At UnitedHealthcare Community Plan, we understand that the health care system can be complex and confusing. We know it can be especially stressful when your health care plan changes. UnitedHealthcare Community Plan will be with you every step of the way.
We want to make sure our members have access to the quality care they need and deserve. Our large network includes the doctors you already know and trust. That’s what you can count on with UnitedHealthcare Community Plan. View the list below to see what STAR Kids includes.
Language and Interpreter Services
UnitedHealthcare Community Plan has staff that speaks English and Spanish. If you speak another language or are hearing impaired and need help, call Member Services at 1-877-597-7799 or TTY 711 for hearing impaired.
If you need materials in audio, Braille, larger print and in other languages at your request. Please call 1-877-597-7799 for help.
Anderson, Angelina, Austin, Bell, Blanco, Bosque, Bowie, Brazoria, Brazos, Burleson, Cameron, Camp, Cass, Chambers, Cherokee, Colorado, Comanche, Cooke, Coryell, De Witt, Delta, Duval, Erath, Falls, Fannin, Fort Bend, Franklin, Freestone, Galveston, Gillespie, Gonzales, Grayson, Gregg, Grimes, Hamilton, Hardin, Harris, Harrison, Henderson, Hidalgo, Hill, Hopkins, Houston, Jackson, Jasper, Jefferson, Jim Hogg, Lamar, Lampasas, Lavaca, Leon, Liberty, Limestone, Llano, Madison, Marion, Matagorda, Maverick, McLennan, McMullen, Milam, Mills, Montague, Montgomery, Morris, Nacogdoches, Newton, Orange, Panola, Polk, Rains, Red River, Robertson, Rusk, Sabine, San Augustine, San Jacinto, San Saba, Shelby, Smith, Somervell, Starr, Titus, Trinity, Tyler, Upshur, Van Zandt, Walker, Waller, Washington, Webb, Wharton, Willacy, Wood, and Zapata.
One hypoallergenic mattress cover and one hypoallergenic pillowcase for qualifying members with a diagnosis of severe asthma.
Does your child have a serious health problem? If so, our case managers are in your corner. They will:
Your case manager will stay with you on your child's medical journey. He or she will:
So you can focus on helping your child get better.
Your child gets a primary care physician (PCP) who is his or her main doctor. Use the Doctor Lookup tool to see if your child's doctor is in our network.
If your child doesn't have a doctor or if their 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 every six 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.
Our plan covers medical equipment ordered by your doctor or case manager. This includes:
Sports and school physicals at no cost to you.
Our plan covers up to two free physicals each year so your child can:
An ounce of prevention can be worth a pound of cure. It can also be worth great rewards. Your child can earn great gifts for things like getting his or her yearly wellness exam.
This plan pays for all expenses related to a hospital stay, so your child can rest and heal.
After your child leaves the hospital, you are not alone. We make sure your child gets follow-up care to continue healing at home.
Your child's doctor and you need to understand each other. Not speaking English well makes this difficult. We can arrange for a medical interpreter to be at your child's appointment.
We have people at our phone centers that speak more than one language. A service lets us connects with others that speak hundreds of languages.
You can ask to receive information in another language. Then anything we write to you will only be in that language. This is provided at no cost to you.
We make getting your child's medicine easy.
There are no copays for covered drugs. You can fill your child's prescriptions at:
Sometimes you might need a little help understanding your child's 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:
Mental health is as important as physical health. That's why we have the same coverage for both.
Required care is 100% covered with no copay. This includes:
You pay nothing for covered services.
While your health care is low-cost or free, the care quality is high. You get:
Medical questions and situations come at inconvenient times. When you have questions about your health or your child's health, you can call a trained nurse 24 hours a day, 7 days a week.
Our NurseLine nurses will:
If needed, we provide someone to help with:
We provide free memberships to local youth organizations, like the Boys & Girls Clubs or Neighborhood Centers, Inc. (NCI) in your area.
Along with fun and games, these clubs offer help with:
We provide respite care to give caregivers a rest. Respite care offers caregivers time away from their loved one who has special care needs to run errands or just relax.
Every STAR Kids member gets a service coordinator. Your child’s service coordinator will visit with your family in person to go over your child’s health care needs. At these visits you will talk about the services your child is getting and other services your child may need.
Together you will create a care plan that works best for your family. Your care plan may include:
Your service coordinator can also help you.
What is a Transition Specialist? What will a Transition Specialist do for me?
For children with special health care needs, the transition to adulthood often brings many changes. A Transition Specialist can help you understand and plan for these changes. All STAR Kids members have access to a Transition Specialist.
How can I talk to a Transition Specialist?
If you want to speak with a Transition Specialist or have a Transition Specialist as part of your Care Team, let your Service Coordinator know and he or she can help you.
Whether you live in the city or in the country, rides are available. Our plan provides up to round trips to and from plan locations. This includes trips to and from the pharmacy to fill your prescriptions.
All of the immunizations your child needs are covered.
Your child can get the care, eyeglasses and treatment that lets him or her see life more clearly. Coverage includes $105 each year toward frames or contact lenses.
This benefit is offered by certain stores and retailers
The State of Texas determines eligibility for this plan. In general terms, eligibility is limited to those who are unable to pay for medically necessary services and who meet certain eligibility requirements.
If you lose your Medicaid eligibility you cannot receive care or services under STAR. If you lose Medicaid eligibility but become eligible again within 6 months, you will automatically be re-enrolled with STAR and have the same PCP you had before, unless he or she is no longer a part of STAR.
More information on Eligibility and Enrollment can be found on Texas Health and Human Services Commission website.
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