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UnitedHealthcare Community Plan
Medicaid
Our Medicaid family plan is for children, pregnant women, families and adults who meet income and health need requirements. We also cover children and young adults with special health or developmental needs.
Alcona, Allegan, Alpena, Antrim, Arenac, Barry, Bay, Benzie, Berrien, Branch, Calhoun, Cass, Charlevoix, Cheboygan, Clare, Crawford, Emmet, Genesee, Gladwin, Grand Traverse, Gratiot, Hillsdale, Huron, Ionia, Iosco, Isabella, Jackson, Kalamazoo, Kalkaska, Kent, Lake, Lapeer, Leelanau, Lenawee, Livingston, Macomb, Manistee, Mason, Mecosta, Midland, Missaukee, Monroe, Montcalm, Montmorency, Muskegon, Newaygo, Oakland, Oceana, Ogemaw, Osceola, Oscoda, Otsego, Ottawa, Presque Isle, Roscommon, Saginaw, Sanilac, Shiawassee, St. Clair, St. Joseph, Tuscola, Van Buren, Washtenaw, Wayne, and Wexford.
UnitedHealthcare is Closely Watching the Novel Coronavirus (COVID-19)
UnitedHealthcare will work with and follow all guidance and protocols 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) FAQ. To learn more about COVID-19, go to CDC.gov.
Michigan Department of Health and Human Services (MDHHS) has provided the following links to keep public informed about the COVID-19 vaccine. Please bookmark these pages for the most up to date information.
- General information: https://www.michigan.gov/coronavirus/
- COVID 19 Vaccination : https://www.michigan.gov/COVIDVaccine
- MDHHS Vaccination Prioritization Guidance: https://www.michigan.gov/documents/coronavirus/MI_COVID-19_Vaccination_Prioritization_Guidance_710349_7.pdf
- Vaccine FAQs: https://www.michigan.gov/documents/coronavirus/COVID-19_Vaccine_Public_FAQ_FINAL_710077_7.pdf
- Vaccine Infographic: https://www.michigan.gov/documents/coronavirus/Vaccine_infographic_v2_710069_7.pdf
- Information on mRNA vaccines: https://www.michigan.gov/documents/coronavirus/2020_MDHHS_COVIDVaccine_Infograph_3.0_710373_7.pdf
Benefits & Features
Asthma and COPD Care
Do you have trouble managing asthma, allergies or COPD symptoms? A nurse who specializes in breathing issues can really help. You'll get a customized treatment plan and medicine to:
- Manage flare-ups.
- Reduce symptoms.
- Help you or your child stay active.
Asthma Care
Does your child have asthma or respiratory allergies? A nurse who specializes in breathing issues can really help childhood breathing problems. Your child's nurse will
- Get to know your child
- Learn his or her triggers and activities.
- Develop a customized treatment plan.
Care Management
Do you or a family member have a serious health problem or a high-risk pregnancy? If so, our care managers are in your corner. They will:
- Explain medical terms in plain language.
- Coordinate your doctor appointments.
- Provide your care team with your medical records.
Your care manager will stay with you on your medical journey. He or she will:
- Think beyond your medical needs.
- Make sure you have support at home.
So you can focus on getting better.
Choice of Doctors
You or your child gets a primary care provider (PCP) who is your main doctor. 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.
Your PCP is your main doctor for:
- Preventive care.
- Treatment if you are sick or injured.
Referrals to specialists for certain conditions.
Choice of Birth Center
Where you have your baby is an important choice. That's why you can pick from nearly 100 hospitals across Michigan.
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.
Customer Services
Understanding your health care options can be confusing. Now you have someone you can call. We can answer your questions simply and completely.
We help you find:
- Doctors.
- Pharmacies.
- Hospitals or other health facilities.
- Local resources.
We also have people who speak more than one language. Chances are, we have someone who speaks your language.
Diabetic Support
If you have diabetes you may need insulin, needles, wipes and glucose strips. We cover all that and more.
Our plan also steps up with services to help you manage your diabetes including:
- Coordinating doctor care.
- Dedicated team to help you understand your condition and manage it.
Equipment and Supplies
Your health and safety at home are important.
Our plan covers medical equipment ordered by your doctor. This can include items like:
- Hospital beds.
- Oxygen tanks.
- Walkers or wheelchairs.
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 Services
Trouble hearing can affect your everyday life in many ways. Our plan includes services and support to determine whether a hearing problem exists.
We cover:
- Exams, therapy and tests.
- Hearing aids are covered for Members under age 21.
Hospitalization
This plan pays for medical expenses related to a hospital stay.
Our plan covers:
- Nursing care.
- Room and board.
- Supplies and equipment.
- Treatment and therapies.
- Diagnostic tests and exams.
And after you leave the hospital, you are not alone. We make sure you get follow-up care to continue healing.
Lab and 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 get the information needed to improve your health or be your best.
Language Help
We have people at our member services who speak more than one language. Chances are, we have someone who speaks your language.
Medicines
Our plan includes prescription drugs and refills.
We also cover many medically needed, over-the-counter medicines with a written order from your doctor. There is no copay for these medicines.
And we make getting your medicine easy. You can fill your prescriptions at:
- Network pharmacies.
Mental Health
Mental health is as important as physical health. That's why we cover both.
Short-term required care is covered with no co-pay. This includes:
- Behavioral therapy.
- Medications.
No Copays
You will not have a copayment for most care and services covered by our plan. That means you will pay nothing for covered services, including:
- Preventive care.
- Annual checkups.
- Routine vision care.
Nurse Visits
Sometimes you may need continued care after you leave the hospital or urgent care. If your health is at risk after a serious illness, surgery or injury, a nurse will visit you at home to:
- Provide medical care for you.
- Answer your questions and concerns.
Pregnancy Care
Nothing is more important than the health and well-being of you and your baby. That's why our benefits include:
- Prenatal Visit.
- Healthy First Steps®.
- Transportation.
Prenatal Visits
Your pregnancy is a journey you'll want to make 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 you and your baby are healthy.
- Explain what to expect at each stage of your pregnancy.
- Answer your questions.
Quitting Tobacco
You know the bad health effects of smoking. You know you need to quit. We support you while you quit with coaches and supplies. The only thing you won't get from us is a lecture.
Shots and Vaccines
Routine shots help protect against illness. So, our plan covers:
- Recommended shots and vaccines.
- Influenza shots.
Social Services
Many communities offer additional benefits for children with special care needs. Social Services helps members connect to local programs and services, such as:
- WIC and financial support.
- School services.
- Respite care.
Download more information about social services benefits here.
Speech Therapy
Speech therapy visits and exercises can help those who have difficulty speaking. At your doctor's request we will cover short-term, medically needed physical, occupational, speech and other therapy visits each year.
Therapy Services
Physical, occupational and speech therapy can help you recover from a serious injury or illness, or simply reach your full potential.
Our plan provides:
- Occupational therapy.
- Physical therapy.
- Speech therapy.
With a doctor's request your coverage includes short term physical, occupational, speech and/or other therapy visits each year.
Transportation
Our plan provides a ride for you to and from health care locations. That includes rides to:
- Doctor or therapy visits.
- Health departments.
- Vision clinics.
You can also be reimbursed for gas for driving to and from health care visits:
ModivCare (formerly Logisticare) Member Gas Reimbursement Instructions
ModivCare (formerly Logisticare) Member Gas Reimbursement Form
Unlimited Primary Care Provider/PCP Visits
There may be times when your health requires repeated doctor visits. Our plan does not limit the number of times you can see your primary care provider. This way you get the care you need when you need it. And your doctor can see how your health is progressing.
Vision Care
Regular eye exams and glasses, if needed, can help you see more clearly. We also include:
- Prescription lenses.
- Designer-style frames.
Call Member Services at 1-800-903-5253 for vision services and providers.
Well Visits
Well visits with your doctor can help keep you healthy. These visits can catch health problems early, so they can be treated. Preventive services include:
- Checkups for adults and children.
- Routine shots and tests.
- Mammograms and Pap Smears.
- Well-baby care.
- Colorectal Screenings.
There are no copayments for preventive care.
Member Resources
Member Resources
UnitedHealthcare Community Plan
Member Handbook
Member Handbook
Certificate of Coverage
Certificate of Coverage
Getting Started
Getting Started Guide
We want to be sure you have all the information you need to make this the best health care experience possible. This guide will walk you through the important steps for getting started.
Member Newsletters 2016 - Current
2021
2020
2019
2018
2017
2016
Member Newsletters Prior to 2016
2015
2014
2013
Additional Benefit Information
Additional Benefit Information
-
Additional Benefit Information - English (Opens in a new tab)
(pdf 72.26KB)
(Last Updated:
11/12/2020)
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UnitedHealthcare Community Plan
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