STAR Kids

Medicaid

At UnitedHealthcare Community Plan, we understand that the health care system can be complex and confusing. We know it can be especially stressful when your health care plan changes. UnitedHealthcare Community Plan will be with you every step of the way.

We want to make sure our members have access to the quality care they need and deserve. Our large network includes the doctors you already know and trust. That’s what you can count on with UnitedHealthcare Community Plan. View the list below to see what STAR Kids 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 1-877-597-7799 or TTY 711 for hearing impaired.

If you need materials in audio, Braille, larger print and in other languages at your request. Please call 1-877-597-7799 for help.

Anderson, Angelina, Austin, Bell, Blanco, Bosque, Bowie, Brazoria, Brazos, Burleson, Cameron, Camp, Cass, Chambers, Cherokee, Colorado, Comanche, Cooke, Coryell, De Witt, Delta, Duval, Erath, Falls, Fannin, Fort Bend, Franklin, Freestone, Galveston, Gillespie, Gonzales, Grayson, Gregg, Grimes, Hamilton, Hardin, Harris, Harrison, Henderson, Hidalgo, Hill, Hopkins, Houston, Jackson, Jasper, Jefferson, Jim Hogg, Lamar, Lampasas, Lavaca, Leon, Liberty, Limestone, Llano, Madison, Marion, Matagorda, Maverick, McLennan, McMullen, Milam, Mills, Montague, Montgomery, Morris, Nacogdoches, Newton, Orange, Panola, Polk, Rains, Red River, Robertson, Rusk, Sabine, San Augustine, San Jacinto, San Saba, Shelby, Smith, Somervell, Starr, Titus, Trinity, Tyler, Upshur, Van Zandt, Walker, Waller, Washington, Webb, Wharton, Willacy, Wood, and Zapata.

Need help finding a provider or setting up a visit?

Call Member Services at 1-877-597-7799, TTY 7-1-1, Monday-Friday 8 a.m.-5 p.m. or email memberservices_uhccp@uhc.com to get help finding a provider or setting up a visit.

Mga Pakinabang at Feature

Pangangalaga Habang Walang Sakit at Kapag May Sakit

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. That includes:

  • Hospital Care. Wala kang babayaran para sa pangangalaga sa isang ospital.
  • Laboratoryo at mga X-ray. Ang mga pagsusuri sa laboratoryo, x-ray at diagnostic imaging ay sinasaklaw.
  • Transportasyon. We pay for rides to and from medical visits or pharmacy.
  • Mga Pagpapatingin Habang Walang Sakit. Annual checkups can help keep you healthy.

If your child has asthma, diabetes or another long-term condition, you can depend on us. The STAR Kids Plan makes sure your child gets the care and services he or she needs. Kabilang sa mga benepisyo ang:

  • Pamamahala sa kaso. Personal support from an experienced professional.
  • Asthma Support. Individual care to help control asthma or COPD.
  • Kalusugan ng pag-iisip. Counseling and other treatments are available.

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

  • Vision. Includes exams and $105 toward frames or contact lenses.
  • Pandinig. Ang mga pagsusuri, checkup at hearing aid, kung kailangan, ay ibinibigay.
  • Dental. Most children and young adults age 20 and younger with Medicaid or CHIP coverage get dental services through a managed care dental plan. The two dental plans listed below provide services across the state for all Medicaid and CHIP members who qualify for dental coverage.
    • DentaQuest
    • MCNA Dental

Get the medical equipment, assistance and supplies you need to live safely at home. Kabilang sa mga benepisyo ang:

  • Personal Care. Someone to help with dressing, bathing and dining.
  • Kagamitan at Mga Supply. Ang medikal at pangkaligtasang kagamitan sa tahanan ay sinasaklaw.
  • Respite na Pangangalaga.. Tulong sa tahanan upang makapagpahinga ang iyong caregiver.

Sometimes you might need a little extra help using your child's health plan. Para sa mga pagkakataong iyon, maaari kang umasa sa:

  • Transportasyon. We offer rides to and from medical visits or the pharmacy.
  • Interpreters. An interpreter can go with you to medical visits.
  • Tulong sa Wika. Translated medical materials are available at no cost.
  • Mga Serbisyo sa Miyembro. Your benefit questions are answered 24/7.

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

  • Healthy Rewards. Earn rewards for your child's preventive services.
  • Programs for Kids and Teens. Free Boys & Girls Club memberships.
  • Extra Benefits. Sports and school physicals offered at no cost.
  • NurseLineSM. Speak with a registered nurse 24/7.

Learn more about Value Added Services.

If your child or young adult is disabled or living with an illness, your child’s health needs are unique. Our job is to make it as easy as possible for you to meet those needs. We make sure you get all your Medicaid benefits and more.

  • Pagpili ng Doktor. Find a primary doctor in your neighborhood. Your doctor can send you to thousands of specialists too.
  • NurseLineSM. Your caregiver can call our nurses for advice 24/7.
  • Mga gamot. Get the medicine you need at a pharmacy near you or by mail order.
  • Vision and dental. Have regular eye and dental exams. Sinasaklaw rin namin ang mga salamin at contact lens.
  • Kalusugan ng pag-iisip. Saklaw ang pagpapayo at iba pang mga panggagamot.
  • Service Coordinator. Someone to help you manage complex health conditions.
  • Transportasyon. We pay for rides to and from medical visits or the pharmacy.
  • Value-added benefits. Earn free gift cards when you take healthy steps. You’ll get rewards for yearly wellness exams, along with other benefits.

Our STAR Kids Plan is for persons on the HCBS waivers CLASS, HCS, TxHML, DBMD and in ICF-IDD facilities. Learn more here

Asthma and COPD Care

One hypoallergenic mattress cover and one hypoallergenic pillowcase for qualifying members with a diagnosis of severe asthma.

Pamamahala sa sitwasyon

Does your child have a serious health problem? 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 child's medical journey. He or she will:

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

So you can focus on helping your child get better.

Pagpili ng Doktor

Your child gets a primary care physician (PCP) who is his or her main doctor. Use the Doctor Lookup tool to see if your child's doctor is in our network.

If your child doesn't have a doctor or if their doctor is not in our network, we can help you find a new one close to you.

Ang iyong PCP ay ang iyong pangunahing doktor para sa:

  • Pampigil na pangangalaga.
  • Treatment if your child is sick or injured.
  • Mga referral sa mga espesyalista para sa ilang partikular na kundisyon. 

Pangangalaga sa Ngipin

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.

Mga Kagamitan at Supply

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

  • 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 Rewards

An ounce of prevention can be worth a pound of cure. It can also be worth great rewards. Your child can earn great gifts for things like getting his or her yearly wellness exam.

Pagkakaospital

This plan pays for all expenses related to a hospital stay, so your child can rest and heal.

This includes:

  • Pangangalaga ng isang nurse.
  • Kwarto at matutuluyan.
  • Mga supply at kagamitan.
  • Panggagamot at mga therapy.
  • Mga diagnostic na pagsusuri at eksaminasyon.

After your child leaves the hospital, you are not alone. We make sure your child gets follow-up care to continue healing at home.

Interpreters

Your child's 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 child's 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 sa Wika

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.

Medicines

We make getting your child's medicine easy.

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

  • Local pharmacies.
  • Services that deliver routinely right to your door.
We also cover over-the-counter medicines with a written order from your child's doctor.

Mga Serbisyo para sa Miyembro

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

Maaari ka rin naming tulungang humanap ng:

  • Home care providers.
  • Dentists and vision providers.

Kalusugan ng Pag-iisip

Mental health is as important as physical health. That's why we have the same coverage for both.

Required care is 100% covered with no copay. This includes:

  • Therapy para sa kalusugan ng pag-iisip na apektado ng pag-uugali.
  • Medications.

Wala kang babayaran para sa mga sinasaklaw na serbisyo.

No Copays

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

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

NurseLine℠

Dumarating ang mga medikal na tanong at sitwasyon sa mga hindi magandang pagkakataon. 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 NurseLine nurses will:

  • Tutukuyin ang mga sintomas.
  • Gagabayan ka sa pangangalaga sa sarili.
  • Papayuhan ka tungkol sa pagkuha ng pangangalaga sa pagpapatingin sa isang doktor o sa isang center ng agarang pangangalaga.
  • Suggest you go right to the emergency department.

Personal Visits

If needed, we provide someone to help with:

  • Dressing.
  • Bathing.
  • Feeding.

Programs for Kids and Teens

We provide free memberships to local youth organizations, like the Boys & Girls Clubs or Neighborhood Centers, Inc. (NCI) in your area.

Along with fun and games, these clubs offer help with:

  • Homework.
  • Mentoring.
  • Coaching.

Respite na Pangangalaga

We provide respite care to give caregivers a rest. Respite care offers caregivers time away from their loved one who has special care needs to run errands or just relax.

Coordinator ng Serbisyo

Every STAR Kids member gets a service coordinator. Your child’s service coordinator will visit with your family in person to go over your child’s health care needs. At these visits you will talk about the services your child is getting and other services your child may need. 

Together you will create a care plan that works best for your family. Your care plan may include:

  • Acute medical services.
  • Behavioral health services.
  • Primary care services.
  • Special care services.
  • Value-added services.

Your service coordinator can also help you.

  • Arrange care with your primary care provider and with specialists.
  • Connect your family with community programs and additional services.
  • Answer questions about benefits.
  • Help coordinate benefits with other providers.

Transition Specialist

What is a Transition Specialist? What will a Transition Specialist do for me?

For children with special health care needs, the transition to adulthood often brings many changes. A Transition Specialist can help you understand and plan for these changes. All STAR Kids members have access to a Transition Specialist.

How can I talk to a Transition Specialist?

If you want to speak with a Transition Specialist or have a Transition Specialist as part of your Care Team, let your Service Coordinator know and he or she can help you.

Transportasyon

Whether you live in the city or in the country, rides are available. Our plan provides up to 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.

Pangangalaga sa Paningin

Your child can get the care, eyeglasses and treatment that lets him or her see life more clearly. Coverage includes $105 each year toward frames or contact lenses.

This benefit is offered by certain stores and retailers

Mga Mapagkukunan ng Miyembro

Mga Mapagkukunan ng Miyembro
Suriin ang Pagiging Karapat-Dapat

Pag-enroll

Call to enroll today.

7 (na) araw sa isang linggo
8 a.m. to 5 p.m. local time

1-877-597-7799
TTY: 711

Learn about the steps to enroll.

Get the details.

More information on eligibility and enrollment can be found on the Texas CHIP & Medicaid website.

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

Mga Tanong

Miyembro na?

Miyembro na? Mayroon kang access sa aming website na para lang sa miyembro. Mag-print ng mga ID card, makipag-chat sa isang nurse online at higit pa.

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