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Health insurance is a benefit every Arizona family should have – especially for children. Our Arizona KidsCare Children’s Health Insurance Program (CHIP) is for children under age 19 who are not eligible for other AHCCCS health insurance. You can choose your own doctor and get extra programs that only UnitedHealthcare Community Plan provides. View the benefits below to see all that it offers.
Persons who wish to receive access to services for this plan must first apply with Arizona Health Care Cost Containment System (AHCCCS).
Who can receive services?
AHCCCS offers medical programs and resources to serve Arizona residents who meet certain income and other requirements.
- Families With Children
- Children Only (including KidsCare)
- Pregnant Women
- Adults Without Children
- Individuals Who are 65 or Older
- Individuals Who are Blind or Have a Disability
- Individuals Who Require Nursing Home or In-Home Care
- Individuals With Developmental Disabilities who Need Long Term Care
- Individuals Who Need Help Paying Medicare Costs Only
- Individuals With High Medical Expenses
- Women Who Want Screening for Breast or Cervical Cancer
- Working Individuals With a Disability (Freedom to Work)
- Small Business Owners
A full list of eligibility requirements and application information can be found on the Arizona Health Care Cost Containment System (AHCCCS) website.
State Press Releases
Announcements from the Arizona Department of Health Services (ADHS) about the Coronavirus (COVID-19) can be found below:
Find providers and coverage for this plan.
Search for doctors, hospitals and specialists.
Find medications covered by this plan.
Find a dentist near you.
Find a pharmacy near you.
When you have questions about your health, you can call a trained nurse 24/7 at 1-877-440-0255.
Cochise, Graham, Greenlee, La Paz, Pima, Pinal, Santa Cruz and Yuma Counties:
Apache, Coconino, Gila, Mohave, Navajo and Yavapai Counties:
Gila River and Ak-Chin Indian Communities:
Benefits & Features
Individual care to help your child control asthma or COPD symptoms.
Does your child have trouble managing asthma symptoms? A nurse who specializes in breathing issues can really help. Benefits include a customized treatment plan and medicine to:
- Manage flare-ups.
- Reduce symptoms.
- Help your stay active.
Do you or a loved one have a serious health problem, a behavioral health issue, a substance abuse issue 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 with you on your medical journey. He or she will:
- Think beyond your medical and behavioral health needs.
- Make sure you have support at home.
So you can focus on getting better.
Choice of Doctor
You get to choose your child's primary care physician (PCP) who is your child's 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 child's main doctor for:
- Preventive care.
- Treatment if your child us 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 nearly 100 in-network hospitals across Arizona.
We 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.
Checkups and dental care are covered for members up to age 21.
Exams and cleanings every six months help teeth and gums stay strong and healthy. If there is a dental problem that needs to be fixed, that’s covered as well.
Equipment and Supplies
Your child's health and safety at home are important.
Our plan covers medical equipment ordered by your doctor. This can include supplies like:
- Hospital beds.
- Oxygen tanks.
- Walkers or wheelchairs.
Trouble hearing can affect everyday life in many ways. Our plan includes services and support to help protect the hearing of members up to age 21.
- Exams, therapy and tests.
- Hearing aids.
Healthy First Steps®
Build a healthy future for you and your baby and earn great rewards with Healthy First Steps. Our program will help you take the right steps to keep you and your baby healthy. Plus you can earn $20 just for signing up.
We will help you:
- Choose a pregnancy provider and a pediatrician (child’s doctor).
- Schedule visits and exams and arrange rides to your visits.
- Earn rewards for going to visits throughout your pregnancy and baby’s first 15 months of life.
- Get supplies, including breast pumps for nursing moms.
- Connect with community resources such as Women, Infants and Children (WIC) services.
This plan pays for all hospital expenses related to a hospital stay.
Our plan covers:
- Nursing care.
- Supplies and equipment
- Diagnostic tests and exams.
And after leaving the hospital, we make sure each member gets follow-up care, if needed, to continue healing at home.
You and your child’s doctor 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 also have people at member services who speak more than one language. Chances are, we have someone who speaks your language.
You can get information in your preferred language. Just ask. Then anything we write to you will only be in that language. This service is provided at no cost to you.
Our plan includes prescription drugs and refills.
We also cover over-the-counter medicines with a written order from your doctor.
And we make getting your child's medicine easy. You can fill prescriptions at:
- Local network pharmacies.
- Services that deliver right to your door.
Health insurance is complex. We can answer your questions simply and completely.
We help you find:
- Hospitals or other health facilities.
- Local resources.
We are concerned about how you feel. Behavioral health services can help you with personal problems that may affect you and/or your family. These problems may be stress, depression, anxiety or using drugs or alcohol.
AHCCCS Complete Care members assigned to UnitedHealthcare Community Plan will receive all of their health care from UnitedHealthcare Community Plan with the exception of the first 23 hours of crisis care. If you are experiencing a behavioral health crisis call one of the phone numbers below that matches the county you live in.
Crisis Hotlines by County:
Cochise, Graham, Greenlee, La Paz, Pima, Pinal, Santa Cruz and Yuma Counties: 1-866-495-6735
Apache, Coconino, Gila, Mohave, Navajo and Yavapai Counties: 1-877-756-4090
Gila River and Ak-Chin Indian Communities: 1-800-259-3449
You may self-refer to a behavioral health provider.
A pregnancy is an incredible journey. It’s a journey you 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.
At these visits, the clinic will:
- Make sure both you and your baby are healthy.
- Explain what to expect at each stage of your pregnancy.
- Answer your questions.
Members accessing behavioral health services can receive up to 600 hours per benefit year (October 1st through September 30th).
Sometimes a child's health and safety requires help from community programs.
We help you connect to community services. Here they can get information about a variety of programs, like:
- Food and housing assistance.
- Community child care.
They can help you get much needed relief in many ways.
If you need a ride to an appointment, ask a friend, a family member or neighbor first. If you cannot get a ride UnitedHealthcare Community Plan will help you. AHCCCS Complete Care members may receive non-emergency transportation services through UnitedHealthcare Community Plan for a physical or behavioral health AHCCCS covered service.
This coverage includes:
- Regular exams.
- Frames and lenses.
This benefit is offered by Nationwide Vision.
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.
You will not have a copayment for preventive care.
Once enrolled in the KidsCare program your child/children will have a monthly premium. It is important that you pay your monthly premium so your child/children do not lose their KidsCare health insurance coverage.
If you have any questions about premiums please call the AHCCCS Premium Billing Center:
UnitedHealthcare Community Plan is an Arizona Medicaid health plan serving AHCCCS Complete Care, KidsCare, and Developmental Disabilities (DD) members. We have nearly 40 years of experience serving families throughout Arizona.
We serve AHCCCS Complete Care and KidsCare members in Gila, Maricopa, Pima, and Pinal counties.
We have one of the largest provider networks in Arizona to serve you. Our goal is to help you take charge of your health by helping you to take good care of yourself and your family.
At UnitedHealthcare Community Plan, we care about our members; and as such, we value all of the cultural differences that our members possess. Beliefs about the cause, prevention, and treatment of illness vary among cultures. These beliefs need to be respected in the practices used to maintain UnitedHealthcare Community Plan members' health.
At UnitedHealthcare Community Plan, we know the importance of communication and strive to meet all of our members needs. UnitedHealthcare Community Plan can provide interpretation/translation services at no charge.
UnitedHealthcare Community Plan provides member materials to you in a language or format that may be easier for you to understand.
Call UnitedHealthcare Community Plan Member Services at 1-844-445-5266 for translation services, to find a doctor who understands your cultural needs, or for materials in another language or format. These services are provided at no cost to you.
En UnitedHealthcare Community Plan, nos importan nuestros miembros; y como tal, valoramos todas la diferentes culturas que posean nuestros miembros. Las creencias acerca de la causa, prevencion y tratamiento de enfermedad varean entre culturas. Estas creencias necesitan ser respetadas en las practicas usadas para mantener la salud de los miembros de UnitedHealthcare Community Plan.
En UnitedHealthcare Community Plan, nosotros sabemos la importancia de la comunicacion y nos esforzamos a satisfaser todas las necesidades de nuestros miembros. UnitedHealthcare Community Plan puede proveer servicios de interpretacion/traduccion a ningun costo.
UnitedHealthcare Community Plan le provee materiales de membresia en un idioma o formato que sea mas facil para que usted entienda.
Llame al Departamento de Servicios al Miembro de UnitedHealthcare Community Plan al 1-844-445-5266 para servicios de traduccion, para encontrar un doctor quien entienda sus necesidades culturales y para recibir materiales en otro idioma o formato. Estos servicios estan disponible a usted a ningun costo.
Transportation is covered for members that do not have a ride. Call 1-888-700-6822 for transportation assistance. You can call this toll-free number from anywhere in the state.
You must call as soon as you schedule your appointment. You must arrange your ride 3 days prior to your health care visit.
We have alternative ways for you to get to and from your healthcare visit. Bus passes may be available for local trips. Shuttle vans and buses may be available for longer trips.
Medically Necessary Non-Emergency Transportation (NEMT) Services
How soon should I expect to be seen by a doctor and how do I get the care I need?
Emergency Dental Benefit - Beginning October 1, 2017
Behavioral Health Changes on October 1, 2015
Behavioral Health Notice for members who are 18 years of age and older, and have Medicare Parts A and/or B.
Behavioral Health Services Provider Changes Beginning October 1, 2015
Orthotics Benefit Notice - Starting August 1, 2015
A Better Member Call Experience Begins August 2015
AHCCCS Notice for SMI Members in Maricopa County - Effective April 1, 2014
AHCCCS Notice for American Indian SMI Members in Maricopa County - Effective April 1, 2014
New Outpatient Physical Therapy Benefit for Adult AHCCCS Members Beginning March 1, 2014
Changes to Some Co-payments Beginning January 1, 2014
Beginning January 1, 2014, there will be changes to co-payments for some AHCCCS members that are not in the Member Handbook. Read the Co-payment section of the Member Handbook for information about other Co-payments. Here are the changes to co-payments that are not in the Member Handbook and that will start on January 1, 2014.
Notice of Co-pays for Taxi Rides - Effective February 2012
For AHCCCS Care Members in Maricopa and Pima counties.
Missed Appointment Fee - Effective January 2, 2012
There will be a missed appointment fee for members living outside of Maricopa and Pima counties. Click here for the AHCCCS website.
Motor Vehicle Division (MVD) Photos
To help protect your identity and prevent fraud, AHCCCS is adding pictures to its on-line verification tool that providers use to verify your coverage. If you have an Arizona driver’s license or state issued ID, AHCCCS will get your picture from the Arizona Department of Transportation Motor Vehicle Division (MVD). When providers pull up the AHCCCS eligibility verification screen, they will see your picture (if available) with your coverage details.
Nationwide Vision is New Provider - Effective November 1, 2011
UnitedHealthcare Community Plan has a new agreement with Nationwide Vision to provide vision care services for our members, beginning November 1, 2011.
Member Benefit Changes - Effective October 1, 2011
Due to Arizona's budget problems, some of the services that you may receive are being reduced beginning October 1, 2011. Limits are being placed on the number of inpatient hospital days and the hours of available respite care per year.
New Copays for Transitional Medical Assistance - Effective October 1, 2010
You will have higher co-payments (co-pays) for AHCCCS medical services beginning October 1, 2010 because you are in the Transitional Medical Assistance (TMA) program.
New Copays for Title 19 Waiver Group - Effective October 1, 2010
You will have higher co-payments (co-pays) for AHCCCS medical services beginning October 1, 2010 because you are getting AHCCCS services in the AHCCCS Care or Medical Expense Deduction (MED) programs.
Benefit Changes for Adults - Effective October 1, 2010
Due to Arizona's huge budget problems and more people being added to the Medicaid Program, after 10/1/2010, UnitedHealthcare Community Plan under the direction of the AHCCCS Administration, will no longer pay for certain medical care for anyone who is 21 years old or older.
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.
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. Read Bulletin Details.
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.
National Flu Campaign: Questions and Answers
Hepatitis A Outbreak
Arizona is currently experiencing a statewide outbreak of Hepatitis A affecting 7 counties. Click here to find out what you need to know about Hepatitis A.
Annual Notice of Change
Annual Enrollment Period: November 15th to December 31st each year
During this Annual Enrollment Period, you have the opportunity to switch plans. Take the opportunity to compare the benefits, costs, and restrictions of the plans available in your area and choose the plan that is best for you.
If you are satisfied with your current plan, you do not need to take any action.
Citizenship Documents Required
There are new laws that may require you to show proof of citizenship in order to renew your health coverage.
Required Documents to Prove Citizenship
Member Newsletters 2016 - Current
Member Newsletters Prior to 2016
This link is being made available so that you may obtain information from a third-party website. This link is provided solely as a convenience and is not an endorsement of the content of the third-party website or any products or services offered on that website. We are not responsible for the products or services offered or the content on any linked website or any link contained in a linked website. We do not make any representations regarding the quality of products or services offered, or the content or accuracy of the materials on such websites.