STAR+PLUS

Medicaid

Not all Texas STAR+PLUS plans are alike. UnitedHealthcare Community Plan provides standard benefits under the STAR+PLUS program for adults who need extra support and care, including services to help with daily activities. We also offer additional services called Value Added Services (VAS). You qualify based on income and health needs. View the list below to see what STAR+PLUS includes.

Anderson, Angelina, Aransas, Austin, Bastrop, Bee, Bell, Blanco, Bosque, Bowie, Brazoria, Brazos, Brooks, Burleson, Burnet, Caldwell, Calhoun, Camp, Cass, Chambers, Cherokee, Colorado, Comanche, Cooke, Coryell, De Witt, Delta, Erath, Falls, Fannin, Fayette, Fort Bend, Franklin, Freestone, Galveston, Gillespie, Goliad, Gonzales, Grayson, Gregg, Grimes, Hamilton, Hardin, Harris, Harrison, Hays, Henderson, Hill, Hopkins, Houston, Jackson, Jasper, Jefferson, Jim Wells, Karnes, Kenedy, Kleberg, Lamar, Lampasas, Lee, Leon, Liberty, Limestone, Live Oak, Llano, Madison, Marion, Matagorda, McLennan, Milam, Mills, Montague, Montgomery, Morris, Nacogdoches, Newton, Nueces, Orange, Panola, Polk, Rains, Red River, Refugio, Robertson, Rusk, Sabine, San Augustine, San Jacinto, San Patricio, San Saba, Shelby, Smith, Somervell, Titus, Travis, Trinity, Tyler, Upshur, Van Zandt, Victoria, Walker, Waller, Washington, Wharton, Williamson, and Wood.

Benefits & Features

Well and Sick Care

Get the assistance you need to be at your best — or to get better if you are injured or sick. That includes:

  • Hospital Care. You pay nothing for care in a hospital.
  • Medicines. Fill your prescriptions at local pharmacies.
  • Lab and X-rays. Lab tests, x-rays and diagnostic imaging are covered.
  • Service Coordinator. Someone to help you live on your own at home if necessary.
  • Well Visits. Annual checkups can help keep you healthy or reach your potential.

If you have asthma, diabetes or another long-term condition, you can depend on us. Our STAR+PLUS plan makes sure you get the care, support and services you need. Benefits include:

  • Case Management. Personal support from an experienced professional.
  • Asthma Support. Individual care to help you manage asthma or COPD.
  • Mental Health. Counseling and other treatments are available.

Help protect your sight, hearing and smile with these benefits:

  • Vision. Includes exams and $105 toward frames or contact lenses.
  • Hearing. Tests, checkups and hearing aids, if needed, are provided.
  • Dental. Checkups, routine and emergency care are covered. 

Get the medical equipment, assistance and supplies you need to live safely at home. Benefits include:

  • Personal Care. Someone to help with dressing, bathing and dining.
  • Home Meal Delivery. If you can’t safely make meals, we’ll provide them.
  • Equipment and Supplies. In-home medical and safety equipment are covered.
  • Respite Care. In-home help to give your caregiver a rest. 

Sometimes you might need a little extra help using your health plan. For those times, you can rely on:

  • Transportation. We pay for rides to and from medical visits or the pharmacy.
  • NurseLineSMCall our nurses for advice 24/7.
  • Interpreters. An interpreter can go with you to medical visits.
  • Language Help. Translated medical materials are available at no cost.
  • Member Services. Your benefit questions are answered 24/7.

Read about all the extras you could get when you become a STAR+PLUS member:

  • Healthy Rewards. Earn rewards for completing important preventive services.
  • Weight Control. Get 13 vouchers toward local Weight Watchers programs.

View Value Added Services

STAR+PLUS Nursing Facility Value Added Services

If you're elderly, disabled or living with an illness, your health needs are unique. Our job is to make it as easy as possible for you to meet those needs. We make sure you get all your Medicaid benefits and more.

  • Choice of Doctor. Find a primary doctor in your neighborhood. Your doctor can send you to thousands of specialists too.
  • NurseLineSM. Your caregiver can call our nurses for advice 24/7.
  • Medicines. Get the medicine you need at a pharmacy near you.
  • Vision and dental. Have regular eye and dental exams. We cover glasses and contact lenses too.
  • Mental Health. Counseling and other treatments are covered.
  • Service Coordinator. Someone to help you manage complex health conditions.
  • Transportation. We pay for rides to and from medical visits or the pharmacy.
  • Value-added benefits. Earn free gift cards when you take healthy steps. You'll get rewards for yearly wellness exams or completing a weight loss program.

Our STAR+PLUS Plan is for persons on the HCBS waivers CLASS, HCS, TxHML, DBMD and in ICF-IDD facilities.

Nursing facility residents who have STAR+PLUS may also be covered.

Learn more here.

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 can really help. You’ll get a customized treatment plan and medicine to:

  • Manage flare-ups.
  • Reduce symptoms.
  • Help you stay active.

Case Management

Do you or a loved one have a serious health problem? If so, our case managers are in your corner. They will:

  • Explain medical terms in plain language.
  • Coordinate your doctor appointments.
  • Provide your care team with your medical records.

Your case manager will stay with you on your medical journey. He or she will:

  • Think beyond your medical needs.
  • Make sure you have support at home.

So you can focus on getting better.

Choice of Doctor

You get a primary care physician (PCP) who is your main doctor. Use the Doctor Lookup tool to see if your doctor is in our network.

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 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. 

Equipment and Supplies

Your health and safety at home are important.

Our plan covers medical equipment ordered by your doctor or case manager. This includes:

  • Hospital bed.
  • Oxygen tank.
  • Walker or wheelchair.

Healthy Rewards

An ounce of prevention can be worth a pound of cure. It can also be worth great rewards.

You can earn great gifts for things like:

  • Getting your yearly wellness exam.
  • Getting lab tests.
  • Completing a program for weight management or diabetes.

Home Meal Delivery

Proper nutrition is essential to good health. Yet you may not be able to safely fix meals for yourself at home. So we’ll arrange for home meal delivery.

Hospitalization

This plan pays for all expenses related to a hospital stay, so you can rest and heal.

This includes:

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

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

Interpreters

Your 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 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.

Language Help

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.

Medicines

We make getting your medicine easy.

There are no copays for covered drugs. You can fill your prescriptions at:

  • Local pharmacies.
  • Services that deliver routinely right to your door.

We also cover over-the-counter medicines with a written order from your doctor.

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

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:

  • Behavioral therapy.
  • Substance abuse treatment.
  • Medications.

No Copays

You pay nothing for covered services.

While your health care is low-cost or free, the care quality is high. You get: 

  • Care from highly skilled and compassionate doctors.
  • Treatments at respected hospitals and clinics.
  • Prescription drugs and over-the-counter medicines. 

NurseLine℠

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: 

  • Listen to the symptoms.
  • Guide you on self-care.
  • Advise you about getting care at a doctor visit or an urgent care center.
  • Suggest you go right to the emergency department.  

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:

  • Understand the member’s personal needs.
  • 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.

Vision Care

You'll get the care, eyeglasses and treatment that let you see life more clearly. Coverage includes $105 each year toward frames or contact lenses.

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.

Member Resources

Member Resources
Check Eligibility

Enrollment

Call to enroll today.

Monday - Friday
8 a.m. - 8 p.m. local time

1-888-887-9003
TTY: 711

Learn about the steps to enroll.

Get the details.

More information on eligibility and enrollment can be found on the Texas STAR+PLUS website.

For information in alternate formats, like large print, Braille or audio, please call Member Services.

Questions

Already a member?

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