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Submitted URL: https://www.uhccommunityplan.com/
Effective URL: https://www.uhc.com/communityplan
Submission: On May 14 via api from US — Scanned from DE

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BENEFITS YOU WANT, AT LITTLE TO NO EXTRA COST

Not all health insurance is created equal. That's why we're proud to offer
low-cost or no-cost Medicaid plans and even more benefits with our Dual Special
Needs plans.1

Search for plans by ZIP (5 digits)
Browse Plans Browse Plans





LEARN ABOUT OUR PLANS


MEDICAID ONLY

Medicaid provides health insurance for some low-income people, children,
pregnant women, the elderly and people with disabilities. In some states,
Medicaid covers all low-income adults below a certain income level.

Learn about Medicaid plans


D-SNP

If you're eligible for both Medicare and Medicaid, a Dual Special Needs plan
(D-SNP) might be right for you. These plans are available in some states. With a
D-SNP, you could get more benefits and features than with Original Medicare, all
at no extra cost to you.

Learn about D-SNPs


ACA MARKETPLACE PLANS

If you buy your own health insurance for you and your family, the health care
Marketplace is for you. The Marketplace is where ACA health plans are sold. We
offer Individual & Family plans in 22 states.

Learn about ACA Marketplace plans


CHIP

Every child deserves to grow up healthy and happy. To help them get there, kids
need regular checkups and medical care. If your infant, child or teen doesn't
have health insurance, the Children's Health Insurance Program (CHIP) offers
low-cost or no-cost coverage.

Learn about CHIP plans


WHAT TYPE OF PLAN AM I ELIGIBLE FOR?

Answer a few quick questions to see what type of plan may be a good fit for you.

Plan Eligibility Tool


CHANGE YOUR LOCATION

Search for plans by ZIP (5 digits)
Find Plans Find Plans

UHC Redetermination Explained


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VIDEO TRANSCRIPT

You may have heard your Medicaid coverage will need to be renewed. And you may
be wondering, what should I do? Here are three simple things you can do to make
sure you're ready to renew your Medicaid coverage. Number one, check and update
your contact information. You can contact your state's Medicaid office to make
sure your contact information is up to date, including your current address,
phone number, and e-mail address.

When it's time for you to renew your Medicaid coverage, your state's Medicaid
office will contact you by mail, phone, text, or e-mail #2 Know your deadline to
renew Medicaid coverage. Make sure you follow the renewal process by your
state's deadline. Different states have different deadlines for Medicaid
renewal. Number three, complete your forms, sign and return your renewal
information as soon as possible.

Your state may require or give you the option to complete the forms online, so
pay attention to your state's requirements. You may be asked about the number of
family members who live with you, your expenses, proof of income, and other
information. Be sure to complete the forms even if you have no changes to
report, and send them in either online or by mail. If you need help, reach out
to Medicaid navigators.

It can help you explore your options and get you set up with coverage that's
right for you. To find a navigator near you, go to localhealth.healthcare.gov or
your state's Medicaid website. Community organizations and providers may also be
able to help guide you to helpful resources. Have questions? Call the number on
the back of your insurance card, visit your state Medicaid website or visit
medicaid.gov.

Know your Medicaid status and stay covered.


MEDICAID ELIGIBILITY RENEWAL

If you've been asked to renew your Medicaid plan, you may have questions about
what to do next. We're here to help you check your Medicaid status and explore
other coverage options if you need a new plan.

Learn about Medicaid renewal


WHAT IS MEDICAID?

Medicaid is a way to get health care at a lower cost or sometimes at no cost to
you. Medicaid typically covers children, pregnant women, elderly adults and
people with disabilities and eligible low-income adults. Medicaid is managed by
each state, so the eligibility requirements can change from state to state.

Learn about Medicaid
View FAQs about Medicaid



MEDICAID BENEFITS

The federal government requires states provide certain medical benefits to
people who are eligible for Medicaid. 

States can choose to provide additional, optional benefits like:

 * Hospital visits and stays
 * Doctor's office visits
 * Prenatal care and delivery
 * Nursing home services
 * Home health services
 * Early childhood screenings
 * Emergency medical transportation

Learn about Medicaid benefits


WHAT TYPE OF PLAN AM I ELIGIBLE FOR?

Answer a few quick questions to see what type of plan may be a good fit for you.

Check plan eligibility
Checkup Icon

AM I ELIGIBLE FOR MEDICAID?

Medicaid is managed by each state, so eligibility requirements depend on where
you live.

Learn about Medicaid eligibility
Laptop Icon


HOW DO I ENROLL IN MEDICAID?

To enroll in Medicaid, you’ll need to apply through the Medicaid agency in your
state.

Learn how to enroll
Care Icon


ARE YOU A CAREGIVER?

Find out about resources for those who care for people with both Medicaid and
Medicare.

Learn about caregiving

1 CMS market share of enrollment data March 2023

Visit our COVID-19 Resource Center to find out how to get free tests, find
testing centers, learn about coverage and more




Disclaimer information
(scroll within this box to view)

Looking for the federal government’s Medicaid website? Look here at Medicaid.gov
Opens in a new tab.


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. Benefits, features
and/or devices vary by plan/area. Limitations, exclusions and/or network
restrictions may apply. Benefits, premiums and/or co-payments/co-insurance may
change on January 1 of each year.


PREMIUM DISCLAIMER

Dual Special Needs plans have a $0 premium for members with Extra Help (Low
Income Subsidy).


BENEFIT DISCLAIMER

Benefits, features, and/or devices vary by plan/area. Limitations, exclusions
and/or network restrictions may apply.


NURSE HOTLINE DISCLAIMER

This 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 provider's care. Your health information is kept confidential in accordance
with the law. The service is not an insurance program and may be discontinued at
any time. Nurse Hotline not for use in emergencies, for informational purposes
only.


UNITEDHEALTHCARE CONNECTED® FOR MYCARE OHIO (MEDICARE-MEDICAID PLAN)

UnitedHealthcare Connected® for MyCare Ohio (Medicare-Medicaid plan) is a health
plan that contracts with both Medicare and Ohio Medicaid to provide benefits of
both programs to enrollees. 


UNITEDHEALTHCARE CONNECTED® (MEDICARE-MEDICAID PLAN)

UnitedHealthcare Connected® (Medicare-Medicaid plan) is a health plan that
contracts with both Medicare and Texas Medicaid to provide benefits of both
programs to enrollees.


UNITEDHEALTHCARE CONNECTED® FOR ONE CARE (MEDICARE-MEDICAID PLAN)


UnitedHealthcare Connected® for One Care (Medicare-Medicaid plan) is a health
plan that contracts with both Medicare and MassHealth (Medicaid) to provide
benefits of both programs to enrollees. 


UNITEDHEALTHCARE CONNECTED® GENERAL BENEFIT DISCLAIMER

This is not a complete list. The benefit information is a brief summary, not a
complete description of benefits. For more information contact the plan or read
the member handbook. Limitations, copays and restrictions may apply. For more
information, call UnitedHealthcare Connected® Member Services or read the
UnitedHealthcare Connected® member handbook. 


UNITEDHEALTHCARE SENIOR CARE OPTIONS (HMO SNP) PLAN

UnitedHealthcare Senior Care Options (SCO) is a Coordinated Care plan with a
Medicare contract and a contract with the Commonwealth of Massachusetts Medicaid
program. Enrollment in the plan depends on the plan’s contract renewal with
Medicare. This plan is a voluntary program that is available to anyone 65 and
older who qualifies for MassHealth Standard and Original Medicare and does not
have any other comprehensive health Insurance, except Medicare. If you have
MassHealth Standard, but you do not qualify for Original Medicare, you may still
be eligible to enroll in our MassHealth Senior Care Option plan and receive all
of your MassHealth benefits through our Senior Care Options (SCO) program.


STAR RATINGS DISCLAIMER

Every year, Medicare evaluates plans based on a 5-Star rating system. The 5-Star
rating applies to plan year 2024.


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.

The providers available through this application may not necessarily reflect the
full extent of UnitedHealthcare's network of contracted providers. There may be
providers or certain specialties that are not included in this application that
are part of our network. If you don't find the provider you are searching for,
you may contact the provider directly to verify participation status with
UnitedHealthcare's network, or contact Customer Care at the toll-free number
shown on your UnitedHealthcare ID card. We also recommend that, prior to seeing
any physician, including any specialists, you call the physician's office to
verify their participation status and availability.

Some network providers may have been added or removed from our network after
this directory was updated. We do not guarantee that each provider is still
accepting new members.

Out-of-network/non-contracted providers are under no obligation to treat
UnitedHealthcare plan members, except in emergency situations. Please call our
customer service number or see your Evidence of Coverage for more information,
including the cost- sharing that applies to out-of-network services.


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.


REFERRALS

Network providers help you and your covered family members get the care needed.
Access to specialists may be coordinated by your primary care physician.


PAPER DIRECTORY REQUESTS

Paper copies of the network provider directory are available at no cost to
members by calling the customer service number on the back of your ID card.
Non-members may download and print search results from the online directory.


INACCURATE INFORMATION

To report incorrect information,
email provider_directory_invalid_issues@uhc.com. This email box is for members
to report potential inaccuracies for demographic (address, phone, etc.)
information in the online or paper directories. Reporting issues via this mail
box will result in an outreach to the provider’s office to verify all directory
demographic data, which can take approximately 30 days. Individuals can also
report potential inaccuracies via phone. UnitedHealthcare Members should call
the number on the back of their ID card, and non-UnitedHealthcare members can
call 1-888-662-2591 / TTY 711, or use your preferred relay service.


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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