UnitedHealthcare Community Plan - Indiana Hoosier Care Connect

Behavioral health is about how you feel and act. It is also called mental health. Your mental health is very important. All Hoosier Care Connect members can get mental health and addiction services. You may see any in-network doctor without a referral for outpatient treatment.

You are able to get behavioral health services without a referral from your PMP. Sometimes it makes sense to talk to your PMP about any behavioral health problems you believe you may have. That way, your PMP can help to refer you to a behavioral health provider that works with us. If you want to find a behavioral health provider on your own, you can search for one at any time and make an appointment. You can also call Member Services at 1-800-832-4643, TTY 711, for help.

We cover:

Behavioral Health Services 

• Individual, group, and family therapy 
• Outpatient behavioral health services 
• Inpatient behavioral health services 
• Specialized behavioral health services for children with autism

Substance Use Disorder Services 

• Outpatient and intensive outpatient treatment
• Medication assisted treatment
• Outpatient opioid treatment 
• Inpatient detox
• Residential treatment

Additional health resources can be found at myuhc.com/CommunityPlan. Find the balance, support, and care you need to live the healthiest life possible.

If you believe you need access to behavioral health services, talk with your PMP or call Member Services for help.

Search for a behavioral health specialist. 

What if I have a behavioral health crisis?
You are always covered for a behavioral health, mental health, drug or alcohol use emergency. An emergency means a behavioral health condition that comes on suddenly, is life threatening, is painful, or other severe symptoms that cannot wait to be treated.

Emergency services are covered anywhere in the United States. If you think you have a life-threatening emergency, call 911 or go to the nearest hospital location where emergency providers can help you.

As soon as it is possible, please call us to arrange for follow-up behavioral health care after an emergency.

A behavioral health crisis is a moment when someone's behavior can put themselves or others in danger, especially if they do not get help, such as:

• Threatens to or talks about hurting or killing themselves
• Feels hopeless
• Feels rage or uncontrolled anger
• Feels trapped, like there is no way out
• Engages in reckless behaviors
• Feels anxious, agitated, or unable to sleep
• Increases alcohol or drug use
• Withdraws from friends and family
• Encounters dramatic mood changes
• Sees no reason for living

Crisis Services:
If you think you have an emergency, no matter where you are, call 911 or go to the nearest hospital location where emergency providers can help you. As soon as it is possible, please call your doctor or behavioral health provider to arrange for follow-up care after the emergency is over.

If you need to talk to someone, we are here for you. If you do not feel like it is time to call 911 but need help right away, you can call our Behavioral Health Crisis Hotline 24/7 at 1-855-780-5955. You can also dial 988 for help at any time.

Online: http://www.suicidepreventionlifeline.org

More health resources can be provided by your behavioral health care manager. Find the balance, support, and care you need to live the healthiest life possible. Call your Member Service Navigator and ask to connect with a care manager.

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. 
• Choice of Doctor. Find a doctor or OB/GYN you trust in our network. 
• Healthy First Steps®. Extra support to help you and your baby stay healthy. Get helpful gifts for you and your baby.
• Care Management Services. For high risk pregnancies during pregnancy and for two months after delivery.
• Postpartum Visits. Care for you after your baby is born. 

Our care coordination services will help you and your doctors address your health care needs. Our goal is to help you get the right care at the right time and in the right place. We do this by working together with you and your doctors on your individual care plan. We coordinate all your needs including physical, behavioral health, and social needs. Care coordination includes:

• Complex care management
• Care management
• Disease management

If you have asthma, diabetes, or another health condition, you can depend on us. Care Managers want to learn more about you. They can help you learn about self-care and how to get help from others. Care Managers may meet with your PMP and other health resources to make sure they are working together. Care Managers work to make sure you have all the services you need, including non-medical services like food and housing. Our programs include testing, medication, treatment, education, support, and supplies:

• ADHD
• Asthma
• Autism and disorders like it
• Congestive Heart Failure 
• COPD
• Coronary Artery Disease 
• Depression
• Diabetes
• Heart disease
• Hepatitis
• HIV
• Hypertension or high blood pressure
• Kidney disease
• Pregnancy
• Sickle cell disease
• Substance Use Disorder

Regular eye exams are important. Members are eligible for routine eye exams and prescription eyeglasses. Call your doctor to schedule a routine eye exam. You can schedule an appointment with any participating vision care provider. 

The following vision services are covered for members under age 21: 

• One routine eye exam per year — no referral is necessary 
• One pair of prescription eyeglasses every twelve months 

The following vision services are covered for members age 21 and over: 

• One routine eye exam every two years — no referral is necessary 
• One pair of prescription eyeglasses every 5 years

Getting a yearly dental check-up is important to your health. Your coverage includes: 

• Two exams and cleanings per year for children and adults
• Bitewing X-ray once every 12 months and one complete set of X-rays every three years 
• Minor restorations such as fillings 
• Deep cleanings and surgical treatment for gum disease 
• Partial or full dentures, and repairs to partials or full dentures 
• Sedation and nitrous oxide (known as laughing gas) if medically necessary

Sometimes people have a hard time going to the dentist. They may be sensitive to touch. They might need extra time or gentle care. Let us help you find the right dentist for you or your family.

All members have a free benefit called UHC Doctor Chat. It is a video chat with a doctor. Doctor Chat is available 24/7. There is no appointment needed. Use it:

• If you have health questions
• If you cannot get in to see your primary medical provider
• When you feel sick
• If you are new to town and have not seen a local doctor yet
• If you are feeling down or depressed

To download the app search for UHC Doctor Chat on the App Store or Google Play. You can also visit www.uhcdoctorchat.com.
 

Join the HERO Council

HERO stands for Health, Empowerment, Resources, and Opportunities. Your voice matters. We are listening. That is why we invite members to attend our HERO Council meetings. The HERO Council is a safe space where members tell us what they think about their health coverage. They share ideas that would make things better for everyone. We will answer your questions, listen to your opinions, and share new information.

HERO Council meetings are held on different dates throughout the State. We would love for you to join us! Let us know if you can attend in person. You can also join by phone. Call Member Services for more details.

Managing your health care alone can be hard, especially if you are dealing with many health problems at the same time. If you need extra support to get and stay healthy, we can help. All of our Hoosier Care Connect members have access to their own Member Service Navigator.

Your Navigator can help you:

• Understand the Hoosier Care Connect program
• Get information in a different format, like audio (CD or flash drive), large print, or Braille
  
• Find a doctor, dentist or eye doctor
• Explain your benefits and coverage
• Talk to you about special programs that are available to you
• Connect you with a Care Manager if needed
• Find resources located near you to help you with other problems like food, housing, transportation, employment, feeling safe or getting an education
• Make sure you are aware of other State programs and services available to you, such as SNAP (Supplemental Nutrition Assistance Program) or WIC (Women, Infants and Children) program benefits
• Help you update your personal contact information like address, phone number, or email
• Make sure we know how you would like to be contacted (email, phone or mail)
• Resolve issues with providers, including specialty care and behavioral health
• Assist with challenges due to prior approval, payment for services, care delivery, and family welfare

Call Member Services Monday through Friday from 8am - 8pm Eastern time, at 1-800-832-4643, or TTY 711. The phone number is answered 24/7 when you have an urgent need after hours.  

Get extra benefits and support. You can rely on:

• Fitness. Free access to many gyms and online fitness sites. At-home fitness kits also available. 
• Free phone. Get a free smartphone with unlimited talk, text, and data. Just visit mybenefitphone.com
• Healthy Rewards. Earn rewards for completing important preventive services.
• Low-cost Internet. Contact Member Services to see if you qualify.
• High School Equivalency. We can help you to earn your high school diploma. 
• Health Education. Free coaching to help improve your health.
• Language Help. Connect to a translator through Member Services.
• Quitting Tobacco. Coaches and supplies to help you quit using tobacco.
• Essentials Box. Fill out a short survey about your non-medical needs. Get a box filled with food and supplies.
• Mom's Meals. Your care manager can coordinate delivery of healthy meals after you are discharged from a hospital stay. 
• Alternative Healing. If you use special vitamins, herbal medicines, massage or acupuncture, we reimburse up to $200 of those costs each year.
• Mental health support. Apps and tools to help you cope when you are feeling down.
• Doctor Chat. Video chat with a doctor 24/7.

Contact Member Services to learn more. We are available Monday through Friday, 8 am to 8 pm Eastern time, by calling 1-800-832-4643, TTY 711.

Sometimes there are good ways to feel better that may not be covered by your benefits. We will reimburse up to $200 a year. You will need to turn in copies of your receipts to participate in this program. This includes, but is not limited to:

• Vitamins and minerals
• Herbal remedies
• Therapeutic massage
• Acupuncture
• Essential oils

We can help you control your asthma or COPD.

If you need help getting the services or supplies you need, contact Member Services. We can help you.

• Get supplies or medications
• Make an appointment with your doctor
• Connect you with a care manager for personal support
  

You will have a primary medical provider (PMP) who will be your main doctor. Your PMP is the person you see for most of your care. This includes checkups, treatments, vaccinations, minor injuries, and health concerns. Talk to your PMP about any other concerns you may have. Your PMP can help you decide the right options for you.

Your PMP is your main doctor for:

• Preventive care like check-ups, cancer screenings and vaccinations
• 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 do not have a doctor or if your doctor is not in our network, we can help you find a new one close to you. You can change your PMP at any time.

You will have a personal Member Service Navigator assigned to help you throughout your health care journey. Your Navigator can help:

• Understand the Hoosier Care Connect program
• Find a doctor, dentist, or eye doctor
• Explain your benefits and coverage
• Talk to you about special programs that are available to you
• Connect you with a Care Manager if needed
• Find resources located near you to help you with other problems like food, housing, transportation, employment, feeling safe, or getting an education
• Help you update your personal contact information like address, phone number, or email
• Make sure we know how you would like to be contacted (email, phone, or mail)
• Resolve issues with providers, including specialty care, and behavioral health
• Assist with challenges due to prior approval, payment for services, care delivery, and family welfare

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. You are also rewarded with gift cards for taking simple steps to manage your diabetes.

If you have an emergency, go to the nearest emergency room. This is a covered service. You do not need any approval to go to the emergency room. While you are at the emergency room, you will get all the services you need. The doctors and nurses will let you know when you are stable enough to leave.

Post-stabilization services are also covered. This is any care you get after the emergency is over. If you need more tests or services, the emergency room staff will call UnitedHealthcare to request approval. This only happens once your condition is stable.

Your health and safety at home are important.

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

• Hospital beds
• Oxygen tanks and supplies
• Walkers or wheelchairs

Our One Pass Fitness program is limited to members aged 18 and older. You can try one option or try them all! One code gives you free access to:

• Gyms across the state, like YMCA and Anytime Fitness
• Online programs like Daily Burn and Yoga Works

We can also send you an at-home fitness kit. This kit contains exercise gear and instructions to get the most out of your workout.

Members can join by visiting YourOnePass.com.

Our podiatry coverage includes routine foot care.

If you have certain problems like diabetes, good foot care can help prevent much more serious problems. We provide the needed exams to help keep your feet in great shape.

Foster care is a temporary service provided for children who can no longer remain in their own homes due to safety issues. We have programs to help support guardians and children in foster care.

Health Watch is a program to help ensure that children in foster care are being seen by their doctor for all age-appropriate screenings and treatment.

UnitedHealthcare’s On My Way (OMW) is a tool designed to help young adults transition from foster care to adulthood and independence. This tool can be found in the member secure portal.

The OMW tool can connect transition-aged foster care youth with peer support staff and has modules that teach the following skills: 

• Money management 
• Securing housing 
• Creating a resume 
• Finding a job 
• Applying for college
• Personal goal setting 
• The platform also provides a vault for youth to store secure documents such as birth certificates and driver’s license information for their convenient access after transitioning from foster care to adulthood

Call Member Services to learn more about these and other foster care support programs.

Earn rewards when you take care of your health. Rewards may change. Call Member Services for more information. You can get a gift card for activities like:

• New to the health plan? Take your health needs screening. ($35 gift card earned once for all new members during their first 90 days of enrollment, all ages)
• Dental visit ($25 gift card rewarded once a year, all ages)
• Stop using tobacco ($25 gift card earned one time, let us know how you quit)
• Well visit or annual check-up ($25 gift card rewarded once a year, all ages)
• Get your child immunized! One dose of meningococcal, Tdap, and complete human papillomavirus vaccines. ($50 gift card rewarded one time to members who turn 13 years old during 2024)
• Attend follow-ups after an overnight hospital stay due to mental illness or self-harm (two gift cards available, $100 for 7-day follow-up and $50 for 30-day follow-up)

When you are pregnant, you receive help and advice from your relatives and friends. Yet every pregnancy is different. This program will support you through your pregnancy. Contact Member Services to get started.

We can help you:

• Find a doctor for both mother and baby
• Learn about nutrition, fitness, and safety
• Receive items to help you and your baby get a healthy start
  

It is never too late to finish high school. We can help you get your High School Equivalency (HSE). This program is free. Any member age 16 or older can be part of this program.

Please contact Member Services for more information.

After surgery or a serious illness—or if you have a disability—you may need extra help with daily tasks. With approval, and ordered by your doctor, our plan covers:

• Time-limited skilled nursing services 
• Specialized therapies, including physical therapy, speech-language pathology, and occupational therapy 
• Medical supplies

This plan pays for all hospital expenses related to a hospital stay, so you can focus on resting and healing.

Our plan covers:

• Inpatient care
• Outpatient care
• Labs, X-rays and other tests

And after you leave the hospital, you are not alone. We are here to help you get any needed follow-up care to continue healing at home.

We have many services that support individuals with special needs. We are here to make sure you have: 

• A Member Service Navigator to be your personal guide and help you understand the health care system 
• Help to get all your needed services 
• Support with social needs, such as housing, job opportunities, and healthy food 
• Help getting a ride to and from health care appointments 
• Materials available in the formats you need

We also offer specialized dental care for our members who are sensitive to touch. Please contact Member Services to learn more.

You can request these discounts:

• Up to $30 per month toward internet service
• Up to $75 per month for households on qualifying Tribal lands
• One-time discount of up to $100 to buy a laptop, desktop computer, or tablet from participating providers

Internet access has many benefits. You can get virtual visits, take classes, and stay connected with your health plan. All Hoosier Care Connect members qualify for this program.

• To learn more about this program click here.
• To apply click here.
  

Kidney disease is a serious medical condition. After the kidneys stop working, regular treatments, called renal dialysis or an organ transplant are needed to live. Dialysis uses a machine to clean the blood just like healthy kidneys do.

Our plan includes:

• Dialysis
• Medications
• Health education and support
• Organ transplant if needed

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

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

We will get you the information you need in order to help improve your health or to be at your best

To better assist you with your health concerns, you and your doctor need to be able to understand one another. For non-English speakers, this task can become more difficult. We can arrange for an interpreter to be at your medical appointments. We want to help reduce language barriers between you and your doctor.

We also have Member Service Navigators who speak more than one language. We may have someone who speaks your language. We can also connect you with our interpreter service which covers more than 240 languages.

Lead poisoning is dangerous. If it is not treated in small children, it can cause long term problems. Lead can be found in: 

• Paint 
• Soil 
• Dust 
• Air 
• Pottery

A special blood test is ordered by your doctor to check for lead poisoning. The test is usually given between the ages of 6 months and 2 years. If your child has not been tested, your doctor might want to test up to the age of 6 years. More testing may be needed if your child has tested positive for lead. For more information, contact Member Services. You can also talk to your child’s doctor at their next well visit.

Getting medications is an important part of your health care. If your doctor prescribes a medicine that is listed on the preferred drug list (PDL) it is covered. If your drug is not listed on the PDL, your provider may request another drug that is listed on the PDL. We may pay for other medicines with prior approval.

You can get your prescriptions filled at any pharmacy in our network. Many are available 24 hours a day, 7 days a week. For a list of pharmacies, use your provider directory or go to myuhc.com/CommunityPlan/IN.

If you have a problem getting your medications call Member Services. Your pharmacist can also call the pharmacy help desk. That number is on the back of your member ID card.

90 day supply benefit
Members can fill a 90-day supply of select maintenance medications. Maintenance medications are typically those medications you take on a regular basis for a chronic or long-term condition. 

With a 90-day supply, you will not need to get a refill every month. To learn more details, talk to your doctor or pharmacist. For a complete list of medications included in this benefit, call Member Services at 1-800-832-4643, TTY 711.

Medical questions can come up at any time. When you have questions about your health, you can call a nurse 24 hours a day, 7 days a week: 1-866-801-4407, TTY 711.

Our nurses will:

• Listen to your symptoms
• Help with self-care
• Advise if you can get care care at your next doctor visit or need an urgent care center
• Help you know when it is time to go to the emergency room

Do you need a mobile phone? Our program offers unlimited talk, text, and data. Visit www.mybenefitphone.com and apply today.

Quitting is hard, but we can help. Did you know that 20 minutes after you quit, your heart rate drops to a normal level? And within 24 hours after quitting the carbon monoxide level in your blood drops to normal.

Talk to your doctor about quitting. You can also text READY to 34191. Or call 1-800-QUIT-NOW (1-800-784-8669) to get free coaching, counseling and supplies to help you quit. During 2023, earn a $25 gift card when you complete any smoking cessation program. 

The Right Choices Program is a program to help you make better medical decisions.

If you are selected for the Right Choices Program, you will have one primary medical provider (PMP), one pharmacy, and one care manager. This group of experts will help you get the right healthcare at the right time and at the right place.

Please call Member Services for more information.

• Self Care. This free app gives you emotional health tools to help you feel better. Check out meditations, breathing exercises, videos, blogs and more. You’ll get personalized content. And the Self Care app is flexible. Use it when and where you want to.
• Daily mood tracking. Answer daily questions to record your current mood, find patterns and check your progress.
• Meditation tools. Explore classic methods of relaxation — like deep breathing and imagining something positive — when you need them.
• Collections. Build life skills with content, tools and resources for the stuff that matters most to you.
• Personalized roadmap. Track your progress, set goals and make strides through weekly check-ins.

Routine shots help protect you from illness.

Our plan covers:

• Shots and vaccines recommended by your PMP
• Flu shots
• COVID-19 shots and boosters
• Pneumonia shots
• Shingles shots

Physical, occupational, and speech therapy can help you recover from a serious injury or illness, or simply reach your full potential.

Your doctor can order therapy for you if it is needed. This includes:

• Occupational therapy
• Physical therapy
• Speech therapy
• In-home therapy

If you need a ride, your benefits include transportation. We cover trips to:

• Medical appointments
• Food bank
• Pharmacy
• WIC appointments
• Medicaid eligibility appointments

Following these simple rules will help you get a ride: 

• Call 3+ business days ahead of time 
• Call 1-800-832-4643, TTY 711 to set up your ride 
• If you cancel your visit, call 1-800-832-4643 to cancel your ride 
• Have your Medicaid ID card available 
• Rides are only for approved reasons 
• Know the address of your health care provider and the date and time of your appointment 
• Be specific about where you need a ride to 
• After your visit, call for a ride home 
• If your doctor gives you a prescription you can stop at the pharmacy to get it 
• Let us know if you have special needs like a wheelchair 
• Members under the age of 16 must have a parent or guardian with them 
• Transportation may be limited to a provider near you

You may also qualify for a bus pass or friends and family mileage reimbursement. Give Member Services a call to schedule a ride or ask questions about getting transportation services.

This service is for rides planned in advance. If you have a life-threatening emergency, call 911. An ambulance will be provided if you need to be sent to the hospital.

Well visits with your doctor can help you stay healthy. These visits can catch health problems early, so they can be treated. You should see your PMP every year for a well check, even if you are not sick or your symptoms are under control. Preventive services include:

• Checkups for adults and children
• Well-baby care
• Care for women expecting a baby
• Routine shots and tests
• Cancer screenings

There are no copayment for preventive care.