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Don't lose benefits
You may need to renew your healthcare coverage soon. If you haven't already, you may need to complete an annual renewal to keep your current UnitedHealthcare Community plan and your MO HealthNet benefits.
UnitedHealthcare Community Plan - MO HealthNet Managed Care
Medicaid
The UnitedHealthcare Community Plan – MO HealthNet Managed Care offers a range of benefits. It’s for children, families, pregnant women and adults who meet income requirements. We also offer support to adults with special health care needs. View the benefits below to see all that our health plan offers.
This plan is available in the following counties:
Adair, Andrew, Atchison, Audrain, Barry, Barton, Bates, Benton, Bollinger, Boone, Buchanan, Butler, Caldwell, Callaway, Camden, Cape Girardeau, Carroll, Carter, Cass, Cedar, Chariton, Christian, Clark, Clay, Clinton, Cole, Cooper, Crawford, Dade, Dallas, Daviess, DeKalb, Dent, Douglas, Dunklin, Franklin, Gasconade, Gentry, Greene, Grundy, Harrison, Henry, Hickory, Holt, Howard, Howell, Iron, Jackson, Jasper, Jefferson, Johnson, Knox, Laclede, Lafayette, Lawrence, Lewis, Lincoln, Linn, Livingston, Macon, Madison, Maries, Marion, McDonald, Mercer, Miller, Mississippi, Moniteau, Monroe, Montgomery, Morgan, New Madrid, Newton, Nodaway, Oregon, Osage, Ozark, Pemiscot, Perry, Pettis, Phelps, Pike, Platte, Polk, Pulaski, Putnam, Ralls, Randolph, Ray, Reynolds, Ripley, Saline, Schuyler, Scotland, Scott, Shannon, Shelby, St. Charles, St. Clair, St. Francois, St. Louis, St. Louis City, Ste. Genevieve, Stoddard, Stone, Sullivan, Taney, Texas, Vernon, Warren, Washington, Wayne, Webster, Worth, and Wright.
- UnitedHealthcare Community Plan - MO HealthNet Managed Care
To report a change in address
If you have a change in address please report this change with MO Healthnet. It is important so they can contact you with information about your coverage.
To make a change go here: Welcome to myDSS | mydss.mo.gov and click the “Report a Change” icon.
Find providers and coverage for this plan.
Search for doctors, hospitals and specialists.
Find medications covered by this plan.
Find a pharmacy near you.
Benefits & features
Asthma Care
Do you or a family member have trouble managing asthma symptoms?
You will get a customized treatment plan and medicine to:
- Manage flare-ups.
- Reduce symptoms.
- Help you stay active.
Babyscripts
Earn great rewards:
- The Babyscripts program rewards you for going to your prenatal and postpartum visits
- Earn up to 3 rewards in all
- Get a gift card just for signing up
To sign up, visit the Apple App Store® or Google Play™ store on your smartphone. Download the Babyscripts myJourney app. Or call 1-800-599-5985, 8 a.m.–5 p.m., Monday–Friday. It’s that simple.
Behavioral Health and Substance Use Services
Inpatient, residential and outpatient services for behavioral health and substance use are covered. The type, amount and length of services provided will be based on the level of your needs. These services are part of your MO HealthNet Managed Care benefits.
Care Management
When a member has complex health care needs, a care manager can really help. He or she will:
- Work with you and family members and friends on a plan of care.
- Explain medical terms in plain language.
- Coordinate your doctor appointments.
- Provide your care team with your medical records.
- Make a referral to community social service programs.
Choice of Birth Center
Where you have your baby is an important choice. That's why you can pick from our large network of hospitals or Birthing Center.
We also encourage you to tour the hospital's birthing center. This way you will be familiar with it and be better informed when you have your baby.
Choice of Doctor
Each member can choose a primary care provider (PCP). Use the Doctor Lookup tool to see if your doctor is in our network.
The PCP is the main doctor for:
- Preventive care.
- Treatment if you are sick or injured.
- Care coordination with specialists.
For members who don’t have a doctor or whose doctor is not in our network, member services can help find a new one close by.
Disease Management
If you have chronic or high-risk illnesses, our disease management services are designed to support you.
Doctor Chat
As a UnitedHealthcare member, 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 to answer any questions. Learn more here.
Equipment and Supplies
Our member's health and safety at home are important.
MO HealthNet Managed Care covers medical equipment ordered by the doctor or care manager. This can include supplies like:
- Oxygen tanks.
- Hospital beds.
- Wheelchairs or walkers.
Home Care
After surgery or a serious illness, you may need in-home medical visit(s) to check on how well you are healing.
MO HealthNet Managed Care covers:
- In-home medical visit(s).
- Medical equipment like hospital beds, walkers or wheelchairs.
- Disposable medical supplies.
Hospitalization
MO HealthNet Managed Care covers expenses related to a hospital stay, so our members can rest and heal.
Hospitalization coverage includes:
- Nursing care.
- Room and board.
- Supplies and equipment.
- Treatment and therapies.
- Diagnostic tests and exams.
And after leaving hospital, we can provide transitional care services. MO HealthNet Managed Care makes sure you get follow-up care to continue healing at home.
Interpreters
You and your doctor need to understand each other. We have interpreters for you if your provider does not speak your language. We also have qualified American Sign Language interpreters available. This is provided at no cost to you when you speak to us, your provider, or Nurse Hotline.SM
We provide aids and services to people with disabilities at no cost to you to help you communicate with us. Such as, letters in other languages or large print, audio, accessible electronic formats, other formats. Or, you can ask for an interpreter if English is not your primary language. Qualified American sign language interpreters are also available at no cost. To ask for help, please call the toll-free member phone number listed on your health 1-866-292-0359, TTY 711, Monday through Friday, 8:00 a.m. to 5:00 p.m.
Lab and X-rays
Knowing what's wrong and finding it early can make all the difference. MO HealthNet Managed Care 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.
Language Help
Members can get printed information in their preferred language. You will get member materials in English and Spanish. We can give you member materials in a language or format that is easier for you to understand. We also have qualified American sign language interpreters available. Just ask.
We provide aids and services to people with disabilities at no cost to you to help you communicate with us. Such as, letters in other languages or large print, audio, accessible electronic formats, other formats. Or, you can ask for an interpreter if English is not your primary language. Qualified American sign language interpreters are also available at no cost. To ask for help, please call the toll-free member phone number listed on your health 1-866-292-0359, TTY 711, Monday through Friday, 8:00 a.m. to 5:00 p.m.
Member Services
Sometimes you might need a little help understanding your health care options. Call us. We'll answer your questions simply and completely.
We help you find:
- Doctors.
- Pharmacies.
- Hospitals or other health facilities.
- Local resources.
No Copays
You will not have a copayment for care and services covered by MO HealthNet Managed Care.
This includes in network services:
- Visits to doctors
- Treatments at hospitals and clinics.
- Behavioral Health and Substance Use.
- Home medical equipment and supplies to help you be at your best.
Nurse Hotline
Medical questions and situations can come at inconvenient times. When you have questions about your health, you can call a nurse 24 hours a day, 7 days a week.
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.
Pharmacy
All pharmacy benefits are covered by MO HealthNet Fee-for-Service. For more information:
Please contact 1-800-392-2161 or visit the MO HealthNet website at www.dss.mo.gov.
Prenatal Visits
Your pregnancy is a journey you'll want to make with the help of friends, family and a pregnancy doctor.
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.
Quitting Tobacco
Most people know the bad health effects of smoking. And they know they need to quit. That's why we encourage members to talk to their doctor about getting smoking cessation support. UnitedHealthcare Community Plan covers counseling when you enroll with Quit for Life. Medication for smoking cessation is available. Call 1-800-784-8669.
Shots and Vaccines
Routine shots help protect members and their family from illness. MO HealthNet Managed Care covers:
- Pneumonia, influenza and shingles shots.
- Vaccines and Immunizations. Routine shots to help keep your child healthy.
- Other recommended shots and vaccines.
Therapy Services
Physical, occupational and speech therapy can help you recover from a serious injury or illness, or simply reach your full potential.
For children under age 21 and for pregnant women, MO HealthNet Managed Care provides:
- Occupational therapy.
- Physical therapy.
- Speech therapy.
Transplant Services
Covered when ordered by a network physician.
Transportation
Members get unlimited trips to the following:
- Doctors and providers
- Dentists
- Pharmacies
- WIC
- Grocery stores
- Food pantries
- Weight management classes or programs
- YMCA or local gym
- Job and career training
- If you’re pregnant, substance abuse services
- Learn more here
Members and Member’s family and friends (if helping the member with a ride) can submit a form for gas mileage reimbursement. You can find the form here. Note: The form must be signed off by the correct medical personnel to receive reimbursement.
Unlimited Primary Care Provider Visits
There may be times when a member's health requires repeated doctor visits. Our plan does not limit the number the number of visits to a primary care provider (PCP). This way the members get the care they need. And the doctor can see how their health is progressing.
Vision Care
You'll get the care, eyeglasses and treatment that help you see better. Coverage includes:
- One eye exam every 24 months for members 21 and over.
- One eye exam every 12 months for children under 21 and pregnant women.
- One pair of frames and lenses ever 24 months.
This benefit is offered by MARCH Vision Care.
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.
There are no copayments for preventive care.
