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WELCOME TO UNITEDHEALTHCARE COMMUNITY PLAN'S NEWSLETTERS FOR MISSOURI





OUR HEALTHTALK NEWSLETTER IS NOW ONLINE.

The newsletter is a great way to learn about our health plan and important
health topics. Now you can read it whenever, wherever you want. Check back
quarterly for a new edition.


2022

Summer

 * English (Opens in a new tab)
   
   PDF 1.60MB - Last Updated: 07/22/2022

 * Español (Opens in a new tab)
   
   PDF 1.36MB - Last Updated: 07/22/2022

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 1-833-772-1999 (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 1-833-772-1999 (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 1-833-983-3549, 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
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Last Updated: 07.22.2022 at 12:33 PM CDT

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