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:

  • Service Coordinator. Specially trained professional to help you receive the services you need based on a person centered plan.
  • Well Visits. Annual checkups can help keep you healthy or reach your potential.
  • Medicines. Fill your prescriptions at local pharmacies.
  • Lab and X-rays. Lab tests, x-rays and diagnostic imaging are covered.
  • Hospital Care. You pay nothing for care in a hospital.

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

  • Service Coordination. Support from an experienced professional.
  • Disease Management. Individual care to help you manage chronic medical conditions such as diabetes, asthma, COPD, Kidney Failure and Heart Failure.
  • Mental Health Support. 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 as a value added service.
  • Hearing. Tests, checkups and hearing services are provided.
  • Dental. Checkups are covered as part of a value added service, and emergency care is covered.

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

  • Personal Care. Someone to help with personal care tasks for individuals that qualify based on your primary care physician determination of a functional need and an assessment process.
  • Day Activity Health Services. Supervised care in a group setting with nursing support during the day.
  • Equipment and Supplies. In-home medical and safety equipment are covered as medically necessary.

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

  • Transportation. Rides to and from medical visits or the pharmacy.
  • NurseLineSMCall our nurses for advice 24/7.
  • Interpreters. As needed for medical appointment or assessments.
  • 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. The STAR+PLUS HCBS Waiver program provides an array of services and supports for individuals meet the state criteria and have medical necessity for Nursing Facility Level of Care to assist them to live safely in the setting of their choice. Some of the benefits provided in this program include (not an all inclusive list):

  • Specialized Nursing
  • Home Delivered Meals
  • Respite
  • Dental services
  • Adaptive aids
  • Minor Home Modifications

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.

Healthy Rewards - Value added services beyond your medicaid benefits.

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.

Hospitalization

This plan pays for all expenses related to a medically necessary hospital stay.

After you leave 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.

Interpreters

Your doctor and you need to understand each other. Not speaking English well makes this difficult. We can arrange for an interpreter for 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.
  • Mail order services.

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.

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 use 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 coverage.

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.

Service Coordination - Cornerstone of the STAR+PLUS program

  • Explain medical terms in plain language.
  • Coordinate your doctor appointments and other services or treatments you may need.
  • Connect you with community resources.

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

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

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.

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.