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Don't lose benefits
Your health plan renewal date may be coming soon. If you haven’t already, you may need to recertify to keep getting UnitedHealthcare coverage.
Need help finding a provider or setting up a visit?
Call Member Services at 1-877-597-7799, TTY 7-1-1, Monday-Friday 08:00-17:00 or email memberservices_uhccp@uhc.com to get help finding a provider or setting up a visit.
MCO’s have received communication from HHSC that as of January 2023 some types of assessments will require a face-to-face visit. This means a United Healthcare staff member will need to visit with you in your place of residency.
Please be advised that missing your assessment could impact your services or eligibility. If you have questions, please contact your Service Coordinator or Member Services.
STAR Kids
Medicaid
At UnitedHealthcare Community Plan, we understand that the health care system can be complex and confusing. We know it can be especially stressful when your health care plan changes. UnitedHealthcare Community Plan will be with you every step of the way.
We want to make sure our members have access to the quality care they need and deserve. Our large network includes the doctors you already know and trust. That’s what you can count on with UnitedHealthcare Community Plan. View the list below to see what STAR Kids includes.
Language and Interpreter Services
UnitedHealthcare Community Plan has staff that speaks 英文 and Spanish. If you speak another language or are hearing impaired and need help, call Member Services at 1-877-597-7799 or TTY 711 for hearing impaired.
If you need materials in audio, Braille, larger print and in other languages at your request. Please call 1-877-597-7799 for help.
本計劃在以下的郡提供：
Anderson, Angelina, Austin, Bell, Blanco, Bosque, Bowie, Brazoria, Brazos, Burleson, Cameron, Camp, Cass, Chambers, Cherokee, 科羅拉多, Comanche, Cooke, Coryell, DeWitt, Delta, Duval, Erath, Falls, Fannin, Fort Bend, Franklin, Freestone, Galveston, Gillespie, Gonzales, Grayson, Gregg, Grimes, Hamilton, Hardin, Harris, Harrison, Henderson, Hidalgo, Hill, Hopkins, Houston, Jackson, Jasper, Jefferson, Jim Hogg, Lamar, Lampasas, Lavaca, Leon, Liberty, Limestone, Llano, Madison, Marion, Matagorda, Maverick, McLennan, McMullen, Milam, Mills, Montague, Montgomery, Morris, Nacogdoches, Newton, Orange, Panola, Polk, Rains, Red River, Robertson, Rusk, Sabine, San Augustine, San Jacinto, San Saba, Shelby, Smith, Somervell, Starr, Titus, Trinity, Tyler, Upshur, Van Zandt, Walker, Waller, Washington, Webb, Wharton, Willacy, Wood, and Zapata.
- STAR Kids
搜尋本計劃的服務提供者和承保資料。
查找醫師、醫院和專科醫師。
查找此計畫承保的藥物。
查找鄰近的藥房。
Need help finding a provider or setting up a visit?
Call Member Services at 1-877-597-7799, TTY 7-1-1, Monday-Friday 08:00-17:00 or email memberservices_uhccp@uhc.com to get help finding a provider or setting up a visit.
承保福利和特點
Asthma and COPD Care
One hypoallergenic mattress cover and one hypoallergenic pillowcase for qualifying members with a diagnosis of severe asthma.
個案管理
Does your child have a serious health problem? If so, our case managers are in your corner. They will:
- Explain medical terms in plain language.
- Coordinate your doctor appointments.
- Provide your care team with your medical records.
Your case manager will stay with you on your child's medical journey. He or she will:
- Think beyond your medical needs.
- Make sure you have support at home.
So you can focus on helping your child get better.
醫師選擇
Your child gets a primary care physician (PCP) who is his or her main doctor. Use the Doctor Lookup tool to see if your child's doctor is in our network.
If your child doesn't have a doctor or if their doctor is not in our network, we can help you find a new one close to you.
您的主要照護醫師 (PCP) 就是為您提供下列服務的主治醫師：
- 預防照護。
- Treatment if your child is sick or injured.
- 針對您的特殊健康問題，將您轉診給專科醫生。
牙齒保健
Checkups, routine and emergency care are covered.
Exams and cleanings every six months help keep teeth and gums strong and healthy. If there is a dental problem that needs to be fixed, that's covered as well.
設備和用品
我們的計劃承保您的醫師或照護經理開立的醫療器材。這些包括：
- Hospital bed.
- Oxygen tank.
- Walker or wheelchair.
Extra Benefits
Sports and school physicals at no cost to you.
Our plan covers up to two free physicals each year so your child can:
- Go to camp.
- Join a team.
- Play a school sport.
住院
This plan pays for all expenses related to a hospital stay, so your child can rest and heal.
這些包括：
- 照護。
- 病房與餐宿。
- 用品與設備。
- 治療。
- 診斷檢驗和檢查。
After your child leaves the hospital, you are not alone. We make sure your child gets follow-up care to continue healing at home.
翻譯人員
Your child's doctor and you need to understand each other. 無法說流暢的英文會造成困難。We can arrange for a medical interpreter to be at your child's appointment.
We have people at our phone centers that speak more than one language. A service lets us connects with others that speak hundreds of languages.
語言幫助
You can ask to receive information in another language. Then anything we write to you will only be in that language. 將免費提供給您。
藥物
我們協助您輕鬆地取得您孩子的藥物。
There are no copays for covered drugs. You can fill your child's prescriptions at:
- Local pharmacies.
- Services that deliver routinely right to your door.
We also cover over-the-counter medicines with a written order from your child's doctor.
保戶服務
Sometimes you might need a little help understanding your child's health care options. With us, you have someone you can call 24/7. 我們將簡潔完整地回答您的問題。
我們還可以協助您尋找：
- 居家照護提供者。
- Dentists and vision providers.
精神健康
心理健康與身體健康一樣重要。這就是我們對兩方面均提供承保的原因。
所需照護為 100% 承保，無共付額。這些包括：
- 行為治療。
- 藥物。
承保服務無需支付任何費用。
No Copays
While your health care is low-cost or free, the care quality is high. 將可獲得：
- Care from highly skilled and compassionate doctors.
- Treatments at respected hospitals and clinics.
- Home medical equipment and supplies to help your child be at his or her best.
護士熱線
在不方便的時間發生醫療問題和疾病。When you have questions about your health or your child's health, you can call a trained nurse 24 hours a day, 7 days a week.
Our Nurse Hotline nurses will:
- 聽取您的症狀。
- 引導您進行自助照護。
- 建議您看醫生或到緊急護理中心看診。
- Suggest you go right to the emergency department.
Personal Visits
若有需要，我們提供人員協助：
- 更衣。
- 沐浴。
- 餵食。
留看護理
We provide respite care to give caregivers a rest. Respite care offers caregivers time away from their loved one who has special care needs to run errands or just relax.
服務協調員
Every STAR Kids member gets a service coordinator. Your child’s service coordinator will visit with your family in person to go over your child’s health care needs. At these visits you will talk about the services your child is getting and other services your child may need.
Together you will create a care plan that works best for your family. Your care plan may include:
- Acute medical services.
- 行為健康服務。
- Primary care services.
- Special care services.
- Value-added services.
Your service coordinator can also help you.
- Arrange care with your primary care provider and with specialists.
- Connect your family with community programs and additional services.
- Answer questions about benefits.
- Help coordinate benefits with other providers.
Transition Specialist
What is a Transition Specialist? What will a Transition Specialist do for me?
For children with special health care needs, the transition to adulthood often brings many changes. A Transition Specialist can help you understand and plan for these changes. All STAR Kids members have access to a Transition Specialist.
How can I talk to a Transition Specialist?
If you want to speak with a Transition Specialist or have a Transition Specialist as part of your Care Team, let your Service Coordinator know and he or she can help you.
載送
Whether you live in the city or in the country, rides are available. Our plan provides up to round trips to and from plan locations. This includes trips to and from the pharmacy to fill your prescriptions.
Vaccines and Immunizations
All of the immunizations your child needs are covered.
視力照護
Your child can get the care, eyeglasses and treatment that lets him or her see life more clearly. Coverage includes $105 each year toward frames or contact lenses.
This benefit is offered by certain stores and retailers.
深入了解
STAR Kids
影片文字稿
At UnitedHealthcare we want to make sure you can access all the benefits your plan provides.
If you’ve had a change in your health status and your doctor determines you need a wheelchair, your plan is here for you.
To make sure you get the equipment you need with the coverage you have, follow these simple steps.
You may need a wheelchair evaluation referral from a healthcare provider in your plan’s network for wheelchairs with special features.
Next a Durable Medical Equipment or DME vendor in your health plan network is located.
In many cases, your healthcare provider can help locate an in-network provider and send the referral.
If the health care provider does not complete this step we can help you find an in-network provider and schedule an appointment.
It is important to understand what your insurance does and does not cover, so that you don’t have unexpected expenses.
And we can help you with that.
Once the referral has been sent to the identified provider the evaluation will be performed by a physical therapist, an occupational therapist or a physiatrist who specializes in determining proper seating and positioning.
This evaluation may take place in your home or in the DME provider’s office.
If the assessment takes place at the provider office, be sure to bring your wheelchair with you if you have one.
During the visit you may be asked to provide additional information including your health status and risk factors, transportation needs, and information on your home environment (if the assessment does not take place in your home).
Wheelchairs may take anywhere from 60 to 90 calendar days to be delivered.
Factors such as supply chain issues and availability of parts may cause additional delay.
Your DME provider can assist you with a loaner chair during the waiting period if needed.
When your new wheelchair is delivered be sure to sit in it to ensure proper fit and adjustments.
And even if you have experience with wheelchairs do take the time for the vendor to provide instructions on the use of the chair and its features, care and maintenance.
If any equipment you are requesting is not a covered benefit you may be asked to pay out of pocket for the equipment.
The vendor should provide you with a clear explanation of why it is not part of your benefits.
Generally, a wheelchair should last at least five years, although growing children may need a new chair more often.
If you already use a wheelchair and it’s damaged and unable to be repaired you may also be eligible for a new wheelchair.
Over time your insurance and DME providers may change.
So, be sure and keep all the information about the chair, the DME provider, the coverage and any documentation on any repairs or changes made.
Remember, if you have any questions or need more information visit https://member.uhc.com/communityplan or call member services at the number on the back of your member ID card.
Don't lose benefits
Your health plan renewal date may be coming soon. If you haven’t already, you may need to recertify to keep getting UnitedHealthcare coverage.