UnitedHealthcare Community Plan Medicaid (MMA)

We want to help you to get the most from your health plan. If you have not completed a pregnancy health risk assessment, please call Member Services at 1-888-716-8787 (TTY 711), Monday - Friday from 8 am - 5 pm.

Nothing is more important than the health and well-being of you and your baby. That's why our plan benefits include:

• Prenatal Visits. Care for you before your baby is born.
• Healthy First Steps®. Get extra support and rewards to keep you and your baby healthy.
• Choice of Birth Center. Pick from hundreds of hospitals across Florida.
• In-Home Care. Home visits and medical support if ordered by your doctor.
• Text4baby. Text messages with helpful tips and reminders.

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

• Mental Health. Counseling and other treatments.
• Care Management. Personal support from an experienced professional.
• Asthma and Allergy Care. Exams, testing and supplies are covered.
• Diabetes Support. Needles, supplies, plus classes on managing diabetes.
• Residential Care. Short stay at a care facility while you get better.

Make sure your sight and hearing are at their best. Benefits include:

• Vision. Eye exams and up to two pairs of eyeglasses each year.
• Hearing. Tests, checkups and hearing aids, if needed, are provided every three years.
  
  Attention Diabetic Members – As of March 2015, referrals from your Primary Care Physician are no longer needed for your annual Diabetic Retinal Eye Exams with an Optometrist. Referrals are still required to see an Ophthalmologist.
  

Get the medical care and equipment you need to live safely at home. For example, your care provider might recommend:

• Nurse Visits. Medical care to help you safely recover at home.
• Equipment and Supplies. In-home medical and safety equipment is covered.

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

• Nurse Hotline^SM. Speak with a registered nurse 24/7.
• Interpreters. An interpreter can go with you to your medical visits.
• Member Services. Your benefit questions are answered 24/7.
• Transportation. We cover unlimited rides to and from provider offices.
• Quitting Tobacco. Coaches and supplies to help you quit tobacco.
• Over-the-Counter Supplies. Get up to $25 back on approved over-the-counter purchases.

Do you or your child have trouble managing COPD or asthma symptoms? A nurse who specializes in breathing issues can really help. You'll get a customized treatment plan and medicine to:

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

Do you or your child have a serious health problem? Our case managers are in your corner and ready to help. They will:

• Explain medical terms in plain language.
• Coordinate doctor appointments.
• Provide medical records to the care team.

Your case manager will stay with you or your child during the medical journey. He or she will:

• Think beyond immediate medical needs.
• Make sure there is support at home.

You will have  a primary care physician (PCP) as  your main doctor. 

Your PCP is your main doctor for:

• Preventive care.
• Treatment if you are sick or injured.
• Referrals to specialists for certain conditions.

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. 

Where you have your baby is an important choice. That's why you can pick from nearly 80 hospitals across Florida.

It's also a good idea to tour the hospital’s birthing center. This way you will be familiar with it. And be more relaxed when you have your baby.

If you have diabetes, we'll help make life easier. You'll receive medicine, supplies and education to help you meet your healthcare goals.

Our diabetes program also includes self-care training and classes focused on:

• Planning healthy meals.
• Managing stress.
• Living a healthy lifestyle.

Your health and safety at home are important. Our plan covers medical equipment ordered by your doctor or case manager. This can include supplies like:

• Hospital beds.
• Oxygen tanks.
• Wheelchairs or walkers.

We cover:

• Exams, therapy and tests.
• Hearing aids every three years.

Do you smoke? If so, do you want to try and quit? We have a smoking cessation program that is available at no cost.

Do you want to work on weight loss or healthier eating habits? These types of lifestyle changes can help with many chronic conditions. We have a program to help you with this.

If you have noticed changes in your mood, habits or the way you feel, you may need to talk to someone about these feelings.

Behavioral health services are available as part of your benefits. We also offer a reward program if you would like help with a drug abuse problem.

All of these programs are available at no cost to you. If you would like to join any of these programs, please call us at 1-800-825-8792 . We are here Monday through Friday from 8 a.m. to 7 p.m local time. If you are hard of hearing, please dial 711.

Build a healthy future for you and your baby and earn great rewards with Healthy First Steps. Our program will help you take the right steps to keep you and your baby healthy. Plus you can earn $10 just for signing up. 

We will help you:

• Choose a pregnancy provider and a pediatrician (child’s doctor).
• Schedule visits and exams and arrange rides to your visits.
• Earn rewards for going to visits throughout your pregnancy and baby’s first 15 months of life.
• Get supplies, including breast pumps for nursing moms.
• Connect with community resources such as Women, Infants and Children (WIC) services.

Taking care of the basics, like cooking, can be difficult while you’re getting better.  That’s why we’ll bring healthy meals to you. You can get up to 10 meals delivered each year after being discharged by the hospital.

Our plan covers:

• Nursing care.
• Room and board.
• 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 to continue healing at home.

It’s important that you and your provider  understand each other. If needed, we  can arrange for a medical interpreter to be at your appointments.

Call  Member Services for help. 

Knowing what's wrong and finding it early can make all the difference. Our plan covers:

• Labs and testing.
• X-rays, scans and other imaging.

We’ll help you get the information needed to improve your health or be at your best.

You can receive information in your preferred language. Just ask. We also have people at our customer service who speak more than one language. We will have someone who speaks your language.

Our plan includes prescription drugs and refills.

And we want to make getting your medicine easy. You can fill your prescriptions at:

• In network local pharmacies.
• Services that deliver right to your door.

We can also help you find:

• Primary Care Physicians and Specialists.
• Dentists and vision providers.
• Local pharmacies.

Mental health is as important as physical health. That's why we have coverage for both.

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

• Behavioral therapy.
• Medications.

You will not have a copay for care and services covered by our plan.

Medical questions and situations happen any time. When you have questions about your health or your child’s health, you can call a nurse 24 hours a day, 7 days a week.

Our Nurse Hotline 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.

If your health is at risk after a serious illness, surgery or injury, a nurse will visit you at home to:

• Provide medical care for you or your child.
• Answer your questions and concerns.

Your health care costs may include non-prescription medicines and supplies like aspirin, cough medicine or bandages. Our plan will cover you up to $25 each month for medically necessary OTC medicine or medical supplies you purchase.

A pregnancy is a journey you’ll want to make 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:

• Make sure you and your baby are healthy.
• Explain what to expect at each stage of your pregnancy.
• Answer your questions.

If needed, our plan covers short stays in a rehabilitation center where you can heal. Included are:

• Nursing home services.
• 24-hour nursing care.
• Help with activities of daily living.
• Physical, occupational and speech therapy.

You know you need to quit. We support you while you quit with the help of coaches and supplies. The only thing you won't get from us is a lecture.

So, our plan covers:

• Pneumonia, influenza and shingles shots.
• Other recommended shots and vaccines.

Everyday care at no cost to you! Talk to a doctor 24/7 by phone or video—day or night from wherever you are.
We can diagnose, treat, and prescribe medicine if needed for:

• Flu
• Fever
• Cough
• Headache
• Stomachache
• Rashes
• Allergies
• Upper respiratory infection
• And more

Call 1-888-716-8787 for more information.
 

You’ll get three text messages each week throughout your pregnancy and your baby’s first year. Each text contains health and safety tips for topics like:

• Prenatal care.
• Labor and delivery.
• Breastfeeding.
• Safe sleep.
• Nutrition.
• Car seat safety.

So you and your baby can make a healthy start.

Therapy can help you recover from a serious injury or illness, or simply reach your full potential. Members receive needed:

• Occupational therapy.
• Physical therapy.
• Respiratory therapy.
• Speech therapy

Our plan provides unlimited round trips to and from health care locations. That includes rides to:

• Doctor or therapy visits.
• Health departments.
• Vision clinics.
• Urgent care centers.

You’ll get the care, eyeglasses and treatment that let you see life more clearly. Coverage includes:

• Regular exams.
• Up to two pairs of frames each year.
• Prescription lenses.

This benefit is offered by Vision Service Plan.

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 and children.
• Routine shots and tests.
• Mammograms.

There are no copayments for preventive care.