Ale nan kontni prensipal la
Kontni Prensipal

STAR

Medicaid

Not all STAR plans are alike. UnitedHealthcare Community Plan provides standard benefits under the STAR program for children, families, pregnant women and single adults who qualify based on income. We also offer additional services called Value Added Services (VAS). View the list below to see what STAR includes.

Language and Interpreter Services

UnitedHealthcare Community Plan has staff that speaks English and Spanish. If you speak another language or are hearing impaired and need help, call Member Services at 1-888-887-9003  or TTY 711 for hearing impaired.

If you need materials in audio, Braille, larger print and in other languages at your request. Please call 1-888-887-9003 for help.

  • STAR Steps to Enroll
  • Verifye Kalifikasyon (louvri yon fenèt modal)

Need help finding a provider or setting up a visit?

Rele Sèvis Manm yo nan 1-888-887-9003, TTY 7-1-1, Lendi-Vandredi 8 AM-8 PM oswa voye yon imèl bay memberservices_uhccp@uhc.com pou jwenn èd pou jwenn yon founisè oswa pou òganize yon vizit.

Avantaj & Karakteristik

Swen pou moun ki ansante ak Moun ki malad

Get the assistance you need to stay healthy — or to get better if you are injured or sick. And pregnant moms get extra support to keep you and your baby healthy. Li gen ladann:

  • Hospital Care. You pay nothing for care in a hospital.
  • Lab and X-rays. Lab tests, x-rays and diagnostic imaging are covered.
  • Transportation. We pay for rides to and from medical visits or pharmacy.
  • Well Visits. Annual checkups can help keep you healthy.

Pa gen anyen ki pi enpòtan pase sante ak byennèt oumenm ak tibebe w. That’s why our STAR plan benefits include:

  • Choice of Doctor. Find a doctor you trust in our network.
  • Choose a Birth Center. Deliver at your choice of hundreds of hospitals across Texas.
  • Vizit Prenatal. Swen pou oumenm anvan tibebe w fèt.
  • Healthy First Steps®. Get extra support and rewards to keep you and your baby healthy.
  • Infant Care Book. Helpful advice about newborns for expecting moms.
  • Wellhop for Mom & Baby. Connect with a community of moms. Get support and information as you welcome your baby.

Si ou gen opresyon, dyabèt oswa yon lòt pwoblèm alontèm, ou ka konte sou nou. Our STAR Plan makes sure you get the care and services you need. Avantaj yo gen ladan yo:

  • Case Management. Personal support from an experienced professional.
  • Asthma Support. Individual care to help you control asthma or COPD.
  • Mental Health. Counseling and other treatments are available.

Help protect your hearing and smile with these benefits:

  • Hearing. Tests, checkups and hearing aids, if needed, are provided.
  • Dental. Checkups, routine and emergency care are covered. 

Get the medical equipment and supplies you need to live safely at home. Avantaj yo gen ladan yo:

  • Home Meal Delivery. If you can’t safely make meals, we'll provide them.
  • Equipment and Supplies. In-home medical and safety equipment are covered.

Gendèfwa, ou ka bezwen yon ti èd anplis pou w itilize plan sante w la. Lè sa yo, ou ka konte sou:

  • Transportation. We offer rides to and from medical visits or the pharmacy.
  • Interpreters. An interpreter can go with you to medical visits.
  • Language Help. Translated medical materials are available at no cost.
  • Member Services. Your benefit questions are answered 24/7.

Read about all the extras your child could get as a STAR Kids member: 

  • Exercise Kit. Includes one pedometer, one pack of resistance bands, and one water bottle for members who want to become more active. 
  • Online Mental Health Resources. Access articles, videos, and other resources at LiveandWorkWell.com 
  • Healthy First Steps®. Pregnant members who enroll in Healthy First Steps Babyscripts will receive access to free educational content, resources, and rewards for going to prenatal and postpartum visits.
  • Extra Benefits. Sports and school physicals offered at no cost. 

Learn more about Value-added Services English | Español

Sipò pou Opresyon ak COPD

Individual care to help you control asthma or COPD symptoms.

Do you have trouble managing asthma or COPD symptoms? Yon enfimye(è) ki espesyalize nan pwoblèm respirasyon ka ede w reyèlman. W ap jwenn yon plan tretman adapte ak medikaman pou:

  • Jere rechit yo.
  • Diminye sentòm.
  • Help you stay active.

Jesyon Dosye

Do you or a loved one have a serious health problem or a high-risk pregnancy? If so, our case managers are in your corner. Yo pral:

  • Esplike tèm medikal yo nan yon langaj ki senp.
  • Coordinate your doctor appointments.
  • Provide your care team with your medical records.

Your case manager will stay with you on your medical journey. Li pral:

  • Think beyond your medical needs.
  • Make sure you have support at home.

So you can focus on getting better.

Chwazi Doktè

You or your child gets a primary care physician (PCP) who is your main doctor. Itilize zouti pou chèche Doktè a, pou wè si doktè ou nan rezo nou a.

Si ou pa gen yon doktè oswa si doktè w pa nan rezo nou an, nou ka ede w chèche yon nouvo doktè ki toupre w. 

PCP w la se doktè prensipal ou pou:

  • Swen prevantif.
  • Tretman si w malad oswa blese.
  • Rekòmandasyon kay espesyalis pou sèten pwoblèm medikal.

Choose a Birth Center

Where to deliver your child is an important choice. That's why you can pick from hundreds of hospitals across Texas.

We encourage you to tour the hospital's birthing center. Nan fason sa a, ou pral abitye avèk li. And you’ll be more relaxed when you deliver your baby.

Swen Dantè

Checkups, routine and emergency care are covered.

Exams and cleanings every six months help keep teeth and gums strong and healthy. Si gen yon pwoblèm dantè ki dwe regle, li garanti tou.

Ekipman ak Founiti

Sante ak sekirite lakay ou enpòtan.

Plan nou an garanti ekipman medikal doktè w oswa manadjè dosye w mande. Sa gen ladann:

  • Hospital bed.
  • Oxygen tank.
  • Walker or wheelchair.

Extra Benefits

Sports and school physicals at no cost to you.

Our plan covers up to two free physicals each year so your child can:

  • Go to camp.
  • Join a team.
  • Play a school sport.

Healthy First Steps®

Bati yon lavni ki ansante pou ou ak tibebe ou an epi resevwa gwo rekonpans ak Healthy First Steps. Pwogram nou an pral ede ou pran bon mezi yo pou kenbe ou ak tibebe ou an ansante. Met sou sa ou ka resevwa $20 jis paske ou enskri. 

N ap ede ou:

  • Chwazi founisè swen pou gwosès ak yon pedyat (doktè timoun).
  • Planifye vizit ak egzamen yo ak òganize transpò pou vizit ou yo.
  • Resevwa rekonpans dèske ou ale nan vizit yo pandan tout gwosès ou ak 15 premye mwa lavi tibebe a.
  • Jwenn materyèl, tankou ponp tete pou manman nouris yo.
  • Konekte avèk resous kominotè yo tankou sèvis pou Fanm, Tibebe ak Timoun (Women, Infants and Children, WIC).

Ospitalizasyon

Plan sa a peye pou tout depans ki gen rapò avèk yon sejou lopital, konsa ou ka repoze epi geri.

Sa gen ladann:

  • Swen enfimyè.
  • Chanm ak manje.
  • Materyèl ak ekipman.
  • Tretman ak terapi.
  • Tès dyagnostik ak egzamen.

Apre ou fin kite lopital la, ou pa poukont ou. Nou asire ou jwenn swen swivi pou w kontinye geri lakay ou.

Entèprèt

Doktè ou ansanm avèk oumenm, youn dwe konprann lòt. Lè w pa pale Anglè byen sa fè l pi difisil. We can arrange for a medical interpreter to be at your appointment.

We have people at our phone centers that speak more than one language. A service lets us connects with others that speak hundreds of languages.

Èd nan domèn lang

You can ask to receive information in another language. Then anything we write to you will only be in that language. This is provided at no cost to you.

Medikaman

We make getting your medicine easy.

Pa gen okenn kopeman pou medikaman ki garanti yo. Ou ka egzekite preskripsyon ou nan:

  • Famasi lokal.
  • Services that deliver routinely right to your door.

We also cover over-the-counter medicines with a written order from your doctor.

Sèvis pou Manm

Gen dèfwa ou ka bezwen èd pou konprann opsyon swen sante w yo. With us, you have someone you can call 24/7. N ap reponn kesyon w yo konplètman e avèk yon langaj ki senp.

Nou ka ede w tou pou jwenn:

  • Home care providers.
  • Dantis ak founisè pou vizyon.
  • Adult Day Health Centers.

Sante mantal

Sante mantal toutosi enpòtan ke sante fizik. Se poutèt sa nou gen menm kouvèti a pou toude.

Swen obligatwa kouvri a 100% san kopeman. Sa gen ladann:

  • Terapi konpòtmantal.
  • Substance abuse treatment.
  • Medikaman.

Kopeman

You pay nothing for covered services.

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

  • Care from highly skilled and compassionate doctors.
  • Treatments at respected hospitals and clinics.
  • Home medical equipment and supplies to help you be at your best. 

Liy Dirèk pou Enfimyè

Medical questions and situations come at inconvenient times. When you have questions about your health or your child's health, you can call a trained nurse 24 hours a day, 7 days a week.

Enfimyè nou yo ki nan Nurse Hotline la pral fè:  

  • Tande ki sentòm ou di l ki prezante.
  • Gide pou pran swen tèt ou.
  • Ba w konsèy sou kijan pou jwenn swen kay yon doktè oswa nan yon sant swen dijans.

Suggest you go right to the emergency department.

Prenatal Visits

Your pregnancy is a journey you'll want to make with the help of friends, family and a pregnancy doctor, or OB-GYN.

All recommended prenatal clinical visits and tests are covered by our plan.

Nan vizit sa yo, klinik la ap:

  • Make sure both you and your baby are healthy.
  • Eksplike kisa pou w atann nan chak etap gwosès ou.
  • Reponn kesyon w yo.

Sèvis Transpò

Whether you live in the city or in the country, rides are available. Our plan provides round trips to and from plan locations. This includes trips to and from the pharmacy to fill your prescriptions.

Vaccines and Immunizations

All of the immunizations your child needs are covered.

Swen pou vizyon

You'll get the care, eyeglasses and treatment that let you see life more clearly. Coverage includes $105 every two years toward frames or contact lenses.

This benefit is offered by certain stores and retailers.

Wellhop for Mom & Baby

Connect 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.
Here’s how it works:

  • Join video conversations every other week with women who have similar due dates and a group leader.
  • Chat and share experiences with moms from your group on the Wellhop app or website.
  • Visit the Wellhop library. You’ll find articles, videos and more.

Resous pou Manm

Resous pou Manm yo (louvri yon fenèt modal)

Enfòmasyon sou Enskripsyon

The Texas STAR plan specialists can answer questions and help you enroll.

Rele nou:
1-888-887-9003 / TTY: 711

8:00 AM jiska 8:00 PM lè lokal, lendi jiska vandredi

Etap pou Enskri
Jwenn detay yo

Visit the Texas CHIP & Medicaid site for more information on eligibility and enrollment.

Texas CHIP & Medicaid.

Enfòmasyon pou Manm

Èske w manm deja? Ou gen aksè pou w ale sou sit Entènèt nou an ki pou manm yo sèlman. Enprime Kat Idantifikasyon, kominike avèk yon enfimyè pandan w sou Entènèt la, epi fè plizyè lòt bagay toujou.

Member information is available in paper form, at no cost, upon request, and sent by the health plan within five business days.

Sit entènèt pou manm yo

At UnitedHealthcare we want to make sure you can access all the benefits your plan provides.

If you’ve had a change in your health status and your doctor determines you need a wheelchair, your plan is here for you.

To make sure you get the equipment you need with the coverage you have, follow these simple steps.

You may need a wheelchair evaluation referral from a healthcare provider in your plan’s network for wheelchairs with special features.

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

In many cases, your healthcare provider can help locate an in-network provider and send the referral.

If the health care provider does not complete this step we can help you find an in-network provider and schedule an appointment.

It is important to understand what your insurance does and does not cover, so that you don’t have unexpected expenses.

And we can help you with that.

Once the referral has been sent to the identified provider the evaluation will be performed by a physical therapist, an occupational therapist or a physiatrist who specializes in determining proper seating and positioning.

This evaluation may take place in your home or in the DME provider’s office.

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

During the visit you may be asked to provide additional information including your health status and risk factors, transportation needs, and information on your home environment (if the assessment does not take place in your home).

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

Factors such as supply chain issues and availability of parts may cause additional delay.

Your DME provider can assist you with a loaner chair during the waiting period if needed.

When your new wheelchair is delivered be sure to sit in it to ensure proper fit and adjustments.

And even if you have experience with wheelchairs do take the time for the vendor to provide instructions on the use of the chair and its features, care and maintenance.

If any equipment you are requesting is not a covered benefit you may be asked to pay out of pocket for the equipment.

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

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

If you already use a wheelchair and it’s damaged and unable to be repaired you may also be eligible for a new wheelchair.

Over time your insurance and DME providers may change.

So, be sure and keep all the information about the chair, the DME provider, the coverage and any documentation on any repairs or changes made.

Remember, if you have any questions or need more information visit myuhc.com/CommunityPlan or call member services at the number on the back of your member ID card.

 

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