UnitedHealthcare Community Plan of Indiana Hoosier Care Connect - Member Communications

Thank you for being a UnitedHealthcare member. This notice is about your Hoosier Care Connect program. Each year, we share valuable information with you. If you have questions or want more information:

• Call Member Services at 1-800-832-4643. TTY users may dial 711. We are open 8 am to 8 pm ET, Monday through Friday.
• Review the member handbook. It has more detailed information about benefits, coverage, and options available to you. You may call Member Services to get a handbook by mail. We can send it to you in large print, braille, or other languages.
• Visit your member portal account at myUHC.com/CommunityPlan.

Grievances and appeals

If you have a complaint or problem with the care you are getting, you can file a grievance with us at any time. It can be a written letter, filed online, or a phone call. With written consent, our Provider or Member Services can also file a grievance on your behalf. You may file a grievance over the phone with Member Services at 1-800-832-4643, TTY 711. Our secure member portal, myuhc.com/communityplan, offers an option to file a grievance online. You may also file a written grievance by sending it to:

UnitedHealthcare Grievances and Appeals
P.O. Box 31364
Salt Lake City, UT 84131-0364

If you disagree with any action that denies or delays your care, you can file an appeal within 60 calendar days. If your provider or member representative has your written permission, they can file an appeal on your behalf. You can also call the Ombudsman for help. You can appeal in writing, online, or over the phone by calling Member Services.

If you file an appeal, you may file a request to continue to get any services you were already getting. You must make that request within ten (10) days of when our appeal response letter was mailed or the date the change would be effective, whichever is later. If the appeal is not decided in your favor, you may have to pay for the services you received during the appeal process.

You may file an appeal over the phone with Member Services at 1-800-832-4643, TTY 711. You may file appeals online at myuhc.com/communityplan. You may also file a written appeal by sending it to:

UnitedHealthcare Grievances and Appeals
P.O. Box 31364
Salt Lake City, UT 84131-0364

If you need your appeal reviewed more quickly, you can request an expedited (rush) appeal and get an answer back from us within forty-eight (48) hours. It is appropriate to request an expedited appeal if you have a medical need that you consider urgent in nature. One example would be that you have already scheduled a medical procedure, like a surgery. If your request to rush the appeal will not be reviewed as accepted as expedited, it becomes a standard appeal and will be reviewed within thirty (30) days.

If you have finished your appeal at UnitedHealthcare Community Plan, and you think we made a mistake about the outcome of your appeal, you, the provider, or other delegated person acting as an approved representative for you may ask for a State Fair Hearing from the Indiana Family and Social Services Administration (FSSA). Also, in the event UnitedHealthcare Community Plan does not respond to you or resolve your appeal or grievance in a timely manner, you may ask for a State Fair Hearing. It must be filed within 120 calendar days of the date on the appeal response letter. You can request it by mail, fax, or email.

Mail:        Office of Administrative Law Proceedings - FSSA Hearings
                  100 N. Senate Avenue, Room N802
                  Indianapolis, IN 46204
Phone:   1-317-234-3488, or toll-free 1-866-259-3573
Fax:         1-317-232-4412
Email:    fssa.appeals@oalp.in.gov

If you file a State Fair Hearing, you will continue to get any services you were already getting as long as you file within ten (10) days of when our Notice of Appeal Resolution letter was mailed or the date the change would be effective.

Health plan operations

As a member you have the right to know how we do business. Member Services can answer questions. We can send you information about our operations. Health plan operations covers many topics. This includes:

• All members have a Member Service Navigator and a Care Manager. If you have questions about your health plan talk to your Navigator. If you have questions about your health talk to your Care Manager.
• You can recommend a change to a service, program, or health plan procedure.
• You can let us know how to contact you. You may choose mail, email, phone, and text.
• We can send you information in other languages or formats like braille, audio, and large print.
• It is your right to choose the medical care you receive. This includes life-saving measures in an emergency. It also includes your wishes during a mental health crisis. An advance health directive is a legal form. On it, you can list what health care you want in case you cannot talk or make decisions later on.
• You have the right to voice complaints about how you are treated or the care you get. Our member handbook has details about grievance, appeal, and fair hearing procedures.
• We have policies and procedures in place for the things we do. You can ask for these documents.
• Your Primary Medical Provider (PMP) participates in a program that encourages them to see our members. It focuses on making sure that you receive the care you need. If you would like to receive more details about this program, please contact your Navigator.
• The member handbook includes our privacy practices. This describes how medical information about you is used.
  

Make an appointment with your primary medical provider (PMP) today. If you have not had a preventive care appointment (checkup) this year, now is the time. Did you know that checkups are important to help keep you healthy? Even if you don’t feel sick, everyone should have at least 1 checkup each year.

Your checkup is covered at no cost to you. You can even earn a $25 Walmart gift card¹ reward for getting it done. So please schedule a checkup with your PMP before December 31, 2024.

We’re here to help

If you don’t know who your PMP is, want help scheduling your checkup, or need a no-cost ride to/from the appointment, we’re here for you. Chat with Member Services through myuhc.com/communityplan or the UnitedHealthcare app. You can also call 1-800-832-4643, TTY 711. We are available Monday through Friday, 8 am to 8 pm ET.

What to expect at the visit

1. Your PMP may check your heart and lungs, hearing, vision and body mass index (BMI).
2. Be sure to ask about other tests, screenings or shots that are right for you.
3. If you have any health concerns, tell your PMP about them.
4. If you complete the visit, you will get a $25 Walmart gift card. It will be mailed to the address we have on file for you.

¹Walmart gift cards do not allow members to purchase tobacco, alcohol, firearms or ammunition.

You may be missing adult shots recommended by the CDC (Centers for Disease Control).

We care about your health. Due to certain medication conditions or risk factors you may be at risk for one or more of the following potentially serious diseases:

• Hepatitis A and B
• Meningococcal disease
• Pneumococcal pneumonia
• RSV (respiratory syncytial virus) – ages 60+
• Shingles
• Tdap (tetanus, diphtheria, pertussis)

Shots can help stop these diseases before they start. Please reach out to your primary medical provider or your pharmacist today. You may also visit cdc.gov to learn more.

Get health advice from a nurse 24 hours a day, 7 days a week, at no cost to you. Call toll-free at 1-800-832-4643. TTY users may dial 711.

One Pass goes beyond a gym membership. With One Pass, you can visit thousands of fitness locations with one easy program. You can also join online classes and explore on-demand workout content from home. This is no cost for our members.

This offer is limited to members 18 years and older. Click on the One Pass Fitness tile on the Health & Wellness page. You may also visit youronepass.com or call 1-800-832-4643, TTY 711, to get started. All members can request an at-home fitness kit.

The Early and Periodic Screening, Diagnostic and Treatment (EPSDT) benefit is available for children under age 21. EPSDT is key to ensuring that children and adolescents receive appropriate services. Seeing your provider each year can help find small problems early. This visit includes an exam and any tests or shots you need. Your provider will check their health, speech, hearing, eyesight, and growth. You can also ask the doctor any health questions you have. You’ll also find out if your child is due for certain shots, or a test to check for lead poisoning.

Not sure if your child is due for a visit? We can help. Call toll-free at 1-800-832-4643. TTY users may dial 711. We are available 8 am to 8 pm ET, Monday through Friday.

EPSDT visits are covered as part of your Hoosier Care Connect program. There is no cost to you.

For a person with a cervix, one of the most serious of cancers is cervical cancer. It can develop and spread without any symptoms. Fortunately, there is a very easy way to protect yourself with a routine Pap test. It involves looking at the cells that line your cervix to see if any are not normal. Often abnormal cells can be treated before cancer develops. Most cancers of the cervix can be prevented. That’s why it’s so important to have regular Pap tests. Remember, most persons with a cervix over the age of over 21 and sexually active are advised to have a pap test every three years.

Preventive screenings are covered by your health plan. There is no cost to you.
 

When you have issues with your health coverage, we are here for you. When you attend a HERO Council meeting, your voice matters. HERO stands for health, education, resources, and opportunities. We are here to hear what you have to say. We can also help you understand your benefits. There is time at the end of each meeting set aside to talk through personal needs. We hope to see you at a future meeting soon!

A member recently attended a HERO Council meeting. He received a $10 Walmart gift card for attending and a second $10 Walmart card for mileage reimbursement. This enabled him to buy some much needed Tylenol on his way home. He also said he would buy some chicken with the rest of the money. During the meeting he set a large print preference and won a pair of reading glasses as a door prize. He even got help setting up an appointment with a specialist after the meeting.

To see the latest HERO Council meeting schedule, click here.

Eating healthy is important. Did you know that the State of Indiana offers food assistance? The program is called Supplemental Nutrition Assistance Program (SNAP). SNAP can help you buy the foods you need for good health.

Think SNAP could help you? Just fill out the application. If you’re approved, you’ll get an electronic card that is accepted at most grocery stores. Use it to buy fruits, vegetables, dairy products and more.

Questions? We are here to help. Call Member Services at 1-800-832-4643, TTY 711. We are open 8 a.m. to 8 p.m. EST, Monday – Friday.

Members who are eligible for Indiana Medicaid are also eligible for a LifeLine mobile phone. You get a free smartphone, unlimited text, 1,000 talk minutes and 4.5GB of data each month. To learn more, visit assurancewireless.com. There is a limit of one phone per household.

Checkups are a way to make sure you stay healthy. Going to the doctor is important. Even if you don’t feel sick. Adults should see their primary medical provider (PMP) once a year. PMPs are the main health care professionals who take care of you.

All of these benefits are at no cost to you:

• Call Member Services at 1-800-832-4643, TTY 711, 8 a.m.–8 p.m. EST, Monday–Friday, if you need help confirming your assigned PMP, finding a provider or making an appointment.
• Go to the appointment. At this visit, your PMP may check your heart and lungs, hearing, vision and weight. Ask about other tests, screenings or shots that are right for you.
• Bring your member ID card to the appointment. Visit myuhc.com/communityplan to print a new member ID card if you can’t find your card.
• Remember the dentist. Everyone should see the dentist every 6 months for a checkup and cleaning.
• Need transportation? We can help arrange a free ride for you to and from the appointment. Call for a ride at 1-800-832-4643, TTY 711.

If you have high blood pressure or are worried that you might, try not to get overwhelmed. You have more power than you think. Unfortunately, high blood pressure doesn’t always have warning signs or symptoms. Many people don’t even know they have it. But don’t worry, it is possible to manage blood pressure and improve your health by checking your numbers and talking to a provider regularly. This may also help prevent or delay heart disease, eye problems, kidney failure and more.

Three tips to help reach blood pressure goals (visit heart.org for more information):

• Check blood pressure regularly and exercise when possible. This can be one of the best ways to help manage blood pressure. With a doctor’s permission, try to exercise at least 30 minutes a day.
• Make healthy food choices and be mindful of salt use. Decreasing the use of salt may help lower blood pressure and improve heart health.
• Take suggested medications. Medicine works best when used as recommended. If there are any troubles with taking medicine, talk with a doctor so they can help.
  
  

Do you know about the shingles virus and vaccine? The virus that causes shingles can cover your face or body with a painful, itchy rash. That rash can turn into scabs. The virus can stay inactive in your body for years.

Protect yourself today. A shingles shot is a service your health plan pays for. Call your provider or your local pharmacy to schedule an appointment now. Need help finding a shingles shot near you? Call Member Services at 1-800-832-4643. TTY users may dial 711. We are open 8 a.m. to 8 p.m. ET, Monday-Friday.

Lead is a mineral. Blood lead poisoning happens when lead gets into a young child’s bloodstream. A special blood test is ordered by your primary medical provider (PMP) to check for lead poisoning. This test can happen as early as 6 months of age. Your PMP may want to test up to the age of 6 years. Talk to your PMP about this at your child’s next well visit.

Lead can get into the bloodstream when children put things in their mouths. Lead can be found in lots of things. A few examples include:

• Flakes of older paint (like on a window sill)
• In dirt near old lead pipes in a yard or field
• Paint found on some imported toys

If you have questions, we are happy to talk to you. Call Member Services at 1-800-832-4643, TTY 711. Ask to connect with a care manager.

At UnitedHealthcare, we’re committed to helping you and your family stay healthy. That’s why we encourage regular checkups, even if you and your family members don’t feel sick. All kids ages 3 and older should see their primary medical provider (PMP) once a year. These annual wellness visits are a way to help make sure your child stays healthy.

Stay up-to-date on vaccines. Talk with your child’s PMP about which vaccines they need and their schedules. Once your child completes their childhood vaccination schedule, their PMP may recommend the COVID-19 vaccine.

About 27 million people in the U.S. have asthma. There’s no cure for it, but proper care can help you live a normal life. You can control your asthma by taking medications as directed by your provider and avoiding any triggers that may cause an attack. Having a written asthma action plan can also help.

Your action plan should tell you which medicines to take and when to take them. It can help you know if you should stop what you are doing if you don’t feel well. The plan should also tell you when to call your provider and when to seek emergency care.

Have you read your Member Handbook? It is a great source of information. It tells you how to use your plan. It explains:

• Member benefits, programs and stories
• The benefits and services you have
• The benefits and services you don’t have
• What costs you may have for health care
• How to find out about network providers
• How your prescription drug benefits work
• What to do if you need care when you are out of town
• When and how you can get care from an out-of-network provider
• Where, when and how to get primary, after-hours, behavioral health, specialty, hospital and emergency care
• Our privacy policy
• What to do if you get a bill
• How to voice a complaint or appeal a coverage decision
• How to ask for an interpreter or get other help with language or translation
• How the plan decides if new treatments or technologies are covered
• How to report fraud and abuse
• Your member rights and responsibilities

Get it all. You can find the Member Handbook in Plan Documents. You can also call Member Services to request a copy.

We receive information about you. This may include your race, ethnicity, language you speak, gender identity and sexual orientation. This data and other personal information about you is protected health information (PHI). We may share this information with your health care providers as part of treatment, payment and operations. This helps us meet your health care needs. Examples of how we may use this information to improve our services include:

• To find gaps in care
• To help you in languages other than English
• To create programs that meet your needs
• To tell your health care providers which language(s) you speak

We do not use this data to deny coverage or limit benefits. We protect this information in the same way we protect all other PHI. Access is limited to employees who need to use it. Our buildings and computers are secured. Computer passwords and other system protections keep your data safe. To find out more about how we protect your cultural data, visit uhc.com/about-us/rel-collection-and-use. 

One Pass goes beyond a gym membership. With One Pass, you can visit thousands of fitness locations with one easy program. You can also join online classes and explore on-demand workout content from home. This is no cost for our members.

This offer is limited to members 18 years and older. Visit rallyhealth.com/OnePassIN or call 1-800-832-4643, TTY 711, to get started. All members can request an at-home fitness kit.

Sexually transmitted infections (STIs) are passed from one person to another through sexual contact. Common symptoms affect the genital areas and include pain, itching, sores and unusual discharge. You can prevent getting and spreading STIs. If you are sexually active, follow these tips for safe sex:

• Use a latex condom for oral, vaginal and anal sex. Every time.
• Ask a new partner if they have had an STI. Offer to get tested. Ask your partner if they will get tested, too.
• Don’t have sex if your partner has sores, warts, bumps, redness, discharge or other signs of an STI.
• If you think you have been exposed to an STI, see your primary medical provider right away for a checkup. Getting tested for an STI is a covered benefit.
• If you are diagnosed with an STI, tell people you have had sex with that they should see a provider, too.

At UnitedHealthcare, we’re committed to helping you stay healthy. That’s why we encourage you to get regular checkups, even if you don’t feel sick. Adults should see their primary medical provider (PMP) once a year. These annual wellness visits make it easier to catch issues or illnesses earlier when they may be more treatable. Ask your provider when it’s a good time to schedule an in-person appointment.

Stay up-to-date on vaccines. Talk with your PMP about vaccines you may need and the schedule that is right for you. This includes the annual flu shot.

This member portal has a Pharmacy tab. It includes information on:

1. Hoosier Care Connect does not have a copay for prescriptions. If you are asked to pay at the pharmacy desk, call Member Services at 1-800-832-4643 for help.
2. What drugs are covered. There is a list of covered drugs. You may need to use a generic drug in place of a brand-name drug.
3. Where to get your prescriptions filled. You can find a pharmacy near you that accepts your plan. You may also be able to get certain drugs by mail.
4. Rules that may apply. Some drugs may only be covered in certain cases. For example, you might need to try a different drug first. (This is called step therapy.) Or you might need approval from UnitedHealthcare to use a drug. (This is called prior authorization.) There also might be limits to the amount you can get of certain drugs.

You can also look up the drugs you take on the Preferred Drug List. These are the medications approved by the State of Indiana

Lead is a mineral. Blood lead poisoning happens when lead gets into a young child’s bloodstream. A special blood test is ordered by your primary medical provider (PMP) to check for lead poisoning. This test can happen as early as 6 months of age. Your PMP may want to test up to the age of 6 years. Talk to your PMP about this at your child’s next well visit.

Lead can get into the bloodstream when children put things in their mouths. Lead can be found in lots of things. A few examples include:

• Flakes of older paint (like on a window sill)
• In dirt near old lead pipes in a yard or field
• Paint found on some imported toys

If you have questions, we are happy to talk to you. Call Member Services at 1-800-832-4643, TTY 711. Ask to connect with a care coordinator.

Checkups are a way to make sure your child stays healthy. All kids 3 years of age and older should see their primary medical provider (PMP) once a year, even if they don’t feel sick. Kids under age 3 may need more checkups and immunizations. Talk to your child’s PMP about how often your child should have checkups. PMPs are the main health care professionals who take care of you.

All of these benefits are at no cost to you:

• Call Member Services at 1-800-832-4643, TTY 711, 8 a.m.–8 p.m. EST, Monday–Friday, if you need help confirming your assigned PMP, finding a provider or making an appointment.
• At this visit, your PMP will complete a full exam and check height, weight, vision and hearing. Talk about any health or behavior changes in your child and ask if other tests or shots are needed.
• Reminder: Talk to your doctor about completing all shots and lead screening before your child turns two.
• Bring your child’s member ID card to the appointment. Visit myuhc.com/communityplan to print a new member ID card if you can’t find your child’s card.
• Remember the dentist. Starting as soon as your child gets their first tooth, everyone should see the dentist for a checkup and cleaning.
• Need transportation? We can help arrange a free ride for you and your child to and from the appointment. Call for a ride at 1-800-832-4643, TTY 711.

Get the care you need, when you need it. Routine mental health care is a big part of staying healthy. Because some medications may raise the risk of certain health conditions, regular monitoring is important. Your health care provider is here to help. Together, you can talk through concerns and find helpful resources. So don't wait. Make an appointment today.

Need help finding a provider? Call Member Services at 1-800-832-4643, TTY 711. You can also click the Find Care tab on the member portal.

Remember to take your medication. If medication has been prescribed, be sure to take it as directed. It can take several weeks to start feeling better, so be patient. And if any issues are preventing you from taking them, talk to your provider or pharmacist. They may be able to help.

Take advantage of virtual visits. If you need to talk to someone, virtual visits are a great way to find and get support from a therapist or counselor. There’s often no waiting and appointments are easy to make. Plus, you’ll be able to talk in a safe space about how you feel in the privacy of your home.

Using tobacco or vaping products is not healthy. It is never too late to quit. Call the Indiana Tobacco Quitline at 1-800-QUIT-NOW. That number is 1-800-784-8669. You can get free supplies and a quit coach. Call today and start your path to a tobacco free life. You earn a $25 gift card when you complete any smoking cessation program. Call Member Services at 1-800-832-4643, TTY 711, to report that you quit!

There’s much more to good health than what happens in the doctor’s office. Other things like food, housing, transportation, and financial security are important too. When any of these are missing, it makes it much harder to take care of your health.

Find help near you. You may not know about all the programs and services in your community. We can help connect you. These programs and services could save you money and help make life easier. We may be able to help you:

• Get food assistance and access local food banks
• Find housing, save on utility bills and make home repairs
• Save on drugs by switching to 3-month prescriptions
• Find low-cost, easy-to-use transportation
• Find self-help and support groups in your area

We’ll help connect you. We want to make sure you get the care you need when you need it. Visit UHCHealthierLives.com and search for resources online. You may also talk to Member Services at 1-800-832-4643, TTY 711.

One Pass goes beyond a gym membership. With One Pass, you can visit thousands of fitness locations with one easy program. You can also join online classes and explore on-demand workout content from home. This is no cost for our members.

This offer is limited to members 18 years and older. Visit youronepass.com or call 1-800-832-4643, TTY 711, to get started. All members can request an at-home fitness kit.

Do you know about the shingles virus and vaccine? The virus that causes shingles can cover your face or body with a painful, itchy rash. That rash can turn into scabs. The virus can stay inactive in your body for years.

Protect yourself today. A shingles shot is a service your health plan pays for. Call your provider or your local pharmacy to schedule an appointment now. Need help finding a shingles shot near you? Call Member Services at 1-800-832-4643. TTY users may dial 711. We are open 8 a.m. to 8 p.m. ET, Monday-Friday.
 

We provide free services to help you communicate with us. We can send you information in languages other than English or in other formats such as Braille or large print. You can ask for an interpreter. To share your preferences please call Member Services.

We recently made updates to our Hoosier Care Connect member handbook. Please read the below information.

If you have any questions contact UnitedHealthcare Member Services at 1-800-832-4643. TTY users may dial 711. We are open Monday through Friday, 8 a.m. to 8 p.m. EST.

Member Complaints and Grievances (page 59)
If you have a problem or complaint about UnitedHealthcare Community Plan, talk to your Care Manager or Member Services. If they are able to help you, your complaint will be considered resolved. In that case, you will not get any other notice.

If you are not happy with the response from your Care Manager or Member Services, you may file a grievance. You may file a complaint or grievance against the health plan or a provider. You may file your grievance at any time.

Medicare Eligibility
Around your 65th birthday (or 25th disability check), you will have a 7-month window of time to sign up for Medicare. This is called your Initial Enrollment Period — or IEP for short. Your IEP includes:

• 3 months before your 65th birthday,
• Your birthday month, and
• the 3 months after your 65th birthday.

Am I automatically enrolled in Medicare at 65?
If you currently receive Social Security or Railroad Retirement Board benefits, you may be automatically enrolled. You will receive your Medicare card in the mail before your 65th birthday. You will still have an IEP, during which you may make Medicare coverage decisions.

If you are not currently receiving Social Security or Railroad Retirement Board benefits when you turn 65, you will have to sign up for Medicare. Medicare may not notify you about your eligibility. Know your IEP dates and put them in your calendar.

Checkups are a way to make sure you stay healthy. Going to the doctor is important. Even if you don’t feel sick. Adults should see their primary medical provider (PMP) once a year. PMPs are the main health care professionals who take care of you.

All of these benefits are at no cost to you:

• Call Member Services at 1-800-832-4643, TTY 711, 8 a.m.–8 p.m. EST, Monday–Friday, if you need help confirming your assigned PMP, finding a provider or making an appointment.
• Go to the appointment. At this visit, your PMP may check your heart and lungs, hearing, vision and weight. Ask about other tests, screenings or shots that are right for you.
• Bring your member ID card to the appointment. Visit myuhc.com/communityplan to print a new member ID card if you can’t find your card.
• Remember the dentist. Everyone should see the dentist every 6 months for a checkup and cleaning.
• Need transportation? We can help arrange a free ride for you to and from the appointment. Call for a ride at 1-800-832-4643, TTY 711.

As a member of UnitedHealthcare, you can skip the waiting room and connect to doctors in seconds with the UHC Doctor Chat app. Doctors are available 24 hours a day, 7 days a week and can answer any questions, big or small. Use UHC Doctor Chat for:

• Sick kids
• Coughs, fevers, sore throat
• Earaches, stomach pain, diarrhea
• Rashes, allergic reactions, animal/insect bites
• Back/abdominal pain
• Sports injuries, burns, heat-related illness
• Urinary tract infections
• General health questions

Get started now. Learn more at UHCDoctorChat.com or download the UnitedHealthcare Doctor Chat app for free on the App Store® and Google Play®.

Questions? Call Member Services at 1-800-832-4643, TTY 711.

Eating healthy is important. Did you know that the State of Indiana offers food assistance? The program is called Supplemental Nutrition Assistance Program (SNAP). SNAP can help you buy the foods you need for good health.

Think SNAP could help you? Just fill out the application. If you’re approved, you’ll get an electronic card that is accepted at most grocery stores. Use it to buy fruits, vegetables, dairy products and more.

Questions? We are here to help. Call Member Services at 1-800-832-4643, TTY 711. We are open 8 a.m. to 8 p.m. EST, Monday – Friday.

At UnitedHealthcare, we’re committed to helping you and your family stay healthy. That’s why we encourage regular checkups, even if you and your family members don’t feel sick. All kids ages 3 and older should see their primary medical provider (PMP) once a year. These annual wellness visits are a way to help make sure your child stays healthy.

Stay up-to-date on vaccines. Talk with your child’s PMP about which vaccines they need and their schedules.

Utilization management (UM) helps make sure you receive the right care and services when you need them. Our UM staff reviews the services your provider asks for. They compare the care and services your provider asks for against clinical practice guidelines. They also compare what is being asked for against your benefits.

When the care is not covered under your benefits, it may be denied. It may also be denied when it does not meet clinical practice guidelines. We do not pay or reward our providers or staff for denying services or approving less care. If care is denied, you and your provider have a right to appeal. The denial letter will tell you how.

One Pass goes beyond a gym membership. With One Pass, you can visit thousands of fitness locations with one easy program. You can also join online classes and explore on-demand workout content from home. This is no cost for our members.

This offer is limited to members 18 years and older. Visit youronepass.com or call 1-800-832-4643, TTY 711, to get started. All members can request an at-home fitness kit.

Some behaviors are good, like brushing teeth twice a day. Other behaviors, like smoking, can start a lifetime of addiction. It’s just better if we never start.

Smoking hurts everyone. Children and non-smoking family members are exposed to secondhand smoke (the smoke that is exhaled by a smoker or comes off the lit end of a cigarette), and thirdhand smoke (the residual nicotine and chemicals left on clothing, surfaces and walls after the cigarette is extinguished). Breathing in smoke, including secondhand and thirdhand smoke, exposes even non-smokers to harmful chemicals. Family members who live with a smoker are especially vulnerable to the negative effects of secondhand and thirdhand smoke. The best way to protect your family is to keep a 100% smoke-free home and car.

Most people who use tobacco – including cigarettes, e-cigarette (vaping) devices or chewing tobacco – started as teenagers. That’s why it is important to protect children early in life from exposure to tobacco products. Luckily, this is something all of us can do.

Here are links to more information to help you and your family keep kids smoke-free and tobacco-free.

American Academy of Pediatrics, HealthyChildren.org Resources:

• Smoking Hurts Everyone
• Why are Smoke-free Environments a Big Deal?
• Tips to Keep a Smoke-free Home and Car
• How to Quit: When the Smoker is You
• Emerging and Alternative Forms of Tobacco were Dangerous

American Dental Association, MouthHealthy.org Resources:

• Smoking, Smokeless Tobacco
• Smoking, 5 Steps to Quit
• Smoking, Non-Cigarette Alternatives

At UnitedHealthcare, we are committed to helping you stay healthy. That’s why we encourage you to get regular checkups, even if you don’t feel sick. Adults should see their primary medical provider (PMP) once a year. These annual wellness visits make it easier to catch issues or illnesses earlier when they may be more treatable. Ask your provider when it’s a good time to schedule an in-person appointment.

Stay up-to-date on vaccines. Talk with your PMP about vaccines you may need and the schedule that is right for you. 

UnitedHealthcare Community Plan provides programs and services to help keep you well. We also have services to help better manage illnesses and other care needs. These are part of our population health program. They include:

• Health education and reminders
• Maternity support and education
• Support for substance use disorders
• Programs to help you with complex health needs (care managers work with your doctor and other outside agencies)

These programs are voluntary. They are offered at no cost to you. You can choose to stop any program at any time.

We provide free services to help you stay up to date. You can ask for an interpreter. We can send you information in other languages. We also offer large print, audio, or braille. This includes when you want mail, email, or texts. To ask for help just give us a call at 1-800-832-4643. TTY users may dial 711. Your Member Service Navigator will help you set your preferences.

We want to make sure you get the care you need when you need it. If you need help getting to your provider’s office, we can help. Our health plan offers free rides to get you to appointments.

If you need to see a provider right away, you can get after-hour care at urgent care centers. We also have a NurseLine that you can call anytime. The NurseLine is open 24 hours a day, 7 days a week. Call 1-800-832-4643. TTY users may dial 711.

Virtual video visits also are available 24/7. Visit uhcdoctorchat.com to get started.

To find a provider or look for urgent care center locations, use the Provider Search tool on this website. Call Member Services to learn more.

Have you read your Member Handbook? You can view it online. You can also ask for a copy to be sent to you. Call Member Services at 1-800-832-4643. TTY users may dial 711. The Member Handbook is a great source of information. It tells you how to use your plan. It explains:

• How we can help you
• Your member rights and responsibilities
• The benefits and services you have
• The benefits and services you do not have
• The extra services we offer
• What costs you may have for health care
• How to find out about network providers
• How your prescription drug benefits work
• What to do if you need care when you are out of town
• When and how you can get care from an out-of-network provider
• Where, when and how to get primary, after-hours, behavioral health, specialty, hospital and emergency care
• Our privacy policy
• What to do if you get a bill
• How to voice a complaint or appeal a coverage decision
• How to ask for an interpreter or get other help with language or translation
• How the plan decides if new treatments or technologies are covered
• How to report fraud and abuse

UnitedHealthcare Community Plan has a quality improvement program. It works to give members better health care and services. Each year we set goals. Then we measure how well we meet them.

Some of our goals focus on improving the number of services pregnant people and children receive. These include postpartum visits, lead-screenings and immunizations. Other goals focus on making sure people with certain diseases — such as diabetes — get the tests they need to monitor their condition. We reach out to our members to encourage them to get these and other services. We do this because it helps them stay healthy and manage their conditions.

We also survey our members each year. We want to see how they feel about our health plan. We use your feedback to improve the services we provide.

Want more information on our quality improvement program and results? A summary is in your Plan Documents section of this website.

Lead is a mineral. Blood lead poisoning happens when lead gets into a young child’s bloodstream. A special blood test is ordered by your primary medical provider (PMP) to check for lead poisoning. This test can happen as early as 6 months of age. Your PMP may want to test up to the age of 6 years. Talk to your PMP about this at your child’s next well visit.

Lead can get into the bloodstream when children put things in their mouths. Lead can be found in lots of things. A few examples include:

• Flakes of older paint (like on a window sill)
• In dirt near old lead pipes in a yard or field
• Paint found on some imported toys

If you have questions, we are happy to talk to you. Call Member Services at 1-800-832-4643, TTY 711. Ask to connect with a care manager.

Beware of card skimmers! Anyone in Indiana using Electronic Benefit Transfer or a Hoosier Works Card, be aware that there are criminals working hard to get your information to steal your EBT benefits. There are steps you can take to protect your SNAP and TANF benefits.

EBT benefits are getting stolen through skimming devices—plastic pieces snugly placed on retailer terminals to clone your EBT card information, including your PIN.

1. To prevent card misuse, change your EBT PIN after every use.
2. Check your account regularly for unauthorized transactions.
3. Some terminals have a pinhole camera on the device that is hard to see. Remember to always use you hand to cover the keypad.

Always inspect a card reader before using it. If the device looks flimsy or you don’t think it is a legitimate terminal, notify the store manager and contact the local police.

Protect your benefits. If you think your SNAP and/or TANF benefits have been stolen, immediately call the Division of Family Resources at 317-234-7989.

For food resources in your area, please call 2-1-1.

Checkups are a way to make sure your child stays healthy. All kids 3 years of age and older should see their primary medical provider (PMP) once a year, even if they don’t feel sick. Kids under age 3 may need more checkups and immunizations. Talk to your child’s PMP about how often your child should have checkups. PMPs are the main health care professionals who take care of you.

All of these benefits are at no cost to you:

• Call Member Services at 1-800-832-4643, TTY 711, 8 a.m.–8 p.m. EST, Monday–Friday, if you need help confirming your assigned PMP, finding a provider or making an appointment.
• At this visit, your PMP will complete a full exam and check height, weight, vision and hearing. Talk about any health or behavior changes in your child and ask if other tests or shots are needed.
• Reminder: Talk to your doctor about completing all shots and lead screening before your child turns two.
• Bring your child’s member ID card to the appointment. Go to the home page of this website (myuhc.com/communityplan) to print a new member ID card if you can’t find your child’s card.
• Remember the dentist. Starting as soon as your child gets their first tooth, everyone should see the dentist for a checkup and cleaning.
• Need transportation? We can help arrange a free ride for you and your child to and from the appointment. Call for a ride at 1-800-832-4643, TTY 711.

Do you know about the shingles virus and vaccine? The virus that causes shingles can cover your face or body with a painful, itchy rash. That rash can turn into scabs. The virus can stay inactive in your body for years.

Protect yourself today. A shingles shot is a service your health plan pays for. Call your provider or your local pharmacy to schedule an appointment now. Need help finding a shingles shot near you? Call Member Services at 1-800-832-4643. TTY users may dial 711. We are open 8 a.m. to 8 p.m. ET, Monday-Friday.

Using tobacco or vaping products is not healthy. It is never too late to quit. Call the Indiana Tobacco Quitline at 1-800-QUIT-NOW. That number is 1-800-784-8669. You can get free supplies and a quit coach. Call today and start your path to a tobacco free life.

During 2024, you can also earn a $25 gift card when you complete any smoking cessation program. Call Member Services at 1-800-832-4643, TTY 711, to report that you quit!

The Indiana Department of Health, in partnership with the Indiana Immunization Coalition, the American Cancer Society, and multiple community organizations, are working to reduce the cancer burden in Indiana through increased prevention.

The human papillomavirus, or HPV, is known to cause six different types of cancer. The virus is so common that it will infect most people at some point in their lives and most infected people do not have symptoms. Most HPV infections will go away on their own without lasting health problems, but some persistent infections will turn into cancer.

The best way to prevent HPV infection is to get vaccinated.

HPV vaccination protects against the HPV virus and the cancers it can cause. More than 90% of HPV cancers can be prevented when boys and girls receive the HPV vaccine series at ages 9-12.

Please don’t wait to vaccinate. The HPV vaccine is cancer prevention! When you vaccinate your child on time, you give them the best protection from HPV cancers. This vaccine is vitally important to your child’s health and is available for your child. There is no out of pocket cost for this vaccine for your child with or without insurance. Vaccination is available at your local pharmacy, health departments, pediatrician offices, family doctor, and many other healthcare providers. HPV vaccination provides safe, effective, and long-lasting protection. Make the call today and schedule your child’s HPV vaccine.

At UnitedHealthcare, we’re committed to helping you stay healthy. That’s why we encourage you to get regular checkups, even if you don’t feel sick. Adults should see their primary medical provider (PMP) once a year. These annual wellness visits make it easier to catch issues or illnesses earlier when they may be more treatable. Ask your provider when it’s a good time to schedule an in-person appointment.

Stay up-to-date on vaccines. Talk with your PMP about vaccines you may need and the schedule that is right for you. This includes the annual flu shot and COVID-19 vaccine.

Using tobacco or vaping products is not healthy. It is never too late to quit. Call the Indiana Tobacco Quitline at 1-800-QUIT-NOW. That number is 1-800-784-8669. You can get free supplies and a quit coach. Call today and start your path to a tobacco free life.

During 2024, you can also earn a $25 gift card when you complete any smoking cessation program. Call Member Services at 1-800-832-4643, TTY 711, to report that you quit!

We want you to know about your prescription drug benefits. We can help you understand:

• What drugs are covered. There is a list of covered drugs. You may need to use a generic drug in place of a brand-name drug.
• Where to get your prescriptions filled. You can find a pharmacy near you that accepts your plan. You may also be able to get certain drugs by mail.
• Rules that may apply. Some drugs may only be covered in certain cases. For example, you might need to try a different drug first. (This is called step therapy.) Or you might need approval from UnitedHealthcare to use a drug. (This is called prior authorization.) There also might be limits to the amount you can get of certain drugs.
• Any costs to you. You do not have copayments for prescriptions. If you are asked to pay for a drug at the pharmacy counter, please give us a call at 1-800-832-4643. TTY users may dial 711.
  

Preparing for your provider visit can help you get the most out of it. Make sure your provider knows about all the care you get. Here are 4 ways you can take charge of your health care:

1. Think about what you want to get out of the visit before you go. Focus on the top 3 things you need help with.
2. Tell your provider about any drugs or vitamins you take regularly. Bring a written list. You can also bring the actual medicines. Tell your provider who prescribed them to you.
3. Tell your provider about other providers you see. Include mental health providers. Bring copies of all test results and treatment plans.
4. See your provider as soon as possible after you are in the hospital or emergency room (ER). Share your discharge papers with the provider. Quick follow-up may prevent another hospital admission or ER visit.

We receive information about you. This may include your race, ethnicity, language you speak, gender identity, and sexual orientation. This data and other personal information about you is protected health information (PHI). We may share this information with your health care providers as part of treatment, payment, and operations in meeting your health care needs.

Examples of how we may use PHI to improve the services we provide include:

• Finding gaps in care
• Helping you in languages other than English
• Creating programs that meet your needs
• Telling your health care providers which language you speak

We do not use this data to deny coverage or limit benefits. We protect this information in the same way we protect all other PHI. Access is restricted to those employees who need to use it. Our building and computers are secured. Computer passwords and other system protections keep your data safe.

To find out more about how we protect your cultural data, visit uhc.com/about-us/rel-collection-and-use. To get more information on our health equity program, visit unitedhealthgroup.com/what-we-do/health-equity.html.

If you have high blood pressure or are worried that you might, try not to get overwhelmed. You have more power than you think. Unfortunately, high blood pressure doesn’t always have warning signs or symptoms. Many people don’t even know they have it. But don’t worry, it is possible to manage blood pressure and improve your health by checking your numbers and talking to a provider regularly. This may also help prevent or delay heart disease, eye problems, kidney failure, and more.

Three tips to help reach blood pressure goals

• Check blood pressure regularly and exercise when possible. This can be one of the best ways to help manage blood pressure. With a doctor’s permission, try to exercise at least 30 minutes a day.
• Make healthy food choices and be mindful of salt use. Decreasing the use of salt may help lower blood pressure and improve heart health.
• Take suggested medications. Medicine works best when used as recommended. If there are any troubles with taking medicine, talk with a doctor so they can help.

Schedule an appointment to have your blood pressure checked today

Need help scheduling a visit or have questions? Call Member Services at 1-800-832-4643, TTY 711, to get help finding a provider, understanding your drug coverage, and more. You may also visit myuhc.com/communityplan.

We provide free services to help you communicate with us. We can send you information in languages other than English or in other formats such as Braille or large print. You can ask for an interpreter. It is easy to share your preferences. Give Member Services a call and let them know how you want to get information from us.

Checkups are a way to make sure your child stays healthy. All kids 3 years of age and older should see their primary medical provider (PMP) once a year, even if they don’t feel sick. Kids under age 3 may need more checkups and immunizations. Talk to your child’s PMP about how often your child should have checkups. PMPs are the main health care professionals who take care of you.

All of these benefits are at no cost to you:

• Call Member Services at 1-800-832-4643, TTY 711, 8 a.m.–8 p.m. EST, Monday–Friday, if you need help confirming your assigned PMP, finding a provider or making an appointment.
• At this visit, your PMP will complete a full exam and check height, weight, vision and hearing. Talk about any health or behavior changes in your child and ask if other tests or shots are needed.
• Reminder: Talk to your doctor about completing all shots and lead screening before your child turns two.
• Bring your child’s member ID card to the appointment. Visit myuhc.com/communityplan to print a new member ID card if you can’t find your child’s card.
• Remember the dentist. Starting as soon as your child gets their first tooth, everyone should see the dentist for a checkup and cleaning.
• Need transportation? We can help arrange a free ride for you and your child to and from the appointment. Call for a ride at 1-800-832-4643, TTY 711.

There’s much more to good health than what happens in the doctor’s office. Other things like food, housing, transportation, and financial security are important too. When any of these are missing, it makes it much harder to take care of your health.

Find help near you. You may not know about all the programs and services in your community. We can help connect you. These programs and services could save you money and help make life easier. We may be able to help you:

• Get food assistance and access local food banks
• Find housing, save on utility bills and make home repairs
• Save on drugs by switching to 3-month prescriptions
• Find low-cost, easy-to-use transportation
• Find self-help and support groups in your area

We’ll help connect you. We want to make sure you get the care you need when you need it. Visit UHCHealthierLives.com and search for resources online. You may also talk to Member Services at 1-800-832-4643, TTY 711.

As a member of UnitedHealthcare, you can skip the waiting room and connect to doctors in seconds with the UHC Doctor Chat app. Doctors are available 24 hours a day, 7 days a week and can answer any questions, big or small. Use UHC Doctor Chat for:

• Sick kids
• Coughs, fevers, sore throat
• Earaches, stomach pain, diarrhea
• Rashes, allergic reactions, animal/insect bites
• Back/abdominal pain
• Sports injuries, burns, heat-related illness
• Urinary tract infections
• General health questions

Get started now. Learn more at UHCDoctorChat.com or download the UnitedHealthcare Doctor Chat app for free on the App Store® and Google Play®.

Questions? Call Member Services at 1-800-832-4643, TTY 711.

Find articles, self-care tools, caring providers, and mental health and substance use resources. Visit liveandworkwell.com.

Checkups are a way to make sure you stay healthy. Going to the doctor is important. Even if you don’t feel sick. Adults should see their primary medical provider (PMP) once a year. PMPs are the main health care professionals who take care of you.

All of these benefits are at no cost to you:

• Call Member Services at 1-800-832-4643, TTY 711, 8 a.m.–8 p.m. EST, Monday–Friday, if you need help confirming your assigned PMP, finding a provider or making an appointment.
• Go to the appointment. At this visit, your PMP may check your heart and lungs, hearing, vision and weight. Ask about other tests, screenings or shots that are right for you.
• Bring your member ID card to the appointment. Visit myuhc.com/communityplan to print a new member ID card if you can’t find your card.
• Remember the dentist. Everyone should see the dentist every 6 months for a checkup and cleaning.
• Need transportation? We can help arrange a free ride for you to and from the appointment. Call for a ride at 1-800-832-4643, TTY 711.
  

Lead is a mineral. Blood lead poisoning happens when lead gets into a young child’s bloodstream. A special blood test is ordered by your primary medical provider (PMP) to check for lead poisoning. This test can happen as early as 6 months of age. Your PMP may want to test up to the age of 6 years. Talk to your PMP about this at your child’s next well visit.

Lead can get into the bloodstream when children put things in their mouths. Lead can be found in lots of things. A few examples include:

• Flakes of older paint (like on a window sill)
• In dirt near old lead pipes in a yard or field
• Paint found on some imported toys

If you have questions, we are happy to talk to you. Call Member Services at 1-800-832-4643, TTY 711. Ask to connect with a care manager.

Get health advice from a nurse 24 hours a day, 7 days a week, at no cost to you. Call toll-free at 1-800-832-4643. TTY users may dial 711.

One of our new members did not know that she would be unable to fill her prescriptions that were ordered by a doctor in another state. She called Member Services to find out more. Our Member Services team helped her schedule an urgent medical appointment with a new Primary Medical Provider (PMP). This meant she could keep taking her medicine as needed. She also did not know all of her medications would be free through the Hoosier Care Connect program.

Our Member Services team is ready to explain your benefits. They can help you with most questions. They can also connect you with a Care Manager if you need ongoing support with your health needs. Thank you for being a UnitedHealthcare member!

Checkups are a way to make sure your child stays healthy. All kids 3 years of age and older should see their primary medical provider (PMP) once a year, even if they don’t feel sick. Kids under age 3 may need more checkups and immunizations. Talk to your child’s PMP about how often your child should have checkups. PMPs are the main health care professionals who take care of you.

All of these benefits are at no cost to you:

• Call Member Services at 1-800-832-4643, TTY 711, 8 a.m.–8 p.m. EST, Monday–Friday, if you need help confirming your assigned PMP, finding a provider or making an appointment.
• At this visit, your PMP will complete a full exam and check height, weight, vision and hearing. Talk about any health or behavior changes in your child and ask if other tests or shots are needed.
• Reminder: Talk to your doctor about completing all shots and lead screening before your child turns two.
• Bring your child’s member ID card to the appointment. Visit myuhc.com/communityplan to print a new member ID card if you can’t find your child’s card.
• Remember the dentist. Starting as soon as your child gets their first tooth, everyone should see the dentist for a checkup and cleaning.
• Need transportation? We can help arrange a free ride for you and your child to and from the appointment. Call for a ride at 1-800-832-4643, TTY 711

One Pass goes beyond a gym membership. With One Pass, you can visit thousands of fitness locations with one easy program. You can also join online classes and explore on-demand workout content from home. This is no cost for our members.

This offer is limited to members 18 years and older. Visit YourOnePass.com or call 1-800-832-4643, TTY 711, to get started. All members can request an at-home fitness kit.

Eating healthy is important. Did you know that the State of Indiana offers food assistance? The program is called Supplemental Nutrition Assistance Program (SNAP). SNAP can help you buy the foods you need for good health.

Think SNAP could help you? Just fill out the application. If you’re approved, you’ll get an electronic card that is accepted at most grocery stores. Use it to buy fruits, vegetables, dairy products and more.

Questions? We are here to help. Call Member Services at 1-800-832-4643, TTY 711. We are open 8 a.m. to 8 p.m. EST, Monday – Friday.

Pulsewrx and UnitedHealthcare Community Plan are proud to offer our new wireless program.

What is included:

• A FREE phone with UNLIMITED talk, texting, and data
• Pre-loaded apps and contacts to make it easy to use your phone right away

Who can sign up: Anyone receiving Medicaid benefits can sign up. There is a limit of one phone per household. If the member is a child, the parent or guardian can still get a phone.

Sign up today at http://MyBenefitPhone.com.

Checkups are a way to make sure you stay healthy. Going to the doctor is important. Even if you don’t feel sick. Adults should see their primary medical provider (PMP) once a year. PMPs are the main health care professionals who take care of you.

All of these benefits are at no cost to you:

• Call Member Services at 1-855-398-3566, TTY 711, 8 a.m.–8 p.m. EST, Monday–Friday, if you need help confirming your assigned PMP, finding a provider or making an appointment.
• Go to the appointment. At this visit, your PMP may check your heart and lungs, hearing, vision and weight. Ask about other tests, screenings or shots that are right for you.
• Bring your member ID card to the appointment. Visit myuhc.com/communityplan to print a new member ID card if you can’t find your card.
• Remember the dentist. Everyone should see the dentist every 6 months for a checkup and cleaning.
• Need transportation? We can help arrange a free ride for you to and from the appointment. Call for a ride at 1-855-398-3566, TTY 711.

As a member you have the right to know how we do business. Member Services can answer questions. We can send you information about our operations. You may reach UnitedHealthcare Member Services at 1-800-832-4643. TTY users may dial 711.

Health plan operations covers many topics. This includes:

• All members have a Member Service Navigator and a Care Manager. If you have questions about your health plan talk to your Navigator. If you have questions about your health talk to your Care Manager.
• You can recommend a change to a service, program, or health plan procedure.
• You can let us know how to contact you. You may choose mail, email, phone, and text.
• We can send you information in other languages or formats like braille, audio, and large print.
• It is your right to choose the medical care you receive. This includes life-saving measures in an emergency. It also includes your wishes during a mental health crisis. An advance health directive is a legal form. On it, you can list what health care you want in case you cannot talk or make decisions later on.
• You have the right to voice complaints about how you are treated or the care you get. Our member handbook has details about grievance, appeal, and fair hearing procedures.
• We have policies and procedures in place for the things we do. You can ask for these documents.
• Your PMP participates in a program that encourages them to see our members. It focuses on making sure that you receive the care you need. If you would like to receive more details about this program, please contact your Navigator.
• The member handbook includes our privacy practices. This describes how medical information about you is used.

The Indiana Department of Health, in partnership with the Indiana Immunization Coalition, the American Cancer Society, and multiple community organizations, are working to reduce the cancer burden in Indiana through increased prevention.

The human papillomavirus, or HPV, is known to cause six different types of cancer. The virus is so common that it will infect most people at some point in their lives and most infected people do not have symptoms. Most HPV infections will go away on their own without lasting health problems, but some persistent infections will turn into cancer.

The best way to prevent HPV infection is to get vaccinated. HPV vaccination protects against the HPV virus and the cancers it can cause. More than 90% of HPV cancers can be prevented when boys and girls receive the HPV vaccine series at ages 9-12.

Please don’t wait to vaccinate. The HPV vaccine is cancer prevention! When you vaccinate your child on time, you give them the best protection from HPV cancers. This vaccine is vitally important to your child’s health and is available for your child. There is no out of pocket cost for this vaccine for your child with or without insurance. Vaccination is available at your local pharmacy, health departments, pediatrician offices, family doctor, and many other healthcare providers. HPV vaccination provides safe, effective, and long-lasting protection. Make the call today and schedule your child’s HPV vaccine.

About 25 million people in the U.S. have asthma. There’s no cure for it, but proper care can help you live a normal life. You can control your asthma by taking medications as directed by your provider and avoiding any triggers that may cause an attack. Having a written asthma action plan can also help.

Your action plan should tell you which medicines to take and when to take them. It can help you know if you should stop what you are doing if you don’t feel well. The plan should also tell you when to call your provider and when to seek emergency care.

At UnitedHealthcare, we’re committed to helping you and your family stay healthy. That’s why we encourage regular checkups, even if you and your family members don’t feel sick. All kids ages 3 and older should see their primary medical provider (PMP) once a year. These annual wellness visits are a way to help make sure your child stays healthy.

Stay up-to-date on vaccines. Talk with your child’s PMP about which vaccines they need and their schedules. Once your child completes their childhood vaccination schedule, their PMP may recommend the COVID-19 vaccine.

Lead is a mineral. Blood lead poisoning happens when lead gets into a young child’s bloodstream. A special blood test is ordered by your primary medical provider (PMP) to check for lead poisoning. This test can happen as early as 6 months of age. Your PMP may want to test up to the age of 6 years. Talk to your PMP about this at your child’s next well visit.

Lead can get into the bloodstream when children put things in their mouths. Lead can be found in lots of things. A few examples include:

• Flakes of older paint (like on a window sill)
• In dirt near old lead pipes in a yard or field
• Paint found on some imported toys

If you have questions, we are happy to talk to you. Call Member Services at 1-800-832-4643, TTY 711. Ask to connect with a care manager.

Have you read your Member Handbook? It is a great source of information. It tells you how to use your plan. It explains:

• Member benefits, programs and stories
• The benefits and services you have
• The benefits and services you don’t have
• What costs you may have for health care
• How to find out about network providers
• How your prescription drug benefits work
• What to do if you need care when you are out of town
• When and how you can get care from an out-of-network provider
• Where, when and how to get primary, after-hours, behavioral health, specialty, hospital and emergency care
• Our privacy policy
• What to do if you get a bill
• How to voice a complaint or appeal a coverage decision
• How to ask for an interpreter or get other help with language or translation
• How the plan decides if new treatments or technologies are covered
• How to report fraud and abuse
• Your member rights and responsibilities

Get it all. You can find the Member Handbook in Plan Documents. You can also call Member Services to request a copy.

Sexually transmitted infections (STIs) are passed from one person to another through sexual contact. Common symptoms affect the genital areas and include pain, itching, sores and unusual discharge. You can prevent getting and spreading STIs. If you are sexually active, follow these tips for safe sex:

• Use a latex condom for oral, vaginal and anal sex. Every time.
• Ask a new partner if they have had an STI. Offer to get tested. Ask your partner if they will get tested, too.
• Don’t have sex if your partner has sores, warts, bumps, redness, discharge or other signs of an STI.
• If you think you have been exposed to an STI, see your primary medical provider right away for a checkup. Getting tested for an STI is a covered benefit.
• If you are diagnosed with an STI, tell people you have had sex with that they should see a provider, too.

At UnitedHealthcare, we’re committed to helping you stay healthy. That’s why we encourage you to get regular checkups, even if you don’t feel sick. Adults should see their primary medical provider (PMP) once a year. These annual wellness visits make it easier to catch issues or illnesses earlier when they may be more treatable. Ask your provider when it’s a good time to schedule an in-person appointment.

Stay up-to-date on vaccines. Talk with your PMP about vaccines you may need and the schedule that is right for you. This includes the annual flu shot and COVID-19 vaccine.

One Pass goes beyond a gym membership. With One Pass, you can visit thousands of fitness locations with one easy program. You can also join online classes and explore on-demand workout content from home. This is no cost for our members.

This offer is limited to members 18 years and older. Visit rallyhealth.com/OnePassIN or call 1-800-832-4643, TTY 711, to get started. All members can request an at-home fitness kit.

We receive information about you. This may include your race, ethnicity, language you speak, gender identity and sexual orientation. This data and other personal information about you is protected health information (PHI). We may share this information with your health care providers as part of treatment, payment and operations. This helps us meet your health care needs. Examples of how we may use this information to improve our services include:

• To find gaps in care
• To help you in languages other than English
• To create programs that meet your needs
• To tell your health care providers which language(s) you speak

We do not use this data to deny coverage or limit benefits. We protect this information in the same way we protect all other PHI. Access is limited to employees who need to use it. Our buildings and computers are secured. Computer passwords and other system protections keep your data safe. To find out more about how we protect your cultural data, visit uhc.com/about-us/rel-collection-and-use. For more information on our health equity program, visit unitedhealthgroup.com/what-we-do/health-equity.html.

UnitedHealthcare Community Plan is your Hoosier Care Connect health plan. We will use the Indiana Medicaid Statewide Uniform Preferred Drug List (SUPDL) starting July 5, 2023. The SUPDL is a list of preferred and nonpreferred medications. All Indiana Medicaid plans will now use this list. This change will help you and your provider know which medications are preferred to make filling your prescriptions easier.

We will contact your health care provider if you need to change to a preferred medication on the SUPDL. You can fill your current medication for up to 90 days after July 5, 2023. This gives your provider time to make the change or request a prior authorization. Talk with your health care provider about how the SUPDL may impact your medications.

Questions? We’re here to help. Please call Member Services at 1-800-832-4643, TTY 711, if you have questions. We are open Monday through Friday from 8 a.m. to 8 p.m. Eastern time. We are here for you. Your health is our priority.

We receive information about you. This may include your race, ethnicity, language you speak, gender identity and sexual orientation. This data and other personal information about you is protected health information (PHI). We may share this information with your health care providers as part of treatment, payment and operations. This helps us meet your health care needs. Examples of how we may use this information to improve our services include:

• To find gaps in care
• To help you in languages other than English
• To create programs that meet your needs
• To tell your health care providers which language(s) you speak

We do not use this data to deny coverage or limit benefits. We protect this information in the same way we protect all other PHI. Access is limited to employees who need to use it. Our buildings and computers are secured. Computer passwords and other system protections keep your data safe. To find out more about how we protect your cultural data, visit uhc.com/about-us/rel-collection-and-use. For more information on our health equity program, visit unitedhealthgroup.com/what-we-do/health-equity.html.

We provide free services to help you communicate with us. We can send you information in languages other than English or in other formats such as Braille or large print. You can ask for an interpreter. To share your preferences please call Member Services.

Checkups are a way to make sure your child stays healthy. All kids 3 years of age and older should see their primary medical provider (PMP) once a year, even if they don’t feel sick. Kids under age 3 may need more checkups and immunizations. Talk to your child’s PMP about how often your child should have checkups. PMPs are the main health care professionals who take care of you.

All of these benefits are at no cost to you:

• Call Member Services at 1-800-832-4643, TTY 711, 8 a.m.–8 p.m. EST, Monday–Friday, if you need help confirming your assigned PMP, finding a provider or making an appointment.
• At this visit, your PMP will complete a full exam and check height, weight, vision and hearing. Talk about any health or behavior changes in your child and ask if other tests or shots are needed.
• Reminder: Talk to your doctor about completing all shots and lead screening before your child turns two.
• Bring your child’s member ID card to the appointment. Visit myuhc.com/communityplan to print a new member ID card if you can’t find your child’s card.
• Remember the dentist. Starting as soon as your child gets their first tooth, everyone should see the dentist for a checkup and cleaning.
• Need transportation? We can help arrange a free ride for you and your child to and from the appointment. Call for a ride at 1-800-832-4643, TTY 711.

One Pass goes beyond a gym membership. With One Pass, you can visit thousands of fitness locations with one easy program. You can also join online classes and explore on-demand workout content from home. This is no cost for our members.

This offer is limited to members 18 years and older. Visit rallyhealth.com/OnePassIN or call 1-800-832-4643, TTY 711, to get started. All members can request an at-home fitness kit.

Pulsewrx and UnitedHealthcare Community Plan are proud to offer our new wireless program.

What is included:

• A FREE phone with UNLIMITED talk, texting, and data
• Pre-loaded apps and contacts to make it easy to use your phone right away

Who can sign up: Anyone receiving Medicaid benefits can sign up. There is a limit of one phone per household. If the member is a child, the parent or guardian can still get a phone.

Sign up today at http://MyBenefitPhone.com.

Get the care you need when you need it. Routine mental health care is a big part of staying healthy. Because some medications may raise the risk of certain health conditions, regular monitoring is important. Your health care provider is here to help. Together, you can talk through concerns and find helpful resources. So don't wait. Make an appointment today.

Need help finding a provider? Call Member Services at 1-800-832-4643, TTY 711. You can also click the Find Care tab on the member portal.

Remember to take your medication. If medication has been prescribed, be sure to take it as directed. It can take several weeks to start feeling better, so be patient. And if any issues are preventing you from taking them, talk to your provider or pharmacist. They may be able to help.

Take advantage of virtual visits. If you need to talk to someone, virtual visits are a great way to find and get support from a therapist or counselor. There’s often no waiting and appointments are easy to make. Plus, you’ll be able to talk in a safe space about how you feel in the privacy of your home.

We want to hear from you. That is why we are inviting you to join our member advisory group, called the HERO Council. HERO stands for health, empowerment, resources, and opportunities. At the meeting, we welcome you to:

• Tell us what you think about your health coverage
• Help us understand how we are doing
• Let us know if what we send you is helpful
• Share ideas that would make things better for all members

If you attend in person, you will receive a meal and a gift card. We will send you a gift by mail if you join by phone.

We will also be offering FREE phones with unlimited talk, text, and data! You must RSVP to receive this phone during the meeting. There is a limit of one phone per household. All Hoosier Care Connect members qualify for this free phone program.

Two ways to join:

1. In person:

Date: Tuesday, June 20, 2023
Time: Noon to 1 p.m.
Place: Allen County Public Library, 900 Library Plaza, Fort Wayne

2. By phone: Call toll-free: 1-833-563-1769, meeting code 992 889 724 #

Let us know if you can attend! To RSVP, call Member Services at 1-800-832-4643. TDD/TTY users dial 711. If you need a ride to the meeting, we can set that up as well. We look forward to talking with you.

At UnitedHealthcare, we’re committed to helping you and your family stay healthy. That’s why we encourage regular checkups, even if you and your family members don’t feel sick. All kids ages 3 and older should see their primary medical provider (PMP) once a year. These annual wellness visits are a way to help make sure your child stays healthy.

Stay up-to-date on vaccines. Talk with your child’s PMP about which vaccines they need and their schedules. Once your child completes their childhood vaccination schedule, their PMP may recommend the COVID-19 vaccine.

As a member of UnitedHealthcare, you can skip the waiting room and connect to doctors in seconds with the UHC Doctor Chat app. Doctors are available 24 hours a day, 7 days a week and can answer any questions, big or small. Use UHC Doctor Chat for:

• Sick kids
• Coughs, fevers, sore throat
• Earaches, stomach pain, diarrhea
• Rashes, allergic reactions, animal/insect bites
• Back/abdominal pain
• Sports injuries, burns, heat-related illness
• Urinary tract infections
• General health questions

Get started now. Learn more at UHCDoctorChat.com or download the UnitedHealthcare Doctor Chat app for free on the App Store^® and Google Play^®.

Questions? Call Member Services at 1-800-832-4643, TTY 711. 

When members are new to UnitedHealthcare, most prescriptions are allowed for the first 90 days. After that, a prior approval may be needed. Talk to your doctor or pharmacist if you take medications to make sure this approval is on file with your pharmacy.

Your pharmacy also needs your UnitedHealthcare member ID card on file. If you need a new member ID card, you can print one from your member portal home page. You can also give us a call at 1-800-832-4643, TTY 711, and we will send a new member ID card to you.

At UnitedHealthcare, we’re committed to helping you stay healthy. That’s why we encourage you to get regular checkups, even if you don’t feel sick. Adults should see their primary medical provider (PMP) once a year. These annual wellness visits make it easier to catch issues or illnesses earlier when they may be more treatable. Ask your provider when it’s a good time to schedule an in-person appointment.

Stay up-to-date on vaccines. Talk with your PMP about vaccines you may need and the schedule that is right for you. This includes the annual flu shot and COVID-19 vaccine.

One Pass goes beyond a gym membership. With One Pass, you can visit thousands of fitness locations with one easy program. You can also join online classes and explore on-demand workout content from home. This is no cost for our members.

This offer is limited to members 18 years and older. Visit rallyhealth.com/OnePassIN or call 1-800-832-4643, TTY 711, to get started. All members can request an at-home fitness kit.

At UnitedHealthcare, we’re committed to helping you and your family stay healthy. That’s why we encourage regular checkups, even if you and your family members don’t feel sick. All kids ages 3 and older should see their primary medical provider (PMP) once a year. These annual wellness visits are a way to help make sure your child stays healthy.

Stay up-to-date on vaccines. Talk with your child’s PMP about which vaccines they need and their schedules. Once your child completes their childhood vaccination schedule, their PMP may recommend the COVID-19 vaccine.