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UnitedHealthcare Community Plan for Families

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Medicaid

UnitedHealthcare Community Plan offers coverage to beneficiaries of Pennsylvania's Medical Assistance (Medicaid) program.

We can help you relax about your health care. You don't need to worry when you have UnitedHealthcare Community Plan. All of your health care needs are met. With UnitedHealthcare, you can count on getting good health care, plus the respect you deserve. You'll have your own personal doctor who really knows you. No more sitting around emergency rooms waiting for basic health care.

Plus, your doctor is there for you and your family around the clock. We check doctors and hospitals in our network often to make sure you're getting the care you deserve.

Medical Assistance recipients can call Pennsylvania Enrollment Services toll free at 1-800-440-3989 (TTY 1-800-618-4225) We can help you between 8 a.m. and 5 p.m. Monday, Tuesday, Thursday, and Friday and 8 a.m. to 8 p.m. on Wednesday in finding other options. This will NOT affect any of our CHIP or Medicare members.

  • UnitedHealthcare Community Plan for Families

     Steps to Enroll
  • Check Eligibility (opens modal window)

Find providers and coverage for this plan.

Find a Provider

Search for doctors, behavioral health providers, hospitals and specialists.

View Drug List

Find medications covered by this plan.

Find a Dentist

Find a dentist near you.

Find a Pharmacy

Find a pharmacy near you.

Benefits & Features

Great Benefits

  • Visits to your personal doctor
  • Specialist care
  • Your personal doctor available 24 hours a day
  • 24-hour emergency room care when needed
  • Immunizations for children
  • Prescriptions, based on Medicaid eligibility
  • Dental services, based on Medicaid eligibility
  • EPSDT screenings and treatment
  • Vision care

List of Covered Benefits

Appointment Standards

  • Your PCP should see you within 10 business days of when you call for a routine appointment. 
  • If you have an urgent medical condition, your provider should see you within 24 hours of when you call for an appointment.
  • If you have an emergency, the provider must see you immediately or refer you to an emergency room.

Help When You Need It

With UnitedHealthcare, you're never alone. Our Member Services is available to answer your questions and help you get the care you need. Just call us at 1-800-414-9025. We can help you between 8 a.m. and 5 p.m. Monday, Tuesday, Thursday, and Friday and 8 a.m. to 8 p.m. on Wednesday. And remember, you can call your UnitedHealthcare doctor any time, any day.

Want to learn more?

Talk with us to learn more about UnitedHealthcare Community Plan. We'll tell you about our benefits, special programs and doctors. We'll help you choose a doctor for yourself and other members of your family. Just give us a call at 1-800-414-9025. Or, view our Medicaid Brochure.

No person on the grounds of race, color, national origin, sex, age, religion or disability shall be excluded from participation in, be denied benefits of, or be subject to discrimination under any program or service provided by UnitedHealthcare.

Member Resources

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UnitedHealthcare Community Plan for Families

Disclaimer Information
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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. Limitations, co-payments, and restrictions may apply. Benefits, premiums and/or co-payments/co-insurance may change on January 1 of each year.

Nurse Hotline 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. Nurse Hotline not for use in emergencies, for informational purposes only.

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. 

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® for One Care (Medicare-Medicaid Plan)

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

UnitedHealthcare Connected® general 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. 

UnitedHealthcare Senior Care Options (HMO SNP) Plan

UnitedHealthcare Senior Care Options (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 and does not have any other comprehensive health Insurance, except 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 Senior Care Options (SCO) program.

Star ratings disclaimer

Every year, Medicare evaluates plans based on a 5-Star rating system. The 5 Star rating applies to plan year 2023.

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. UnitedHealthcare Members should call the number on the back of their ID card, and non-UnitedHealthcare members can call 1-888-638-6613 TTY 711, or use your preferred relay service.

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: 05.30.2023 at 10:44 AM CDT

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