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UnitedHealthcare Community Plan of Virginia - Medicaid (TANF/Medicaid Expansion) Lookup Tools

Find A Provider

Search for a Provider

Provider Directories

To find a PCP or a Specialist in our network, please click above for complete information, including names, addresses, specialties, new patient’s availability and languages spoken. If you would like us to provide you with a printed version at no cost, please call us, at 1-844-752-9434 (TTY: 711).

Primary Care Provider
As a member of UnitedHealthcare Community Plan of Virginia - Medicaid (TANF) Plan, one of the first things you will want to do is to choose a Primary Care Provider (PCP). Your PCP will provide and coordinate all your healthcare, including referrals to specialists, with the exception of emergencies, mental health and women’s healthcare. Each covered family member may choose a different PCP within UnitedHealthcare Community Plan of Virginia - Medicaid (TANF) Plan. If you do not choose a PCP, we may select one for you, which you can change later.

Please feel free to call our Member Services line, at 1-844-752-9434 (TTY: 711) and we will be happy to help you find or change your PCP.

Find A Drug

Search for covered drugs

Preferred Drug List (PDL)

The PDL is a list of covered prescription drugs, and drugs needing prior authorization for enrollees. Prior authorization is when your doctor has to call us before giving you the prescription to see if we will cover it.

Download UnitedHealthcare Community Plan of Virginia - Medicaid (TANF) Plan Preferred Drug List (PDL)

Download UnitedHealthcare Community Plan of Virginia - Medicaid (TANF) Plan Preferred Drug List Effective January 1st

Pharmacy Direct Member Reimbursement Form

Use this form to get refunded if you paid retail cost for your covered prescription drug(s).

Find A Pharmacy

Find a UnitedHealthcare network pharmacy below.  

Search for a pharmacy near you. 

Learn More

UnitedHealthcare Community Plan of Virginia - Medicaid (TANF/Medicaid Expansion)

Questions

Ready to get started?

The UnitedHealthcare Community Plan of Virginia - Medicaid (TANF/Medicaid Expansion) plan specialists can answer questions and help you enroll.

Call us.
Monday - Friday from 8 a.m. to 8 p.m. local time

1-844-752-9434
TTY: 711

Learn about the steps to enroll.

Get the details.

Visit the Cover Virginia site or call 1-855-242-8282 for more information on eligibility and enrollment.

Cover Virginia

Member Information

Already a member?

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

Member Website (Opens in a New Tab)


Member Services 
Monday - Friday from 8 a.m. to 8 p.m. local time

1-844-752-9434
TTY: 711

Member Handbook

Looking for the federal government’s Medicaid website? Look here at Medicaid.gov.

UnitedHealthcare Dual Complete Plans

Plans are insured through UnitedHealthcare Insurance Company or one of its affiliated companies, a Medicare Advantage organization with a Medicare contract and a contract with the State Medicaid Program. Enrollment in the plan depends on the plan’s contract renewal with Medicare. This plan is available to anyone who has both Medical Assistance from the State and Medicare. This information is not a complete description of benefits. Call 1-800-905-8671 TTY 711 for more information. Benefits, features and/or devices vary by plan/area. Limitations, co-payments, and restrictions may apply. Benefits, premiums and/or co-payments/co-insurance may change on January 1 of each year.  

Nurseline Disclaimer

The NurseLine service should not be used for emergency or urgent care needs. In an emergency, call 911 or go to the nearest emergency room. The information provided through this service is for informational purposes only. The nurses cannot diagnose problems or recommend treatment and are not a substitute for your doctor's care. Your health information is kept confidential in accordance with the law. Access to this service is subject to terms of use.

Availability of Non-English Disclaimer

ATTENTION: If you speak [insert language], language assistance services, free of charge, are available to you. Call 1-800-905-8671 TTY 711.

ATENCIÓN: Si habla [ingrese el idioma], hay servicios de asistencia lingüística disponibles para usted y que no tienen cargo. Llame al 1-800-905-8671 TTY 711.

Star Ratings Disclaimer

Every year, Medicare evaluates plans based on a 5-star rating system.

Formularies

The formulary, pharmacy network and provider network may change at any time. You will receive notice when necessary.

NCQA

UnitedHealthcare Connected has a Model of Care approved by the National Committee for Quality Assurance (NCQA) to operate as a Special Needs Plan (SNP) through YEAR based on a review of UnitedHealthcare Connected’s Model of Care. UnitedHealthcare Connected has been approved by the National Committee for Quality Assurance (NCQA) to operate as a Special Needs Plan (SNP) until YEAR based on a review of UnitedHealthcare Connected’s Model of Care.

Important Provider Information

The Choice is Yours

We will provide you with information to help you make informed choices, such as physicians' and health care professionals' credentials. This information, however, is not an endorsement of a particular physician or health care professional's suitability for your needs.

For more detailed information on provider directory data, you may use the following link:

Important Provider Information URL: https://www.uhc.com/legal/provider

American Disabilities Act Notice

In accordance with the requirements of the federal Americans with Disabilities Act of 1990 and Section 504 of the Rehabilitation Act of 1973 ("ADA"), UnitedHealthcare Insurance Company provides full and equal access to covered services and does not discriminate against qualified individuals with disabilities on the basis of disability in its services, programs, or activities.

Declaration of Disaster or Emergency

If you’re affected by a disaster or emergency declaration by the President or a Governor, or an announcement of a public health emergency by the Secretary of Health and Human Services, there is certain additional support available to you.

  • Part A, Part B, and supplemental Part C plan benefits are to be provided at specified non-contracted facilities (note that Part A and Part B benefits must be obtained at Medicare certified facilities);
  • Where applicable, requirements for gatekeeper referrals are waived in full;
  • Plan-approved out-of-network cost-sharing to network cost-sharing amounts are temporarily reduced; and
  • The 30-day notification requirement to members is waived, as long as all the changes (such as reduction of cost-sharing and waiving authorization) benefit the member.

If CMS hasn’t provided an end date for the disaster or emergency, plans will resume normal operation 30 days after the initial declaration.

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Last Updated: 09.23.2020 at 01:29 PM CDT

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