It’s your health. It’s your choice. Show
Everyone deserves affordable health care, including you. Working adults who don’t qualify for Medicaid may qualify for the Essential Plan. Check out the Essential Plan offered through the New York State of Health by UnitedHealthcare to see if you’re eligible. We have the coverage, benefits and extras that can make a real difference in your life. All at either a low cost or no cost to you.
Sometimes, you might need a little extra help. If you aren’t eligible for Medicaid, the Essential Plan could be the right fit for you.
We also offer resources to help you make the most of your plan. Including:
Visit nystateofhealth.ny.gov dot gov for more information. Helping you live a healthier life. We are here for you, New York. Remember to choose UnitedHealthcare Community Plan. And get the plan that gets you more. To learn more about UnitedHealthcare Community Plan and all plans offered in New York, visit UHCCommunityPlan dot com forward slash ny. Find providers and coverage for this plan.Benefits & Features
Virtual Care – UHC Doctor Chat 24/7When you’re ill or have health questions and can’t get to your primary care doctor, you can talk to one in seconds, 24/7, with UHC Doctor Chat. Get the answers, treatment and follow-up care you need, when you need it — at no cost to you. To download the app, search for “UHC Doctor Chat” on the App Store® or Google Play®, or visit www.uhcdoctorchat.com.
Behavioral HealthBehavioral Health is as important as physical health. That's why we have coverage for both. You have access to mental health and substance use disorder treatment services, known together as behavioral health services. Behavioral health services can help you with personal problems that may affect you and your family. These problems may be stress, depression, anxiety or using drugs or alcohol. Talk to your Primary Care Provider (PCP) today about any health or behavioral health problems you have. Your PCP will refer you to a behavioral health provider with UnitedHealthcare Community Plan. They can refer you to specialists, and other facilities, such as hospitals and substance use disorder treatment services. You don't need a referral from your PCP to see behavioral health specialists in your plan or to access substance use disorder treatment services. There are some treatments and services that need preapproval before you can get them. To learn more, talk to your doctor. Search for a Behavioral Health Provider Required care is 100% covered. If you need behavioral health care, your PCP and UnitedHealthcare Community Plan can help coordinate your care. We cover:
Additional health resources can be found here. Find the balance, support and care you need to live the healthiest life possible. You may also be eligible for additional grant funded services such as care coordination, family hardship services and recovery support services. These provide comprehensive community-based services that supplement your current benefits. If you need help finding mental health services or if you feel that your rights have been violated, please call your Regional Behavioral Health Ombuds. An Ombuds is someone who is hired to assist you with any difficulties with your services or with getting services. Services are free and all information is kept confidential. Member Handbook (English)
Mental Health Crisis ServicesWhat if I have a behavioral health crisis? You are always covered for a behavioral health emergency. An emergency means a behavioral health condition that comes on suddenly, is life threatening, is painful, or other severe symptoms that cannot wait to be treated. You may have a mental health, drug, or alcohol use emergency. Emergency services are covered anywhere in the United States. If you think you have a life threatening emergency, call 911 or go to the nearest hospital location where emergency providers can help you. As soon as possible, call us to arrange for follow-up behavioral health care after an emergency.
Crisis Services: If you are experiencing a mental health crisis, your ID card has a phone number to access crisis services in your area. Our list of crisis services phone numbers are available in English and Español Here are additional Behavioral Health Services and Crisis Intervention Contacts: County crisis line phone numbers You may call your local county crisis line to request assistance for you or a friend or family member (24/7/365). Important: Crisis lines are available for all Washingtonians (regardless of your insurance status or income level).
*Behavioral Health - Administrative Services Organizations (BH-ASO) Washington Recovery Help Line: 1-866-789-1511 Teen Link: 1-866-833-6546 Suicide
Prevention: 1-800-273-8255 Additional health resources can be found here. Find the balance, support and care you need to live the healthiest life possible. Member Handbook (English)
Well and Sick CareGet the assistance you and your family needs to stay healthy, to get better if you are injured or sick or — simply achieve your potential. That includes
Pregnancy CareNothing is more important than the health and well-being of you and your baby. That's why our plan benefits include:
Care for ConditionsIf you have asthma, diabetes or another health condition, you can depend on us. Our plan makes sure you get the care and services you need. Benefits include:
Vision and Hearing CareMake sure your sight and hearing are at their best. Benefits include:
Home Care and SuppliesGet the medical care and equipment you or a family member needs to recover or live at home. Benefits include:
Personal Care ManagerDo you or a family member have a serious health problem? If your health needs qualify then our care managers are in your corner. They will:
Your care manager will stay with you throughout the medical journey. He or she will:
See More Benefits and Features Additional Benefits and ServicesGet extra benefits and support. You can rely on:
Asthma and COPD SupportIndividual care to help control your child's asthma. Does your child have trouble managing asthma or COPD symptoms? A nurse who specializes in breathing issues can really help. Your child will get a customized treatment plan and medicine to:
Choose a Birth CenterWhere you have your baby is an important choice. That's why you can pick from large network of hospitals all across Washington. We also encourage you to tour the hospital's birthing center. This way you will be familiar with it. And you'll be more relaxed when you have your baby. Choice of DoctorYou will have a primary care physician (PCP) who will be your main doctor. Your PCP is the person you should see for most of your care. This includes checkups, treatments, vaccinations, minor injuries and health concerns. Talk to your PCP about any behavioral health concerns you may have. Your PCP can help you decide the right options for you. Your PCP is your main doctor for:
Use the Doctor Lookup tool to see if your doctor is in our network. 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. Diabetes SupportIf you have diabetes, we'll help make life a little easier for you. You'll get medicine, supplies and education to help you reach and stay your best. You are also rewarded with gift cards for taking simple steps to manage your diabetes. Our diabetes program also includes self-care training and classes focused on:
Equipment and Medical SuppliesYour health and safety at home are important. Our plan covers medical equipment ordered by your doctor or case manager. This can include supplies like:
Foot CareIf you have diabetes or a circulatory condition, good foot care can help prevent much more serious problems. We provide the needed exams to help keep your feet in great shape. Our podiatry coverage includes:
Health EducationFree coaching to help improve your health or to address a condition. Our plan includes coaching on diabetes, nutrition and more. You can even get a ride, if needed, to and from the class at no cost to you. Healthy First Steps®Build a healthy future for you and your baby and earn great rewards with Healthy First Steps. Our program will help you take the right steps to keep you and your baby healthy. Plus you can earn $20 just for signing up. We will help you:
Hearing CareTrouble hearing can affect your everyday life in many ways. Our plan includes services and support to help protect your hearing. We cover exams and testing, as well as hearing aids for enrollees. Home Health CareAfter surgery or a serious illness—or if you have a disability—you may need extra help with day-to-day tasks. You may even need an in-home medical visit to check on how well you are healing. With approval, our plan covers:
HospitalizationThis plan pays for all expenses related to a hospital stay, so you can rest and heal. Our plan covers:
And after you leave the hospital, you are not alone. We make sure you get follow-up care to continue healing at home. InterpretersYour doctor and you need to understand each other. Not speaking English well makes this difficult. We can arrange for a medical interpreter to be at your appointments. We also have people in member services who speak more than one language. Chances are, we have someone who speaks your language or they can connect you with our interpreter service which covers more than 170 languages. Kidney Disease CareKidney disease is a serious medical condition. After the kidneys stop working, regular treatments, called renal dialysis or an organ transplant are needed to live. Dialysis uses a machine to clean the blood just like healthy kidneys do. Our plan includes:
Lab and X-raysKnowing what's wrong and finding it early can make all the difference. Our plan covers:
We'll help you get the information needed to improve your health or be at your best. Language HelpYou can receive information in your preferred language. Just ask. We also have people at our customer service centers who speak more than one language. Chances are, we have someone who speaks your language or they can connect you with our interpreter service which covers more than 170 languages. Member ServicesSometimes you might need a little help understanding your health care options. With us, you have someone you can call. We’ll answer your questions simply and completely. We can also help you find:
MedicinesOur plan includes prescription drugs and refills with no copays. We also cover over-the-counter medicines with a written order from your doctor. And we make getting your medicine easy. You can fill your prescriptions at:
Mental Health Services for Children and YouthProblems such as depression and anxiety can also be challenging for children and teens. There are no costs for covered services. We have therapists and doctors for youth and teens that can address their specific behavioral health or substance use. Help get them extra support to live a heathier life. Look for behavioral health providers or call 1-877-542-8997, TTY 711 Additional Resources Teens can connect with teens during specific hours: 866-833-6546, , www.866teenlink.org No Cost for Covered ServicesGet the quality health care you deserve at no cost for covered services. You get:
NurseLineMedical questions and situations sometimes happen at inconvenient times. When you have questions about your health, you can call a nurse 24 hours a day, 7 days a week: 1-877-543-3409 (TTY 711). Our nurses will:
Nurse VisitsSometimes continued care is needed after leaving the hospital or urgent care. For example, after a serious illness, surgery or injury. In these cases, a nurse will make home visits to:
Personal CareSometimes the basics are hard to do yourself after an illness or injury. If needed, we provide someone to help with:
Personal Care ManagerDo you or a family member have a serious health problem? If your health needs qualify then our care managers are in your corner. They will:
Your care manager will stay with you throughout the medical journey. He or she will:
Programs for Kids and TeensKids with positive role models make more healthy choices. That's why we provide free memberships to the Boys & Girls Clubs in your area. Along with fun and games, these clubs offer help with:
Prenatal VisitsYour pregnancy is a journey you'll want to make with the help of friends, family and a pregnancy doctor, or OB-GYN. With our plan, you will also be rewarded with gift cards for prenatal and postpartum doctor visits. All recommended prenatal clinical visits and tests are covered by our plan. At these visits, the clinic will:
Residential CareAfter a serious illness, surgery or injury you may need extra nursing and therapy. If needed, our plan covers short stays in a rehabilitation center where you can heal. Included are:
Quitting TobaccoYou know the bad health effects of smoking. You know you need to quit. We support you while you quit with coaches and supplies. The only thing you won't get from us is a lecture. Call 1-866-QUIT-4-LIFE (1-866-784-8454) Or visit www.quitnow.net. Shots and VaccinesRoutine shots help protect you from illness. So, our plan covers:
Therapy ServicesPhysical, occupational and speech therapy can help you recover from a serious injury or illness, or simply reach your full potential. Our plan provides:
TransportationGet a ride – at no cost to you - to and from health care locations. That includes trips to:
Apple Health (Medicaid) pays for transportation services to and from needed non-emergency health care appointments. If you have a current ProviderOne Services Card, you may be eligible for transportation. Call the transportation provider (broker) in your area to learn about services and limitations. Your regional broker will arrange the most appropriate, least costly transportation for you. See the list of brokers Vision CareYou'll get the care and treatment that let you see life more clearly. Coverage includes:
Well VisitsWell visits with your doctor can help you stay healthy. These visits can catch health problems early, so they can be treated. Preventive services include:
There are no copayments for preventive care. Wellhop for Mom & BabyConnect with other expectant moms. Get support and information during your pregnancy and after you deliver. This program is part of your health plan and there is no extra cost to you.
Member ResourcesSee what UnitedHealthcare has to offer.Video Transcript It’s your health. It’s your choice. Everyone deserves affordable health care, including you. Working adults, people with disabilities, pregnant women, and children who qualify for Medicaid should check out UnitedHealthcare Community Plan. We have the Medicaid benefits and extras that can make a real difference in your life. All at no cost to you.
Sometimes, you might need a little extra help. Get extras not covered by Medicaid.
We also offer resources to help you make the most of your plan. Including:
Visit HCA.WA dot gov for more information. Helping you live a healthier life. We are here for you, Washington. Remember to choose UnitedHealthcare Community Plan. And get the plan that gets you more. To learn more about UnitedHealthcare
Community Plan, visit UHCCommunityPlan dot com forward slash WA. |