UnitedHealthcare Connected® (Medicare-Medicaid Plan) H7833-001-000

Medicaid

H7833-001

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.

Benefits & Features

Well and Sick Care

If you just need a checkup or if you are injured or sick, you will have access to the care that includes:

  • Unlimited PCP Visits. See your doctor as often as needed.
  • NurseLineSM. Speak with a registered nurse 24/7.
  • Lab and X-rays. Lab tests, x-rays and diagnostic imaging are covered.
  • Therapy Services. Physical and other needed therapies are covered.

A healthy mom is more likely to have a healthy baby.  Pregnancy is an important time for women to take good care of themselves and their unborn baby.  We have a special program for pregnant members.  Our Healthy First Steps program gives pregnant women information, education and support during pregnancy. 
Pregnant members can enroll in Healthy First Steps by calling 1-800-599-5985

If you have asthma, diabetes or another chronic condition, you can depend on us. Our plan helps you get the care, support and services you may need. Benefits include:

  • Mental Health and Substance Abuse Services. Counseling and other treatments are covered.
  • Care Management. Personal support from an experienced professional.
  • Asthma Care. Exams, testing and supplies are covered for asthma and other lung diseases.
  • Kidney Disease Care. Dialysis, medicine and treatments are covered.

We help members keep their vision, smile and hearing in good shape. Benefits include:

  • Vision Care. Eye exams are covered once every 24 months for members.
  • Dental. We pay for an exam once every 12 months for members over the age of 21.

You get medical care and equipment you may need to live safely at home. Benefits include:

  • Equipment and Supplies. In-home medical and safety equipment are covered.
  • Care Coordinator. Someone to get you the services after surgery or illness.
  • Home Health Care. Medical and personal care in your home, if needed.

Sometimes members need a little extra help using their health plan. For those times, they can rely on:

  • Transportation. We pay for up to 8 one-way rides to and from medical visits or the pharmacy, if you qualify.
  • Members Matter. Someone to help you get the most from your plan.
  • Language Help. Connect to a translator through Member Services.

Adult Day Care

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:

  • Social connections and friendship.
  • Bathing and personal care. 
  • Meals.

Asthma and COPD Support

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:

  • Manage flare-ups.
  • Reduce symptoms.
  • Stay active.

Certain members can also get an allergy-free mattress cover and pillow cases each year.

Choice of Doctor

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:

  • Preventive care.
  • Treatment if you are sick or injured
  • Referrals to specialists for certain conditions.

Dental Care

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.

Equipment and Supplies

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:

  • Walkers
  • Wheelchairs
  • Hospital beds

Extra Help for Pregnant Women and New Moms

Get extra help during your pregnancy and after your baby has arrived. You can get:

  • Infant care book for pregnant Members.
  • Gifts for pregnant Members who attend baby showers.
  • Up to 6 gift certificates for disposable diapers for Members getting post-partum checkup.
  • Home health visit for new mothers.

Foot Care

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:

  • Routine foot exams.
  • Tips about foot care and choosing the right shoes.
  • Therapeutic shoes and inserts for members with diabetes.

Gift Program

One welcome kit for Members each year upon admission to a network nursing home. At a minimum, each kit includes:

  • Hand sanitizer, Lotion or Lip Balm
  • Shower cap
  • Water bottle
  • Coffee cup
  • Night light
  • Lighted magnifier
  • Medication Box
  • Reusable bag

Other gift programs include:

  • After completion of Annual wellness visit, members are eligible for a $15 gift card from a variety of vendors

Hearing Care

Trouble hearing can affect a person’s everyday life in many ways.  Our plan includes services and support to help protect hearing.

We cover:

  • Exams, therapy and tests.
  • Hearing aids, batteries, and accessories.
  • Hospitalization

    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:

    • Nursing care.
    • Room and board.
    • Supplies and equipment.
    • Treatment and therapies.
    • Diagnostic tests and exams.

    And after leaving the hospital, you are not alone. We make sure you get follow-up care to continue healing at home.

    In-Home Care

    Sometimes the basics are hard to do yourself after an illness or injury. If needed, we provide someone to help with:

    • Dressing
    • Bathing
    • Feeding

    Language and Interpretation

    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. 

    Medicines

    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. 

    Member Services

    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:

    • Home care providers.
    • Dentists and vision providers.
    • Adult Day Health Centers.

    Mental Health

    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: 

    • Therapy
    • Counseling
    • Medications

    Online mental health resources: Access to LiveandWorkWell.com, which provides access to article resources, and provider searches. 

    No Copays

    While you pay nothing for covered services, you get:  

    • Treatments at hospitals and clinics.
    • Prescription drugs and over-the-counter medicines. 

    Nurse Advice

    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: 

    • Listen to symptoms.
    • Help with self-care.
    • Advise you about getting care at a doctor visit or an urgent care center.
    • Help you know when to go to the emergency room.  

    Quitting Tobacco

    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.

    Respite Care

    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.

    Service Coordinator

    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:

    • See if the residence needs minor modifications, such as ramps and bathroom safety devices.
    • Set up emergency monitoring.
    • Arrange for a personal care attendant, if needed.

    Therapy Services

    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:

    • Occupational therapy
    • Physical therapy
    • Speech therapy
    • In-home therapy

    Transportation

    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.

    Vision Care

    You'll get the care, eyeglasses and treatment that let you see life more clearly. Coverage includes:

    • One routine eye exam every two (2) years.
    • $70 credit for lenses and frames or $105 for contact lenses every two (2) years.

    This benefit is offered by certain stores and retailers.

    Weight Control

    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.

    • Up to $100 for Weight Watchers program each year.
    • $50 gift card for workout clothes for Members who complete Weight Watchers.
    • Enhanced Disease Management (prior authorization and referral required) providing specific observation and comprehensive educational activities.
    • Specific counseling services for comprehensive individual or group treatment sessions (prior authorization and referral required)

    UnitedHealthcare Connected® (Medicare-Medicaid Plan)

    2019 Downloadable Resources
    2020 Downloadable Resources

    Member Resources

    Member Resources

    Learn More

    UnitedHealthcare Connected® (Medicare-Medicaid Plan)  H7833-001-000

     
    Check Eligibility

    Enrollment

    Ready to get started?

    Monday - Friday
    8 a.m. to 8 p.m. Central Time

    1-800-256-6533
    TTY: 711

    Learn about the steps to enroll.

    Questions

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