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UnitedHealthcare Community Plan KanCare

Medicaid

Our plan has a range of benefits and extras that other KanCare plans don't offer. We provide extra support and care to adults and children who need help with daily activities. You qualify based on income and health needs. Click View Plan Details to learn more.

Benefits & features

Well and sick care

Get the care needed to stay healthy — or to be at your best. That includes:

  • Choice of Doctors. Find a doctor you know and trust in our network.
  • Medicines. Fill your prescriptions at local pharmacies.
  • Lab and X-rays. Lab tests, x-rays and diagnostic imaging are covered.
  • Therapy Services. Physical or other therapy to help be your best.
  • Shots and Vaccines. Routine shots help protect against illness.
  • Hospitalization. You pay nothing for care in a hospital.
  • Nurse Hotline. Speak with a registered nurse 24/7.

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

  • Choice of Birth Center. You can choose a licensed community birth center or pick from 100s of hospitals across Kansas.
  • Choice of Doctors. Find a certified nurse midwife, licensed midwife, doctor or OB/GYN you trust in our network.
  • Healthy First Steps®. Get extra support and rewards to keep you and your baby healthy.
  • Prenatal Visits. Care for you before your baby is born. Earn a reward for completing first prenatal visit in the first trimester.

If you or a family member has special health care needs, you can count on us. Our plan will provide the needed extra care and services. Benefits include:

  • Behavioral Health. Counseling and other treatments are covered.
  • Diabetic Support. Medicine needles and wipes for managing diabetes.
  • Asthma and COPD Support. Exams, testing and supplies are covered.
  • Care Management. If you qualify, get personal help managing health conditions.
  • Kidney Disease Care. Dialysis, medicine and treatments are covered.

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

  • Vision Care. Yearly eye exams and eyeglasses as needed.
  • Dental Care. Exams, x-rays, cleanings, fillings, and more, for kids and adults.
  • Hearing Care. Tests, checkups and hearing aids, if needed.

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

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

  • Behavioral therapy.
  • Substance abuse treatment.
  • Medications.
  • Peer Coaching program.

Mental Health First Aid training: Learn how to identify, understand, and respond to signs of mental illness and substance use. Trainings are in English and Spanish.  More information and upcoming dates can be found here.  

If you’re thinking about suicide, are worried about a friend or loved one, or would like emotional support, the 988 Lifeline network is available 24/7 across the United States. Call or text 988 or visit https://988lifeline.org/chat/  

Are you a new parent and feeling sad, worried, overwhelmed, or concerned? You aren’t alone. With help, you can feel better. Call or text 1-833-TLC-MAMA (1-833-852-6262) to connect with counselors at the National Maternal Mental Health Hotline.

 

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

  • Transportation. We provide rides to and from medical visits. Additionally, we provide 24 extra rides, as a value added benefit.
  • Member Services. Your benefit questions are answered Monday – Friday 8 am – 6 pm 1-877-542-9238.
  • Interpreters. Interpreters are available over the phone for you at your doctor visits. Call Member Services to schedule interpreter services.

If you're elderly or living with a disability or illness, your health needs are unique. Our job is to make it as easy as possible for you to meet those needs and more. Benefits may include:

  • Care Coordinator. Someone to get you the services to be at your best.
  • Disease Management. Focused care for those with critical health needs.
  • In-Home Care. Medical and personal care at home, if needed.
  • Equipment and Supplies. In-home medical and safety equipment are covered.
  • Emergency Response System. Sends an urgent request for someone to help you.
  • Adult Day Care. Friendship and social activities in a safe setting.
  • Home Meal Delivery. If you cannot safely make meals, we'll provide them.
  • Respite Care. In-home help to give your caregivers a rest.

Below are a few additional benefits and services we offer. Our full list can be found here.  English | Español

  • Bike helmets: Members 18 years old and under can request a bike helmet each year. Call member services to request: 1-877-542-9238, TTY 711.
  • 24 extra round-trip rides: Get up to 24 total round-trip additional rides (within a 10-mile radius) per year to places like the pharmacy, grocery store, food bank, WIC, prenatal classes, community activities, support group meetings, job interviews, trainings, career counseling or any other to access services. Call ModivCare at 1-877-796-5847 or Member Services at 1-877-542-9238, TTY 711, at least three days before the need.
  • Healthy activity for youth and for adults or fitness kit: All members (adults and youth) can access a $50 activity at participating organizations, like some YMCA, Boy Scouts, Boys & Girls Clubs, and Parks and Rec locations. Or instead, get a fitness kit or outdoor activity ball for healthy activities at home. To access, call member services: 1-877-542-9238, TTY 711.

Adult Day Care

Companionship is important. Adult day care provides care and companionship for frail elderly waiver members who need extra help during the day. Caregivers also benefit, knowing their loved one is well cared for and safe during the day.

Adult day care can provide:

  • Social connections and friendship.
  • Bathing and personal care.
  • Meals.

Asthma and COPD Support

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

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

Attendant Care Services

If you live with a disability or chronic health condition, you may need extra help to stay in your own home. Our plan gives members who qualify the services needed to be safe and comfortable. An attendant can provide:

  • Companionship.
  • Homemaking services.
  • Personal care.

You and your caregiver can decide which chores you want your care attendant to do in your home.

Care Coordinator

The daily care and safety of our members is important. That’s why we conduct home visits for eligible waiver members who need extra help staying at home. 

During this visit we:

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

Care Management

Do you have a disability or a serious health problem? If your health needs qualify then our care coordinators are in your corner. They will:

  • Explain medical terms in plain language.
  • Coordinate your doctor appointments.
  • Provide your care team with your medical records.

Your care coordinator will stay with you throughout the medical journey. He or she will:

  • Think beyond your immediate medical needs.
  • Make sure you have support at home.

Choice of Birth Center

Where you have your baby is an important choice. That's why you can pick from hospitals across Kansas and surrounding states.

We also encourage you to tour the hospital's birthing center. This way you will be familiar with it. And be more relaxed when you have your baby.

Cell Phone Program

Contact Member Services for help applying for a cell phone plan.

Choice of Doctors

You get a primary care physician (PCP) who is your main doctor. Use the Doctor Lookup tool to see if your doctor is in our network.

If you don't have a doctor or if your doctor is not in our network, we can help you find a new one close to you.

Your PCP is your main doctor for:

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

Dental care

Dental benefit covers cleanings, check-up, X-rays, fluoride, dental sealants, fillings, crowns, dentures and partials with prior authorization. Members 21 and over are eligible for added dental benefits for specialty services not covered under KanCare.

Diabetic support

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.

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

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

Disease Management

If you have chronic or high-risk illnesses, our disease management services may help you. We provide support for:

  • Congestive heart failure.
  • Asthma.
  • HIV.
  • Chronic obstructive pulmonary disease (COPD).
  • Coronary artery disease.

Emergency Response System

If you are on one of the waiver programs and at risk for a fall or sudden illness, an emergency call system can really help. It sends an urgent request for someone to check on you and help you.

Equipment and Medical Supplies

Your health and safety at home are important.

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

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

Foot Care

Children can get the exams needed to help keep your feet in great shape. And if you have diabetes, good foot care can help prevent much more serious problems.

Our podiatry coverage includes:

  • Routine foot exams.
  • Tips about foot care and choosing the right shoes.
  • Information about nerve damage warning signs.

Healthy First Steps®

Build a healthy future for you and your baby and earn great rewards with Healthy First Steps. Our program will help you take the right steps to keep you and your baby healthy.  Join the Babyscripts program and earn up to $75 in rewards on Walmart e-Gift Cards. (Download the app from Apple or Google Play stores, then sign-up with your Member ID number.)

We will help you:

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

Hearing Care

Trouble hearing can affect your everyday life in many ways. Our plan includes services and support to help protect your hearing.

We cover:

  • Exams, therapy and tests.
  • Hearing aids when ordered by your doctor.

Hospitalization

This plan pays for all expenses related to a hospital stay, so you can rest and heal.

Hospitalization coverage includes:

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

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

In-Home Care / Skilled Home Health Care Services

If you have health or mobility challenges, you may need extra help with day-to-day tasks. You may even need an in-home medical visit to check on how well you are healing. If ordered by a doctor for medical reasons, our Plan covers: 

  • In-home medical visits.
  • Medical equipment like hospital beds, walkers or wheelchairs.
  • Disposable medical supplies.
  • Help with personal care or housekeeping.

Interpreters

Your doctor and you need to understand each other. Not speaking English well makes this difficult. We can arrange for a medical interpreter to be available for you over the telephone at your appointments. Call member services for more information: 1-877-542-9238

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

Kidney Disease Care

Kidney disease is a serious medical condition. After the kidneys stop working, regular treatments (called renal dialysis) or an organ transplant are necessary. 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.

Lab and X-rays

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

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

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

Medicines

There are no copays for covered drugs. You can fill your prescriptions at local pharmacies. 

The medical card will cover many services and items. In order for a service to be covered, you must use a Kansas Medicaid provider. The type of coverage you have will determine how you receive coverage.

Specific limits and guidelines apply to all services, and these change often. Before getting any service or item, contact KMAP/MCO Customer Service. A general list of KMAP/MCO covered services is included on our website at https://www.kmap-state-ks.us/Public/Beneficiary/default.asp.

Medicaid requires some services to be approved before you get them. Your provider knows which services need prior authorization and is responsible for obtaining it for you. Medicaid will send you and your provider a letter approving or denying the prior authorization request.

Member Advocates

We're looking out for you. Member advocates can help solve problems, provide training and education, and work on issues that concern members.

They can:

  • Provide information about your plan.
  • Teach you how to get the care you need.
  • Help with doctor issues or complaints.
  • Call Member Services and ask for a Member Advocate to help you.

Member Services

Sometimes you might need a little help understanding your health care options. With us, you have someone you can call Monday-Friday 8 am - 6 pm at 1-877-542-9238. We'll answer your questions simply and completely.

We can also help you find:

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

NurseLine

Medical questions and situations sometimes happen at inconvenient times. When you have questions about your health, you can call a nurse 24 hours a day, 7 days a week. Call 1-855-575-0136.

Our nurses will:

  • Listen to symptoms.
  • Help with self-care.
  • Advise you about getting care at a doctor visit or an urgent care center.
  • Help you know when to go to the emergency room.

Prenatal Visits

Your pregnancy is a journey and you will need help along the way. You can visit a family doctor or pregnancy doctor (OB-GYN) to get the care you need.  

All recommended prenatal clinical visits and tests are covered by our plan.

At these visits, the clinic will:

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

Programs for kids and teens

Positive role models can make a big difference in a child's life. That's why we provide a $50 activity each year at local youth organizations, like some:

  • YMCAs.
  • Boys & Girls Clubs.
  • Boy Scouts.
  • Select Kansas Park and Recreation Departments.

Quitting tobacco

Trying to stop smoking is hard. But all the benefits of quitting are worth it. Did you know that 20 minutes after you quit, your heart rate drops to a normal level? And 12-24 hours after quitting, the carbon monoxide level in your blood drops to normal. We support our members who are trying to quit.

  • Visit your doctor to get advice and medicines that can help you quit. We can help you schedule an appointment.
  • Medicines come in different forms like patches, gum, lozenges and pills. Most of these are covered by your benefits. We can also help you understand your other benefits too.
  • Reach out to the KanQuit smoking line at 1-800-784-8669 for support 24/7 or go to: http://www.kssmokefree.org/quitting_help.html for more information. 

Respite Care

Are you a waiver member who has family members or friends who care for you in your home? If so, we want to support their hard work too. That's why we provide respite care to give your caregivers a rest. Respite care offers caregivers time away from their loved one who is ill or has special care needs. Some members can get extra respite care. Ask your Care Coordinator if you qualify.

Shots and Vaccines

Routine shots help protect you from illness. So, our plan covers:

  • Pneumonia, influenza and shingles shots.
  • Tetanus, diphtheria, pertussis.
  • HPV.

Therapy Services

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

When approved by a doctor, covered therapies include:

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

Transportation

Our plan provides needed rides to and from health care locations for medical appointments. That includes trips to:

  • Doctor or therapy visits.
  • Health departments.
  • Vision clinics.
  • 24 extra round-trip rides: Get up to 24 total round-trip additional rides per year to places like the pharmacy, grocery store, food bank, WIC, prenatal classes, community activities, support group meetings, job interviews, trainings, career counseling or any other to access services. 

Call ModivCare at 1-877-796-5847 or Member Services at 1-877-524-9238., TTY 711, at least three days before the need. 

Gas Reimbursement

Did you know you can get gas reimbursement for your non-emergency medical transportation? Click here to get the forms you need:

  • Reimbursement Instructions
  • Gas Mileage Reimbursement Trip Log

Vision care

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

  • Annual eye exams.
  • Prescription lenses.

Well visits

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

  • Checkups for adults and children.
  • Routine shots and tests.
  • Mammograms.
  • Pap smears.
  • Colorectal screening exam

Member resources

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