STAR+PLUS

Medicaid

Not all Texas STAR+PLUS plans are alike. UnitedHealthcare Community Plan provides standard benefits under the STAR+PLUS program for adults who need extra support and care, including services to help with daily activities. We also offer additional services called Value Added Services (VAS). You qualify based on income and health needs. View the list below to see what STAR+PLUS includes.

Anderson, Angelina, Aransas, Austin, Bastrop, Bee, Bell, Blanco, Bosque, Bowie, Brazoria, Brazos, Brooks, Burleson, Burnet, Caldwell, Calhoun, Camp, Cass, Chambers, Cherokee, Colorado, Comanche, Cooke, Coryell, De Witt, Delta, Erath, Falls, Fannin, Fayette, Fort Bend, Franklin, Freestone, Galveston, Gillespie, Goliad, Gonzales, Grayson, Gregg, Grimes, Hamilton, Hardin, Harris, Harrison, Hays, Henderson, Hill, Hopkins, Houston, Jackson, Jasper, Jefferson, Jim Wells, Karnes, Kenedy, Kleberg, Lamar, Lampasas, Lee, Leon, Liberty, Limestone, Live Oak, Llano, Madison, Marion, Matagorda, McLennan, Milam, Mills, Montague, Montgomery, Morris, Nacogdoches, Newton, Nueces, Orange, Panola, Polk, Rains, Red River, Refugio, Robertson, Rusk, Sabine, San Augustine, San Jacinto, San Patricio, San Saba, Shelby, Smith, Somervell, Titus, Travis, Trinity, Tyler, Upshur, Van Zandt, Victoria, Walker, Waller, Washington, Wharton, Williamson, ak Wood.

Avantaj & Karakteristik

Swen pou moun ki ansante ak Moun ki malad

Get the assistance you need to be at your best — or to get better if you are injured or sick. Li gen ladann:

  • Service Coordinator. Specially trained professional to help you receive the services you need based on a person centered plan.
  • Well Visits. Annual checkups can help keep you healthy or reach your potential.
  • Medicines. Fill your prescriptions at local pharmacies.
  • Lab and X-rays. Lab tests, x-rays and diagnostic imaging are covered.
  • Hospital Care. You pay nothing for care in a hospital.

If you have asthma, diabetes or other long-term conditions, you can depend on us. Our STAR+PLUS plan makes sure you get the care, support and services you need. Avantaj yo gen ladan yo:

  • Service Coordination. Support from an experienced professional.
  • Disease Management. Individual care to help you manage chronic medical conditions such as diabetes, asthma, COPD, Kidney Failure and Heart Failure.
  • Mental Health Support. Counseling and other treatments are available.

Help protect your sight, hearing and smile with these benefits:

  • Vizyon. Includes exams and $105 toward frames or contact lenses as a value added service.
  • Odisyon (zòrèy). Tests, checkups and hearing services are provided.
  • Dantè. Checkups are covered as part of a value added service, and emergency care is covered.

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

  • Personal Care. Someone to help with personal care tasks for individuals that qualify based on your primary care physician determination of a functional need and an assessment process.
  • Day Activity Health Services. Supervised care in a group setting with nursing support during the day.
  • Equipment and Supplies. In-home medical and safety equipment are covered as medically necessary.

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

  • Transportation. Rides to and from medical visits or the pharmacy.
  • NurseLineSMCall our nurses for advice 24/7.
  • Entèprèt. As needed for medical appointment or assessments.
  • Member Services. Your benefit questions are answered 24/7.

Read about all the extras you could get when you become a STAR+PLUS member:

  • Healthy Rewards. Earn rewards for completing important preventive services.
  • Weight Control. Get 13 vouchers toward local Weight Watchers programs.

View Value Added Services

STAR+PLUS Nursing Facility Value Added Services

If you're elderly, disabled or living with an illness, your health needs are unique. Our job is to make it as easy as possible for you to meet those needs. The STAR+PLUS HCBS Waiver program provides an array of services and supports for individuals meet the state criteria and have medical necessity for Nursing Facility Level of Care to assist them to live safely in the setting of their choice. Some of the benefits provided in this program include (not an all inclusive list):

  • Specialized Nursing
  • Livrezon manje nan kay
  • Swen pou pran repo
  • Dental services
  • Adaptive aids
  • Ti modifikasyon nan kay

Chwazi Doktè

Ou gen yon doktè swen jeneral (PCP) ki se doktè prensipal ou. 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.

Healthy Rewards - Value added services beyond your medicaid benefits.

An ounce of prevention can be worth a pound of cure. It can also be worth great rewards.

You can earn great gifts for things like:

  • Getting your yearly wellness exam.
  • Getting lab tests.
  • Completing a program for weight management or diabetes.

Ospitalizasyon

This plan pays for all expenses related to a medically necessary hospital stay.

After you leave the hospital, you are not alone. Nou asire ou jwenn swen swivi pou w kontinye geri lakay ou.

In-Home Care

Sometimes the basics are hard to do yourself after an illness or injury. If needed, we provide someone to help with:

  • Dressing.
  • Bathing.
  • Feeding.

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 an interpreter for 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.

There are no copays for covered drugs. Ou ka egzekite preskripsyon ou nan:

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

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.

Sante mantal

Sante mantal toutosi enpòtan ke sante fizik. That's why we have the same coverage for both.

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

  • Terapi konpòtmantal.
  • Substance use 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.
  • Prescription drugs coverage.

NurseLine℠

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 NurseLine pral: 

  • 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.  

Sispann itilize tabak

Ou konnen move efè fimen gen sou sante w. Ou konnen fòk ou kite fimen. We will support you while you quit with coaches and supplies. Sèl bagay ou p ap jwenn nan men nou, sèke nou pa pral fè moral ou.

Service Coordination - Cornerstone of the STAR+PLUS program

  • Esplike tèm medikal yo nan yon langaj ki senp.
  • Coordinate your doctor appointments and other services or treatments you may need.
  • Connect you with community resources.

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

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

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.

Swen pou vizyon

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

This benefit is offered by certain stores and retailers.

Weight Control

Get 10 vouchers toward local Weight Watchers programs.

Weight Watchers encourages a healthy approach for eating and living. The program helps you change your eating habits and become more active. Weekly meetings give you advice and support. So you can stay on track and meet your goal.

Resous pou Manm

Resous pou Manm
Tcheke Kalifikasyon

Enskripsyon

Rele pou enskri jodi a.

Monday - Friday
8 a.m. - 8 p.m. local time

1-888-887-9003
TTY: 711

Aprann etap yo pou ou enskri.

Jwenn detay yo.

More information on eligibility and enrollment can be found on the Texas STAR+PLUS website.

For information in alternate formats, like large print, Braille or audio, please call Member Services.

Kesyon

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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.

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