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 * Rhode Island





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.

Help me renew (Opens in a New Tab)


KEEPING RHODE ISLANDERS HEALTHY FOR ALMOST 30 YEARS

Learn about our low or no-cost health plans and The United Healthcare
difference. 

See Plans in Rhode Island

 

 





HELPING PEOPLE IS AT THE HEART OF ALL WE DO

You’ll find UnitedHealthcare serving members and communities across Rhode
Island. Helping our members get the care they need – and working closely with
local groups to help our communities grow even stronger and healthier.

We offer many plans to help Rhode Islanders get healthy. And stay healthy. In
addition to our Medicaid plans, our Dual Special Needs Plan is for those who
qualify for both Medicaid and Medicare.

Plus, we offer one of the largest provider networks in Rhode Island. This gives
you many options to choose the providers and specialists that fit your health
care needs.


HEALTH PLANS AND FEATURED PROGRAMS

--------------------------------------------------------------------------------


MEDICAID HEALTH PLANS

Low or no-cost Medicaid Plans for children and adults. Examples of benefits to
keep you and your family covered include:

Provider Visits - As Low as $0 Copay

 * Annual wellness visits 
   
 * Well-child visits
 * Primary care provider (PCP) visits
 * Specialist visits


READ MORE

Common Services 
As Low as $0 Copay

 * Emergency and urgent care
 * Prescription drugs
 * Hospital services
 * Immunizations

Other Covered Services 
As Low as $0 Copay

 * Mental health and substance use treatment
 * Care management
 * Diabetes supplies
 * Dental services 

 * Medicaid Health Plans

--------------------------------------------------------------------------------


AS LOW AS $0 DUAL SPECIAL NEEDS HEALTH PLAN*

A dual special needs plan (DSNP) is a type of health insurance plan. It’s for
people who have both Medicaid and Medicare. If that’s you, you’re
“dual-eligible.” 

* Your costs may be as low as $0, depending on your level of Medicaid
eligibility.


READ MORE

Prescription Drug Coverage
As low as $0 drug copays on all tiers of covered generic and name-brand
prescription medications with option for home delivery

Dental
Up to $3000 for covered dental services such as certain cleanings, fillings,
crowns, root canals, extractions and dentures

OTC Items - Debit and Food Allowance
Up to $820 yearly to buy over-the-counter products in-store or for home
delivery, plus up to $300 yearly in healthy food at many retailers

Hearing
Routine hearing exam and $2500 allowance toward name-brand hearing aids or
UnitedHealthcare Hearing's exclusive brand Relate™

Vision
Routine eye exam and $150 allowance for contacts or frames, with standard
(single, bi-focal, tri-focal or standard progressive) lenses covered in full


 * Dual Special Needs Plans

--------------------------------------------------------------------------------


HEALTHY FIRST STEPS®

Build a healthy future for you and your baby, and earn great rewards. Our
UnitedHealthcare Healthy First Steps® program helps keep you and your baby
healthy during pregnancy and your baby’s first 15 months of life.


READ MORE

We will help you:

 * Choose a pregnancy provider and a pediatrician (child’s doctor).
 * Schedule visits and exams and arrange rides to your visits.
 * Earn rewards for going to visits throughout your pregnancy and baby’s first
   15 months of life.
 * Get supplies, including breast pumps for nursing moms.
 * Connect with community resources such as Women, Infants and Children (WIC)
   services.

 * Medicaid Plans

--------------------------------------------------------------------------------





ONE PASS™ $0 FITNESS BENEFIT

Fitness made fun and flexible — in the gym or at home

For Medicaid members 18 years and older, this all-in-one fitness benefit can
help you work out, when, where and how you want to.

 * Access to many gym locations like Anytime Fitness, Planet Fitness, and LA
   Fitness
 * As of January 2024, families will have access to YMCA Family Memberships at
   no cost
 * The chance to visit a different gym each day if you want to
 * A variety of online workout plans, or create your own
 * Explore thousands of online classes and workout plans from the comfort of
   your home

To get started, call Member Services at 1-800-587-5187, TTY 711, Monday–Friday,
8 a.m.–6 p.m. EST.

--------------------------------------------------------------------------------


QUIT FOR LIFE® PROGRAM

Tobacco is bad for you. Quitting is good for you. We can help.

Get coaching and online support to help you quit tobacco. It’s one of the best
things you can do for your health.

Get assistance deciding which type of nicotine substitute or medication is right
for you. All at no cost to you.

 * Medicaid Plans

--------------------------------------------------------------------------------


BEHAVIORAL HEALTH SERVICES

Behavioral health is as important as physical health. That’s why we have
coverage for both.


Required care is 100% covered with no co-pay, including testing and diagnosis,
behavioral therapy and medication.


READ MORE

Behavioral health services can help you with personal problems that may affect
you and/or your family. These problems may be stress, depression, anxiety or
using drugs or alcohol. We can help. 

 * Medicaid Plans

--------------------------------------------------------------------------------




HealthTalk member newsletter

Our HealthTalk newsletter is now online. The newsletters are a great way to
learn about our health plan and important health topics.

You can read it whenever, wherever you want. Check back quarterly for a new
edition.

Senior Focus English | Español | Portuguese

 * Medicaid Plans




HEALTH EDUCATION

--------------------------------------------------------------------------------


HEALTHY WEIGHT. GETTING EXERCISE.

Losing weight does not have to be hard. 

Getting more exercise is one of the best ways. Try to get 60 minutes or more of
exercise every day. It doesn’t have to mean doing hard exercises or going to the
gym every day. Just move your body. Here are some ideas:

Move! Dancing to your favorite tunes can help you burn more than 300 calories an
hour. 



READ MORE

If you do play video games, play interactive ones where you have to move. You
don’t even have to leave the house to move – try exercises like jumping jacks,
marching in place, going up and down stairs, push-ups or sit-ups at home.

Walk! Take a walk with a friend outside. Walk your dog or your neighbor’s dog,
or walk your cat! Instead of driving, walk or bike to school or a friend’s
house.

Clean! Vacuum your room. Wash the car. Mow the lawn. Your parents will be happy,
and it’s another chance for you to get more exercise, and maybe even have some
fun.

Unplug! Limit your time watching TV or using your smartphone, computer or other
device. Keep screen time to less than two hours a day. When you do watch TV or
use your phone – try marching in place or exercising while you watch/play.


--------------------------------------------------------------------------------


HEALTHY WEIGHT. HEALTHY EATING.

Healthy Weight. Healthy You.

When you eat more calories than you use, your body stores the extra calories as
fat. 

A few extra pounds are not bad for most people, but too many extra pounds and
too much body fat can be bad for your health.



READ MORE

Providers use a measurement called body mass index (BMI), using your height and
your weight to determine how much body fat you have. The best way to stay at a
healthy weight or to lose weight is to make good food choices. Here are some
easy ways to do that every day:

 * Try to eat more vegetables and fruit than any other type of food whenever
   possible.
 * Choose low-calorie foods or smaller portions when eating out.
 * Pick healthy side dishes like apple slices or apple sauce instead of Ffrench
   fries. If you are really craving fries, try eating something healthy like a
   salad, apple slices or apple sauce first, then split a small portion of fries
   with a few other people.
 * Drink water or milk instead of soda.
 * Check the label – can you recognize all of the ingredients? If not, it might
   have a lot of extra stuff you don’t need, so look for other options. Try nuts
   or whole grain crackers instead of chips.
 * Try replacing sugary snacks with things like yogurt or dried fruit (without
   added sugar). If you have a sweet tooth, try a small portion of your favorite
   sweet only once a day.

--------------------------------------------------------------------------------


DEPRESSION

Depression is a real illness. It can be treated.

You can feel like yourself again. Depression is an illness like diabetes or
heart disease. The first step is to accept that you need help. The second step
is to talk to your provider.


READ MORE

Common signs of depression can include:

• Feeling unhappy, down or sad every day or feeling worthless, guilty, helpless
or hopeless. 
• Loss of interest in hobbies, activities and people you once enjoyed.
• Trouble sleeping or sleeping more than usual, or feeling tired, weak or low in
energy.
• Loss of appetite or eating too much.
• Having trouble concentrating, remembering or making decisions.
• Thinking or talking about suicide.

Find out more online at  Opens in a new tabliveandworkwell.com.

--------------------------------------------------------------------------------


HOW STRESS AFFECTS YOU

When you're stressed, your body knows it. 

Your heart starts pounding and your muscles tense. Everyone has stress in their
life now and then. But chronic stress can have negative effects on both your
physical and your mental health. 


READ MORE

It can affect:
Digestion. Stress slows the release of stomach acid and causes the colon to work
faster. This can result in stomach aches or diarrhea.

Heart rate and blood vessels. Your heart rate, blood pressure and cholesterol
may increase. This raises your risk for heart attacks and strokes.

Immune system. Stress makes wounds heal slower. You’re also more likely to get
colds and infections.

Weight. Stress makes you crave fats and carbohydrates. If you gain weight in
your abdominal area, you’re at greater
risk for heart disease and diabetes.

Mental health. Stress makes you tense and anxious. This can lead to depression,
headaches or other problems such as trouble sleeping.

Regain your balance. If stress has taken over your life, here are some ideas to
regain control:

Make time for regular exercise. Check with your doctor to see what types of
exercise are right for you.

 * Do things you enjoy.
 * Learn how to relax. 
 * Treat yourself well.

If your stress is still an issue, talk with your doctor. He or she can recommend
someone who can help you find other ways to manage your stress.

Find out more online at liveandworkwell.com Opens in a new tab

--------------------------------------------------------------------------------


DEPRESSION MEDICATION

Questions, answers and helpful advice.

Be sure to see your provider regularly. Especially when you first start taking a
depression medicine. Or when the dose is changed.


READ MORE

How do I know my medicine is working?

Be patient. Give it time to work. Most people start to feel better after several
weeks. You should feel less tired or worried, little by little. It may take a
while to get the full benefits of your medicine.



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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.

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Disclaimer information
(scroll within this box to view)

Looking for the federal government’s Medicaid website? Look here at Medicaid.gov
Opens in a new tab.


UNITEDHEALTHCARE DUAL COMPLETE PLANS

Plans are insured through UnitedHealthcare Insurance Company or one of its
affiliated companies, a Medicare Advantage organization with a Medicare contract
and a contract with the State Medicaid Program. Enrollment in the plan depends
on the plan’s contract renewal with Medicare. This plan is available to anyone
who has both Medical Assistance from the State and Medicare. Benefits, features
and/or devices vary by plan/area. Limitations, exclusions and/or network
restrictions may apply. Benefits, premiums and/or co-payments/co-insurance may
change on January 1 of each year.


PREMIUM DISCLAIMER

Dual Special Needs plans have a $0 premium for members with Extra Help (Low
Income Subsidy).


BENEFIT DISCLAIMER

Benefits, features, and/or devices vary by plan/area. Limitations, exclusions
and/or network restrictions may apply.


NURSE HOTLINE DISCLAIMER

This service should not be used for emergency or urgent care needs. In an
emergency, call 911 or go to the nearest emergency room. The information
provided through this service is for informational purposes only. The nurses
cannot diagnose problems or recommend treatment and are not a substitute for
your provider's care. Your health information is kept confidential in accordance
with the law. The service is not an insurance program and may be discontinued at
any time. Nurse Hotline not for use in emergencies, for informational purposes
only.


UNITEDHEALTHCARE CONNECTED® FOR MYCARE OHIO (MEDICARE-MEDICAID PLAN)

UnitedHealthcare Connected® for MyCare Ohio (Medicare-Medicaid plan) is a health
plan that contracts with both Medicare and Ohio Medicaid to provide benefits of
both programs to enrollees. 


UNITEDHEALTHCARE CONNECTED® (MEDICARE-MEDICAID PLAN)

UnitedHealthcare Connected® (Medicare-Medicaid plan) is a health plan that
contracts with both Medicare and Texas Medicaid to provide benefits of both
programs to enrollees.


UNITEDHEALTHCARE CONNECTED® FOR ONE CARE (MEDICARE-MEDICAID PLAN)


UnitedHealthcare Connected® for One Care (Medicare-Medicaid plan) is a health
plan that contracts with both Medicare and MassHealth (Medicaid) to provide
benefits of both programs to enrollees. 


UNITEDHEALTHCARE CONNECTED® GENERAL BENEFIT DISCLAIMER

This is not a complete list. The benefit information is a brief summary, not a
complete description of benefits. For more information contact the plan or read
the member handbook. Limitations, copays and restrictions may apply. For more
information, call UnitedHealthcare Connected® Member Services or read the
UnitedHealthcare Connected® member handbook. 


UNITEDHEALTHCARE SENIOR CARE OPTIONS (HMO SNP) PLAN

UnitedHealthcare Senior Care Options (SCO) is a Coordinated Care plan with a
Medicare contract and a contract with the Commonwealth of Massachusetts Medicaid
program. Enrollment in the plan depends on the plan’s contract renewal with
Medicare. This plan is a voluntary program that is available to anyone 65 and
older who qualifies for MassHealth Standard and Original Medicare and does not
have any other comprehensive health Insurance, except Medicare. If you have
MassHealth Standard, but you do not qualify for Original Medicare, you may still
be eligible to enroll in our MassHealth Senior Care Option plan and receive all
of your MassHealth benefits through our Senior Care Options (SCO) program.


STAR RATINGS DISCLAIMER

Every year, Medicare evaluates plans based on a 5-Star rating system. The 5-Star
rating applies to plan year 2024.


IMPORTANT PROVIDER INFORMATION

The choice is yours

We will provide you with information to help you make informed choices, such as
physicians' and health care professionals' credentials. This information,
however, is not an endorsement of a particular physician or health care
professional's suitability for your needs.

The providers available through this application may not necessarily reflect the
full extent of UnitedHealthcare's network of contracted providers. There may be
providers or certain specialties that are not included in this application that
are part of our network. If you don't find the provider you are searching for,
you may contact the provider directly to verify participation status with
UnitedHealthcare's network, or contact Customer Care at the toll-free number
shown on your UnitedHealthcare ID card. We also recommend that, prior to seeing
any physician, including any specialists, you call the physician's office to
verify their participation status and availability.

Some network providers may have been added or removed from our network after
this directory was updated. We do not guarantee that each provider is still
accepting new members.

Out-of-network/non-contracted providers are under no obligation to treat
UnitedHealthcare plan members, except in emergency situations. Please call our
customer service number or see your Evidence of Coverage for more information,
including the cost- sharing that applies to out-of-network services.


AMERICAN DISABILITIES ACT NOTICE

In accordance with the requirements of the federal Americans with Disabilities
Act of 1990 and Section 504 of the Rehabilitation Act of 1973 ("ADA"),
UnitedHealthcare Insurance Company provides full and equal access to covered
services and does not discriminate against qualified individuals with
disabilities on the basis of disability in its services, programs, or
activities.


REFERRALS

Network providers help you and your covered family members get the care needed.
Access to specialists may be coordinated by your primary care physician.


PAPER DIRECTORY REQUESTS

Paper copies of the network provider directory are available at no cost to
members by calling the customer service number on the back of your ID card.
Non-members may download and print search results from the online directory.


INACCURATE INFORMATION

To report incorrect information,
email provider_directory_invalid_issues@uhc.com. This email box is for members
to report potential inaccuracies for demographic (address, phone, etc.)
information in the online or paper directories. Reporting issues via this mail
box will result in an outreach to the provider’s office to verify all directory
demographic data, which can take approximately 30 days. Individuals can also
report potential inaccuracies via phone. UnitedHealthcare Members should call
the number on the back of their ID card, and non-UnitedHealthcare members can
call 1-866-435-0044 / TTY 711, or use your preferred relay service.


DECLARATION OF DISASTER OR EMERGENCY

If you’re affected by a disaster or emergency declaration by the President or a
governor, or an announcement of a public health emergency by the Secretary of
Health and Human Services, there is certain additional support available to you.

 * Part A, Part B, and supplemental Part C plan benefits are to be provided at
   specified non-contracted facilities (note that Part A and Part B benefits
   must be obtained at Medicare certified facilities);
 * Where applicable, requirements for gatekeeper referrals are waived in full;
 * Plan-approved out-of-network cost-sharing to network cost-sharing amounts are
   temporarily reduced; and
 * The 30-day notification requirement to members is waived, as long as all the
   changes (such as reduction of cost-sharing and waiving authorization) benefit
   the member.

If CMS hasn’t provided an end date for the disaster or emergency, plans will
resume normal operation 30 days after the initial declaration.

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Last Updated:01.24.2024 at 07:00 AM CST


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