UnitedHealthcare Community Plan of Virginia offers a range of benefits along with extras that other plans don’t cover. Children, families, pregnant women and single adults may qualify based on income. This includes the new, expanded, low cost Medicaid coverage now available to Virginia adults and parents who are between 19–64 years old.
View the benefits below to see all that it offers.
This plan is available in all counties.
Build a healthy future for you and your baby — and earn great rewards — through Baby Blocks. This program helps keep you and your baby healthy during your pregnancy and your baby's first 15 of life.
Baby Blocks includes:
Free registration fee at a participating Boys and Girls Club of America.
Call Member Services for participating clubs.
We cover chiropractic services for Medicaid members under age 21 when medically necessary. Members over age 21 can get up to six visits a year with an in-network chiropractor.
Each member can choose a primary care provider (PCP). Use the Doctor Lookup tool to see if your doctor is in our network.
Your PCP is your main doctor for:
For members who don’t have a doctor or whose doctor is not in our network, we can help find a new one close by.
Our members pay nothing for preventive care or annual checkups covered by our plan.
If you have diabetes, we'll help make life a little easier for you. You'll get medicine, supplies and education to help you reach and stay your best.
Our diabetes program also includes self-care training and classes focused on:
If you have chronic or high-risk illnesses, our disease management services are designed to support you.
We have special programs for:
Our plan covers medical equipment ordered by your doctor or case manager. This can include supplies like:
Take free classes to help improve your health or to address a condition.
Our plan includes classes on diabetes, nutrition and more. You can even get a ride, if needed, to and from the class at no cost to you.
An ounce of prevention can be worth a pound of cure. It can also be worth great rewards.
Earn great gifts for you or your child by doing things like:
Trouble hearing can affect a person's everyday life in many ways. Our plan includes services and support to help protect your hearing.
Some members have a small copay.
Our plan covers:
And after leaving the hospital, a member is not alone. We make sure the follow-up care is available to continue healing at home.
After surgery or a serious illness, you may need extra help with day-to-day tasks like cleaning, cooking or dressing. You may even need an in-home medical visit to check on how well you are healing. With approval, our plan covers:
Your doctor and you need to understand each other. Speaking English as a second language can make this difficult. We can arrange for a medical interpreter to be at your appointments.
We also have people in member services who speak more than one language. Chances are, we have someone who speaks your language.
Kidney disease is a serious medical condition. After the kidneys stop working, regular treatments (called renal dialysis) or an organ transplant are necessary. Dialysis uses a machine to clean the blood, just like healthy kidneys do.
Our plan includes:
Knowing what’s wrong and finding it early can make all the difference. Our plan covers:
We’ll help you get the information needed to improve your health or be at your best.
You can get information in another language. Just ask. Then anything we write to you will only be in that language. This is provided at no cost to you.
Our plan includes prescription drugs and refills, including family planning drugs, supplies and devices.
We also cover over-the-counter medicines with a written order from your doctor.
And we make getting your medicine easy. You can fill your prescriptions at local pharmacies.
We're looking out for you. Member advocates can help solve problems, provide training and education, and work on issues that concern members. Our member advocates can be reached at 1-844-752-9434 and are available M-F 8 a.m. - 8 p.m. ET.
Sometimes you might need a little help understanding your health care options. With us, you have someone you can call at 1-844-752-9434, M-F 8 a.m. - 8 p.m ET. 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 coverage for both.
Now your child can get any kind of blood test needed at home.
Our mobile lab brings the lab to your home. In addition to convenience, the mobile lab offers:
There are no copayments for:
There is never a copayment for prescription drugs, medical, or vision care.
While your family’s health care is low-cost or free, the care quality is high. You get:
Medical questions and situations can come at inconvenient times. When you have questions about your health, you can call a nurse 24 hours a day, 7 days a week at 1-800-842-3014.
Our nurses will:
Sometimes continued care is needed after leaving the hospital or urgent care. For example, after a serious illness, surgery or injury. In these cases, a nurse will make home visits to:
Knowing what's wrong and finding it early can make all the difference for your child.
Our plan covers:
We'll help you get the information needed to help improve your child's health or be at his or her best.
Sometimes the basics are hard to do yourself after an illness or injury. If needed, we provide someone to help with:
Physical, occupational and speech therapy can help you recover from a serious injury or illness, or simply reach his or her full potential.
A pregnancy is a journey with the help of friends, family and a pregnancy doctor, or OB-GYN.
All of your recommended prenatal clinical visits and tests are covered.
At these visits, the clinic will:
Most people know the bad health effects of smoking. And they know they need to quit. We support our members while they quit, with coaches and supplies. The only thing they won’t get from us is a lecture. Call Member services for information on our phone-based program to help you quit tobacco.
After a serious illness, surgery or injury you may need extra nursing and therapy. If needed, our plan covers short stays in a rehabilitation center where you can heal. Included are: Included are:
Routine shots help protect you from illness. So, our plan covers:
Your Community Department of Social Services (DSS) offers additional information and resources for:
Visit the main Virginia website to see all what is offered, how to apply, and how to find your local agency. Visit www.dss.virginia.gov or call the main state number at 804-726-7000 for more information.
We encourage kids to take part in healthy activities like team or individual sports. We cover a sports physical each year for all school-aged members.
Text4baby can help new and expecting mothers keep themselves and their babies healthy.
You’ll get text messages throughout your pregnancy and your baby’s first year. Each text contains health and safety tips for topics like:
So you and your baby can make a great start on life.
We pay for rides to and from:
There may be times when your or a family member’s health requires repeated visits to a primary care provider (PCP). Our plan does not limit the number the number of times you can see your PCP. This way you get care need when you need it. And your doctor can see how your health is progressing.
You may have an injury or sudden illness that is not life-threatening but needs immediate attention. So our plan covers care at:
Our plan encourages a healthy approach to eating and living. To help our members be their best, we cover:
Well visits with your doctor are important for good health. These visits can catch health problems early, so they can be treated.
Preventive services include:
There are no copayments for preventive care.
UnitedHealthcare Community Plan of Virginia - Medicaid (TANF/Medicaid Expansion)
When you apply for Medical Assistance, you are screened for all possible programs based on your age, income, and other information. To be eligible for a Medical Assistance Program, you must meet the financial and non-financial eligibility conditions for that program. Please visit the Virginia Department of Social Services’ (VDSS) Medicaid Assistant Program page for eligibility details and/or VDSS Medicaid Forms and Applications page for application and other Medicaid form details.
TANF is Virginia’s health insurance program for children of eligible families including those who meet one of the following categories:
Children under age 21
Foster Care and Adoption Assistance Child under age 26
Pregnant women including two months post delivery
Medicaid eligible persons who do not meet certain exclusion criteria must participate in the program. Enrollment is not a guarantee of continuing eligibility for services and benefits under the Virginia Medical Assistance Services Program.
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