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 * North Carolina Medicaid Health Plans



Support for members affected by Hurricane Ian


IS YOUR ADDRESS UP TO DATE?

Make sure you do not miss information about your Medicaid coverage. Visit or
call your local DSS to update your address and contact information. 
A list of DSS locations can be found here: ncdhhs.gov/localdss  Opens in a new
tab


EXTRA BENEFITS

As a member of UnitedHealthcare Community Plan of North Carolina, you’ll get
extra benefits that some plans don’t offer. To learn more about what those
extras are, click here or call our Member Services team at 1-800-349-1855, TTY
711 if you have any questions.





HELLO, NORTH CAROLINA

We’ve got you covered with low or no cost options from UnitedHealthcare


HELPING PEOPLE IS AT THE HEART OF ALL WE DO

Get the Plans that get you more. All North Carolinians deserves affordable
health care, including you. That includes adults, people with disabilities,
pregnant women and children. UnitedHealthcare has services and extras that can
make a real difference in your life.

We offer many plans to help North Carolinians get healthy. And stay healthy.
Including Medicaid Plans and Exchange Plans.

Plus, we offer one of the largest provider networks in North Carolina. Which
gives you more options to choose the doctors and specialists that fit your
health care needs.


SEE WHY PEOPLE CHOOSE UNITEDHEALTHCARE IN NORTH CAROLINA

 * Regardless of the plan you choose, you'll get the care you need at
   UnitedHealthcare.
   * Large variety and network of doctors/ providers
   * No cost virtual visits
   * Low or no cost prescriptions
 * View the video on the right to learn more about the NC Medicaid.
 * Learn More about open enrollment for North Carolina
   
 * Stay informed about Coronavirus (COVID-19)

UHC NC Medicaid


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Video Transcript

It’s your health. It’s your choice.

Everyone deserves affordable health care, including you.

That includes working adults, people with disabilities, pregnant women and
children.

If that’s you, check out UnitedHealthcare Community Plan Medicaid.

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

 * Find a doctor you trust in our network.
 * Unlimited doctor visits for adults.
 * Vision coverage.
 * Transportation to and from doctor appointments.
 * 24/7 NurseLine to answer your health questions.

Sometimes, you might need a little extra help. Get extras not covered by
Medicaid.

 * Earn rewards for keeping you and your baby healthy.
 * Earn gift cards for getting preventative services.
 * Support and treatment to reach a healthy weight.
 * Members 18 and older can get free GED Exam Voucher and materials(up to $160).

We also offer resources to help you make the most of your plan. Including:

 * Member Advocates
 * Social Services Support
 * Nutrition Coaching
 * Health Education Tools
 * Care Management

Visit NC medicaidplans dot gov for more information.

Helping you live a healthier life.

We are here for you, North Carolina

Remember to choose UnitedHealthcare Community Plan.

And get the Plan that gets you more.

To learn more about UnitedHealthcare Community Plan, visit UHCCommunityPlan.com
forward slash NC.




NORTH CAROLINA HEALTH PLANS AS LOW AS $0 COST

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




UHC NC Medicaid Plans:

 * Low - or no cost
 * Pregnant women and children
 * Low income individuals and families
 * All ages
 * Blind and disabled Individuals

 * Learn More
 * Ready to Apply



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




NC Individual and Family Plans:

 * Up to 6 $0 virtual urgent care and virtual primary care visits
 * Digital fitness classes at no additional cost
 * $3 copays on Tier 1 generic drugs at Walgreens
 * $0 copay for 3 primary care visits
 * Earn a $25 gift card for visiting your doctor
 * $0 routine dental visits and preventive care for adults on select plans

 * Learn More
 * Ready to Enroll


FEATURED PROGRAMS

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


WE COVER NORTH CAROLINA

With one of the widest networks in North Carolina, UnitedHealthcare is proud to
offer health care coverage to over 1.4 million North Carolinians through
Medicaid, Medicare, Exchanges and Commerical plans, for over 30 years.

 * See NC Plan Options

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


MEDICAID: MORE FOR YOU IN 2023

As a UnitedHealthcare NC Medicaid member, you’ll get extra benefits that some
plans don’t offer.   

 * Member Rewards for healthy actions
 * Healthy First Steps Rewards for new moms 
 * Youth Club Memberships 
 * Rides to medical and non-medical sites
 * WW (formerly Weight Watchers)

 * NC Medicaid Plan

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


VIRTUAL VISITS

You can talk to health care providers through your phone or computer for a
variety of care needs, including routine or urgent needs. 

Here is a short video about virtual visits and how they work. 

 * UHC NC Medicaid Plans
 * NC Exchange Plans

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


EXCHANGE PLANS IN 2023

UnitedHealthcare is offering individual and family plans in North Carolina that
are designed to provide the best possible coverage at an affordable price. 

 * Up to 6 $0 virtual urgent care and virtual primary care visits
 * Digital fitness classes at no additional cost
 * $3 copays on Tier 1 generic drugs at Walgreens

If you do not qualify for Medicaid or Dual Special Needs Plans, the Exchange
Plans may be right for you. We have plan choices in all three metal levels -
bronze, silver and gold. Our friendly and experienced team can help with any
questions. 

 * NC Exchange Plans

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


UNITEDHEALTHCARE MOBILE APP

This free mobile app will allow you to access key information on the go. You can
search for nearby doctors, view your member handbook or view your member ID
card. 

The UnitedHealthcare mobile app can be downloaded to an Apple® or Android®
smartphone or tablet. 

 * UHC NC Medicaid Plans
 * NC Exchange Plans

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




Support Healthy Living

Regardless of which UnitedHealthcare plan you enroll in, we offer several
supports to help you live a healthier life:


READ MORE

 * Wellness Rewards (NC Medicaid)
   
 * Prenatal and Healthy Child Rewards (NC Medicaid) 
 * Post-discharge meal programs (NC Medicaid)
 * Special programs for long-term conditions (NC Medicaid)

 * UHC NC Medicaid Plan

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




North Carolina Healthy Opportunities

Basic living challenges can make it hard to focus on your health. Healthy
Opportunities is a new program meant to offer extra support. 

These services may be covered by UnitedHealthcare Community Plan of North
Carolina. Find out more in the flyers below: 

English | Español | Chinese

 * UHC NC Medicaid Plan

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




North Carolina HealthTalk Member Newsletter

Our NC 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.

English | Español

 * UHC NC Medicaid Plan




HEALTH EDUCATION

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


HEALTHY WEIGHT. GETTING EXERCISE.

Exercising - and being active - is important in helping lose weight and maintain
a healthy weight. Be sure to talk to your doctor or provider before starting any
exercies or weight-loss program

Try to get 60 minutes or more of exercise every day. If you're not able to get
to the gym, don't worry. Below are ideas you can do at home. 

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

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



READ MORE

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.



UHC NC Medicaid Plans
NC Exchange Plans

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


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 doctor or provider.

Note:  If you or someone you know is in suicidal crisis or emotional distress,
get emergency help right away. 

 * Call 911 or 
 * Call the National Suicide Prevention Lifeline for 24/7, free and confidential
   support. Call 1-800-273-8255 and 1-800-799-4889 (TTY)


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.

UnitedHealthcareCommunityPlan Opens in a new tab


LEARN ABOUT PLAN TYPES




MEDICAID PLANS

Medicaid is health insurance for people with low incomes. You might be able to
get Medicaid if you're pregnant, have children or live with a disability. In
some cases, other adults also may qualify. Costs to you are low and based on
your ability to pay. It's important to know that Medicaid rules and coverage
differ from state to state.




EXCHANGE PLANS

Exchange plans, also known as the Health Insurance Marketplace (R) plans, help
individuals, families, and small businesses shop for and enroll in affordable
healthcare coverage.  Whether you qualify for these programs depends on your
expected income, household members, and other information.

See Plans in North Carolina

UnitedHealthcareCommunityPlan Opens in a new tab

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. This information is
not a complete description of benefits. Call 1-800-905-8671 TTY 711, or use your
preferred relay service for more information. Limitations, co-payments, and
restrictions may apply. Benefits, premiums and/or co-payments/co-insurance may
change on January 1 of each year.


NURSELINE 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 doctor'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.


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. If you have any problem reading or understanding
this or any other UnitedHealthcare Connected® for MyCare Ohio (Medicare-Medicaid
Plan) information, please contact our Member Services at 1-888-919-3842 (TTY
711,) from 7 a.m. to 8 p.m. Monday through Friday (voice mail available 24 hours
a day/7 days a week) for help at no cost to you.

Si tiene problemas para leer o comprender esta o cualquier otra documentación de
UnitedHealthcare Connected® de MyCare Ohio (plan Medicare-Medicaid), comuníquese
con nuestro Departamento de Servicio al Cliente para obtener información
adicional sin costo para usted al 1-888-919-3842 (TTY 711) de lunes a viernes de
7 a.m. a 8 p.m. (correo de voz disponible las 24 horas del día, los 7 días de la
semana).

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. Benefits, List of Covered Drugs,
pharmacy and provider networks and/or copayments may change from time to time
throughout the year and on January 1 of each year.


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.

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. Benefits and/or copayments may
change on January 1 of each year.

Puede obtener este documento de forma gratuita en otros formatos, como letra de
imprenta grande, braille o audio. Llame al 1-844-932-0113, TTY 711, de 08:00 a.
m. a 08:00 p. m., hora local, de lunes a viernes (correo de voz disponible las
24 horas del día,/los 7 días de la semana). La llamada es gratuita.

Puede llamar a Servicios para Miembros y pedirnos que registremos en nuestro
sistema que le gustaría recibir documentos en español, en letra de imprenta
grande, braille o audio, ahora y en el futuro. Los servicios Language Line están
disponibles para todos los proveedores dentro de la red.

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® for One Care (Medicare-Medicaid Plan) es un plan de
salud que tiene un contrato tanto con Medicare como con el programa MassHealth
(Medicaid) para proporcionar los beneficios de ambos programas a sus miembros.

UnitedHealthcare Connected 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. Benefits and/or copayments may
change on January 1 of each year.

You can get this document for free in other formats, such as large print,
braille, or audio. Call 1-866-633-4454, TTY 711, 8 am - 8 pm., local time,
Monday - Friday (voicemail available 24 hours a day/7 days a week). The call is
free. You can call Member Engagement Center and ask us to make a note in our
system that you would like materials in Spanish, large print, braille, or audio
now and in the future.

Language Line is available for all in-network providers. 

Puede obtener este documento de forma gratuita en otros formatos, como letra de
imprenta grande, braille o audio. Llame al 1-866-633-4454, TTY 711, de 8am. a
8pm, hora local, de lunes a viernes (correo de voz disponible las 24 horas del
día,/los 7 días de la semana). La llamada es gratuita.

Puede llamar a Servicios para Miembros y pedirnos que registremos en nuestro
sistema que le gustaría recibir documentos en español, en letra de imprenta
grande, braille o audio, ahora y en el futuro. Los servicios Language Line están
disponibles para todos los proveedores dentro de la red.



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. Benefits, List of Covered Drugs,
pharmacy and provider networks and/or copayments may change from time to time
throughout the year and on January 1 of each year.

You can get this document for free in other formats, such as large print,
braille, or audio. Call Member Services, 8 a.m. - 8 p.m., local time, Monday -
Friday (voicemail available 24 hours a day/7 days a week). The call is free.

You can call Member Services and ask us to make a note in our system that you
would like materials in Spanish, large print, braille, or audio now and in the
future.

Language Line is available for all in-network providers.

Puede obtener este documento de forma gratuita en otros formatos, como letra de
imprenta grande, braille o audio. Llame al Servicios para los miembros, de 08:00
a. m. a 08:00 p. m., hora local, de lunes a viernes correo de voz disponible las
24 horas del día,/los 7 días de la semana). La llamada es gratuita.

Puede llamar a Servicios para Miembros y pedirnos que registremos en nuestro
sistema que le gustaría recibir documentos en español, en letra de imprenta
grande, braille o audio, ahora y en el futuro.

Los servicios Language Line están disponibles para todos los proveedores dentro
de la red.


UNITEDHEALTHCARE SENIOR CARE OPTIONS (HMO SNP) PLAN

UnitedHealthcare 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. 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 SCO program.


AVAILABILITY OF NON-ENGLISH DISCLAIMER

ATTENTION: If you speak an alternative language, language assistance services,
free of charge, are available to you. Call 1-800-905-8671 TTY 711, or use your
preferred relay service.

ATENCIÓN: Si habla Español, hay servicios de asistencia lingüística disponibles
para usted y que no tienen cargo. Llame al 1-800-905-8671 TTY 711, o utilice su
servicio de retransmisión preferido



STAR RATINGS DISCLAIMER

Every year, Medicare evaluates plans based on a 5-Star rating system.


FORMULARIES

The formulary, pharmacy network and provider network may change at any time. You
will receive notice when necessary.


NCQA

UnitedHealthcare Connected® has a Model of Care approved by the National
Committee for Quality Assurance (NCQA) to operate as a Special Needs Plan (SNP)
until 2017 based on a review of UnitedHealthcare Connected’s Model of Care.


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 888-638-6613 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.

 * Accessibility
 * Medicare Complaint Form
 * Terms of Use
 * Privacy
 * Non-Discrimination Language Assistance Notices
 * For Health Care Professionals
 * Contact Us

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Last Updated: 12.16.2022 at 02:21 PM CST

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