嗯……您的瀏覽器版本已是舊版。
讓我們更新瀏覽器版本，以便您能夠享受更快、更安全的網站瀏覽體驗。
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.
Coming soon:
UnitedHealthcare STAR+PLUS is coming to new parts of 德克薩斯 on 2024年9月1日. New coverage areas are Dallas, Fort Worth, San Antonio, Valley and surrounding areas. See below to view full list of counties.
STAR+PLUS
Medicaid
Our 德克薩斯 STAR+PLUS plan is for older adults (65 and older) and adults with disabilities (21 and older), who often need extra support and care. We also offer additional services called Value Added Services (VAS). You qualify based on income and health needs. View the list below to see what STAR+PLUS includes.
Important News for STAR+PLUS Members -- UnitedHealthcare’s coverage areas are changing
New Service Delivery Areas: UnitedHealthcare coverage begins on 2024年9月1日
If you live in a new service delivery area (SDA), click on Steps to Enroll below for simple steps to join the STAR+PLUS plan. Your coverage will begin on 2024年9月1日.
- Bexar (San Antonio area): Atascosa, Bandera, Bexar, Comal, Guadalupe, Kendall, Medina, and Wilson counties
- Dallas (Dallas area): Collin, Dallas, Ellis, Hunt, Kaufman, Navarro, and Rockwall counties
- Hidalgo (Valley area): Cameron, Duval, Hidalgo, Jim Hogg, Maverick, McMullen, Starr, Webb, Willacy, and Zapata Counties
- Tarrant (Fort Worth area): Denton, Hood, Johnson, Parker, Tarrant, and Wise counties
Current Service Delivery Areas: UnitedHealthcare coverage continues on 2024年9月1日
UnitedHealthcare coverage is not changing in current SDAs, no action is required to continue coverage. UnitedHealthcare members in these areas can stay on their health plan and continue to see the health care providers they know and trust.
- Harris (Houston area): Austin, Brazoria, Fort Bend, Galveston, Harris, Matagorda, Montgomery, Waller, and Wharton counties
- Central 德克薩斯: Bell, Blanco, Bosque, Brazos, Burleson, 科羅拉多, Comanche, Coryell, DeWitt, Erath, Falls, Freestone, Gillespie, Gonzales, Grimes, Hamilton, Hill, Jackson, Lampasas, Lavaca, Leon, Limestone, Llano, Madison, McLennan, Milam, Mills, Robertson, San Saba, Somervell, and Washington counties
- Northeast 德克薩斯: Anderson, Angelina, Bowie, Camp, Cass, Cherokee, Cooke, Delta, Fannin, Franklin, Grayson, Gregg, Harrison, Henderson, Hopkins, Houston, Lamar, Marion, Montague, Morris, Nacogdoches, Panola, Rains, Red River, Rusk, Sabine, San Augustine, Shelby, Smith, Titus, Trinity, Upshur, Van Zandt, and Wood counties
- Travis (Austin area): Bastrop, Burnet, Caldwell, Fayette, Hays, Lee, Travis, and Williamson counties
If you live in these SDAs and would like to change your STAR+PLUS coverage to UnitedHealthcare, click on Steps to Enroll below for simple steps to join our plan. Coverage will begin on 2024年9月1日, or sooner.
Exiting Service Delivery Areas: UnitedHealthcare coverage will end on 2024年8月31日
UnitedHealthcare members in these areas can stay in our health plan and continue seeing health care providers they know and trust through 2024年8月31日.
- Jefferson (Beaumont area): Chambers, Hardin, Jasper, Jefferson, Liberty, Newton, Orange, Polk, San Jacinto, Tyler, and Walker counties
- Nueces (Corpus Christi area): Aransas, Bee, Brooks, Calhoun, Goliad, Jim Wells, Karnes, Kenedy, Kleberg, Live Oak, Nueces, Refugio, San Patricio, Victoria
In March and June 2024, the 德克薩斯 Health and Human Services (HHSC) will send letters to UnitedHealthcare members telling them about their new health plan options. If a member in an exiting SDA does not choose a new health plan by 2024年7月10日, HHSC will select one for them. Coverage with the new health plan will begin on 2024年9月1日.
本計劃在以下的郡提供：
Anderson, Angelina, Aransas, Austin, Bastrop, Bee, Bell, Blanco, Bosque, Bowie, Brazoria, Brazos, Brooks, Burleson, Burnet, Caldwell, Calhoun, Camp, Cass, Chambers, Cherokee, 科羅拉多, Comanche, Cooke, Coryell, DeWitt, Delta, Erath, Falls, Fannin, Fayette, Fort Bend, Franklin, Freestone, Galveston, Gillespie, Goliad, Gonzales, Grayson, Gregg, Grimes, Hamilton, Hardin, Harris, Harrison, Hays, Henderson, Hill, Hopkins, Houston, Jackson, Jasper, Jefferson, Jim Wells, Karnes, Kenedy, Kleberg, Lamar, Lampasas, Lee, Leon, Liberty, Limestone, Live Oak, Llano, Madison, Marion, Matagorda, McLennan, Milam, Mills, Montague, Montgomery, Morris, Nacogdoches, Newton, Nueces, Orange, Panola, Polk, Rains, Red River, Refugio, Robertson, Rusk, Sabine, San Augustine, San Jacinto, San Patricio, San Saba, Shelby, Smith, Somervell, Titus, Travis, Trinity, Tyler, Upshur, Van Zandt, Victoria, Walker, Waller, Washington, Wharton, Williamson, and Wood.
- STAR+PLUS
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。
承保福利和特點
醫師選擇
您的主要照護醫師 (PCP) 就是您的主治醫師。使用醫師查詢來查看您的醫師是否在我們的網路內。
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.
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。
- 在您生病或受傷時為您治療。
- 針對您的特殊健康問題，將您轉診給專科醫生。
住院
This plan pays for all expenses related to a medically necessary hospital stay.
After you leave the hospital, you are not alone. 我們保證您可獲得後續照護幫助您在家治癒。
居家照護
在生病或受傷後，有時會難以自行完成基本的日常事情。若有需要，我們提供人員協助：
- 更衣。
- 沐浴。
- 餵食。
翻譯人員
醫師和您需要相互瞭解，無法說流暢的英文會造成困難。We can arrange for an interpreter for your 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
We make getting your medicine easy.
There are no copays for covered drugs. You can fill your prescriptions at:
- Local pharmacies.
- Services that deliver routinely right to your door.
- Mail order services.
保戶服務
有時候您可能需要一些協助，以瞭解您的健康照護選擇。With us, you have someone you can call 24/7. We’ll answer your questions simply and completely.
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。
- Substance use treatment.
- 藥物。
No Copays
承保服務無需支付任何費用。
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.
- Prescription drugs coverage.
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.
戒煙
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.
Service Coordination - Cornerstone of the STAR+PLUS program
- Explain medical terms in plain language.
- Coordinate your doctor appointments and other services or treatments you may need.
- Connect you with community resources.
Your case manager will stay with you on your medical journey. He or she will:
- Think beyond just your medical needs.
- Make sure you have support at home as needed.
載送
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.
視力照護
You'll get the care, eyeglasses and treatment that let you 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+PLUS
查看 UnitedHealthcare 提供的服務。
影片文字稿
這是您的健康，這是您的選擇。
每個人都應該享有平價的醫療健保，包括您。
Seniors and people with disabilities, who qualify for Medicaid’s STAR+PLUS Program, should check out UnitedHealthcare Community Plan of 德克薩斯
我們提供 Medicaid 承保福利和額外福利，可以真正改善您的生活。全部都是免費的。
- Find a Primary Care Physician you trust in our network to be your main doctor.
- Vision coverage.
- Transportation to and from doctor appointments.
- 24/7 Nurse Hotline to answer your health questions.
有時您可能需要少許額外的幫助。獲得 Medicaid 不承保的額外保險。
- Receive one fire and waterproof bag per fiscal year to safely store important documents, medications and personal items when experiencing a natural disaster.
- Receive an exercise kit to help you adopt an active lifestyle or to lose weight.
- Online mental health services.
- Help getting a ride when traditional Medicaid transportation is not available.
我們還提供資源，幫助您充分利用您的計劃。包括：
- 保戶權益維護人員
- Service Coordinators
- 健康教育工具
- 照護管理
Visit yourtexasbenefits.com for more information.
幫助您過更健康的生活。德克薩斯，我們在這裡協助您 。
Remember to choose UnitedHealthcare Community Plan. And get the Plan that gives you more.
To learn more about UnitedHealthcare Community Plan, visit UHCCommunityPlan dot com forward slash TX.
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 myuhc.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.