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UnitedHealthcare Community Plan - KanCare 2025 Value Added Benefits

Pregnant and New Moms

Babyscripts: Pregnant members can join the Babyscripts program. 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.

First trimester prenatal exam reward: Earn a $75 reward* for completing a first prenatal exam, in the first trimester or 42 days from enrollment. Ask your provider to send us an OBRAF (Obstetric Risk Assessment) form.

WellHop: Virtual group prenatal and postnatal sessions. Includes conversations with a trained facilitator and members at the same state in pregnancy. Members can enroll at: momandbaby.wellhop.com/signup

Pack'n play: Pregnant members who attend a participating Community Baby Shower and fill out an attendance form, can get a pack'n play.

Nutrition support for high-risk pregnancy: Pregnant members, identified as high risk and in care coordination, get food support. Food support is for the last trimester and first month post-partum. Member receives $145 credit per month to use from designated website (only healthy food items available for purchase). Member works with Care Coordinator who determines need.

NEW FOR 2025! In-home visit reward: Members identified with a high-risk pregnancy, who complete the initial visit from our case management team, receive a $50 reward*. Other pregnant members who complete an in-home visit from a local participating maternal community program, will receive the $50 reward* after their visitor submits the completion information to UnitedHealthcare. One reward per pregnancy.

More Coverage

Adult dental: Members 21 and over are eligible for additional dental benefits not already covered under Kancare, for up to $500 per year. For help, call member services: 1-877-542-9238, TTY 711

Additional vision: Adult members over 21 can get an additional $60 to upgrade their frames, once a year. Ask your Vision provider. Providers wanting to participate can work with UnitedHealthcare Provider Services.

Additional Transportation

24 extra round-trip rides: Get up to 24 more rides (round-trip) 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.

Nutrition

Nutrition classes: Complete the Create Better Health SNAP Education classes. Get a food journal and cooking item valued at $50. Once class is completed call member services: 1-877-542-9238, TTY 711. Information on classes: www.k-state.edu/ks-snaped

Dining with Diabetes: Members with type 2 diabetes (or their caregivers) are eligible to attend a K-State Research and Extension Dining with Diabetes class, at no cost. Limited to one set of classes annually per member/caregiver. To access, call Member Services: 1-877-542-9238, TTY 711.

Post-discharge Mom's Meals: Get 14 meals (two meals a day for seven days) when being discharged from a medical facility, have mobility needs, no family support, and are at risk for readmission due to nutritional issues. Available within 30 days of discharge. Call member services: 1-877-542-9238, TTY 711, or work with your discharge planner.

Social Consideration and Wellness

Educational advancement: Supports members (age 16 and older) with education like GED, Coding classes, Resumé Writing workshops, and English as a Second Language (ESL). Covers up to $200. Call Member Services: 1-877-542-9238, TTY 711.

Healthy activity for youth and for adults or fitness kit: All members 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 a sports ball for healthy activities at home. To access, call member services: 1-877-542-9238, TTY 711.

Healthy rewards: Earn Rewards* for completing things like: Annual Health Assessment, Well-Child visits for ages 3-17, attending a Member Advisory Committee meeting, and starting in 2025: for quitting using tobacco using covered tobacco cessation services. Members with a Care Coordinator can earn funds to buy items that support care. Some members may be invited to earn rewards for certain preventative health services. Once a member completes an activity, a card will be mailed, or reward will be added to existing card.

Help with getting cell phone: Free smartphone with unlimited messaging for members 18 years and older. Limit of one device per household that qualifies to federal eligibility criteria. Call member services for assistance: 1-877-542-9238, TTY 711.

School supplies: Members who are in foster care can get a school supply box per year. Members can ask their foster care agency.

Air purifier: Members up to 18 years old, with an asthma condition, can request an air purifier valued at $75. One per year. Call member services to request: 1-877-542-9238, TTY 711.

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.

Weighted blankets: Members in foster care or on the Autism or SED Waivers can request a weighted blanket, to help with anxiety. One blanket per member annually. Call member services to request: 1-877-542-9238, TTY 711.

OTC Network® Reward for rural and frontier county members: Members living in Rural and Frontier counties (as determined by the state of Kansas) can receive a $50 reward* per year: Member needs to live in a rural or frontier county, and:

  • If currently on a Waiver: will receive in February
  • If new to the waiver: will receive a month after becoming a member
  • If NOT on a waiver: call member services to confirm address and request

Technology Programs

On My Way (OMW) program: Young adult members can access www.uhcOMW.com. This website teaches skills like managing money, getting housing, finding job training, and applying for college.

Pyx Health: Members 18 and older can access 24/7 support and companionship using the Pyx Health mobile app. Go to HiPyx.com or download the Pyx Health app from the Apple or Google Play stores.

AbleTo App: A self-care app for dealing with stress, anxiety, and depression. Download the AbleTo app in the Apple or Google Play Stores and use your Medicaid ID number to access.

Supportiv: Online 24/7 on-demand peer support, facilitated, small group chat conversations and resources for coping, problem-solving, and healing. Available to high school students in Allen, Ellis, Neosho and Saline counties, plus the city of Wichita. Students can go to supportiv.com/Kansas to access.

Community Programs

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. UnitedHealthcare will attempt to hold events in major areas of the state. Upcoming dates can be found at: www.bit.ly/45qyemn

NEW FOR 2025! ATTACh: Annual membership to a support program for the parent or caregiver of children at risk for behavioral health conditions. Includes one-on-one support, registration to ATTACh conferences, and access to a support group. ATTACh will reach out to offer program to eligible parents.

Waivers

OTC Network® Reward for waiver members: Members on waivers receive a $50 reward*, in February or in the second month of becoming our member. To activate card, check balance, or find a store, call member services: 1-877-542-9238, TTY 711 or go to www.mybenefitscenter.com .

Internet access: Members on waivers may be invited to get internet services, to complete a specific health activity. Work with your care coordinator.

Pest control: Waiver members who own their home can get pest control services. Up to $250 max annually. Work with your care coordinator.

Wellness calendar: Members enrolled in care management, whole person care, pregnant, or behavioral health programs will be mailed a calendar at the beginning of each year to track their doctor appointments, medications, and social events. Member can contact their Care Coordinator if they haven't received it.

NEW FOR 2025! Medication lockbox: Members enrolled in care coordination, whole-person care, pregnant or certain behavioral health programs can request a medication lockbox to help reduce intentional or accidental overdose or misuse. One lockbox per household. Member can work with Care Coordinator.

NEW FOR 2025! Walmart+ Membership: Adult members with chronic conditions or mobility issues, or who are enrolled in care management or whole person care, or are pregnant, or in behavioral health programs, can get a Walmart+ membership through OnePass™. Membership includes: Same day grocery delivery (12-mile radius of a Walmart), shipping with no minimum, video streaming Paramount+ subscription, fuel savings at selected gas stations. Members can go to www.youronepass.com to access or call member services for help.

To download this list, click here. 

*Reloadable OTC Network® card can be used at specific retailers. Can be used for CMS approved health related items. To activate your card, check your balance, find a store, call member services: 1-877-542-9238, TTY 711, or go to www.mybenefitscenter.com


Individual & Family ACA Marketplace Plans Disclaimer
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The benefits described may not be offered in all plans or in all states. Some plans may require copayments, deductibles and/or coinsurance for these benefits. This policy has exclusions, limitations, reductions of benefits, and terms under which the policy may be continued in force or discontinued. For costs and complete details of the coverage, review your plan documents, call or write your insurance agent or the company, whichever is applicable. Plan specifics and benefits vary by coverage area and by plan category. Please review plan details to learn more.

UnitedHealthcare Individual & Family plans medical plan coverage offered by: UnitedHealthcare of Arizona, Inc.; Rocky Mountain Health Maintenance Organization Incorporated in CO; UnitedHealthcare of Florida, Inc.; UnitedHealthcare of Georgia, Inc; UnitedHealthcare of Illinois, Inc.; UnitedHealthcare Insurance Company in AL, KS, LA, MO, NJ, and TN; Optimum Choice, Inc. in MD and VA; UnitedHealthcare Community Plan, Inc. in MI; UnitedHealthcare of Mississippi, Inc.; UnitedHealthcare of New Mexico, Inc.; UnitedHealthcare of North Carolina, Inc.; UnitedHealthcare of Ohio, Inc.; UnitedHealthcare of Oklahoma, Inc.; UnitedHealthcare of South Carolina, Inc.; UnitedHealthcare of Texas, Inc.; UnitedHealthcare of Oregon, Inc. in WA; and UnitedHealthcare of Wisconsin, Inc.  Administrative services provided by United HealthCare Services, Inc. or its affiliates.

This policy has exclusions, limitations, reduction of benefits, and terms under which the policy may be continued in force or discontinued. For costs and complete details of the coverage, call or write your insurance agent or the company, whichever is applicable. By responding to this offer, you agree that a representative may contact you.

*To qualify for a $0 monthly premium, you must meet household income requirements for Advanced Premium Tax Credits.

**$0 cost-share for network periodic oral evaluation 2 times per consecutive 12 months. Adult dental benefit coverage is limited to a $1,000 benefit maximum per plan year. Coverage for routine vision exam and eyewear is limited to once every 12 months. If you opt to receive vision care services or vision care materials that are not covered benefits under this plan, a participating vision care provider may charge you their normal fee for such services or materials. Coverage may not be available on all plans or in all states. For costs and complete details of coverage, contact your insurance agent or the company, as applicable.

Last Updated: 10.25.2024 at 12:27 PM CDT

Disclaimer information
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Looking for the federal government’s Medicaid website? Look here at Medicaid.gov.

UnitedHealthcare Dual Complete plans

Plans are insured through UnitedHealthcare Insurance Company or one of its affiliated companies, a Medicare Advantage organization with a Medicare contract and a contract with the State Medicaid Program. Enrollment in the plan depends on the plan’s contract renewal with Medicare. This plan is available to anyone who has both Medical Assistance from the State and Medicare. Benefits, features and/or devices vary by plan/area. Limitations, exclusions and/or network restrictions may apply. Benefits, premiums and/or co-payments/co-insurance may change on January 1 of each year.

Premium disclaimer

Dual Special Needs plans have a $0 premium for members with Extra Help (Low Income Subsidy).

Benefit disclaimer

Benefits, features, and/or devices vary by plan/area. Limitations, exclusions and/or network restrictions may apply.

Nurse Hotline disclaimer

This service should not be used for emergency or urgent care needs. In an emergency, call 911 or go to the nearest emergency room. The information provided through this service is for informational purposes only. The nurses cannot diagnose problems or recommend treatment and are not a substitute for your provider's care. Your health information is kept confidential in accordance with the law. The service is not an insurance program and may be discontinued at any time. Nurse Hotline not for use in emergencies, for informational purposes only.

UnitedHealthcare Connected® for MyCare Ohio (Medicare-Medicaid plan)

UnitedHealthcare Connected® for MyCare Ohio (Medicare-Medicaid plan) is a health plan that contracts with both Medicare and Ohio Medicaid to provide benefits of both programs to enrollees. 

UnitedHealthcare Connected® (Medicare-Medicaid plan)

UnitedHealthcare Connected® (Medicare-Medicaid plan) is a health plan that contracts with both Medicare and Texas Medicaid to provide benefits of both programs to enrollees.

UnitedHealthcare Connected® for One Care (Medicare-Medicaid plan)

UnitedHealthcare Connected® for One Care (Medicare-Medicaid plan) is a health plan that contracts with both Medicare and MassHealth (Medicaid) to provide benefits of both programs to enrollees. 

UnitedHealthcare Connected® general benefit disclaimer

This is not a complete list. The benefit information is a brief summary, not a complete description of benefits. For more information contact the plan or read the member handbook. Limitations, copays and restrictions may apply. For more information, call UnitedHealthcare Connected® Member Services or read the UnitedHealthcare Connected® member handbook. 

UnitedHealthcare Senior Care Options (HMO SNP) plan

UnitedHealthcare Senior Care Options (SCO) is a Coordinated Care plan with a Medicare contract and a contract with the Commonwealth of Massachusetts Medicaid program. Enrollment in the plan depends on the plan’s contract renewal with Medicare. This plan is a voluntary program that is available to anyone 65 and older who qualifies for MassHealth Standard and Original Medicare and does not have any other comprehensive health Insurance, except Medicare. If you have MassHealth Standard, but you do not qualify for Original Medicare, you may still be eligible to enroll in our MassHealth Senior Care Option plan and receive all of your MassHealth benefits through our Senior Care Options (SCO) program.

Star ratings disclaimer

Every year, Medicare evaluates plans based on a 5-Star rating system. The 5-Star rating applies to plan year 2024.

Important provider information

The choice is yours

We will provide you with information to help you make informed choices, such as physicians' and health care professionals' credentials. This information, however, is not an endorsement of a particular physician or health care professional's suitability for your needs.

The providers available through this application may not necessarily reflect the full extent of UnitedHealthcare's network of contracted providers. There may be providers or certain specialties that are not included in this application that are part of our network. If you don't find the provider you are searching for, you may contact the provider directly to verify participation status with UnitedHealthcare's network, or contact Customer Care at the toll-free number shown on your UnitedHealthcare ID card. We also recommend that, prior to seeing any physician, including any specialists, you call the physician's office to verify their participation status and availability.

Some network providers may have been added or removed from our network after this directory was updated. We do not guarantee that each provider is still accepting new members.

Out-of-network/non-contracted providers are under no obligation to treat UnitedHealthcare plan members, except in emergency situations. Please call our customer service number or see your Evidence of Coverage for more information, including the cost- sharing that applies to out-of-network services.

American Disabilities Act notice

In accordance with the requirements of the federal Americans with Disabilities Act of 1990 and Section 504 of the Rehabilitation Act of 1973 ("ADA"), UnitedHealthcare Insurance Company provides full and equal access to covered services and does not discriminate against qualified individuals with disabilities on the basis of disability in its services, programs, or activities.

Referrals

Network providers help you and your covered family members get the care needed. Access to specialists may be coordinated by your primary care physician.

Paper directory requests

Paper copies of the network provider directory are available at no cost to members by calling the customer service number on the back of your ID card. Non-members may download and print search results from the online directory.

Inaccurate information

To report incorrect information, email provider_directory_invalid_issues@uhc.com. This email box is for members to report potential inaccuracies for demographic (address, phone, etc.) information in the online or paper directories. Reporting issues via this mail box will result in an outreach to the provider’s office to verify all directory demographic data, which can take approximately 30 days. Individuals can also report potential inaccuracies via phone. UnitedHealthcare Members should call the number on the back of their ID card, and non-UnitedHealthcare members can call 1-888-638-6613 / TTY 711, or use your preferred relay service.

Declaration of disaster or emergency

If you’re affected by a disaster or emergency declaration by the President or a governor, or an announcement of a public health emergency by the Secretary of Health and Human Services, there is certain additional support available to you.

  • Part A, Part B, and supplemental Part C plan benefits are to be provided at specified non-contracted facilities (note that Part A and Part B benefits must be obtained at Medicare certified facilities);
  • Where applicable, requirements for gatekeeper referrals are waived in full;
  • Plan-approved out-of-network cost-sharing to network cost-sharing amounts are temporarily reduced; and
  • The 30-day notification requirement to members is waived, as long as all the changes (such as reduction of cost-sharing and waiving authorization) benefit the member.

If CMS hasn’t provided an end date for the disaster or emergency, plans will resume normal operation 30 days after the initial declaration.