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Hawaii, we’ve got you covered

No-cost health coverage from UnitedHealthcare Community Plan. Learn about UnitedHealthcare Medicaid Med-QUEST Integration health plans we offer in Hawaii.

Helping people is at the heart of all we do

Everyone deserves affordable health care. At UnitedHealthcare Community Plan, we are dedicated to helping people live healthier lives.

We offer a variety of programs for you and your family to get healthy — and stay healthy. We cover adults, Kupuna, people with disabilities, Hapai moms and keiki.

NCQA Health Plan Accredited Seal
NCQA LTSS Distinction Seal

See why Hawaii chooses UnitedHealthcare

  • Large variety of network providers
  • No-cost virtual visits
  • Prescription drugs
  • Dental and vision coverage
  • Behavioral Health Services
  • Programs to support healthy pregnancies 

Take action to prevent the flu. A seasonal flu shot has been shown to prevent flu illnesses, doctor visits and hospitalizations, and can be lifesaving for children. UnitedHealthcare s covers pneumonia, influenza, and shingles shots.

Hawaii, we’re here to help you access care and resources for Coronavirus (COVID-19).
 

Member Information

Our HealthTalk newsletter is now online. The newsletters are a great way to learn about our health plan and important health topics.

You can read it whenever, wherever you want. Check back quarterly for a new edition.

English | Korean | Ilocano | Traditional Chinese | Vietnamese

Value Added Benefits

  • Pregnant women and children
  • Single Adults, families and Kupuna
  • Those who meet income requirements
  • Children and Adults with Disabilities
  • Those who have a long term disability due to age, illness or injury
  • Open to all ages

 

How to Contact Us

Featured Programs

UnitedHealthcare® mobile app

Get information on-the-go with the UnitedHealthcare mobile app. Download the UnitedHealthcare mobile app to your Apple® or Android® smartphone or tablet and see how easy it is to find nearby doctors, view the Member Handbook, find help and support in your community, or view your ID card.

Healthy First Steps/Hapai Malama

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:

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
helping-hands

Medicaid: More for You in 2023

Some of the benefits you may qualify for include:

  • Pre-and postnatal care for pregnant individuals and newborns
  • A large provider network
  • Vison and dental coverage
  • Mail order prescription drug coverage
  • Mental health coverage
  • Substance use disorder treatment services
  • People who may be dealing with stress, depression, anxiety or using drugs or alcohol

Mental Health Services

Mental health is as important as physical health. That’s why we have coverage for both.

Required care is 100% covered with no co-pay, including testing and diagnosis, behavioral therapy and medication.

Mental 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. We can help. 

helping-hands

Did you lose your job recently?

More people now qualify for QUEST Integration (Medicaid). See if you can too. No copays for covered services.

Visit medical.mybenefits.hawaii.gov for more information on eligibility or to apply.

Virtual visits with Doctor Chat

It’s not always easy to visit a doctor in person. Virtual visits (or telehealth) let you talk to a doctor 24/7 using your computer, tablet or smartphone. Telehealth is a good option to treat common conditions that have standard treatments. Here are some examples:

  • Cold, flu, and fever
  • Cough, aches, and sore throat
  • Allergies, skin rash, and irritation
  • Urinary tract/bladder infection
  • Ear infections
  • Sinus infections
  • Migraine/headache
  • And more

Transportation

Our Med Quest 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
  • Pharmacies

 

A healthier life is in your future

Keeping a healthy weight. Stopping unhealthy habits. Doing what’s needed to keep you and your family healthy. It all may seem impossible at times. But we have programs that can help. Our UnitedHealthcare Healthy Behaviors program gives you access to a personal health coach and resources to help with things like:

  • Losing weight
  • Quitting smoking
  • Substance abuse
  • Pregnancy and newborn care (UnitedHealthcare Healthy First Steps®)

Our health coaches work with you and your doctor(s) to help you set goals and track progress. You’ll also have the chance to get rewards when you reach certain milestones.

woman-power-walking

What is Medicaid Med_QUEST?

Medicaid is a program for people with low income who meet certain eligibility requirements and programs can vary from state-to-state.

Who is eligible for Medicaid Med QUEST?

If you do play video games, play interactive ones where you have to move. You don’t even have to leave the house to move – try exercises like jumping jacks, marching in place, going up and down stairs, push-ups or sit-ups at home.

Walk! Take a walk with a friend outside. Walk your dog or your neighbor’s dog, or walk your cat! Instead of driving, walk or bike to school or a friend’s house.

Clean! Vacuum your room. Wash the car. Mow the lawn. Your parents will be happy, and it’s another chance for you to get more exercise, and maybe even have some fun.

Unplug! Limit your time watching TV or using your smartphone, computer or other device. Keep screen time to less than two hours a day. When you do watch TV or use your phone – try marching in place or exercising while you watch/play.

To qualify for Medicaid, potential members or their children must:

  • Be a Hawai‘i resident
  • Be a U.S. citizen or a legal resident
  • Meet certain resource and income limits
  • Fit into one of these groups:
    • Parent and caretaker relatives
    • Children
    • Pregnant women
    • New adult group
    • Non-U.S. citizen needing emergency medical services
    • Children or pregnant women who are medically needy due to high medical bills

What documents are needed to apply for Medicaid Med-QUEST?

When applying for services, potential members will need to take or mail (if available) the following documents:

  • Pay stubs or other papers to show all family members' monthly income.
  • Social Security numbers for all individuals who want Medicaid (not required for children less than 6 months of age).
  • Papers that show family resources for all individuals who want Medicaid (for example: bank records, make, model, and year of your vehicles). This is not needed if they are applying because someone is pregnant or if they are applying only for children (age 18 or younger).
  • Legal resident papers if the potential member is not a U.S. citizen and he/she wants Medicaid for them self.
  • Proof of residence (for example: gas, electric, or water bill, letter from his/her landlord). This is not needed if applying only for children (age 18 and younger).
  • NOTE: Potential members may ask a friend or other person you choose to be their "authorized representative" to apply for him/her. He/she may also ask for a language or a sign interpreter to help him/her apply. Ask for an interpreter when calling to set up an appointment.

UnitedHealthcareCommunityPlan

Disclaimer information
(scroll within this box to view)

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. This information is not a complete description of benefits. Call 1-800-905-8671 TTY 711, or use your preferred relay service for more information. Limitations, co-payments, and restrictions may apply. Benefits, premiums and/or co-payments/co-insurance may change on January 1 of each year.

Nurseline 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 doctor'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.

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. If you have any problem reading or understanding this or any other UnitedHealthcare Connected® for MyCare Ohio (Medicare-Medicaid Plan) information, please contact our Member Services at 1-877-542-9236 (TTY 711,) from 7 a.m. to 8 p.m. Monday through Friday (voice mail available 24 hours a day/7 days a week) for help at no cost to you.

Si tiene problemas para leer o comprender esta o cualquier otra documentación de UnitedHealthcare Connected® de MyCare Ohio (plan Medicare-Medicaid), comuníquese con nuestro Departamento de Servicio al Cliente para obtener información adicional sin costo para usted al 1-877-542-9236 (TTY 711) de lunes a viernes de 7 a.m. a 8 p.m. (correo de voz disponible las 24 horas del día, los 7 días de la semana).

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. Benefits, List of Covered Drugs, pharmacy and provider networks and/or copayments may change from time to time throughout the year and on January 1 of each year.

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.

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. Benefits and/or copayments may change on January 1 of each year.

Puede obtener este documento de forma gratuita en otros formatos, como letra de imprenta grande, braille o audio. Llame al 1-800-256-6533, TTY 711, de 08:00 a. m. a 08:00 p. m., hora local, de lunes a viernes (correo de voz disponible las 24 horas del día,/los 7 días de la semana). La llamada es gratuita.

Puede llamar a Servicios para Miembros y pedirnos que registremos en nuestro sistema que le gustaría recibir documentos en español, en letra de imprenta grande, braille o audio, ahora y en el futuro. Los servicios Language Line están disponibles para todos los proveedores dentro de la red.

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® for One Care (Medicare-Medicaid Plan)

es un plan de salud que tiene un contrato tanto con Medicare como con el programa MassHealth (Medicaid) para proporcionar los beneficios de ambos programas a sus miembros.

 

UnitedHealthcare Connected 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. Benefits and/or copayments may change on January 1 of each year.

You can get this document for free in other formats, such as large print, braille, or audio. Call 1-866-633-4454, TTY 711, 8 am - 8 pm., local time, Monday - Friday (voicemail available 24 hours a day/7 days a week). The call is free. You can call Member Engagement Center and ask us to make a note in our system that you would like materials in Spanish, large print, braille, or audio now and in the future.

Language Line is available for all in-network providers. 

Puede obtener este documento de forma gratuita en otros formatos, como letra de imprenta grande, braille o audio. Llame al 1-866-633-4454, TTY 711, de 8am. a 8pm, hora local, de lunes a viernes (correo de voz disponible las 24 horas del día,/los 7 días de la semana). La llamada es gratuita.

Puede llamar a Servicios para Miembros y pedirnos que registremos en nuestro sistema que le gustaría recibir documentos en español, en letra de imprenta grande, braille o audio, ahora y en el futuro. Los servicios Language Line están disponibles para todos los proveedores dentro de la red.

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. Benefits, List of Covered Drugs, pharmacy and provider networks and/or copayments may change from time to time throughout the year and on January 1 of each year.

You can get this document for free in other formats, such as large print, braille, or audio. Call Member Services, 8 a.m. - 8 p.m., local time, Monday - Friday (voicemail available 24 hours a day/7 days a week). The call is free.

You can call Member Services and ask us to make a note in our system that you would like materials in Spanish, large print, braille, or audio now and in the future.

Language Line is available for all in-network providers.

Puede obtener este documento de forma gratuita en otros formatos, como letra de imprenta grande, braille o audio. Llame al Servicios para los miembros, de 08:00 a. m. a 08:00 p. m., hora local, de lunes a viernes correo de voz disponible las 24 horas del día,/los 7 días de la semana). La llamada es gratuita.

Puede llamar a Servicios para Miembros y pedirnos que registremos en nuestro sistema que le gustaría recibir documentos en español, en letra de imprenta grande, braille o audio, ahora y en el futuro.

Los servicios Language Line están disponibles para todos los proveedores dentro de la red.

UnitedHealthcare Senior Care Options (HMO SNP) Plan

UnitedHealthcare 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. 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 SCO program.

Availability of non-english disclaimer

ATTENTION: If you speak an alternative language, language assistance services, free of charge, are available to you. Call 1-800-905-8671 TTY 711, or use your preferred relay service.

ATENCIÓN: Si habla Español, hay servicios de asistencia lingüística disponibles para usted y que no tienen cargo. Llame al 1-800-905-8671 TTY 711, o utilice su servicio de retransmisión preferido

Star ratings disclaimer

Every year, Medicare evaluates plans based on a 5-Star rating system.

Formularies

The formulary, pharmacy network and provider network may change at any time. You will receive notice when necessary.

NCQA

UnitedHealthcare Connected® has a Model of Care approved by the National Committee for Quality Assurance (NCQA) to operate as a Special Needs Plan (SNP) until 2017 based on a review of UnitedHealthcare Connected’s Model of Care.

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 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.

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