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Long Term Care
Our Long Term Care Plan is people of all ages who have a long-term disability due to age, illness or injury. Our goal is to offer services in a community setting instead of nursing home placement when possible. You get member empowerment services to help with daily activities that only UnitedHealthcare Community Plan offers. You qualify based on income and health needs. View the benefits below to see all that it offers.
In order to be a member of UnitedHealthcare Community Plan, you must be enrolled in the Arizona Long Term Care System, which is part of the Arizona Health Care Cost Containment System (AHCCCS). See the Fact Sheet for Families for eligibility requirements for all AHCCCS members and applicants claiming U.S. citizenship. Visit AHCCCS for information on documenting U.S. citizenship.
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.
View information on Behavioral Health Services.
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.
Behavioral Health Crisis Hotlines by County
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:
Arizona Statewide Crisis Hotline:
Benefits & Features
Asthma and COPD Support
Individual care to help you control asthma or COPD symptoms.
If you have trouble managing asthma or COPD symptoms, a case manager can really help. You’ll get a customized treatment plan and medicine to:
- Manage flare-ups.
- Reduce symptoms.
- Let you stay active.
Do you or a loved one 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.
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.
No Cost Smartphones and Service Plans
We want you to stay connected with easy and dependable access to health care services. If you qualify for the UnitedHealthcare MyHealthLine™ program, you can get a smartphone and a monthly service plan at no cost. (Or you can get a service plan for your current phone.)
Plus you get extras just for being a member of UnitedHealthcare Community Plan!
Choice of Doctor
You get to choose a primary care physician (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.
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 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.
Home Meal Delivery
Proper nutrition is essential to good health. Yet you may not be able to safely fix meals for yourself at home. If that’s you, we can arrange for additional meal services.
This plan pays for all expenses related to a hospital stay. This way you can rest and heal.
Our plan covers:
- Nursing care.
- 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, if needed, to continue healing at home.
Support and personal care where you live, if needed.
Your doctor and you need to understand each other. Not speaking English well makes this difficult. We can arrange for a medical interpreter to help with your 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 translated into your preferred language. Just ask. 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 medicine easy. You can fill your prescriptions at:
- Local network pharmacies.
Health insurance is complex. Now you have someone you can call. We can answer your questions simply and completely Monday - Friday from 8 a.m. to 5 p.m. local time.
We help you find:
- Hospitals or other health facilities.
- Local resources.
Mental health is as important as physical health. That’s why we cover both.
Required care is 100% covered with no copay. This includes:
- Behavioral therapy.
- Substance abuse treatment.
Medical questions and situations come at inconvenient times. When you have questions about your health, you can call a trained nurse 24/7 at 1-877-440-0255.
Our NurseLine nurses will:
- Listen to the symptoms.
- Guide you on self-care.
- Advise you about getting care at a doctor visit or an urgent care center.
- Help you know when to go to the emergency room.
Your safety at home is our focus. That is why we conduct home visits for those needing extra help to stay at home.
During this visit we:
- Understand your personal needs.
- Provide minor home modifications, such as ramps and bathroom safety devices.
- Set up emergency monitoring, if needed.
- Arrange for personal care attendants.
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.
Sometimes a person’s health and safety requires help from community programs.
We help members 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 members get much needed relief in many ways.
Our plan provides trips to and from medical appointments.
Eye exams, frames and lenses including replacement and repair are covered for members under the age of 21.
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.
- Routine shots and tests.
You will not have a copayment for preventive care.
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.
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 1-800-348-4058 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.
Appeals and Grievances Information
If you have questions or concerns about your medical care, you should talk about them with your case manager, PCP or the provider that is treating you first. If you are not happy about UnitedHealthcare Community Plan, your doctor, or any part of your health care, you can file a grievance (complaint).
You can call UnitedHealthcare Community Plan Member Services to file a grievance over the phone or you can send your grievance in writing. Call 1-800-293-3740 for UnitedHealthcare Community Plan.
For more information, refer to your Member Handbook.
If UnitedHealthcare Community Plan has denied a service that you think you should receive, you can file an appeal. The appeal can be written or verbal.
If you want to file a verbal appeal, call Member Services. Call 1-800-293-3740 for UnitedHealthcare Community Plan. The appeal can be written or verbal. Call UnitedHealthcare Community Plan Member Services at 1-800-293-3740 to file a verbal appeal.
For more information, refer to your Member Handbook.
National Flu Campaign Questions and Answers
Flu Resources for Spanish Speakers
Prior Authorization Notification Criteria
Prior Authorization Notification Criteria
What services require prior authorization and what is the criteria?
Resources for Members with Autism Spectrum Disorder
Autism Resources for Members
Sesame Street and Autism, Resources for Parents
Southwest Autism Research & Resource Center
Arizona Autism Coalition
Raising Arizona Kids
Raising Special Kids
AHCCCS Resources for Autism
Arizona Department of Education
You may self–refer to an autism provider, or referred by providers, schools, and State agencies. You may see an autism specialist without a referral from your PCP. To choose a diagnosing provider and/or treatment provider, search our provider lists:
Autism Society of America (Arizona Chapters)
The Autism Society exists to improve the lives of all affected by autism by increasing public awareness about the day-to-day issues faced by people on the spectrum, advocating for appropriate services for individuals across the lifespan, and providing the latest information regarding treatment, education, research and advocacy.
Member Newsletters 2022
Long Term Care
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