NJ FamilyCare

Our NJ FamilyCare plan is for children, parent or caretaker relatives, and adults without dependent children. It’s also for people who need extra support and care to live safely at home. You qualify based on income and health care needs. View the benefits below to see all that our plan offers.

This plan is available wherever you live in New Jersey.

More information on eligibility and enrollment can be found on the NJ FamilyCare website.

This plan is available in the following counties:

Atlantic , Bergen , Burlington , Camden , Cape May , Cumberland , Essex , Gloucester , Hudson , Hunterdon , Mercer , Middlesex , Monmouth , Morris , Ocean , Passaic , Salem , Somerset , Sussex , Union , and Warren .

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How you qualify.

NJ FamilyCare Eligibility

Who is Eligible? NJ FamilyCare now covers low income children, pregnant women, parents/caretaker relatives, single adults and adults without dependent children. Children 18 and under will continue to be eligible with higher incomes up to 350% Federal Poverty Level (FPL). Parents still need to renew the coverage each year. Parents/Caretaker Relatives with income up to 133% FPL must have tax dependent children in their household in order to be eligible under this category. This is a new NJ FamilyCare eligibility group. Dependent children in the household must be insured also. Adults without dependent children, ages 19-64, and incomes up to 133% FPL may be eligible as part of the new NJ FamilyCare. Eligibility is based on family size and income. Family size includes children under 21, adoptive and natural parents, or caretaker relatives and their spouses. How to Join the NJ FamilyCare Program
Are you interested in joining the UnitedHealthcare Community Plan NJ FamilyCare program? If yes, please visit NJ FamilyCare website or call 1-800-701-0710.
TTY # for NJ FamilyCare 1-800-701-0720, for additional information.

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Benefits & features

Well and Sick Care

Get the care you need to be at your best — or to get better if you are injured or sick. That includes:

• Well Visits. Preventive checkups, shots and lab tests.
• Therapy Services. Physical or other therapy to help you be your best.
• Lab and X-rays. Lab tests, x-rays and diagnostic imaging are covered.
• Shots and Vaccines. Routine shots to help keep you healthy.
• Urgent Care. Immediate care for a sudden illness or injury.

Pregnancy Care

Nothing is more important than the health and well-being of you and your baby. That's why our plan benefits include:

• Choice of Doctor. Find an OB-GYN you trust in our network.
• Prenatal Visits. Care for you before your baby is born.
• Healthy First Steps®. Get extra support to help you and your baby stay healthy.
• Choice of Birth Center. Pick from over 100 network hospitals across New Jersey.

Care for Conditions

If you have asthma, diabetes or another long-term condition, you can depend on us. Our plan makes sure you get the care, support and services you need. Benefits include:

• Case Management. Personal support from an experienced professional.
• Diabetic Supplies. Insulin, needles and more ordered by your doctor.

Vision, Dental and Hearing Care

Make sure your sight, teeth, speech and hearing are at their best. Benefits include:

• Vision. Routine exams and help paying for eyeglasses and contact lenses.
• Dental. We cover cleanings, checkups and dental work.
• Hearing. Tests, check-ups and hearing aids are covered (some limitations apply).

Understanding Dental Coverage - English Spanish

Home Care and Supplies

Get the medical care and equipment you need to recover safely at home. Benefits may include:

• Equipment and Supplies. In-home medical and safety equipment are covered.
• Nurse Visits. Medical care to help you safely recover at home.
• Chore Services. Someone to do your errands, cleaning or laundry.
• Personal Care. Someone to help with dressing, bathing and feeding if needed.

Other Help

Sometimes you might need a little extra help using your health plan. For those times, you can rely on:

• Interpreters. An interpreter can go with you to medical visits.
• Member Services. Your benefit questions are answered 24/7

Managed Long Term Services and Supports (MLTSS)

The MLTSS program is focused on serving frail, elderly, and disabled individuals. This program combines traditional health care benefits (doctor visits, hospital stays, labs) and long term services and supports (providing help in home or community with daily living activities) such as:

• Care Management. Someone to get you the care and support needed.
• Home and Vehicle Modifications. In-home medical and safety equipment are covered, plus needed modifications to a vehicle.
• Home Meal Delivery. If you can't safely make meals, we'll provide them.
• Mental Health & Addiction Services. Counseling and other treatments are covered.
• Personal Emergency Response System. Sends an urgent request for someone to help you.
• Adult Day Care. Friendship and social activities in a safe setting.
• Respite Care. In-home help to give your caregiver a rest.
• Personal Care. Someone to help with dressing, bathing and dining.

Learn more about the MLTSS program here

Adult Day Care

Companionship is important. Adult day care provides care and companionship for seniors who need extra help during the day.

Caregivers also benefit, knowing their loved one is well cared for and safe during the day.

Services will vary by the member's coverage type and may include:

• Social connections and friendship.
• Bathing and personal care.
• Meals.

Caregiver Training*

For MLTSS members: Caring for a loved one or a friend is an act of love and devotion. It can also leave the caregiver emotionally and physically exhausted.

Our workshops teach:

• Caregiving basics.
• Healthy eating and help with eating.
• Health insurance basics.
• How to care for yourself while caring for a loved one.
• Caring for a loved one with dementia or Alzheimer's disease.

Along with instruction, caregivers have an opportunity to socialize with others and build a network of support.

Care Management*

Do you or a loved one have a serious health problem or a high-risk pregnancy? If so, our care 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 care manager will stay close by throughout the medical journey. He or she will:

• Think beyond your immediate medical needs.
• Make sure you have support at home, so you can focus on getting better.

Choice of Doctor

You or your child gets a primary care provider (PCP) who is your main doctor. 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.

Your PCP is your main doctor for:

• Preventive care.
• Treatment if you are sick or injured.
• Referrals to specialists for certain conditions.

Choice of Birth Center

Where you have your baby is an important choice. That's why you can pick from 100 network hospitals across New Jersey.

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.

Community Transition Services*

For MLTSS members: We want to help you live in the place that is right for you. If needed, our plan will help cover the cost of moving from a nursing facility into your community.

Covered items can include:

• Household goods.
• Security deposit.
• Utility deposit.
• Your first week of food, as needed.

Chore Services

If you are having difficulty performing day-to-day household activities, chore services can step in. They can take on the routine tasks that may be hard for you to do on your own.

Services will vary by the member's coverage type and may include:

• Running errands.
• Cleaning the house.
• Doing laundry.
• Preparing meals.

Dental Care

Routine 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. If approved, the plan covers:

• Crowns and bridges.
• Dentures.
• Oral surgery and root canals.

Understanding Dental Coverage - English Spanish

Diabetic Supplies

If you have diabetes, you may need insulin, needles, wipes and glucose strips. If medically necessary, we cover all that and more.

Our plan also steps up with services to help you manage your diabetes, including:

• Classes on keeping diabetes in control.
• Coordinating doctor care.
• Meal planning and food choices.

Equipment and Supplies

Your health and safety at home are important.

Our plan covers medical equipment ordered by your doctor or case manager. This includes items like:

• Hospital beds.
• Oxygen tanks.
• Wheelchairs or wheelchairs.

Hearing Care

Trouble hearing can affect your everyday life in many ways. Our plan includes services and support to help protect your hearing.

• Exams, therapy and tests.
• Hearing aids and batteries.

Some limitations apply.

Healthy First Steps®

The Healthy First Steps team is here for you. Our program will help you take the right steps to keep you and your baby healthy.

We will help you:

• Choose a pregnancy provider and a pediatrician (child’s doctor).
• Schedule visits and exams and arrange rides to your visits.
• Get supplies, including breast pumps for nursing moms.
• Connect with community resources such as Women, Infants and Children (WIC) services.

Home Meal Delivery*

For MLTSS members: Taking care of the basics, like cooking, can be hard to do yourself after an illness or sickness. That's why we'll bring nutritious meals to you to help you through tough times. You can get up to 1 meal delivered per day, if needed.

Hospitalization

Our plan pays for all expenses related to a hospital stay, so you can rest and heal.

Our plan covers:

• Nursing care.
• Room and board.
• Supplies and equipment.
• Treatment and therapies.
• Diagnostic tests and exams.

And after you leave the hospital, you are not alone. We make sure you get follow-up care to continue healing at home.

Interpreters

Your 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 appointment.

We also have people at our phone centers who speak more than one language. Chances are, we have someone who speaks your language.

Lab and X-ray Services

Knowing what's wrong and finding it early can make all the difference.

• Labs and testing.
• X-rays, scans and other imaging.

We'll help you get the information needed to improve your health or be at your best.

Medicines

Our plan includes medicines and refills for prescriptions written by your doctor or specialist. Thousands of drugs are covered.

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

And we make getting your medicine easy. You can fill your prescriptions at:

• Local pharmacies in our network.
• Services that deliver right to your door.

Member Services

Sometimes you might need a little help understanding your health care options. With us, you have someone you can call 24/7. We'll answer your questions simply and completely.

We can also help you find:

• Doctors.
• Pharmacies.
• Hospitals or other health facilities.
• Local resources.

Nurse Visits

Sometimes you may need continued care after you leave the hospital or urgent care center. If your health is at risk after a serious illness, surgery or injury, a nurse will visit you at home to:

• Provide medical care for you.
• Answer your questions and concerns.

Personal Care

Sometimes the basics are hard to do yourself after an illness or injury.

Services will vary by the member's coverage type and may include:

Prenatal Visits

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

All of your recommended prenatal clinical visits and tests are covered.

At these visits, the clinic will:

• Make sure you and your baby are healthy.
• Explain what to expect at each stage of your pregnancy.
• Answer your questions.

Respite Care*

For MLTSS members: Do you have family members or friends who care for you at home? If so, we want to support their hard work too. That's why we provide respite care to give your caregivers a rest. Respite care offers caregivers time away from their loved one who is ill or has special care needs.

Shots and Vaccines

Routine shots help keep you healthy.

Our plan covers:

• Recommended shots and vaccines.
• Diagnostic tests and exams.

Therapy Services

Physical, occupational and speech therapy can help you recover from a serious injury or illness, or simply reach your full potential.

Our plan provides:

• Occupational therapy.
• Physical therapy.
• Speech therapy.

Urgent Care

You may have an injury or sudden illness that is not life-threatening but needs immediate attention.

Our plan covers care at:

• Urgent care centers.
• Medical aid units.
• Other walk-in clinics.

Vision Care

You'll get the care, eyeglasses and treatment that let you see life more clearly.

• Routine exams.
• Help with paying for eyeglasses and contact lenses.

This benefit is offered by March Vision.

Well Visits

Well visits with your doctor can help keep you healthy. These visits can catch health problems early, so they can be treated.

Preventive services include:

• Checkups for adults and children.
• Well-baby care.
• Care for women expecting a baby.
• Routine shots and tests.
• Mammograms.

There are no copayments for preventive care.

Member resources

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Member resources

UnitedHealthcare NJ FamilyCare

Children's Hospital of Philadelphia(CHOP): Frequently Asked Questions

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Getting Started - Make the Most Out of Your Health Plan

Getting Started Guide

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Electronic Visit Verification (EVV)

Electronic Visit Verification (EVV) Fact Sheet

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Member handbook

Member Handbook

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Coordinating Your Care

Today’s health care world requires you to visit many different providers; more than just your Primary Care Provider (PCP). That is why it is important that your care be coordinated to avoid duplication of services and medications.

You will benefit when your primary doctor, health care providers and health plan coordinate your care, because they will be working together to give you the right care, at the right time and in the right setting.

How can you help coordinate your care?

• Tell your PCP about all the specialists you see. Talk about any tests, treatments or medications that a specialist has prescribed or suggested.
• Ask your specialist to contact your PCP directly and send them a copy of your medical report and results. This helps avoid duplication of care or prevent problems when patients take two or more drugs that should not be used together.
• When you go to a specialist, ask for a copy of your medical report and results so you can bring them back to your PCP. It’s a good idea to keep a copy for yourself.
• If you have been to the emergency department or have had a hospital admission, make sure to inform your PCP.
• If your PCP or specialist orders a test, ask the provider when to expect your test results. Find out how you will get the test results; will it be by phone, letter or online on a secure patient portal.

Be sure to learn about all your test results, even when results are normal. This helps you and your doctor to make sure no test results are missed.

Remember you, your doctor and your health plan are all partners in your care.

Emergency Room Alternatives

Emergency Room Alternatives

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Urgent care centers / Walk-in Clinics

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News bulletins

National Flu Campaign Questions and Answers

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Notice of privacy practices

We have a Notice of Privacy Practices that tells you how health information about you may be used and shared. We are required by law to let you know that the Notice is available, and how you can get a copy of it. You can download a copy of our Notice of Privacy Practices below.

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Member rights

As a member of UnitedHealthcare, you have certain rights concerning health care. Click here for more information.

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Changes in Appeals Process

New Jersey Managed Care Organization appeal process for denials of health care services will be different because of changes to the federal rules that we must follow. Here are the highlights.

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Seasonal Flu Facts

National Flu Campaign Questions and Answers

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Social Security Number Privacy

Protecting personal information is important to UnitedHealth Group companies, so we protect the confidentiality of Social Security numbers that we receive.

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Planning for a Health Care Visit

5 tips for your next health care visit

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Appointment Assistance Form

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Take Charge of Your Health: Get a Flu Shot

Flu season is here. The flu can be very serious. Getting a flu vaccine is your best protection against the flu. The best time to get your flu shot is October through December. You should talk to your doctor about having a flu shot. Or you can call our Customer Service Center.

Third party liability

A guide to understanding health coverage in New Jersey if you have Medicaid and Medicare and/or other health insurance.

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Family Guide to Autism Services

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Protect Your Children From Lead Poisoning

Lead poisoning can cause serious health problems. You can't see it or smell it. Here's what you need to know to keep your kids out of danger.

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Citizenship Documents Required

There are new laws that may require you to show proof of citizenship in order to renew your health coverage. Click on a document below to read about what you will need.

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Assurance Wireless / Lifeline

Members may be eligible to receive a free cellphone and 350 monthly minutes, unlimited text messages and free calls to UnitedHealthcare Community Plan Member Services. Enroll by visiting www.assurancewireless.com/Partner/bUHC or calling 1-888-321-5880

Member newsetters

2024

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2023

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2022

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Information for Pregnant Women

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NJ FamilyCare Clinical Criteria

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NJ Department of Community Affairs (DCA) Utility Arrears Program

Utility Arrears Program

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National Diabetes Prevention Program

The National Diabetes Prevention Program addresses prediabetes and type 2 diabetes. The program is available in English and Spanish and features the Center for Disease Control’s (CDC) recognized lifestyle change program to prevent or delay type 2 diabetes. You can find additional information at National Diabetes Prevention Program | Diabetes | CDC

Personal Preference Program

Personal Care Assistance, Your Way: The Personal Preference Program

The Personal Preference Program (PPP) allows you greater flexibility and control over the care you need by self-directing your Personal Care Assistance (PCA). PPP allows you to hire, train, and schedule the people you want to provide the care you need, when and where you need it. PPP is an alternative to traditional agency-delivered PCA, one where you are in control.

For more information about the Personal Preference Program, click here.

To apply for the Personal Preference Program, please print this form and email it United Healthcare at uhcnjppp@uhc.com or call us at 1-800-645-9409.

Follow @UHCPregnantCare and Follow @UHCEmbarazada
Follow us on Twitter to get helpful tips and links to resources for you and your baby. You do not have to be a member to follow us.

Learn more

• FAQs
• Glossary
• Links to health information

Enrollment information

The New Jersey Family Care plan specialists can answer questions and help you enroll.

Monday- Friday 24 hours a day, 7 days a week

You have chosen to enroll in

This plan is not currently available in the ZIP code entered.

Get the details

Visit the State of New Jersey site for more information on eligibility and enrollment.

Enrollment information

The New Jersey Family Care plan specialists can answer questions and help you enroll.

Monday- Friday 24 hours a day, 7 days a week

You have chosen to enroll in

This plan is not currently available in the ZIP code entered.

Get the details

Visit the State of New Jersey site for more information on eligibility and enrollment.

Member information

You have access to our member-only website. Chat with a nurse online and more.

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Member information

You have access to our member-only website. Chat with a nurse online and more.

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See 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 of New Jersey.

UnitedHealthCare Community Plan can make a real difference in your life. Services are available at no cost to you.

• Find a doctor you trust in our network
• Dental coverage
• Vision coverage
• Behavioral health, mental health, substance use services
• Transportation to and from doctor appointments and medically necessary visits

UnitedHealthcare Community Plan has incentive programs for well visits, that other plans don’t have, including:

• Earn rewards for keeping you and your baby healthy
• Earn gift cards for getting preventive services
• Classes to help educate you on nutrition

We also offer resources to help you make the most of your plan, including:

• Member Advocates
• Social Services Support
• Nutrition Coaching
• Health Education Tools
• Care Management

Visit njfamilycare dot org for more information.

Helping you live a healthier life.

We are here for you, New Jersey.

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 NJ.

Please select your county.

The benefits described may not be offered in all plans or in all states. Some plans may require copayments, deductibles and/or coinsurance for these benefits. This policy has exclusions, limitations, reductions of benefits, and terms under which the policy may be continued in force or discontinued. For costs and complete details of the coverage, review your plan documents, call or write your insurance agent or the company, whichever is applicable. Plan specifics and benefits vary by coverage area and by plan category. Please review plan details to learn more.

UnitedHealthcare Individual & Family plans medical plan coverage offered by: UnitedHealthcare of Arizona, Inc.; Rocky Mountain Health Maintenance Organization Incorporated in CO; UnitedHealthcare of Florida, Inc.; UnitedHealthcare of Georgia, Inc; UnitedHealthcare of Illinois, Inc.; UnitedHealthcare Insurance Company in AL, KS, LA, MO, NJ, and TN; Optimum Choice, Inc. in MD and VA; UnitedHealthcare Community Plan, Inc. in MI; UnitedHealthcare of Mississippi, Inc.; UnitedHealthcare of New Mexico, Inc.; UnitedHealthcare of North Carolina, Inc.; UnitedHealthcare of Ohio, Inc.; UnitedHealthcare of Oklahoma, Inc.; UnitedHealthcare of South Carolina, Inc.; UnitedHealthcare of Texas, Inc.; UnitedHealthcare of Oregon, Inc. in WA; and UnitedHealthcare of Wisconsin, Inc. Administrative services provided by United HealthCare Services, Inc. or its affiliates.

This policy has exclusions, limitations, reduction of benefits, and terms under which the policy may be continued in force or discontinued. For costs and complete details of the coverage, call or write your insurance agent or the company, whichever is applicable. By responding to this offer, you agree that a representative may contact you.

1 Unless otherwise required, benefits are available only when services are delivered through a Designated Virtual Network Provider. Virtual visits are not intended to address emergency or life-threatening medical conditions and should not be used in those circumstances. Services may not be available at all times, or in all locations, or for all members. Check your benefit plan to determine if these services are available. Data rates may apply. Certain prescriptions may not be available and other restrictions may apply.

2 Tier 2 prescriptions for $5 or less not available on all medications. 3-month fills apply to select maintenance medications only. Applicable formulary requirements such as prior authorization and quantity limits may apply to your pharmacy benefits. Walgreens discount valid until 12/31/24. Discount valid only for in-store purchases of eligible Walgreens brand health and wellness products by current members eligible for the UnitedHealthcare discount program. Discount cannot be used online. For a full list of Walgreens brand health and wellness products and exclusions, please visit www.walgreens.com/smartsavings.

Last Updated: 08.21.2024 at 10:19 PM CDT

Looking for the federal government’s Medicaid website? Look here at Medicaid.gov.

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. Benefits, features and/or devices vary by plan/area. Limitations, exclusions and/or network restrictions may apply. Benefits, premiums and/or co-payments/co-insurance may change on January 1 of each year.

Premium disclaimer

Dual Special Needs plans have a $0 premium for members with Extra Help (Low Income Subsidy).

Benefit disclaimer

Benefits, features, and/or devices vary by plan/area. Limitations, exclusions and/or network restrictions may apply.

Nurse Hotline 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 provider'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. Nurse Hotline not for use in emergencies, for informational purposes only.

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.

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.

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® 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.

UnitedHealthcare Senior Care Options (HMO SNP) plan

UnitedHealthcare Senior Care Options (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 and does not have any other comprehensive health Insurance, except 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 Senior Care Options (SCO) program.

Star ratings disclaimer

Every year, Medicare evaluates plans based on a 5-Star rating system. The 5-Star rating applies to plan year 2024.

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 1-888-638-6613 / 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.