A healthy mom is more likely to have a healthy baby.  Pregnancy is an important time for women to take good care of themselves and their unborn baby.  We have a special program for pregnant members.  Our Healthy First Steps program gives pregnant women information, education and support during pregnancy. 
Pregnant members can enroll in Healthy First Steps by calling 1-800-599-5985

If you have asthma, diabetes or another chronic condition, you can depend on us. Our plan helps you get the care, support and services you may need. Benefits include:

• Mental Health and Substance Abuse Services. Counseling and other treatments are covered.
• Care Management. Personal support from an experienced professional.
• Asthma Care. Exams, testing and supplies are covered for asthma and other lung diseases.
• Kidney Disease Care. Dialysis, medicine and treatments are covered.

As a member of UnitedHealthcare Community Plan, you can also receive flexible benefits, rewards, and incentives. These unique services are offered, in addition to your Medicare/Medicaid covered services, to benefit your health and everyday life. Including Vision Care and Dental.

• Vision Care. Eye exams are covered once every 24 months for members.
• Dental. We pay for an exam once every 12 months for members over the age of 21.

You get medical care and equipment you may need to live safely at home. Benefits include:

• Equipment and Supplies. In-home medical and safety equipment are covered.
• Care Coordinator. Someone to get you the services after surgery or illness.
• Home Health Care. Medical and personal care in your home, if needed.

Sometimes members need a little extra help using their health plan. For those times, they can rely on:

• Members Matter. Someone to help you get the most from your plan.
  
• Language Help. Connect to a translator through Member Services.
• Transportation. Please contact the below telephone number to access nonemergency medical transportation services (NEMT) for rides to covered medical services or pharmacy locations.
  • 1-866-426-6607 8:00 am.-5:00 p.m. Monday - Friday (TTY: 1-866-288-3133 8:00 a.m. - 5:00 p.m., Monday - Friday)
  • Flexible Benefits, Rewards, and Incentives: The plan also offers additional rides to noncovered medical or pharmacy locations such as non-waiver dental visits, UHC member events, or to providers that do not have a TPI. Please use the same number to schedule rides.

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

If your need for long‑term care has been determined by Texas Medicaid, Adult Day Care can provide:

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

Individual care to help you control asthma or COPD symptoms.

Do you have trouble managing asthma or COPD symptoms? A nurse who specializes in breathing issues could help. You’ll get a customized treatment plan and medicine to help:

• Manage flare-ups.
• Reduce symptoms.
• Stay active.

From regular checkups to preventive health screenings, we want to make sure you get access to the right care at the right time.

You get a primary care physician (PCP) who is your main doctor. 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.
• Denture and denture repair 

Coverage begins at age 45 and the frequency of coverage is the same as Medicare.

• Covered for women who undergo prenatal diagnostic procedures, and products of conception resulting from recurrent miscarriage.
• Exceptions to the one-per-lifetime limitation may be made with documentation of medical necessity (e.g., subsequent pregnancies).
   

Checkups, routine and emergency care are covered.

The health and safety of our members at home are important.

Our plan covers some medical equipment ordered by a member's doctor or case manager. This can include:

• Walkers
• Wheelchairs
• Hospital beds

Read about all the extras you could get as a UnitedHealthcare Connected member in the community: English | Spanish 

We provide the exams and treatments needed to help keep your feet in great shape. And for those with 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.
• Therapeutic shoes and inserts for members with diabetes.

Trouble hearing can affect a person’s everyday life in many ways.  Our plan includes services and support to help protect hearing.

We cover:

• Exams, therapy and tests.
• Hearing aids and accessories.
• Other hearing exam providers are available in the UnitedHealthcare network. The plan only covers hearing aids from a UnitedHealthcare Hearing network provider.

This plan pays for most expenses related to a hospital stay. This way you can rest and heal.

Our plan covers these services and more:

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

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

Sometimes the basics are hard to do yourself after an illness or injury. If needed, we provide someone to help with:

• Dressing
• Bathing
• Feeding

You and your doctor need to understand one another. We can explain information in English or in your native language. If you are visually or hearing impaired, special help can be provided.

Our plan includes prescription drugs and refills for prescriptions written by your doctor or specialist. Thousands of drugs are covered.

You pay only a co-pay amount, if needed, and you can get your prescription drugs at any in-network pharmacy.

Sometimes you might need a little help understanding your health care options. With us, you have someone you can call 24/7. We’ll answer your questions simply and completely.

We can also help you find:

• Home care providers.
• Dentists and vision providers.
• Adult Day Health Centers.

Get help with personal problems that may affect your mental or physical health. These may include depression, anxiety or drugs and alcohol abuse. Our services also include: 

• Therapy
• Counseling
• Medications

Online mental health resources: Access to LiveandWorkWell.com, which provides access to article resources, and provider searches.

While you pay nothing for covered services, you get:  

• Treatments at hospitals and clinics.
• Prescription drugs and over-the-counter medicines.

Medical questions and situations 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.
• Nurse Advice Line not for use in emergencies, for informational purposes only.

You know the bad health effects of smoking. You know you need to quit. We will support you while you quit with coaches and supplies. The only thing you won't get from us is a lecture.

Do you have family members or friends who care for you at 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.

Our members' safety is our focus. For members who need extra care, like after a major illness, we'll visit them at home to make sure they're doing okay.

During this visit we:

• See if the residence needs minor modifications, such as ramps and bathroom safety devices.
• Set up emergency monitoring.
• Arrange for a personal care attendant, if needed.

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

Our plan covers visits for:

• Occupational therapy
• Physical therapy
• Speech therapy
• In-home therapy

Whether you live in the city or in the country, rides are available. Our plan provides round trips to and from plan locations. This includes trips to and from the pharmacy to fill your prescriptions.

It can be easy to use your ride benefit:

• As a member of UnitedHealthcare Community Plan, your health plan coverage includes non-emergency transportation to health care services. This includes rides for covered trips to a doctor, a dentist, a drug store, and other places you get Medicaid services.
• Our Transportation Services will work with you to meet your unique transportation needs. They provide dependable rides and excellent personal service. There is no extra cost to you.

Scheduling a ride can be easy.

Call 1-866-427-6607,
8 a.m.–5 p.m. CT (7 a.m.–4 p.m. MT)
Monday–Friday

Eye Exams are covered once every 24 months for members.