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Welcome to UnitedHealthcare Community Plan in Nebraska

See Plans in Nebraska

Learn about plan types

Dual Special Needs Plans (DSNP)

Dual special needs plans (also called "dual" plans) are for people who get both Medicaid and Medicare. Dual plans cover doctor visits, hospital stays and prescription drugs. They offer more benefits and extras than Original Medicare. You'll keep all your Medicaid benefits too.

Medicaid Plans

Medicaid is health insurance for people with low incomes. You might be able to get Medicaid if you're pregnant, have children or live with a disability. In some cases, other adults also may qualify. Costs to you are low and based on your ability to pay. It's important to know that Medicaid rules and coverage differ from state to state.

See Plans in Nebraska

Announcements

  • Heritage Health Open Enrollment starts Nov. 1 – Dec. 15. To learn more, visit Heritage Health Enrollment Center or call 1-888.255.2605
  • It’s your best shot. Schedule your flu shot today. There is no cost to you for flu shots. You can get one at your primary care provider’s (PCP) office or any clinic or pharmacy that accepts your plan. Visit myuhc.com/CommunityPlan to find a location near you.

Did you lose your job recently?

More people now qualify for Heritage Health and Heritage Health Adult Expansion (Medicaid). See if you can too. No copays for covered services.

  • The Nebraska Department of Health and Human Services is accepting applications for expansion-eligible Nebraskans. More information can be found here. Visit ACCESSNebraska.ne.gov for eligibility information. 

More information can be found here. Visit ACCESSNebraska.ne.gov for more information on eligibility.

  • Heritage Health Medicaid: Check with Medicaid and Long-Term Care for possible eligibility for coverage on the health insurance marketplace. Visit ACCESSNebraska.ne.gov or call 1-855-632-7633.

NEED A NEW PCP?

We can help you find a provider who is a good fit for you. Visit myuhc.com/CommunityPlan or call Member Services toll-free at 1-800-641-1902, TTY 711.

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Featured Programs

UnitedHealthcare - Heritage Health Adult Expansion Plan

The UnitedHealthcare Heritage Health Adult Expansion plan is a Medicaid plan for adults aged 19-64 with no dependent children who meet income and other eligibility requirements. Two tiers are offered: Basic and Prime.

Benefits include ambulatory services, emergency services, hospitalization, maternity and newborn care, mental health and substance use disorder services, prescription drugs, rehabilitative and habilitative services and devices, laboratory services, preventive, wellness and chronic disease management and other services such as long-term care, non-emergent transportation and durable medical equipment and more.

Health4Me™ Mobile App

This free mobile app allows you to access key information on the go. You can search for nearby doctors, view your member handbook or view your member ID card. 

The Health4Me mobile app can be downloaded to an Apple® or Android® smartphone or tablet.

Behavioral Health Services

Behavioral health is as important as physical health. That’s why we have coverage for both.

Required care is 100% covered with no co-pay, including testing and diagnosis, behavioral therapy and medication.

Behavioral health services can help you with personal problems that may affect you and/or your family. These problems may be stress, depression, anxiety or using drugs or alcohol. We can help. 

Transportation Assistance

Your coverage for transportation includes rides with National MedTrans for medical visits and other health related appointments.

National MedTrans provides dependable rides and excellent personal service. Your health care appointments are important, and they work to meet your unique transportation needs with 24/7 support.

Schedule non-urgent rides at least tthree business days before your appointment.

Urgent care and same-day rides are accepted.

Call to schedule rides at 1-833-583-5683 (TTY 1- 833-587-6527)

You can also learn more, schedule rides at www.natmedtrans.com/ne

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HealthTalk Member Newsletter

Our HealthTalk newsletter is now online. The newsletter (English or Español) is a great way to learn about our health plan and important health topics.

Now you can read it whenever, wherever you want. Check back quarterly for a new edition.

Healthy First Steps®

Build a healthy future for you and your baby, and earn great rewards. Our UnitedHealthcare Healthy First Steps® program helps keep you and your baby healthy during pregnancy and your baby’s first 15 months of life.

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.

Health Education

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Healthy weight. Getting exercise.

Losing weight does not have to be hard. Getting more exercise is one of the best ways. Try to get 60 minutes or more of exercise every day. It doesn’t have to mean doing hard exercises or going to the gym every day. Just move your body. Here are some ideas:

Move! Dancing to your favorite tunes can help you burn more than 300 calories an hour. 

If you do play video games, play interactive ones where you have to move. You don’t even have to leave the house to move – try exercises like jumping jacks, marching in place, going up and down stairs, push-ups or sit-ups at home.

Walk! Take a walk with a friend outside. Walk your dog or your neighbor’s dog, or walk your cat! Instead of driving, walk or bike to school or a friend’s house.

Clean! Vacuum your room. Wash the car. Mow the lawn. Your parents will be happy, and it’s another chance for you to get more exercise, and maybe even have some fun.

Unplug! Limit your time watching TV or using your smartphone, computer or other device. Keep screen time to less than two hours a day. When you do watch TV or use your phone – try marching in place or exercising while you watch/play.

How stress affects you

When you're stressed, your body knows it. Your heart starts pounding and your muscles tense. Everyone has stress in their life now and then. But chronic stress can have negative effects on both your physical and your mental health. 

It can affect:
Digestion. Stress slows the release of stomach acid and causes the colon to work faster. This can result in stomachaches or diarrhea.

Heart rate and blood vessels. Your heart rate, blood pressure and cholesterol may increase. This raises your risk for
heart attacks and strokes.

Immune system. Stress makes wounds heal slower. You’re also more likely to get colds and infections.

Weight. Stress makes you crave fats and carbohydrates. If you gain weight in your abdominal area, you’re at greater
risk for heart disease and diabetes.

Mental health. Stress makes you tense and anxious. This can lead to depression, headaches or other problems such as trouble sleeping.

Regain your balance. If stress has taken over your life, here are some ideas to regain control:

Make time for regular exercise. Check with your doctor to see what types of exercise are right for you.

  • Do things you enjoy.
  • Learn how to relax. 
  • Treat yourself well.

If your stress is still an issue, talk with your doctor. He or she can recommend someone who can help you find other ways to manage your stress.

Find out more online at liveandworkwell.com

Depression

Depression is a real illness. It can be treated.

You can feel like yourself again. Depression is an illness like diabetes or heart disease. The first step is to accept that you need help. The second step is to talk to your doctor.

Common signs of depression can include:

• Feeling unhappy, down or sad every day or feeling worthless, guilty, helpless or hopeless. 
• Loss of interest in hobbies, activities and people you once enjoyed.
• Trouble sleeping or sleeping more than usual, or feeling tired, weak or low in energy.
• Loss of appetite or eating too much.
• Having trouble concentrating, remembering or making decisions.
• Thinking or talking about suicide.

Find out more online at liveandworkwell.com.

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Healthy weight. Healthy eating.

Healthy Weight. Healthy You.

When you eat more calories than you use, your body stores the extra calories as fat. A few extra pounds are not bad for most people, but too many extra pounds and too much body fat can be bad for your health.* Doctors call this being “overweight” or “obese.”

Doctors use a measurement called body mass index (BMI), using your height and your weight to determine how much body fat you have. The best way to stay at a healthy weight or to lose weight is to make good food choices. Here are some easy ways to do that every day:

  • Try to eat more vegetables and fruit than any other type of food whenever possible.
  • Choose low-calorie foods or smaller portions when eating out.
  • Pick healthy side dishes like apple slices or apple sauce instead of Ffrench fries. If you are really craving fries, try eating something healthy like a salad, apple slices or apple sauce first, then split a small portion of fries with a few other people.
  • Drink water or milk instead of soda.
  • Check the label – can you recognize all of the ingredients? If not, it might have a lot of extra stuff you don’t need, so look for other options. Try nuts or whole grain crackers instead of chips.
  • Try replacing sugary snacks with things like yogurt or dried fruit (without added sugar). If you have a sweet tooth, try a small portion of your favorite sweet only once a day.

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. Benefits, features and/or devices vary by plan/area. 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

The NurseLine 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. Access to this service is subject to terms of use.

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

Every year, 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) through YEAR based on a review of UnitedHealthcare Connected’s Model of Care. UnitedHealthcare Connected has been approved by the National Committee for Quality Assurance (NCQA) to operate as a Special Needs Plan (SNP) until YEAR 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.

For more detailed information on provider directory data, you may use the following link:

Important Provider Information URL: https://www.uhc.com/legal/provider

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.

Declaration of Disaster or Emergency

If you’re affected by a disaster or emergency declaration by the President or a Governor, or an announcement of a public health emergency by the Secretary of Health and Human Services, there is certain additional support available to you.

  • Part A, Part B, and supplemental Part C plan benefits are to be provided at specified non-contracted facilities (note that Part A and Part B benefits must be obtained at Medicare certified facilities);
  • Where applicable, requirements for gatekeeper referrals are waived in full;
  • Plan-approved out-of-network cost-sharing to network cost-sharing amounts are temporarily reduced; and
  • The 30-day notification requirement to members is waived, as long as all the changes (such as reduction of cost-sharing and waiving authorization) benefit the member.

If CMS hasn’t provided an end date for the disaster or emergency, plans will resume normal operation 30 days after the initial declaration.

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Last Updated: 10.21.2020 at 02:09 PM CDT

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