Mapan iti kangrunaan a linaon
Kangrunaan a Linaon

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
  • Kitaen ti pannakakualipikar (aglukat iti modal a window)

Need help finding a provider or setting up a visit?

Tawagan ti Dagiti Serbisio iti Miembro iti 1-888-887-9003, TTY 7-1-1, Lunes-Biernes 8 AM-8 PM memberservices_uhccp@uhc.com wenno ag-email iti  tapno agpatulong iti panagbirok iti tagaipaay iti serbisio wenno panagikeddeng iti panagbisita.

Dagiti Benepisio ken Paset ti Plano

Taripato para ti Nakaradkad ken Agsakit

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. Nga agraman ti:

  • 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.

Awan ti napatpateg ngem nu di ti salun-at ken karadkadyo nga agina. 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.
  • Prenatal Visits. Care for you before your baby is born.
  • 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.

No adda angkit mo, diabetes wenno dadduma a kondisyon a naunday, mabalin ka nga mangnamnama kadakami. Our STAR Plan makes sure you get the care and services you need. Dagiti benepisyo ket kairamanan ti:

  • 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. Dagiti benepisyo ket kairamanan ti:

  • 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.

Mabalin a kasapulam nu dadduma ti kanayonan a tulong a mangusar ti plano ti salun-at mo. Kadagidiay a tiempo, mabalin a mangnamnama ka kadakami:

  • 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

Suporta iti Angkit ken COPD

Individual care to help you control asthma or COPD symptoms.

Do you have trouble managing asthma or COPD symptoms? A nurse who specializes in breathing issues can really help. You’ll get a customized treatment plan and medicine to:

  • Manage flare-ups.
  • Reduce symptoms.
  • Help you stay active.

Panangimaton iti Kaso

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. They will:

  • Explain medical terms in plain language.
  • Coordinate your doctor appointments.
  • Provide your care team with your medical records.

Your case manager will stay with you on your medical journey. He or she will:

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

So you can focus on getting better.

Ti Panagpili ti Doktor

You or your child gets a primary care physician (PCP) who is your main doctor. Usaren ti Panagbirok iti Doktor a tool tapno makitam no ti doktormo ket adda iti networkmi.

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. 

Ti PCP-mo ti kangrunaan a doktormo para iti:

  • Manglapped a panangaywan.
  • Panagagas no sika ket agsakit wenno nadunor.
  • Dagiti reperal kadagiti espesialista iti partikular a kondision.

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. Ta iti kastoy ket masanay ka iti dayta. And you’ll be more relaxed when you deliver your baby.

Pannakaaywan ti Ngipen

Checkups, routine and emergency care are covered.

Exams and cleanings every six months help keep teeth and gums strong and healthy. If there is a dental problem that needs to be fixed, that's covered as well.

Makinarya ken dagiti Suplay

Ti salun-at mo ken kinatalged mo iti pagtaengan ket napateg.

Sakupen ti planomi dagiti medikal nga instrumento nga ibilin ti doktormo wenno ti mangimatmaton iti kasom. Mairaman ditoy ti:

  • 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.

Umuna nga Addang wenno Healthy First Steps®

Mangibangon iti nasalun-at a masakbayan para kenka ken para iti maladagam ken makaala kadagiti nagmamayat a gunggona iti ’s Healthy First Steps. Tulongannakayo ti programami a mangaramid kadagiti umno nga addang tapno agtalinaedkayo ken ti maladagayo a nasalun-at. Ken mabalinka a makaurnong iti $20 uray no agpalistaka laeng. 

Tulungandaka:

  • Mangpili ti maysa a tagapaay para iti masikog ken maysa pediatrician (doktor ti ubing)
  • Iyiskedyul dagiti panagbisita ken panagpaeksamen ken ikoordinar dagiti pagluganam nga agbisita.
  • Agurnong kadagiti gunguna bayat ti panagsikogmo ken kadagiti umuna 15 a bulbulan ti maladagam babaen ti papan panagbisita
  • Mangala kadagiti kasapulan, kairamanan dagiti breast pump para kadagiti agpaspasuso nga inna.
  • Makikonektar kadagiti pagtaudan ti komunidad kas kadagiti Serbisio ti Babbai, Maladaga ken Ub-ubbing (Women, Infants and Children/WIC)

Pannakaospital

Bayadan daytoy a plano ti amin a gastos mainaig iti pannakayospital, tapno makainana ken umimbag ka.

Mairaman ditoy ti:

  • Nursing care.
  • Kuarto ken makan.
  • Dagiti suplay ken makinarya.
  • Panagagas ken dagiti therapy.
  • Dagiti eksamen a diagnostic.

Ken kalpasan a rumuarka ti ospital, saaka nga agmaymaysa. Siguradoen mi nga adda ti follow-up a taripato tapno agtultuloy ka nga agimbag iti pagtaengam.

Dagiti mangipatarus ti pagsasao

Masapul nga agkinnaawatankayo iti doktormo. Narigat daytoy no saanka a makasao ti Ingles a nalaing. 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.

Tulong ti Lenggwahe

You can ask to receive information in another language. Then anything we write to you will only be in that language. Maipaay daytoy nga awan bayadna.

Dagiti Agas

We make getting your medicine easy.

There are no copays for covered drugs. You can fill your prescriptions at:

  • Local pharmacies.
  • Services that deliver routinely right to your door.

Masakupan mi pay dagiti agas a magatang nga awan reseta na ngem addaan nakasurat nga ballakad ti doktor mo.

Dagiti Serbisyo para ti Kameng

No dadduma mabalin a masapulmo ti bassit a tulong tapno maawatam dagiti pagpilian para iti pannakataripato ti salun-atmo. With us, you have someone you can call 24/7. Masungbatanmi dagiti saludsodmo iti simple ken kumpleto a wagas.

Mabalindaka pay a tulongan a mangsapulka iti/kadagiti:

  • Mangipapaay panaripato iti pagtaengan.
  • Dentists and vision providers.
  • Adult Day Health Centers.

Salun-at ti Panagpampanunot

Ti salun-at ti panunot ket kas kapateg ti salun-at a pisikal. Dayta nu apay nga agpada ti panangsaklawmi iti agpada.

Ti kasapulan a taripato ket 100% a masakupan nga awan ti copay. Mairaman ditoy ti:

  • Therapy ti Tig-tignay.
  • Panagagas iti panagabuso ti droga.
  • Ag-agas.

No Copays

Awan pulos ti bayadam kadagiti serbisyo a masakupan.

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

  • 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. 

Hotline dagiti Nars

Dagiti medikal a saludsod ken sitwasyon ket sumangbay kadagiti tiempo a saan mo a namnamaen. 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.

Our Nurse Hotline nurses will:  

  • Agdengngeg kadagiti sintomas.
  • Igiya naka para ti bukod mo a taripato.
  • Balakadan naka maipapan ti panangalam ti taripato iti panagbisitam iti doktor mo wenno iti urgent care center.

Suggest you go right to the emergency department.

Panagbisita Sakbay ti Panaganak.

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

Amin dagiti nairekomendar a klinikal a panagbisita ti masikog ken eksamen ket sakupen ti planomi.

Kadagitoy a panagbisita, ti klinika ket:

  • Make sure both you and your baby are healthy.
  • Ipalawag nu ania ti namnamaem kada lebel ti panagsikog mo.
  • Sungbatan dagiti saludsod mo.

Pagluganan

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.

Taripato ti Panagkita

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.

Dagiti Pammataudan ti Miembro

Dagiti Pammataudan ti Miembro (aglukat iti modal a window)

Impormasion ti Panagpalista

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

Tawagandakami:
1-888-887-9003 / TTY: 711

8:00 AM agingga 8:00 PM lokal nga oras, Lunes – Biernes

Dagiti Addang tapno Agpalista
Alaen dagiti detalye

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

Texas CHIP & Medicaid.

Impormasion ti Miembro

Maysakan a miembro? Makastrekka iti website a para laeng ti kameng. Iyimprenta dagiti ID kard, maki-chat iti nars online, ken dadduma pay.

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

Website ti miembro

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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