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To address the recent Hepatitis A public health crisis, UnitedHealthcare Community & State of Florida will begin covering the Hepatitis A vaccine as an expanded benefit for our adult members. Coverage will include both the initial vaccine, as well as a booster if needed. If you have questions about the added benefit, or need assistance locating a provider, please feel free to call our member services department at 1-888-716-8787.
Parents, remember that well-child visits are very important during the COVID-19 pandemic. Help your child grow by protecting them against vaccine-preventable diseases. Click here for more information from the CDC.
UnitedHealthcare Community Plan wants to help you and your family stay connected to your doctor during these uncertain times. Did you know you can see your doctor from home? Call 1-888-716/8787 for more information.
UnitedHealthcare Community Plan Medicaid (MMA)
This Florida Medicaid Plan offers a range of benefits. Children, families, pregnant women and single adults may qualify based on income. View the benefits below to see all that it offers.
We want to help you to get the most from your health plan. If you have not completed a health risk assessment, please call 1-888-716-8787 to talk with a representative Monday-Friday from 8 a.m.-5 p.m..
This plan is available in the following counties:
Alachua, Baker, Bradford, Citrus, Clay, Columbia, Dixie, Duval, Flagler, Gilchrist, Hamilton, Hardee, Hernando, Highlands, Hillsborough, Lafayette, Lake, Levy, Manatee, Marion, Miami-Dade, Monroe, Nassau, Polk, Putnam, St. Johns, Sumter, Suwannee, Union, and Volusia.
This plan is available in the following counties:
- Region 3: Alachua, Bradford, Citrus, Columbia, Dixie, Gilchrist, Hamilton, Hernando, Lafayette, Lake, Levy, Marion, Putnam, Sumter, Suwannee, and Union Counties
- Region 4: Baker, Clay, Duval, Flagler, Nassau, St. Johns, and Volusia Counties
- Region 6: Hardee, Highlands, Hillsborough, Manatee and Polk Counties
- Region 11: Miami-Dade and Monroe Counties
Eligible Medicaid recipients will receive a letter with enrollment information, including information on how to enroll. Eligible recipients will have 120 days to choose a managed care plan in their region.
Newborns will be automatically enrolled in their mother’s plan at the time of birth. However, their mother may choose another plan for the baby after enrollment.
Eligible Medicaid recipients will receive a letter with enrollment information, including information on how to enroll. Eligible recipients who must enroll will have 30 days to choose a managed care plan from the plans available in their region. Enrollees will have 90 days after enrollment to choose a different plan.
Newborns will be automatically enrolled in their mother’s plan at the time of birth. However, their mother may choose another plan for the baby within 90 days of enrollment.
UnitedHealthcare continues to partner with state and local public health departments, following guidance and protocols appropriate to our members that are provided by the U.S. Centers for Disease Control and Prevention (CDC), and state and local public health departments that are appropriate for our members. Please review the UnitedHealthcare Coronavirus (COVID-19) Information. To learn more, go to CDC.gov.
You can also find information on the State website https://floridahealthcovid19.gov/
How to Enroll
To Learn More About UnitedHealthcare Community Plan. Call Us.
Are you elgible for Florida Medicaid, but not a member yet?
- Text ENROLL to FLSMMC (357662). You will need the Medicaid ID number of each member and the account PIN number.
- Go online at at www.flmedicaidmanagedcare.com to create a Member Portal account or chat with our Enrollment Virtual Assistant.
- Call the Helpline to speak to a Choice Counselor toll free at 1-877-711-3662, Monday–Thursday, 8 a.m.–8 p.m., and Friday, 8 a.m.–7 p.m.. TTY/TDD users please call 1-866-467-4970.
Need to apply for Medicaid?
You can apply for Medicaid through the Florida Department of Children and Families You can also visit the SMMC website at https://www.myflfamilies.com/service-programs/access/medicaid.shtml
UnitedHealthcare Community Plan of Florida is a Managed Care Plan with a Florida Medicaid contract. The benefit information provided is a brief summary, not a complete description of benefits. For more information contact the Managed Care Plan. Limitations, copayments, and restrictions may apply Benefits, formulary, pharmacy network, premium and/or copayments/coinsurance may change.
Find providers and coverage for this plan.
Search for doctors, hospitals and specialists.
Find medications covered by this plan.
Find a pharmacy near you.
Benefits & Features
Asthma and COPD Support
Do you or your child have trouble managing COPD or asthma 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.
- Let you or your child stay active.
A serious health problem requires extra care and support. We use Health Homes to coordinate services for our members.
Do you or your child have a serious health problem? Then our case managers are in your corner. They will:
- Explain medical terms in plain language.
- Coordinate doctor appointments.
- Provide the care team with medical records.
Your case manager will stay with you or your child throughout the medical journey. He or she will:
- Think beyond immediate medical needs.
- Make sure there is support at home.
Choice of Doctor
You get 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.
Choice of Birth Center
Where you have your baby is an important choice. That's why you can pick from nearly 80 hospitals across Florida.
We also encourage you to tour the hospital’s birthing center. This way you will be familiar with it. And be more relaxed when you have your baby.
If you have diabetes, we'll make life a little easier for you. You'll get medicine, supplies and education to help you reach and stay your best.
Our diabetes program also includes self-care training and classes focused on:
- Planning healthy meals.
- Managing stress.
- Living a healthy lifestyle.
Equipment and Supplies
Your health and safety at home are important.
Our plan covers medical equipment ordered by your doctor or case manager. This can include supplies like:
- Hospital beds.
- Oxygen tanks.
- Wheelchairs or walkers.
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 every three years.
Healthy Behavior Programs
Do you smoke? If so, do you want to try and quit? We have a smoking cessation program that is available at no cost.
Do you want to work on weight loss or healthier eating habits? These types of lifestyle changes can help with many chronic conditions. We have a program to help you with this.
If you have noticed changes in your mood, habits or the way you feel, you may need to talk to someone about these feelings.
Behavioral health services are available as part of your benefits. We also offer a reward program if you would like help with a drug abuse problem.
All of these programs are available at no cost to you. If you would like to join any of these programs, please call us at 1-844-446-2151. We are here Monday through Friday from 8:00 a.m. to 7:00 p.m. If you are hard of hearing, please dial 711.
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 $10 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.
Home Meal Delivery
Taking care of the basics, like cooking, can be difficult 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 10 meals delivered each year after being discharged by the hospital.
This 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.
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 appointments.
We also have people in member services who speak more than one language. Chances are, we have someone who speaks your language.
Lab and X-rays
Knowing what's wrong and finding it early can make all the difference. Our plan covers:
- 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.
You can receive information in your preferred language. Just ask. We also have people at our customer service who speak more than one language. Chances are, we have someone who speaks your language.
Our plan includes prescription drugs and refills.
And we want to make getting your medicine easy. You can fill your prescriptions at:
- In Network Local pharmacies.
- Services that deliver right to your door.
Sometimes you might need a little help understanding your health care options. With us, you have someone you can call. We’ll answer your questions simply and completely.
We can also help you find:
- Primary Care Physicians and Specialists.
- Dentists and vision providers.
- Local pharmacies.
Mental health is as important as physical health. That's why we have coverage for both.
Required care is 100% covered. with no copay. This includes:
- Behavioral therapy.
You will not have a copayment for care and services covered by our plan.
Medical questions and situations sometimes happen at inconvenient times. When you have questions about your health or your child’s health, you can call a nurse 24 hours a day, 7 days a week.
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.
Sometimes you may need continued care after you leave the hospital or urgent care.
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 or your child.
- Answer your questions and concerns.
Your health care costs may include non-prescription medicines and supplies like aspirin, cough medicine or bandages. Our plan will cover you up to $25 each month for medically necessary over-the-counter medicine or medical supplies you purchase.
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.
After a serious illness, surgery or injury, you may need extra nursing and therapy.
If needed, our plan covers short stays in a rehabilitation center where you can heal. Included are:
- Nursing home services.
- 24-hour nursing care.
- Help with activities of daily living.
- Physical, occupational and speech therapy.
You know the bad health effects of smoking.
You know you need to quit. We support you while you quit with the help of coaches and supplies. The only thing you won't get from us is a lecture.
Shots and Vaccines
Routine shots help protect you from illness.
So, our plan covers:
- Pneumonia, influenza and shingles shots.
- Other recommended shots and vaccines.
Everyday care at no cost to you! Talk to a doctor 24/7 by phone or video—day or night from wherever you are.
We can diagnose, treat, and prescribe medicine if needed for:
- Upper respiratory infection
- And more
Call 1-888-716-8787 for more information.
Text4baby can help new and expecting mothers keep themselves and their babies healthy.
You’ll get three text messages each week throughout your pregnancy and your baby’s first year. Each text contains health and safety tips for topics like:
- Prenatal care.
- Labor and delivery.
- Safe sleep.
- Car seat safety.
So you and your baby can make a healthy start.
Therapy can help you recover from a serious injury or illness, or simply reach your full potential. Members receive needed:
- Occupational therapy.
- Physical therapy.
- Respiratory therapy.
- Speech therapy
Our plan provides unlimited round trips to and from health care locations. That includes rides to:
- Doctor or therapy visits.
- Health departments.
- Vision clinics.
- Urgent care centers.
You’ll get the care, eyeglasses and treatment that let you see life more clearly. Coverage includes:
- Regular exams.
- Up to two pairs of frames each year.
- Prescription lenses.
This benefit is offered by Vision Service Plan.
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.
- Routine shots and tests.
There are no copayments for preventive care.
Are you ready for flu season?
Influenza, commonly called the flu, is a serious illness that can spread easily. It can lead to missed days at school or work, and even hospital stays. Here’s the good news: a simple shot can reduce your chances of getting influenza — and it’s available to you at no cost with your UnitedHealthcare Community Plan. Talk to your UnitedHealthcare network doctor about getting the flu shot.
If you don’t have one, please contact Member Services at 844-446-2151 and a representative can help you find one.
Healthy Behaviors Program
See a doctor without leaving your house. You have access to quality healthcare by phone, video or app anytime, anywhere. Avoid the waiting room, taking time off work and the drive or bus ride. Telehealth doctors are always in; call us during a lunch break, on the weekend, or in the middle of the night.
Member Forms & Resources
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.
Health Plan Performance Measures
View the Agency for Health Care Administration’s website where you can view our health plan’s performance measure results and compare with those of other health plans.
Member Handbook Addendums
Alachua, Bradford, Citrus, Columbia, Dixie, Gilchrist, Hamilton, Hernando, Lafayette, Lake, Levy, Marion, Putnam, Sumter, Suwannee, and Union Counties
Baker, Clay, Duval, Flagler, Nassau, St. Johns, and Volusia Counties
Hardee, Highlands, Hillsborough, Manatee and Polk Counties
Miami-Dade and Monroe Counties
Private Duty Nursing (PDN)
Private Duty Nursing (PDN)
If there are issues, please call your Case Manager or see the letter below.
MyACCESS Account Access
MyACCESS account or self-service portal Instructions
Report address changes to DCF
MyACCESS account log in information
UnitedHealthcare Community Plan Medicaid (MMA)
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.