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New York, we've got you covered
The New York State Medicaid Managed Care Plan is offered through UnitedHealthcare Community Plan. It’s for New York State residents who meet the income or disability requirements.
Helping people is at the heart of all we do
All New Yorkers deserve affordable health care, including you. We offer many plans to help New Yorkers get healthy – and stay healthy. Our plans cover children, pregnant women, adults and people with disabilities.
Choose a plan that gives you more. UnitedHealthcare has a large provider network in New York. That gives you many options to choose the right doctors and specialists for you and your family. We also offer value added benefits and extras, which can make a real difference in your life.
Medicaid
UnitedHealthcare Community Plan
The New York State Medicaid Managed Care Plan is offered through UnitedHealthcare Community Plan. It’s for New York State residents who meet the income or disability requirements.
UnitedHealthcare Wellness4Me
The Wellness4me Plan is offered through UnitedHealthcare Community Plan. Wellness4Me is a Health and Recovery Plan, or HARP, approved by New York State. HARPs are a new kind of plan that provide Medicaid members with their health care, plus care for behavioral health, including Serious Mental Illness and Substance Use Disorders.
This plan is for New York residents age 21 and who qualify for Medicaid coverage.
Dual Special Needs plans
Children's Health Insurance Program
Child Health Plus
The New York State Child Health Plus program from UnitedHealthcare Community Plan is for children up to age 19. Members must be residents of New York and are not eligible for Medicaid or enrolled in or access to NYSHIP benefits. You can choose your child’s doctor. And your child gets many services to stay healthy.
Marketplace
Essential Plan
The Essential Plan is offered through UnitedHealthcare Community Plan. It's for lower income individuals in New York who meet the income or citizenship status requirements.
Starting June 1, 2021, there will be no monthly premium for Essential Plan coverage and all Essential Plan enrollees will have dental and vision benefits with no premium or cost sharing for covered services.
See why New Yorkers choose UnitedHealthcare
- Approximately 800 languages are spoken in New York City* — more than any other city in the world — and 4 in 10 households speak a language other than English
- The diversity of our employees helps us build strong relationships in the communities we serve, to help our members live healthier lives
- Large variety of network providers1
- No-cost virtual visits
- Prescription drugs
Make sure your primary care provider (PCP) is correct. The PCP listed on your member ID card is your assigned PCP. If you change your PCP, please contact Member Services. We’ll send you a new card with the updated PCP information.
Join the community wherever you are. Visit us on Facebook. The page includes ideas and insights for healthy living, and gives you a chance to connect with other members.
*Source: WorldAtlas
1Benefits, features, and/or devices vary by plan/area. Limitations, exclusions and/or network restrictions may apply. Other hearing exam providers are available in the UnitedHealthcare network. The plan only covers hearing aids from a UnitedHealthcare Hearing network provider.
It’s your health. It’s your choice.
Everyone deserves affordable health care, including you.
Working adults who don’t qualify for Medicaid may qualify for the
Essential Plan. Check out the Essential Plan offered through the New
York State of Health by UnitedHealthcare to see if you’re
eligible.
We have the coverage, benefits and extras that can make a real difference in your life. All at either a low cost or no cost to you.
- Open enrollment all year long
- No referrals needed for specialist
- Dental coverage
- Vision coverage
Sometimes, you might need a little extra help. If you aren’t eligible for Medicaid, the Essential Plan could be the right fit for you.
- All Essential Plans are now offering $0 premiums
- Dental and Vision are now included with zero cost share.
- Gym reimbursement up to $400 per year.
We also offer resources to help you make the most of your plan. Including:
- Member Advocates
- Social Services Support
- Nutrition Coaching
- Health Education Tools
- Care
Management
Visit nystateofhealth.ny.gov dot gov for more information.
Helping you live a healthier life. We are here for you, New York. Remember to choose UnitedHealthcare Community Plan.
And get the plan that gets you more.
To learn more about UnitedHealthcare Community Plan and all plans offered in New York, visit UHCCommunityPlan dot com forward slash ny.
New York Medicaid plans
- No- or low-cost
- Pregnant women and children
- Low-income individuals with families
New York Essential plans
- Low-income individuals with families
- Ages 19–64
- Don’t qualify for Medicaid or Child Health Plus
New York Dual Special Needs plans
- Low-cost
- 65 years and older
- People with disabilities
- U.S. citizens or legal residents
- Live in the plan’s coverage area
Featured programs
Medicaid: More for you in 2024
The New York State Medicaid Managed Care Plan is offered through UnitedHealthcare Community Plan. It’s for New York State residents who meet the income or disability requirements.
Covered doctor visits:
- Annual wellness visits
- Well-child visits (HealthCheck)
- Primary care provider (PCP) visits
- Specialists visits
Standard services:
- Emergency and urgent care
- Hospital services
- Immunizations
- Pregnancy care
Other covered services:
- Mental health and substance use treatment
- Care management
- Diabetes supplies
- Hearing services
- Vision care
Dual Special Needs plans in 2024
New Yorkers on a UnitedHealthcare Dual Special Needs plan (or dual health plan) get many extra benefits beyond those you get with either Original Medicare or Medicaid.
That includes:
- A monthly credit to buy healthy food and OTC products or pay utility bills
- $0 copay on covered generic and brand-name prescriptions including home delivery
- Meals delivered to
your door after every inpatient hospital stay
Essential Plans in 2024
You may qualify for low- or no-cost health care. The Essential Plan offered through NY State of Health by UnitedHealthcare® Community Plan is for lower-income individuals in New York, ages 19–64, who don’t qualify for Medicaid or Child Health Plus.
What does it include?
- Dental care
- Routine eye exams, including glasses
- Hearing exams and hearing aids
- Prescription drugs
- Vaccines, screenings and more
Healthy First Steps®
The Healthy First Steps team is here for you. Our program will help you take the right steps to keep you and your baby healthy.
We’ll help you:
- Choose a pregnancy provider and a pediatrician (child’s doctor)
- Schedule visits and exams and arrange rides to your visits
- Get supplies, including breast pumps for nursing moms
- Connect with community resources such as Women, Infants and Children (WIC) services
- Childbirth education
reimbursement*
Dual Special Needs plan transportation
If you live in Nassau or Suffolk County, you can get rides to and from doctor visits by calling ModivCare Solutions at 1-844-678-1103, TTY 711. If you live in a different county, call 1-844-666-6270, TTY 711. Your local Medical Answering Services will provide transportation.
Nurseline
