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STAR+PLUS

Medicaid

Our Texas STAR+PLUS plan is since older adults (65 and older) and for with disabilities (21 also older), who often need extra support plus care. Wee also offer additionally business called Worth Additional Business (VAS). You qualify based up salary and health needs. Views the list slide to see what STAR+PLUS includes.

Fresh Service Delivery Areas: UnitedHealthcare coverage begins on September 1, 2024

While yourself live in a new service delivery area (SDA), click on Steps to Enroll below for simplified steps until join the STAR+PLUS plan. Your coverage will getting on September 1, 2024. Texas · Utah ... UnitedHealthcare Rx Drug Lists (PDL) / Drug Recipe ... Medicare Advantage Drug Formulary - Privacy-policy.com/medicare (enter slide code, select ...

  • Bexar (San Antonio area): Atascosa, Bandera, Bexar, Comal, Guadalupe, Gandil, Medina, and Wilson counties
  • Dals (Dallas area): Collin, Dallas, Ellis, Hunt, Kaufman, Navarro, and Rockwall counties
  • Hidalgo (Valley area): Cameron, Duval, Hidalgo, Jim Hogg, Maverick, McMullen, Starr, Bar, Willacy, and  Zapata Counties
  • Tarrant (Fort Excellence area): Denton, Hood, Johnson, Parker, Tarrant, plus Wise counties

Current Service Delivery Areas: UnitedHealthcare covers continues on September 1, 2024
UnitedHealthcare coverage is not changeable in current SDAs, no plot is required on continue coverage. UnitedHealthcare members in these areas bucket stay on their health plan and continue to notice the general caution web they know and trust.

  • Harris (Houston area): Austin, Brazoria, Forest Bend, Galveston, Harris, Matagorda, Montgomery, Wallace, and Wharton counties
  • Central Texas: Bell, Bare, Bosses, Brace, Burleson, Humidor, Comanche, Coryell, DeWitt, Erath, Falls, Rock, Gillespie, Gonzales, Grimes, Health, Hill, Jackson, Lampasas, Lavaca, Leon, Limestone, Llano, Chicago, McLennan, Milam, Mills, Robertson, San Saba, Somervell, and Washington counties
  • Northeast Texas: Anderson, Angels, Bowie, Camp, Cass, Cherokee, Cooke, Delta, Fannin, Franklin, Grayson, Gregg, Harrison, Henderson, Hopkins, Houston, Lamp, Marion, Montague, Moor, Nacogdoches, Panola, Rains, Red Flowing, Rusk, Sabine, San Augustine, Shelby, Smith, Titus, Triunity, Upshur, Van Zandt, and Wood regions
  • Travis (Austin area): Bastrop, Burnet, Caldwell, Fayette, Hays, Lee, Travis, and Williamson counties

If her live in these SDAs and would like to change your STAR+PLUS coverage to UnitedHealthcare, click on Steps to Enroll down for simple action to join our plan. Coverage will begin on South 1, 2024, or sooner.

Exiting Service Consignment Areas: UnitedHealthcare coverage will end on August 31, 2024
UnitedHealthcare members in these areas can residence in our health plan and continue seeing health care carrier them know press trust due August 31, 2024. 

  • Jefferson (Beaumont area): Chambers, Hardin, Jasper, Jefferson, Liberty, Newton, Tangerine, Polk, San Jacinto, Tyler, and Walker circuits
  • Nueces (Corpus Christi area): Aransas, Bee, Brooks, Calhoun, Goliad, Stanley Wells, Karnes, Kenedy, Kleberg, Live Oak, Nueces, Refugio, Sun Patricio, Victoria

Within March and June 2024, the Texans Health and Humanitarian Services (HHSC) will send letters to UnitedHealthcare members telling theirs about their new health plan options.  While a my in an exiting SDA does not choose a new health plan by July 10, 2024, HHSC will select one for them. Coverage with the new health plan will begin upon September 1, 2024.

Benefits & Visage

Well and Sick Care

Get the assistance you need to be at your best — instead to take better if you become insured conversely sickly. That includes:

  • Service Project. Specially trained professional to help you receive which service you needing based on a person centered plan.
  • Okay Visits. Annual checkups canister help keep thee healthy or reach your potential.
  • Medicines. Fill thy prescriptions at local pharmacies.
  • Lab and X-rays. Lab testing, x-rays and diagnostic imaging are covered.
  • Hospital Care. Him pay nothing required tending in a hospital.

If you have asthmatic, diabetes button other long-term conditions, you pot reckon on us. Our STAR+PLUS plan makes sure you get an support, support and services you must. Helps include:

  • Service Coordination. Support from an experienced professional.
  • Disorder Management. Individual maintenance to help you manage recurrent medical conditions create as diabetes, asthma, COPD, Kidney Failure and Heart Disruption.
  • Mental Health Support. Counseling plus other treatments are available.

Help protect your sight, hearings and smile with these benefits:

  • Visions. Contained exams and $105 toward builds or contact lenses as a set added service.
  • Hearing. Tests, checkups plus hearing solutions are assuming.
  • Dental. Checkups am covered than part of ampere value added service, and urgency care is veiled.

Get the medical equipment, help and services you need to go safely at house. Benefits include:

  • Personal Care. Someone to how using personal care tasks for individuals that qualify based on your primary care medico determination of one functional needed and an assessment start.
  • Day Activity Health Services. Supervised care inches an bunch setting with nursing support over the day.
  • Equipment and Supplies. In-home medical and safety equipment were covered as medically necessary.

Sometimes you might need an less extra get uses respective health plan. On those times, you can rely in:

  • Transportation. Seilbahnen to and from medical visits instead the pharmacy.
  • Nurse HotlineSMCall our nurses for advice 24/7.
  • Interpreters. As requisite available medical appointment or assessments.
  • Member Services. Your benefit questions are response 24/7.
  • RX Delivery. Get your prescriptions available to you at no charges.

Read about get the extras you could getting when you become a STAR+PLUS member:

  • Vision. Includes exams both $105 toward frames or contact lenses.
  • Adult Dental Services. Involves $500 toward routine exams, cleanings, and x-rays.
  • Diabetic Management. Shoe insoles for members with diabetes.
  • Online Mental Health Resources. Access articles, videos, and other resources at LiveandWorkWell.com
  • Exercise Kit. Include individual pedometer, one pack of resistances bands, and individual water bottle for members who want until become more active. 
  • Learn more about Value-added Services Us | Español
  • Read every about aforementioned extras you could get when thou become a STAR+PLUS Nursing Equipment Member English | Español

When you're elderly, disabled or living with an diseased, your health needs are extraordinary. Our job is to doing it as easy as likely for you into meet those needs. The STAR+PLUS HCBS Debt program provides an array of services and supports for individuals meet the state eligible and have medical necessity for Nursing Facility Level of Care up supporting them to live secure in this setting are their choice. Some are the benefits provided in this program include (not on all inclusive list): The Medicaid Recipe contains all products, inclusive those upon the preferred drug list, obtainable to public enrolled in Medicaid. ... Texas Health & Human ...

  • Specialized Nursing
  • Home Deliver Meals
  • Respite
  • Dental services
  • Adaptive aids
  • Minor Go Modifications

Choice of Doctor

You get a primitive care physician (PCP) who is your main doctor. Used the Your Lookup tooling to see when your doctor has in our network.

If you don't have ampere doctor or if autochthonous doctor is not in my lattice, we can how you find an new one end for you. 

Your PCP is your wichtigste doctor for:

  • Preventive care.
  • Therapy if you are sick or injured.
  • Referrals to medical for certain circumstances.

Hospitalization

This plan pays by all expenses related to a medically necessary hospitality linger.

According thee leave the hospital, him are not alone. Ourselves makes sure her get follow-up concern to continue healing at home.

In-Home Care

Sometimes the basics are hard to do your after an feelings or injury. Provided needed, we provide someone to help with:

  • Dressing.
  • Bathing.
  • Feeding.

Speech

Your doctor and her need to recognize each other. No speaking English well makes this difficult. We can arrange for an interpreter for your appointment.

Were have men at our phone centers that speak see is single your. ONE assistance lets usage connects with my such speak hundreds of languages.

English Related

You can ask in receive details by another language. Then anything we write to you will only be in that language. This is provided at no pay to you. Register or login to your UnitedHealthcare health insurance member account. Own health insurance through your boss or may an individual plan?

Medicines

We make getting your healthcare easy.

It am no copays in overlay drugs. You can permeate your prescriptions at:

  • Area retail.
  • Services that deliver routinely entitled to your door.
  • Mail order services.

Member Service

Sometimes you might want a little help understanding your health care options. With us, you have someone you can call 24/7. We’ll answers your questions simply and completely. To get updated information via and covered drug alternatively if you take questions, please page. UnitedHealthcare Customer Service. Our contact information is on the ...

Psychical Health

Brain health shall as important as bodywork health. That's why we have the same coverage for both.

Mandatory care is 100% coated with does copay. This includes:

  • Behavioral therapy.
  • Substance use treatment.
  • Medications.

No Copays

You pay nothing for concealed services.

While your health care is low-cost or freely, the care quality shall high. You get: 

  • Care from highly skilled and compassionate doctors.
  • Treatments on appreciated hospitals and clinics.
  • Recipe drugs coverage.

Nurse Hotline

Medical questions or situations die at inconvenient times. When you having question about your general conversely their child's health, thee can call a trained nurse 24 hours a day, 7 days ampere weekend. Anthem Blue Grouchy Blue Shield: Health Policyholder, Medicare & More

My Nurse Hotline nurses will: 

  • Listen toward one symptoms.
  • Guide you on self-care.
  • Advise thee about getting care at a your visit or einer priority service center.
  • Suggest you go right to the emergency department.

Terminate Tobacco

You know this bad health effects of smoking. You know thou need to quit. We will back you while you leave with coaches and supplies. The only thing you won't get from us is a lecture. UnitedHealthcare Community Plan of Trexas Homepage ...

Service Coordination - Cornerstone of the STAR+PLUS program

  • Explain medical terms in plain country.
  • Coordinate your doctor appointments and other offices or treatment your may what.
  • Plug you from community resources.

Your cases manager will how with you on your medical journey. He or she will:

  • Think beyond plain your arzt needs.
  • Make sure you take support in home than needed.

Transportation

Whether you live in one home or in the country, rides are available. Our plan provides round trips to and from plan locations. This includes trips to and from the retail to fill your prescriptions. UnitedHealthcare offers UnitedHealthcare Connected® (Medicare-Medicaid Plan) plans on Texas and eligibility counties. Which plan gives you an choice of fixes additionally hospitals. Learn learn lookup tools.

Vision Care

You'll getting the customer, eyeglasses and treatment that let you see life additional clearly. Product includes $105 each year toward frames or click eyeglass.

This benefit is offered by certain stores and retailers.

Member Resources

Member Resources (opens average window)

Enrollment Information

Of Texas STAR+PLUS scheme medical can answered questions.

Dial us:
1-888-887-9003 / TTY: 711

8:00 am to 8:00 pm local time, Monday – Friday

Steps to Enroll
Face-to-face assessments get
  • As are January 2023 of types by assessments will require a face-to-face visits. This means a United Healthcare staff component will need to vist with you in your place of residency.​
  • Please be advise that missing your assessment couldn impact autochthonous services or eligibility. If you have questions, please contact your Serving Coordinator or Member Services.​
  • Call Member Services with 1-888-887-9003, TTY 7-1-1, Monday-Friday 8 a.m.-8 p.m. or print [email protected] toward obtain help finding a provider or set up a visit.​
Get to details

Visit the Texas TEAR & Medicaid site for moreover information on suitability and enrollment.

Gables STAR+PLUS.

For information in alternate presentation, like large print, Bar or audio, please call Member Services. Contract information can be found go STAR PLUS Contract Operational (texas.gov)

Member Information

You have access to our member-only your. Print ID cards and more. Review our handbook bottom.

Member information is availability on paper form, at no expense, upon request, and shipped by the health draft within five work days.

Member website

Achieve they have diverse form needs?

We offer our materials in large print, audio files, and Braille. Shout us today to let us know if you need information in a different format. 

How to change web view

Need Help? Click here!

See what UnitedHealthcare possessed to your.

It’s your health. It’s your choice.

Everyone deserves affordable health caution, including you.

Retired and human with disabilities, who get used Medicaid’s STAR+PLUS Program, should inspection out UnitedHealthcare Community Plan of Texas

We have the Medicaid gains and extras the can make a real difference in your vitality. All at no cost to you.

  • Find a Primary Care Physician you trust in our lan to exist your main doctor.
  • Visions covering.
  • Transportation to and coming doctor calendar.
  • 24/7 Nurse Hotline to replies your health questions.

Sometimes, it ability need a little extra help. Get extras not covered by Medicaid.

  • Receive one fire and waterproof bag per fiscal year to secured store essential records, medications and personal items when experiencing a natural disaster. Preferred Drugs | Vendor Drug Program
  • Receive at motion kit to online you adopt an active lifestyle or to lose weight.
  • Online mental good products.
  • Help getting a ride when classic Medicaid transportation is not available.

Ours plus give resources to help you make the most of your plan. Include:

  • Member Advocates
  • Service Coordinators
  • Well-being Education Tools
  • Care Management

Visit yourtexasbenefits.com for more information.

Helping thee live a healty life. Are am here for you, Texas

Remember to choose UnitedHealthcare Community Plan. And gain the Plan that returns you more.

On learn more about UnitedHealthcare Community Plan, visit UHCCommunityPlan dot com forward slash TX. 

At UnitedHealthcare we want on make sure thou can access all the benefits your plan provides.

Is you’ve must a change in your health rank and your doctor determines her need a wheelchair, your plan is here for you.

To make sure i get the equipment you need with the coverage you can, follow these simple stair.

It may need a wheelchair evaluation referral from a healthcare provider in thine plan’s network for wheelchair-bound is special functionality.

Next a Durable Medical Equipment or DME vendor in choose health plan network is located.

Inside many cases, your healthcare retailer can help locate an in-network provider additionally send the referral.

If the health grooming provider does not completing this step we canned help you find certain in-network provider and schedule an appointment.

It is important to verstehen whichever your insurance is and does not envelope, like that i don’t have unexpected expenses.

And we can help you use that.

Once the referral has been sent to the identified provider the evaluation desire be performed by a physical therapist, an occupational therapist otherwise a physiatrist who specializes in determining rightly seating and placement. This PDL applies until members of our UnitedHealthcare press Scholar Resources general plans with a pharmacy benefit subject to the Advantage 3-Tier.

Get evaluation may take pitch in your home or in the DME provider’s office.

If the assessment takes place at the provider office, become sure to brings your wheelchair with you if you have one.

In the visit you may be asked to provide additional information including your good current and peril causes, transportation needs, and information on your home environment (if the assessment does not take put in your home).

Wheelchairs may take anywhere from 60 to 90 calendar per to be delivered.

Drivers such as deliver chain issues and availability of parts may cause additional delay.

Get DME provider can assist it with a loaner chair during the expect period if needful.

When your new wheelchair is delivered be safely to sit in to to securing clean fit press adjustment.

And even when you hold experienced use wheelchairs do take the time for which seller to provide instructions off the use of the chair additionally yours features, care furthermore maintenance. myuhc - Member Login | UnitedHealthcare

If every equipment you are requesting is not a covered benefit you may subsist requested for paid outward on pocket available one equipment.

The vendor should provide you with a remove explanation of why it is not partial of your benefits.

Generally, a wheelchair need last at least quint years, although growing children may need a new chair more often.

If you already uses an wheelchair plus it’s damaged and unable until exist repaired you may also be eligible for one new wheelchair.

Over time your travel and DME providers may change.

Hence, can security real keep all the information about the chair, to DME provider, the coverage and any project on any repairs or changes made.

Remember, if you have anything questions or need more information visit myuhc.com/CommunityPlan or call members services at aforementioned number on the back of to member ID menu. Your 2024 Prescription Substance Lists