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

• Mental Health. Counseling and other treatments are covered.
• Case Management. Our case managers work directly with you and your family to coordinate and personalize the services you need. 
• Asthma and COPD Support. Individual care to help you control asthma or COPD.

If you are recovering from a serious illness or surgery, you’ll need extra support. Our plan includes the care and equipment needed to recover safely at home. Benefits include:

• Personal Care. Services to aid healing after illness or injury.
• 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.
• Nurse Visits. Care after surgery or illness to recover at home.
• 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.
• Nurse Line. Speak with a registered nurse 24/7.
• Interpreters. An interpreter can go with you to medical visits.
• Language Help. Translated medical materials are available at no cost. 
• Social Services. We’ll help connect you to community services.
• Member Services. Your benefit questions are Monday - Friday (8 a.m. - 5 p.m. Local time).

If you have trouble managing asthma or COPD symptoms, a case manager can really help. You’ll get a customized treatment plan and medicine to: 

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

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.

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.

We want you to stay connected with easy and dependable access to health care services. If you qualify for the UnitedHealthcare MyHealthLine™ program, you can get a smartphone and a monthly service plan at no cost. (Or you can get a service plan for your current phone.)

Plus you get extras just for being a member of UnitedHealthcare Community Plan!

You get to choose 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.

• Checkups and dental care are covered for members through age 20.
• Emergency (members 21 and older have a $1,000/year limit)
• Routine preventive and therapeutic services (ALTCS members 21 and older have a $1,000/year limit)

Exams and cleanings every six months help teeth and gums stay strong and healthy. If there is a dental problem that needs to be fixed, that’s covered as well.

Our plan covers medical equipment ordered by your doctor. This can include supplies like: 

• Hospital beds.
• Oxygen tanks.
• Walkers or wheelchairs.

We cover: 

• Exams, therapy and tests.
• Hearing aids.

Proper nutrition is essential to good health. Yet you may not be able to safely fix meals for yourself at home. If that’s you, we can arrange for additional meal services. 

Our plan covers: 

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

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

Support and personal care where you live, if needed.

Your doctor and you need to understand each other. Not speaking English well makes this difficult. We can arrange for a medical interpreter to help with your appointment.

We also have people at member services who speak more than one language. Chances are, we have someone who speaks your language.

You can get information translated into your preferred language. Just ask. This service is provided at no cost to you.

Our plan includes prescription drugs and refills.

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 network pharmacies.

We help you find:

• Doctors.
• Pharmacies.
• Hospitals or other health facilities.
• Local resources.

Required care is 100% covered with no copay. This includes:

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

Medical questions and situations come at inconvenient times. When you have questions about your health, you can call a trained nurse at 1-877-440-0255, TTY/TDD  711 anytime, 24 hours a day, 7 days a week.

Our Nurse Line 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.
• Help you know when to go to the emergency room.

During this visit we:

• Understand your personal needs.
• Provide minor home modifications, such as ramps and bathroom safety devices.
• Set up emergency monitoring, if needed.
• Arrange for personal care attendants.

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.  

We help members connect to community services. Here they can get information about a variety of programs, like:  

• Food and housing assistance.
• Community child care.

They can help members get much needed relief in many ways. 

Our plan provides trips to and from medical appointments. 

Eye exams, frames and lenses including replacement and repair are covered for members under the age of 21. 

Well visits with your doctor can help keep you healthy. These visits can catch health problems early so they can be treated. Preventive services include: 

• Checkups for adults.
• Routine shots and tests.
• Mammograms.

You will not have a copayment for preventive care.