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UnitedHealthcare Community Plan of Virginia - Cardinal Care
Medicaid
Keeping our families healthy is a top priority for UnitedHealthcare. UnitedHealthcare works with the State of Virginia to provide high-quality health care coverage. Our Cardinal Care Medicaid plan covers eligible families, pregnant women, infants, children and adults. The plan also offers extra support and care to adults and children with a disability, long-term illness or special health care needs.
UnitedHealthcare Community Plan of Virginia offers a range of
benefits along with extras that other plans don’t cover.
This plan is available in the following counties:
Accomack, Albemarle, Alexandria City, Alleghany, Amelia, Amherst, Appomattox, Arlington, Augusta, Bath, Bedford, Bedford City, Bland, Botetourt, Bristol, Bristol City, Brunswick, Buchanan, Buckingham, Buena Vista City, Campbell, Caroline, Carroll, Charles City, Charlotte, Charlottesville City, Chesapeake City, Chesterfield, Clarke, Colonial Heights City, Covington City, Craig, Culpeper, Cumberland, Danville City, Dickenson, Dinwiddie, Emporia City, Essex, Fairfax, Fairfax City, Falls Church City, Fauquier, Floyd, Fluvanna, Franklin, Franklin City, Frederick, Fredericksburg City, Galax City, Giles, Gloucester, Goochland, Grayson, Greene, Greensville, Halifax, Hampton City, Hanover, Harrisonburg City, Henrico, Henry, Highland, Hopewell City, Isle of Wight, James City, King George, King William, King and Queen, Lancaster, Lee, Lexington City, Loudoun, Louisa, Lunenburg, Lynchburg City, Madison, Manassas City, Manassas Park City, Martinsville City, Mathews, Mecklenburg, Middlesex, Montgomery, Nelson, New Kent, Newport News City, Norfolk City, Northampton, Northumberland, Norton City, Nottoway, Orange, Page, Patrick, Petersburg City, Pittsylvania, Poquoson City, Portsmouth City, Powhatan, Prince Edward, Prince George, Prince William, Pulaski, Radford City, Rappahannock, Richmond, Richmond City, Roanoke, Roanoke City, Rockbridge, Rockingham, Russell, Salem, Salem City, Scott, Shenandoah, Smyth, Southampton, Spotsylvania, Stafford, Staunton City, Suffolk City, Surry, Sussex, Tazewell, Virginia Beach City, Warren, Washington, Waynesboro City, Westmoreland, Williamsburg City, Winchester City, Wise, Wythe, and York.
- UnitedHealthcare Community Plan of Virginia - Cardinal Care
Find providers and coverage for this plan.
Search for doctors, hospitals, behavioral health and other specialists.
Find medications covered by this plan.
Search for behavioral health providers and resources.
Find a dentist near you.
Find a pharmacy near you.
Benefits & features
Get the care you need to stay healthy — or to get better if you are injured or sick. Member benefits include:
- Choice of Doctor. Find a doctor you trust in our network.
- Hospitalization. You pay nothing for care in a hospital.
-
Lab and X-rays. Lab tests, x-rays and diagnostic
imaging are covered.
-
Medicines. Fill prescriptions at local
pharmacies.
-
No Copays. There are no copays for covered
drugs.
-
NurseLine. Speak with a registered nurse
24/7.
-
Pregnancy Care. Extra care and support for both
you and your baby.
-
Shots and Vaccines. Routine shots to help protect
against illness.
-
Therapies. Physical or other therapy to help you
be your best.
-
Transportation. We pay for rides to and from
medical visits and the pharmacy.
-
Virtual Care/UHC Doctor Chat. Chat with a doctor
24/7.
-
Vision Care. Covers eye exams and glasses every
two years. Members under 20 may qualify for glasses every
year.
-
Well Visits. Annual physical exams, checkups,
shots and lab tests.
-
Unlimited Doctor Visits. See your doctor as often
as needed.
-
Urgent Care. Convenient care for a sudden illness
or injury.
It’s not always easy to visit a doctor in person. Virtual visits (or telehealth) let you talk to a doctor 24/7 using your computer, tablet or smartphone. Telehealth is a good option to treat common conditions that have standard treatments. Here are some examples:
- Cold, flu, and fever
- Cough, aches, and sore throat
- Allergies, skin rash, and irritation
- Urinary tract/bladder infection
- Ear infections
- Sinus infections
- Migraine/headache
- And more
To download the app, search for “UHC Doctor Chat” on the App Store®
or Google Play®, or visit www.uhcdoctorchat.com.
Mental health is as important as physical health. That's why we have coverage for both. This includes:
- Comprehensive evaluation and assessment services
- Mental health, addiction, and recovery treatment
- Medication management
- Person-centered care
planning and coordination
- You or a loved one may
experience a mental health crisis and need extra support. Benefits
include:
- Short-term crisis response programs
- Referral and linkage to other community-based
services
- Mental health case management
- Short-term crisis response programs
- Your child may also benefit from specialized
care. Services for qualifying members include:
- Home-based or community-based assessment and
treatment
- Treatment foster care case
management
- Therapeutic day treatment
- Residential treatment and therapeutic group homes
- Home-based or community-based assessment and
treatment
An ounce of prevention can be worth a pound of cure. It can also be worth great rewards.
Earn great gifts for you or your child by doing things like:
- Completing well-child exams
- Getting lab tests
- Recording the family's health activities
Sometimes you might need a little extra help using your health plan. For those times, you can rely on:
- Transportation. We pay for rides to and from medical visits or the pharmacy.
- NurseLine℠ Call our nurses for advice 24/7.
- Interpreters. An interpreter can go with you to medical visits.
- Language Help. Translated medical materials are available at no cost.
- Member Services. Your benefit questions are answered 24/7.
Below are a few additional benefits and services. Our full list can be found here. English | Español
- One Pass Fitness - Unlimited access for members age 18 and up to 300+ gyms and Premium YMCAs in Virginia over 20,000 digital on-demand and livestream classes
- Sticks for Kicks Plus! - Vaccine incentives up to $50 at Footlocker or Walmart for members up to age 18
- Pregnancy Support - Up to $100 in gift card rewards, connections to helpful information and community services, and extra support during and after pregnancy
- Home meals delivered - 14 free meals conveniently delivered to a member's home after a hospital stay
- Mental health support (AbleTo) - The #1 app for stress, anxiety and depression, with over 3.5 million users.
- WW (Weight Watchers) vouchers - Attend 13 Weight Watchers meetings per year for qualified members ages 18 and up - at no cost
- Housing transition assistance - $40 gift cards to reimburse housing application fees
- Routine vision - 1 routine eye exam every year for ages 20 and under; 1 routine eye exam every 2 years for ages 21+
- Menstrual supplies - Eligible members ages 11–49 can receive free period- absorbing underwear
- Rides to non-medical sites - Get round-trip rides to places of worship, grocery stores, public libraries, gym/fitness centers and other approved locations (12 round-trip rides per year)
- GED support - GED support Study plans, online testing and free 24/7 tutoring for members who want to get a diploma
- Boys & Girls Club - Registration/membership at no cost for members up to age 18; excludes summer camp
- Smartphone - Free smartphone with unlimited minutes and texts, plus 10 GB of free mobile hotspot data
- Asthma Support - Free hypoallergenic mattress cover and pillowcase for members with asthma
Interactive phone application to help manage stress, anxiety, and depression. For enrollment information please visit the AbleTo website.
Free registration fee at a participating Boys and Girls Club of America.
- For all school-aged members between the ages of 5 and 18
- Present your United ID card at the time of registration
Call Member Services for participating clubs.
Care management, as needed
- If you have significant health care needs, you will receive care management. Care management helps to improve the coordination between your different providers and the services you receive.
- A care manager is someone from UnitedHealthcare Community Plan with special health care expertise who works closely with you, your providers, family members, and other people in your life to understand and support your needs and goals.
We cover chiropractic services for Medicaid members under age 21 when medically necessary. Members over age 21 can get up to six visits a year with an in-network chiropractor.
Each member can choose a primary care provider (PCP). Use the Doctor Lookup tool to see if your doctor is in our network.
Your PCP is your main doctor for:
- Preventive care.
- Treatment if you are sick or injured.
- Referrals to specialists for certain conditions.
For members who don’t have a doctor or whose doctor is not in our
network, we can help find a new one close by.
Dental care is managed by DMAS. The Dental Benefits Administrator, DentaQuest, provides dental services for adults and children. For more information, call Member Services at 1-844-368-7151, and say "Dental" when prompted or visit dmas.virginia.gov/dental
If you have diabetes, we'll help make life a little easier for you. You'll get medicine, supplies and education to help you reach and stay your best.
Our diabetes program also includes self-care training and classes focused on:
- Planning healthy meals
- Managing stress
- Living a healthy lifestyle
Your vision and eye care is important. Vision care covers eye exams and glasses every two years. Members under 20 may qualify for glasses every year.
Visit March Vision or call 855-476-2724 for more information.
We offer round trips rides at no cost to you to places of worship, gyms, Department of Motor Vehicles, grocery stores, and Medicaid eligibility offices.
Free smartphone with unlimited minutes and texts; 10 GB of free mobile hotspot data
Our plan covers:
- Nursing care
- Room and board
- Supplies and equipment
- Treatment and therapies
- Diagnostic tests and exams
And after leaving the hospital, a member is not alone. We make sure
the follow-up care is available to continue healing at home. We offer
up to 14 free meals after your hospital stay.
Sometimes you might need a little help understanding your health care
options. You can call Member Services at 1-844-368-7151, Monday – Friday, 8 am - 8
pm, local time. We will be happy to help.
There are no copayments for:
- Preventive care
- Annual checkups
There is never a copayment for prescription drugs, medical, or vision care.
While your family’s health care is low-cost or free, the care quality is high. You get:
- Visits to doctors in our network
- Treatments at hospitals and clinics
- Prescription drugs and
over-the-counter medicines
Medical questions and situations sometimes happen at inconvenient times. When you have questions about your health, you can call a nurse 24 hours a day, 7 days a week: 1-877-440-9407 (TTY 711).
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.
Free access to 300+ gyms/local YMCAs and over 14,000 virtual fitness options for members age 18+
- Choice of doctors. Find a doctor or OB/GYN you trust in our network.
- Healthy First Steps®. Get extra support and
rewards to keep you and your baby healthy.
- Prenatal
visits. Care for you before your baby is born.
- Community Doulas. Community Doulas are community based and
offer emotional, physical and informational support services to
pregnant women throughout their pregnancy, at labor and delivery and
after delivery. You just need a referral from a provider.
- Text4baby. Receive text messages with helpful tips and
reminders.
You know the bad health effects of smoking. You know you need to quit. We support you while you quit with coaches and supplies. The only thing you won't get from us is a lecture.
Whether you live in the city or in the country, rides are available. Our plan provides up to 12 round trips to and from plan locations. This includes trips to and from the pharmacy to fill your prescriptions.
AbleTo
Interactive phone application to help manage stress, anxiety, and depression. For enrollment information please visit the AbleTo website.
Boys and Girls Club
Free registration fee at a participating Boys and Girls Club of America.
- For all school-aged members between the ages of 5 and 18
- Present your United ID card at the time of registration
Call Member Services for participating clubs.
Care manager
Care management, as needed
- If you have significant health care needs, you will receive care management. Care management helps to improve the coordination between your different providers and the services you receive.
- A care manager is someone from UnitedHealthcare Community Plan with special health care expertise who works closely with you, your providers, family members, and other people in your life to understand and support your needs and goals.
Chiropractic services
We cover chiropractic services for Medicaid members under age 21 when medically necessary. Members over age 21 can get up to six visits a year with an in-network chiropractor.
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.
Your PCP is your main doctor for:
- Preventive care.
- Treatment if you are sick or injured.
- Referrals to specialists for certain conditions.
For members who don’t have a doctor or whose doctor is not in our
network, we can help find a new one close by.
Dental care
Dental care is managed by DMAS. The Dental Benefits Administrator, DentaQuest, provides dental services for adults and children. For more information, call Member Services at 1-844-368-7151, and say "Dental" when prompted or visit dmas.virginia.gov/dental
Diabetes care
If you have diabetes, we'll help make life a little easier for you. You'll get medicine, supplies and education to help you reach and stay your best.
Our diabetes program also includes self-care training and classes focused on:
- Planning healthy meals
- Managing stress
- Living a healthy lifestyle
Eye care
Your vision and eye care is important. Vision care covers eye exams and glasses every two years. Members under 20 may qualify for glasses every year.
Visit March Vision or call 855-476-2724 for more information.
Free round-trip rides (social trips)
We offer round trips rides at no cost to you to places of worship, gyms, Department of Motor Vehicles, grocery stores, and Medicaid eligibility offices.
Free smartphone
Free smartphone with unlimited minutes and texts; 10 GB of free mobile hotspot data
Hospitalization
Our plan covers:
- Nursing care
- Room and board
- Supplies and equipment
- Treatment and therapies
- Diagnostic tests and exams
And after leaving the hospital, a member is not alone. We make sure
the follow-up care is available to continue healing at home. We offer
up to 14 free meals after your hospital stay.
Member services
Sometimes you might need a little help understanding your health care
options. You can call Member Services at 1-844-368-7151, Monday – Friday, 8 am - 8
pm, local time. We will be happy to help.
No copays
There are no copayments for:
- Preventive care
- Annual checkups
There is never a copayment for prescription drugs, medical, or vision care.
While your family’s health care is low-cost or free, the care quality is high. You get:
- Visits to doctors in our network
- Treatments at hospitals and clinics
- Prescription drugs and
over-the-counter medicines
Nurse hotline
Medical questions and situations sometimes happen at inconvenient times. When you have questions about your health, you can call a nurse 24 hours a day, 7 days a week: 1-877-440-9407 (TTY 711).
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.
OnePass fitness benefit
Free access to 300+ gyms/local YMCAs and over 14,000 virtual fitness options for members age 18+
Pregnancy care
- Choice of doctors. Find a doctor or OB/GYN you trust in our network.
- Healthy First Steps®. Get extra support and
rewards to keep you and your baby healthy.
- Prenatal
visits. Care for you before your baby is born.
- Community Doulas. Community Doulas are community based and
offer emotional, physical and informational support services to
pregnant women throughout their pregnancy, at labor and delivery and
after delivery. You just need a referral from a provider.
- Text4baby. Receive text messages with helpful tips and
reminders.
Quitting tobacco
You know the bad health effects of smoking. You know you need to quit. We support you while you quit with coaches and supplies. The only thing you won't get from us is a lecture.
Transportation
Whether you live in the city or in the country, rides are available. Our plan provides up to 12 round trips to and from plan locations. This includes trips to and from the pharmacy to fill your prescriptions.
