered. Hoosier Care Connect members have copays of $3.00 for each generic medication and brand-name medication. If your drug is not listed on the PDL, your care provider may request an alternative drug for you that is listed on the PDL. UnitedHealthcare Community Plan covers medicines on this list, including certain over the counter medications, smoking cessation drugs, and diabetes supplies. The plan may pay for other medicines with prior approval. 

You can get your prescriptions filled at any pharmacy in our network. Many are available 24 hours a day, 7 days a week. For a list of pharmacies, use your provider directory or go to myuhc.com/CommunityPlan/IN.

If you have a problem getting your prescription during normal business hours, call Member Services. If you have a problem getting your prescriptions after normal business hours, on weekends, or holidays, have your pharmacist call the pharmacy help desk. That number is on the back of your member ID card.

90 day supply benefit
Members can fill a 90 day supply of select maintenance medication at the retail pharmacy. Maintenance medications are typically those medications you take on a regular basis for a chronic or long term condition. 

With a 90 day supply, you won’t need to get a refill every month. To find out more details, talk to your doctor or pharmacist. For a complete list of medications included in this benefit, call Member Services at 1-800-832-4643, TTY 711.

NurseLine℠

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: 1-866-801-4407, TTY 711.

Our nurses will:

  • Listen to 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.

Phone Services

Do you need a mobile phone? You may qualify for free monthly wireless service. SafeLink is a program provided by TracFone Wireless. Visit www.safelinkwireless.com for more information.

Your Member Services Advocate can also help you with the application.

Quit using Tobacco or Vaping Products

Quitting is hard, but we can help. Did you know that 20 minutes after you quit, your heart rate drops to a normal level? And within 24 hours after quitting the carbon monoxide level in your blood drops to normal.

Talk to your doctor about quitting. Or call 1-800-QUIT-NOW (1-800-784-8669) to get free coaching, counseling and supplies to help you quit.

Right Choices Program

The Right Choices Program is a program to help you make better medical decisions.

If you are selected for the Right Choices Program, you will have one primary medical provider (PMP), one pharmacy and one care manager. This group of experts will help you get the right healthcare at the right time and at the right place.

Please call Member Services for more information.

Shots and Vaccines

Routine shots help protect you from illness.

Our plan covers:

  • Shots and vaccines recommended by your PMP
  • Flu shots

Therapy Services

Physical, occupational and speech therapy can help you recover from a serious injury or illness, or simply reach your full potential.

Your doctor can order therapy for you if it is needed. This includes:

  • Occupational therapy
  • Physical therapy
  • Speech therapy
  • In-home therapy

Transportation

If you need a ride, your benefits include transportation. You may have a $1.00 copay for each one-way trip. We cover trips to:

  • Medical appointments
  • Food pantry
  • WIC appointments
  • Medicaid eligibility appointments

Following these simple rules will help you get a ride: 

  • Call at least two business days ahead of time 
  • Call 1-800-832-4643, TTY 711 to set up your ride 
  • If you cancel your visit, call 1-800-832-4643 to cancel your ride 
  • Have your Medicaid ID card available 
  • Rides are only for approved reasons 
  • Know the address of your health care provider and the date and time of your appointment 
  • Be specific about where you need a ride to 
  • After your visit, call for a ride home 
  • If your doctor gives you a prescription you can stop at the pharmacy to get it 
  • Let us know if you have special needs like a wheelchair 
  • Members under the age of 16 must have a parent or guardian with them 
  • Transportation may be limited to a provider near you

You may also qualify for a bus pass or friends and family mileage reimbursement. Give your Member Services Advocate a call to schedule a ride or ask questions about getting transportation services.

This service is for rides planned in advance. If you have a life-threatening emergency, call 911. An ambulance will be provided if you need to be sent to the hospital.

Well Visits

Well visits with your doctor can help you stay healthy. These visits can catch health problems early, so they can be treated. You should see your PMP every year for a well check, even if you aren’t sick or your symptoms are under control. Preventive services include:

  • Checkups for adults and children.
  • Well-baby care.
  • Care for women expecting a baby.
  • Routine shots and tests.
  • Mammograms.

There are no copayment for preventive care.

Member Resources

Member Resources

Learn More

UnitedHealthcare Hoosier Care Connect