UnitedHealthcare Community Plan Frequently Asked Questions


If you do not have a ride to get medical care and services, UnitedHealthcare Community Plan may provide FREE transportation for you. If there is a bus service near you, you may be asked to use it unless there is a medical reason you can not do so. If you have any special needs, like a special lift or wheelchair van, just tell them when you call to set up your ride. It is best to call 4 days in advance for routine transportation. If you need an ugrent ride to your doctor or Urgent Care Center sooner than the Four day advance notice, call us and we will help you. To set up your ride, call 1-877-892-3995.

UnitedHealthcare Community Plan has no copays for any covered services.


If you have an injury or sudden illness, call your PCP and follow the instructions you are given. If you have an emergency condition, go directly to the nearest emergency room.

 

If you have a health emergency when you are out of town or out of state, UnitedHealthcare Community Plan will cover the costs. Give the name and phone number of your PCP to the emergency room staff.


Yes, you may see a doctor outside of your residing county if he/she is a participating provider with UnitedHealthcare Community Plan.


Your PCP will help you find a UnitedHealthcare Community Plan Specialist if you need one. Our Customer Service Department can also help you find a UnitedHealthcare Community Plan Specialist or you can look at our Provider Directory on this web-site. You still need to work with your PCP to set up the care.

Yes, you may see a UnitedHealthcare Community Plan Chiropractor for these services if you are under 21 years of age.


Yes, you may see a UnitedHealthcare Community Plan Podiatrist for these services.


You do not need to be sent by your PCP to see a UnitedHealthcare Community Plan mental health provider. You can call 1-800-903-5253 for a provider near you. You can get up to 20 outpatient visits every year.

The State of Michigan Medicaid program covers dental services, not UnitedHealthcare Community Plan.  You can go to any dentist that accepts Medicaid and present your gree mihealth card. For more details, talk to your caseworker about how to get dental services or call 1-800-642-3195.

The Michigan Department of Health and Human Services (MDHHS) has dental information on their website. There is a search tool for finding dental care for children. https://www.michigan.gov/mdhhs/0,5885,7-339-71547_2943_52115-203754--,00.html

You can also search for a Medicaid dentist at https://medicaiddentistry.com/michigan.html

 


No, Women may see any UnitedHealthcare Community Plan OB/GYN for well-woman or obstetrical care without being sent by their PCP.

UnitedHealthcare Community Plan has a drug formulary that lists all the medications that are covered. If you need a medication that is not on the formulary, your doctor can request a Medical Exception.

UnitedHealthcare Community Plan's formulary is a listing of medicines that we cover.

No, prescriptions are covered in full. There are no copays for any covered services through UnitedHealthcare Community Plan.


When your UnitedHealthcare Community Plan doctor gives you a prescription, take it to any UnitedHealthcare Community Plan pharmacy and show them your UnitedHealthcare Community Plan ID card. You can even get many over-the-counter (OTC), medicines when it is medically necessary and your doctor writes a prescription for you.

You do not need to be sent by your PCP for FREE routine eye services. Eye exams, designer type frames (Altair eyewear) and prescription lenses are covered when you see a UnitedHealthcare Community Plan -VSP vision provider. Routine eye exams, certain frames and lenses are covered every 24 months.  Replacement frames and lenses are covered once every 12 months for adults and twice every 12 months for children.

When you enroll with UnitedHealthcare Community Plan, we will send you an ID card too. Take both cards with you when you need medical care. With UnitedHealthcare Community Plan, you are part of an HMO. That means you choose a Primary Care Provider (PCP) who will help you get all the medical care you need.


If you currently receive Medicaid benefits you can call Michigan Enrolls at 1-888-367-6557 and request enrollment with UnitedHealthcare Community Plan.

No, we currently do not offer commercial policies.


You are able to change your PCP once a month. However we recommend that you remain with a PCP to establish continuity of care and to build a relationship.

Yes, you may choose a different HMO plan for family members.

UnitedHealthcare Community Plan has over 80 hospitals, over 93 Urgent Care Centers, over 2,400 PCP's and over 6,100 specialty doctors. Contracting is an ongoing process we are always looking to improve and increase our network of providers.

A closed panel is when a doctor's practice is full and they are not currently accepting new patients.


UnitedHealthcare Community Plan checks the qualifications of all the doctors in our network through a state approved credentialing process. Disciplinary information is available by submitting a Freedom Of Information Act (FOIA) request to the State of Michigan. They can tell you if any action has been taken against a doctor's license.

Learn More

UnitedHealthcare Community Plan