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UnitedHealthcare Community Plan

Member Information

Member Handbook

Member Handbook (PDF 1.31 MB)

Certificate of Coverage

Certificate of Coverage (PDF 916.41 KB)

Getting Started

Getting Started Guide (English) (PDF 295.87 KB)

Getting Started Guide (Español) (PDF 297.87 KB)

Getting Started Guide (Arabic) (PDF 355.69 KB)

Important Information - Novartis Recall

Important Information - Novartis Recall (PDF 99.32 KB)

National Flu Campaign Questions and Answers

National Flu Campaign Questions and Answers:  English (PDF 59.04 KB) |  Español (PDF 69.5 KB)

Member Newsletters 2016 - Current

2019

Spring 2019 (PDF 1.29 MB)

Winter 2019 (PDF 639.9 KB)

2018

Fall 2018 (PDF 1.16 MB)

Summer 2018 (PDF 692.56 KB)

Spring 2018 (PDF 732.71 KB)

Winter 2018 (PDF 866.28 KB)

2017

Fall 2017 (PDF 404 KB)

Summer 2017 (PDF 436.37 KB)

Spring 2017 (PDF 516.67 KB)

Winter 2017 (PDF 515.82 KB)

2016

Fall 2016 (PDF 5.02 MB)

Summer 2016 (PDF 535.27 KB)

Spring 2016 (PDF 536.08 KB)

Winter 2016 (PDF 376.9 KB)

Member Newsletters Prior to 2016

2015

Fall 2015 (PDF 1.86 MB)

Summer 2015 (PDF 442.87 KB)

Spring 2015 (PDF 1.46 MB)

Winter 2015 (PDF 864.66 KB)

2014

Fall 2014 (PDF 2.67 MB)

Summer 2014 (PDF 804.65 KB)

Spring 2014 (PDF 1.09 MB)

2013

Fall 2013 Issue (PDF 1.08 MB)

Twitter LogoTwitter

Follow us on Twitter to get helpful tips and links to resources for you and your baby. You do not have to be a member to follow us.

   

Questions?

Ready to get started?

Call Us
1-800-903-5253
TTY: 711

Lookup Tools

Doctor Lookup

Search for doctors, hospitals, and specialists.

View Drug List

Find medications covered by this plan.

Pharmacy Search

Find a pharmacy near you.

Member Information

Member Website

Already a member? You have access to our member-only website. Print ID cards, and more.

Member Handbook
English (PDF 1.31 MB)
Certificate of Coverage (COC)
English (PDF 916.41 KB)
Additional Benefit Information
English (PDF 71.69 KB)

More Resources

Member Page

View more news, updates and resources for members.

Member Handbook
English (PDF 1.31 MB)
Certificate of Coverage (COC)
English (PDF 916.41 KB)

Learn More

UnitedHealthcare Community Plan

 

 

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Disclaimer Information

Looking for the federal government’s Medicaid website? Look here at Medicaid.gov.

UnitedHealthcare Dual Complete Plans

Plans are insured through UnitedHealthcare Insurance Company or one of its affiliated companies, a Medicare Advantage organization with a Medicare contract and a contract with the State Medicaid Program. Enrollment in the plan depends on the plan’s contract renewal with Medicare. This plan is available to anyone who has both Medical Assistance from the State and Medicare. This information is not a complete description of benefits. Call 1-800-905-8671 TTY 711 for more information. Limitations, co-payments, and restrictions may apply. Benefits, premiums and/or co-payments/co-insurance may change on January 1 of each year.  

Nurseline Disclaimer

This service should not be used for emergency or urgent care needs. In an emergency, call 911 or go to the nearest emergency room. The information provided through this service is for informational purposes only. The nurses cannot diagnose problems or recommend treatment and are not a substitute for your doctor's care. Your health information is kept confidential in accordance with the law. The service is not an insurance program and may be discontinued at any time.

UnitedHealthcare Connected™ for MyCare Ohio (Medicare-Medicaid Plan)

UnitedHealthcare Connected for MyCare Ohio (Medicare-Medicaid Plan) is a health plan that contracts with both Medicare and Ohio Medicaid to provide benefits of both programs to enrollees. If you have any problem reading or understanding this or any other UnitedHealthcare Connected for MyCare Ohio (Medicare-Medicaid Plan) information, please contact our Member Services at 1-877-542-9236 (TTY 711) from 7 a.m. to 8 p.m. Monday through Friday (voice mail available 24 hours a day/7 days a week) for help at no cost to you.

Si tiene problemas para leer o comprender esta o cualquier otra documentación de UnitedHealthcare® Connected™ de MyCare Ohio (plan Medicare-Medicaid), comuníquese con nuestro Departamento de Servicio al Cliente para obtener información adicional sin costo para usted al 1-877-542-9236 (TTY 711) de lunes a viernes de 7 a.m. a 8 p.m. (correo de voz disponible las 24 horas del día, los 7 días de la semana).

UnitedHealthcare Connected™ (Medicare-Medicaid Plan)

UnitedHealthcare Connected (Medicare-Medicaid Plan) is a health plan that contracts with both Medicare and Texas Medicaid to provide benefits of both programs to enrollees.

UnitedHealthcare Connected Benefit Disclaimer

This is not a complete list. The benefit information is a brief summary, not a complete description of benefits. For more information contact the plan or read the Member Handbook. Limitations, copays and restrictions may apply. For more information, call UnitedHealthcare Connected Member Services or read the UnitedHealthcare Connected Member Handbook. Benefits and/or copayments may change on January 1 of each year.

UnitedHealthcare Senior Care Options (HMO SNP) Plan

UnitedHealthcare SCO is a Coordinated Care plan with a Medicare contract and a contract with the Commonwealth of Massachusetts Medicaid program. Enrollment in the plan depends on the plan’s contract renewal with Medicare. This plan is a voluntary program that is available to anyone 65 and older who qualifies for MassHealth Standard and Original Medicare. If you have MassHealth Standard, but you do not qualify for Original Medicare, you may still be eligible to enroll in our MassHealth Senior Care Option plan and receive all of your MassHealth benefits through our SCO program.

Availability of Non-English Disclaimer

ATTENTION: If you speak [insert language], language assistance services, free of charge, are available to you. Call 1-800-905-8671 TTY 711.  

ATENCIÓN: Si habla [ingrese el idioma], hay servicios de asistencia lingüística disponibles para usted y que no tienen cargo. Llame al 1-800-905-8671 TTY 711.

Star Ratings Disclaimer

Medicare evaluates plans based on a 5-Star rating system. 

Formularies

The formulary, pharmacy network and provider network may change at any time. You will receive notice when necessary.

NCQA

UnitedHealthcare Connected has a Model of Care approved by the National Committee for Quality Assurance (NCQA) to operate as a Special Needs Plan (SNP) unitl 2017 based on a review of UnitedHealthcare Connected’s Model of Care.

Important Provider Information

The Choice is Yours

We will provide you with information to help you make informed choices, such as physicians' and health care professionals' credentials. This information, however, is not an endorsement of a particular physician or health care professional's suitability for your needs.

The providers available through this application may not necessarily reflect the full extent of UnitedHealthcare's network of contracted providers. There may be providers or certain specialties that are not included in this application that are part of our network. If you don't find the provider you are searching for, you may contact the provider directly to verify participation status with UnitedHealthcare's network, or contact Customer Care at the toll-free number shown on your UnitedHealthcare ID card. We also recommend that, prior to seeing any physician, including any specialists, you call the physician's office to verify their participation status and availability.

Some network providers may have been added or removed from our network after this directory was updated. We do not guarantee that each provider is still accepting new members.

Out-of-network/non- contracted providers are under no obligation to treat UnitedHealthcare plan members, except in emergency situations. Please call our customer service number or see your Evidence of Coverage for more information, including the cost- sharing that applies to out-of-network services.

American Disabilities Act Notice

In accordance with the requirements of the federal Americans with Disabilities Act of 1990 and Section 504 of the Rehabilitation Act of 1973 ("ADA"), UnitedHealthcare Insurance Company provides full and equal access to covered services and does not discriminate against qualified individuals with disabilities on the basis of disability in its services, programs, or activities.

Referrals

Network providers help you and your covered family members get the care needed. Access to specialists may be coordinated by your primary care physician.

Paper Directory Requests

Paper copies of the network provider directory are available at no cost to members by calling the customer service number on the back of your ID card. Non-members may download and print search results from the online directory.

Inaccurate Information

To report incorrect information, email provider_directory_invalid_issues@uhc.com. This email box is for members to report potential inaccuracies for demographic (address, phone, etc.) information in the online or paper directories. Reporting issues via this mail box will result in an outreach to the provider’s office to verify all directory demographic data, which can take approximately 30 days. Individuals can also report potential inaccuracies via phone. UHC Members should call the number on the back of their ID card, and non-UHC members can call 888-638-6613 TTY 711.

© 2019 UnitedHealthcare Services, Inc. All rights reserved.
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Last Updated: Friday, March 22, 2019