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Healthy Louisiana Plan Lookup Tools

Click here to find PCPs and Specialists who are in network.

Effective March 1, 2022 - The Office of Behavioral Health has launched the Louisiana Crisis Response System, which includes: Mobile Crisis Response and Community Brief Crisis Support. Learn more about these services. 

UnitedHealthcare Community Plan provides members access to specialized behavioral health services which include mental health and substance use treatment. We're dedicated to improving your health and well-being. Certain groups of members may be covered for different services. Those groups are:

  • Members who receive physical and behavioral health services from UnitedHealthcare.
  • Members who receive only behavioral health services and non-emergency ambulance transportation from UnitedHealthcare.
  • Members who receive behavioral health and non-emergency medical transportation from UnitedHealthcare.
  • CSoC (Coordinated System of Care) members who receive only physical health services from UnitedHealthcare.
  • Applied Behavior Analysis (ABA) for children under the age of 21. ABA therapy is the design, implementation, and evaluation of environmental modifications using behavioral stimuli and consequences to produce socially significant improvement in human behavior, including direct observation, measurement, and functional analysis of the relations between environment and behavior. ABA-based therapies teach skills through the use of behavioral observation and reinforcement or prompting to teach each step of targeted behavior. ABA-based therapies are based on reliable evidence and are not experimental.

To learn more about your eligibility and plan options, contact Louisiana Healthy Louisiana at 1-855-229-6848.  Member Services is also available to speak with you at 1-866-675-1607, TTY: 711, Monday through Friday 7:00 a.m. – 7:00 p.m. We are here to help you get the care that you need.

We're dedicated to improving your health and well-being. Members have access to specialized behavioral health services, which includes mental health and may include substance use treatment. Coverage services may vary based on eligibility. 

Search for providers, clinics and treatment centers

Important Information

Member Services:
Toll-Free:  1-866-675-1607, TTY: 711
Available 7:00 a.m. – 7:00 p.m. Monday – Friday, excluding state holidays

Nurse Hotline:
1-877-440-9409
Available 24 hours a day, 7 days a week

Crisis Line Information

Mental Illness and Addiction Crisis Line
Toll-free:  1-866-232-1626, TTY: 711
Available 24 hours a day, 7 days a week

UnitedHealthcare Community Plan provides a 24 hours a day/7 days a week Mental Illness and Addiction Crisis Line at 1-866-232-1626, TTY: 711. Members are encouraged to call the Crisis Line if you are or know someone who is experiencing a behavioral health crisis, such as:

  • Experiencing anxiety or loneliness
  • Having symptoms of mental illness, alcohol or drug use
  • Considering suicide

Don't wait. You should call 911 or go to the nearest hospital if you are having a life-threatening emergency.  Prior authorization is not required for emergency services.

Links to Specialized Behavioral Health Information

Need help dealing with stress, anxiety, depression or other mental health issues? Here are resources and services that may be helpful to you.

LA Office of Behavioral Health
The Office of Behavioral Health (OBH) ensures care and support to improve quality of life for people with mental illness and addictive disorders.

Coordinated System of Care (CSoC)
A philosophy and approach where children with significant mental health and substance use treatment challenges receive the needed services and supports within their homes and communities. CSoC involves:

  • Wraparound facilitation (WF) – Wraparound Facilitation is a process where you meet face to face with a staff person, who will help you and your child make decisions about supports and services that you and your family may need to reach your goals.  The meetings always include the child or youth, and parent/guardian, and may also include other family members, providers, and anyone who is involved with the youth or family, with the family's approval.; and
  • Wraparound Agencies (WAA) – The WAA is responsible for facilitating the wraparound process, developing individualized POCs that cross agencies and assigning one accountable individual to coordinate care. Children and families enrolled in CSoC are eligible to receive:
    • Crisis stabilization
    • Parent support and training
    • Youth support and training
    • Independent living/skills building
    • Short term respite care

Resources

Recovery and Resiliency Services and Support - Recovery is a journey of healing, which allows a person to live a meaningful life in a community of his or her choice. It means striving to achieve your full potential. Resiliency is our own personal ability to bounce back from life's obstacles. As our member, you have access to these resources:

Recovery Coach – someone who's walked the same path you're now taking. Plus, he or she has received training to provide the support you may need. Your recovery coach will get to know you and be there for you every step of the way.

Peer Coaching Services – a form of community support services aimed at helping adults with mental health and substance use treatment conditions. The services aim to help you feel empowered and engaged in your recovery or help parents of children with mental health and substance use treatment issues navigate the health care system and better support their children.

Peer Support – a good way to learn is to connect with people who offer peer support. You also can:

  • Ask your mental health provider for more information.
  • Use the Internet to search for the information you want.
  • Call Member Services at 1-866-675-1607, TTY: 711.

Online Resources and Face-to-Face Support Groups

Liveandworkwell.com
Liveandworkwell is a member and family resource site for UnitedHealthcare Community Plan members with behavioral health benefits. The site provides confidential access to professional care, self-help programs, interactive tools and educational resources to help with life's changes and challenges.

Suicide Hotline
1-800-273-8255 (1-800-273-TALK)
Spanish Language line — 1-888-628-9454
This resource also supports over 150 languages.

Veterans Crisis Line
Are you in the armed services, a veteran or an armed services family member? Prefer to speak with someone from the military?
1-800-273-8255 and Press 1
Send a text message to 838255 to receive confidential support 24 hours a day, 7 days a week, 365 days a year.

LGBTQ Youth
Need someone who understands the issues facing LGBTQ youth?

  • 1-866-488-7386
  • Parents with Young Children: Talking with another parent can be helpful. Find a local advocate and Parent Support Provider here.

Fraud and Abuse

Anyone can report potential fraud and abuse. If you become aware of fraud or abuse, report it using one of the following:

Mail to: 
Medicaid Program Integrity
Attn: Medicaid Fraud Control Unit
P.O. Box 91030
Baton Rouge, LA 70821-9030

Fax to: Fraud Reporting Fax Line 1-225-219-4155

Starting December 2, 2024

UnitedHealthcare will work with Prime Therapeutics State Government Solutions (Prime Therapeutics) — LDH’s Pharmacy Benefit Manager (PBM) — to provide your pharmacy benefits.

Prime Therapeutics will process your prescription claims, manage your prescription coverage, and may cover other medicines with prior approval. If your drug does need prior approval, your PCP can request it for you.

For all pharmacy related questions and needs contact Prime Therapeutics at 1-800-424-1664. You can access a list of preferred drugs at www.ldh.la.gov/HealthyLaPDL.

As of 1/15/2021 CVS pharmacies will no longer be in our UnitedHealthcare Community Plan pharmacy network. If you need help finding a new pharmacy, please use the link below or call us at 1-866-953-0086 (TTY 711).

Search for a Pharmacy.


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: 12.11.2024 at 11:43 AM CST

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.