Our UnitedHealthcare® Connected is for adults ages 21 and older who are eligible for both Medicare and Medicaid. The plan offers members a customized care plan and a single point of contact for all Medicare and Medicaid services.
Companionship is important. Adult day care provides care and companionship for members who qualify for extra help during the day. Caregivers also benefit, knowing their loved one is well cared for and safe during the day.
If your need for long‑term care has been determined by Texas Medicaid, Adult Day Care can provide:
Individual care to help you control asthma or COPD symptoms.
Do you have trouble managing asthma or COPD symptoms? A nurse who specializes in breathing issues could help. You’ll get a customized treatment plan and medicine to help:
Certain members can also get an allergy-free mattress cover and pillow cases each year.
From regular checkups to preventive health screenings, we want to make sure you get access to the right care at the right time.
You get a primary care physician (PCP) who is your main doctor. 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:
Checkups, routine and emergency care are covered.
Exams and cleanings once every 12 months help keep teeth and gums strong and healthy. If there is a dental problem that needs to be fixed, that's covered as well.
Adult Dental Services (non-waiver Members) $1,000 benefit to cover routine exam and cleaning once per year, full mouth x-ray, scaling and root planning if medically necessary.
The health and safety of our members at home are important.
Our plan covers some medical equipment ordered by a member's doctor or case manager. This can include:
Get extra help during your pregnancy and after your baby has arrived. You can get:
We provide the exams and treatments needed to help keep your feet in great shape. And for those with diabetes, good foot care can help prevent much more serious problems.
Our podiatry coverage includes:
One welcome kit for Members each year upon admission to a network nursing home. At a minimum, each kit includes:
Other gift programs include:
Trouble hearing can affect a person’s everyday life in many ways. Our plan includes services and support to help protect hearing.
This plan pays for most expenses related to a hospital stay. This way you can rest and heal.
Our plan covers these services and more:
And after leaving the hospital, you are not alone. We make sure you get follow-up care to continue healing at home.
Sometimes the basics are hard to do yourself after an illness or injury. If needed, we provide someone to help with:
You and your doctor need to understand one another. We can explain information in English or in your native language. If you are visually or hearing impaired, special help can be provided.
Our plan includes prescription drugs and refills for prescriptions written by your doctor or specialist. Thousands of drugs are covered.
You pay only a co-pay amount, if needed, and you can get your prescription drugs at any in-network pharmacy.
Sometimes you might need a little help understanding your health care options. With us, you have someone you can call 24/7. We’ll answer your questions simply and completely.
We can also help you find:
Get help with personal problems that may affect your mental or physical health. These may include depression, anxiety or drugs and alcohol abuse. Our services also include:
Online mental health resources: Access to LiveandWorkWell.com, which provides access to article resources, and provider searches.
While you pay nothing for covered services, you get:
Medical questions and situations come at inconvenient times. When you have questions about your health, you can call a nurse 24 hours a day, 7 days a week.
Our nurses will:
You know the bad health effects of smoking. You know you need to quit. We will support you while you quit with coaches and supplies. The only thing you won't get from us is a lecture.
Do you have family members or friends who care for you at home? If so, we want to support their hard work too. That's why we provide respite care to give your caregivers a rest. Respite care offers caregivers time away from their loved one who is ill or has special care needs.
Our members' safety is our focus. For members who need extra care, like after a major illness, we'll visit them at home to make sure they're doing okay.
During this visit we:
Physical, occupational and speech therapy can help members recover from a serious injury or illness, or simply reach their full potential.
Our plan covers visits for:
Whether you live in the city or in the country, rides are available. Our plan provides round trips to and from plan locations. This includes trips to and from the pharmacy to fill your prescriptions.
We pay for 8 one-way, or 4 round-trips per year to support services or support needed.
You'll get the care, eyeglasses and treatment that let you see life more clearly. Coverage includes:
This benefit is offered by certain stores and retailers.
Get 10 vouchers toward local Weight Watchers programs.
Weight Watchers encourages a healthy approach for eating and living. The program helps you change your eating habits and become more active. Weekly meetings give you advice and support. So you can stay on track and meet your goal.
UnitedHealthcare Connected® (Medicare-Medicaid Plan)
The STAR+PLUS program serves SSI (Supplemental Security Income) and SSI-related clients. SSI and SSI-related adults are required to participate in the program, while SSI and SSI-related children may choose to participate. These people usually need care and services to help with day-to-day activities.
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