Healthy Louisiana Plan

Medicaid

Our Healthy Louisiana plan offers a range of benefits along with extras. View the benefits below to see all that our plan offers. It's for pregnant women, adults and children under the age of 21.

The following UHC support includes:

  • Help Finding a Network Care Providers:  If you need help finding a care provider in the UHC network or obtaining early prescription can call Member Services at 1-866-675-1607 (TTY: 711).  The number for Member Services is always located on the back of your UHC ID member card.
  • Health4Me app:  UHC member app that provides instant access to your member ID card, network care providers, personal health benefits and more. The Health4Me app is available as a free download at the App Store or Google Play.
  • UHC Doctor Chat app:  if your doctor is unavailable and you have a non-emergency problem, you can connect to a doctor in seconds with the UHC Doctor Chat app. There is no cost to you.  Download the app to your mobile device from the Apple Store or Google Play, register your account and complete the short form.  Doctors are available to chat through the app 24 hours a day, 7 days a week.

Remember, if you need assistance please contact UnitedHealthcare Member Services at 1-866-675-1607 (TTY: 711).

Be Ready. Be Safe.

UnitedHealthcare and the State of Louisiana want to ensure all residents are informed during emergencies, such as severe weather or flooding. Please visit www.GetAGamePlan.org for emergency preparedness guides and tips to keep you and your loved ones safe all year long.

For plan participants who may have misplaced their medical ID cards, call 866-633-2446, 8 a.m. – 8 p.m. (in the local time zone), Monday through Friday. People enrolled in employer-sponsored and individual health plans who have a smartphone can download the free Health4Me app, which provides instant access to their ID card, network care providers, their personal health benefits and more. The Health4Me app is available as a free download at the Apple iTunes App Store and the Android Market on Google Play.

This plan is available in all parishes.

More information on eligibility and enrollment can be found on the Healthy Louisiana website.    

UnitedHealthcare continues to partner with state and local public health departments, following guidance and protocols appropriate to our members that are provided by the U.S. Centers for Disease Control and Prevention (CDC), and state and local public health departments that are appropriate for our members. Please review the UnitedHealthcare Coronavirus (COVID-19) Information. To learn more, go to CDC.gov

Louisiana members who have questions about coronavirus, can contact Louisiana 211 Network by dialing dial 211. For the most current information about the outbreak as it becomes available, text keyword LACOVID to 898-211 or visit the Louisiana Office of Public Health at: http://ldh.la.gov/coronavirus

If you qualify for Medicaid’s transportation services, you can use this service to get a ride to your appointment to receive a COVID-19 vaccine. Medicaid members who qualify can use this service to get transportation to receive a COVID-19 vaccine at any location offering vaccines. Call 1-866-726-1472 to schedule your ride. Please try to schedule your ride 48 hours before your appointment. Find COVID-19 vaccine resources in your area.

Benefits & Features

Well and Sick Care

Get the assistance you need to make life a little easier, or to get better if you are injured or sick. That includes:

  • Unlimited Doctor Visits for Children. Your child can see the doctor as often as needed.
  • Unlimited Doctor Visits for Adults. See your doctor as often as needed.*
  • Well Visits. Annual checkups to help keep your family healthy.
  • Chiropractor Services. Chiropractic visits for members who qualify.
  • Hospitalization. You pay nothing for care in a hospital.
  • Shots and Vaccines. Routine shots help protect against illness. Adults are covered too.*
  • Medicines. Fill your prescriptions at local pharmacies.

* Value added benefit offered by UnitedHealthcare Community Plan.

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

  • Choice of Birth Centers. Pick from our partner hospitals across Louisiana.
  • Choice of Doctors. Find an OB-GYN you trust in our network.
  • Healthy First Steps®. Get extra support and rewards to keep you and your baby healthy.
  • Prenatal Visits. Care for you before your baby is born.
  • Wellhop for Mom & Baby. Connect with a community of moms. Get support and information as you welcome your baby.

* Value added benefit offered by UnitedHealthcare Community Plan.

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

  • Asthma and COPD Care. Exams, testing and supplies are covered.
  • Care Management. If you qualify, get personal help managing health conditions.
  • Diabetic Support. Medicine, needles and wipes for managing diabetes.
  • Mental Health. Counseling and other treatments are covered.
  • Disease Management. Focused care for those with critical health needs.

We help you keep your smile, sight and hearing at their best. Benefits include:

  • Dental. Covered cleanings, checkups and dental work are provided by MCNA Dental (Managed Care of North America) for members under the age of 21. We also offer coverage for adults.
  • Vision. Exams and eyeglasses or an allowance for lenses are covered for members under the age of 21. We also offer coverage for adults.
  • Hearing. Tests, exams and hearing aids for members to age 21.

Get the medical care and equipment you need to live safely at home. Benefits may include:

  • Equipment and Supplies. In-home medical and safety equipment are covered for medically necessary equipment.
  • Home Health Care. Medical and personal care at home, if necessary.

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

  • Language & Interpreter Help. We provide free services to help you communicate with us or your doctor. Such as, letters in other languages or large print. Or, you can ask for an interpreter for any language.
  • Member Services. Get help with understanding your benefits and get your questions answered.
  • Transportation. We provide rides to and from medical visits.

Care Management

Do you or a loved one have a serious health problem or a high-risk pregnancy? If so, our case managers are in your corner. They will:

  • Explain medical terms in plain language.
  • Coordinate your doctor appointments.

The case manager will stay with you or your loved one throughout the medical journey. He or she will:

  • Think beyond your medical needs.
  • Assess home situation and help where possible.
  • Make sure you have support at home.

So you can focus on getting better.

Cell Phones

When your health is not at its best, it is important to know that help is just a phone call away. We make cell phones available to some members who have a high-risk health issue or high-risk pregnancy and do not have reliable access to a telephone. The program makes sure members have access to UnitedHealthcare, 911, the doctor's office and NurseLine.*

* This is an added benefit offered by UnitedHealthcare Community Plan.

Choice of Doctor

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

The PCP is your main doctor for:

  • Preventive care.
  • Treatment if you are sick or injured.

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.

Choice of Birth Center

Where you have your baby is an important choice. That's why you can pick from partner hospitals across Louisiana.

We encourage you to tour the hospital's birthing center. This way you will be familiar with it. And you'll be more relaxed when you have your baby.

Chiropractic Services

Whether chiropractor services are your primary or alternative treatment method, you're covered. This benefit is available for members under the age of 21. A referral from your primary care physician is required.

Members over the age of 21 who are managing pain can get up to six (6) visits per year with an in-network chiropractor.

Dental Care

Regular checkups help keep teeth and gums strong and healthy. Healthy Louisiana members under the age of 21 get:

  • 2 exams per year.
  • Cleanings and x-rays.
  • Fluoride treatments.

These services are offered through MCNA Dental (Managed Care of North America).

Members over the age of 21 get up to $500 in coverage for:*

  • Regular exams.
  • Cleanings and x-rays.
  • Fillings & extractions.

*This is an added benefit offered by UnitedHealthcare Community Plan.

Diabetic Support

If you have diabetes, we'll make life a little easier for you. You'll get medicine, supplies and education to help you reach and stay your best.

Our diabetes program also includes self-care training and classes focused on:

  • Planning healthy meals.
  • Managing stress.
  • Living a healthy lifestyle.

Members over 21 who complete HbA1c labs and LDL-C screenings within 90 days of joining the plan may be eligible for a $50 voucher toward a catalog of over the counter health products. This is an added benefit offered by UnitedHealthcare Community Plan.

Disease Management

If you have a chronic health condition like asthma or diabetes, UnitedHealthcare Community Plan has a program to help you live with your condition and improve the quality of your life. These programs are voluntary and available at no cost to you.

Equipment and Supplies

Some members may need extra support to live safely at home.

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

  • Hospital beds.
  • Oxygen tanks.
  • Wheelchairs or walkers.

Foot Care

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

Our podiatry coverage includes:

  • Office visits.
  • Certain radiology and lab procedures.
  • Other diagnostic procedures.

Health Education

Take free classes to help improve your health or to address a condition. Our plan includes classes on diabetes, nutrition and more.

Healthy First Steps®

Build a healthy future for you and your baby and earn great rewards with Healthy First Steps. Our program will help you take the right steps to keep you and your baby healthy. Plus you can earn $20 just for signing up. 

We will help you:

  • Choose a pregnancy provider and a pediatrician (child’s doctor).
  • Schedule visits and exams and arrange rides to your visits.
  • Earn rewards for going to visits throughout your pregnancy and baby’s first 15 months of life.
  • Get supplies, including breast pumps for nursing moms.
  • Connect with community resources such as Women, Infants and Children (WIC) services.

Hearing Care

Trouble hearing can affect your everyday life in many ways. Our plan includes services and support to help protect the hearing of members under the age of 21.

Our plan covers:

  • Exams and tests.
  • Hearing aids and batteries.

Home Health Care

After surgery or a serious illness you may need extra help with day-to-day tasks like cleaning, cooking or dressing.

You may even need an in-home medical visit to check on how well you are healing. With approval, our plan covers:

  • An in-home medical visit.
  • Medical equipment like hospital beds, walkers or wheelchairs. 
  • Disposable medical supplies.

Hospitalization

This plan pays for all expenses related to a hospital stay, so you can rest and heal.

Our plan covers:

  • Nursing care.
  • Room and board.
  • Supplies and equipment.
  • Treatment and therapies.
  • Diagnostic tests and exams.

And after leaving the hospital, our members are not alone. We make sure they get follow-up care to continue healing at home.

Interpreters

Both doctor and patient need to understand one another. Not speaking English well makes this difficult. We can arrange for a medical interpreter to be at medical appointments.

We also have people at member services who speak more than one language. Chances are, we have someone who speaks your language.

Lab and X-ray Services

Knowing what's wrong and finding it early can make all the difference. Our plan covers most:

  • Labs and testing.
  • X-rays, scans and other imaging.

We make sure our members get the information needed to help improve their health.

Language Help

You can receive information in your preferred language. Just ask. We also have people at our customer service centers who speak more than one language. Chances are, we have someone who speaks your language.

Medicines

Our plan includes prescription drugs and refills. Some members may have a small copayment.

And we make getting your medicine easy. You can fill your prescriptions at:

  • Local pharmacies.
  • Services that deliver right to your door.

Member Services

Sometimes you might need a little help understanding your health care options. With us, you have someone you can call 24/7. We'll answer your questions simply and completely.

We can also help you find:

  • Home health providers.
  • Dentists and vision providers.
  • Adult Health Services.

Mental Health/Substance Abuse

Mental health is as important as physical health. That's why we cover both.

Coverage includes:

  • Behavioral health services.
  • Substance abuse treatment.
  • Certain medications.

NurseLine℠

Medical questions and situations come at inconvenient times. For questions about health, call a For questions about health, you can call a trained nurse 24/7. 24/7.

Our NurseLine nurses will:

  • Listen to the symptoms.
  • Provide guidance on self-care.
  • Advise the member about getting care at a doctor visit or an urgent care center.
  • Help know when to go to the emergency room.

Nurse Visits

Sometimes continued care is needed after leaving the hospital or urgent care. For example, after a serious illness, surgery or injury. In these cases, a nurse will make home visits to:

  • Provide medical care.
  • Answer any questions and concerns.

Personal Care

The basics can be hard to do if you have a disability or you've had a serious illness or injury.

If needed, we provide someone to help with:

  • Dressing.
  • Bathing.
  • Feeding.

Long-term personal care is available for members 21 or older with disabilities.

Prenatal Visits

A pregnancy is a journey that's better with the help of friends, family and a pregnancy doctor, or OB/GYN.

All of your recommended prenatal clinical visits and tests are covered.

At these visits, the clinic will:

  • Make sure mom and baby are healthy.
  • Explain what to expect at each stage of pregnancy.
  • Answer questions.

Shots and Vaccines

Routine shots help keep you healthy. Our plan covers:

  • Pneumonia, influenza and shingles shots.
  • Tetanus, Diptheria and Whooping Cough vaccines.*
  • Other recommended shots and vaccines.

* Adult coverage is an added benefit offered by UnitedHealthcare Community Plan.

Transportation

Our plan provides rides to and from health care locations. That includes trips to:

  • Doctor and therapy visits.  
  • Health departments.
  • Vision clinics.

Unlimited Doctor Visits

There may be times when your health requires regular visits to a doctor or specialist). Our plan does not limit the number of times children or adults* can see their doctors. This includes sick visits, well visits and specialists. For children, EPSDT screenings are also covered. This way you get care when you need it. And the doctor can see how your health is progressing.

* Unlimited doctor visits for adults is an added benefit offered by UnitedHealthcare Community Plan.

Vision Care

Regular eye exams and glasses, if needed, can help you see more clearly.

With Healthy Louisiana, members under the age of 21 receive:

  • Regular eye exams.
  • Eyeglass frames.
  • Prescription lenses.

Members over the age of 21 can get:*

  • Additional vision services to complement Medicaid vision benefits.
  • One routine eye exam every two years.
  • $100 allowance for frames/lenses every two years.

* This is an added benefit offered by UnitedHealthcare Community Plan.

Well Visits

Unlimited well visits with your doctor are important for good health. These visits can catch health problems early, so they can be treated.

Preventive services cover:

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

Weight Control

Our plan encourages a healthy approach to eating and living. To help our members be their best, we cover:* 

  • Screening for obesity.
  • Support for healthy diet and exercise choices.

Some members may also qualify for weight management classes, including Weight Watchers and JOIN for ME.**

* This is an added benefit offered by UnitedHealthcare Community Plan.

** Some limitations may apply.

Wellhop for Mom & Baby

Connect with other expectant moms. Get support and information during your pregnancy and after you deliver. This program is part of your health plan and there is no extra cost to you.
Here’s how it works:

  • Join video conversations every other week with women who have similar due dates and a group leader.
  • Chat and share experiences with moms from your group on the Wellhop app or website.
  • Visit the Wellhop library. You’ll find articles, videos and more.

Are You Prepared for Hurricane Season?

UnitedHealthcare Community Plan wants to help you make sure you are prepared for hurricane season and the resulting hazards such as storm surge, high winds, tornadoes, and flooding

Member Resources

View Available Resources