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Make sure you do not miss information about your Medicaid coverage. Visit or call your local DSS to update your address and contact information. A list of DSS locations can be found here: ncdhhs.gov/localdss 

As a member of UnitedHealthcare Community Plan of North Carolina, you’ll get extra benefits that some plans don’t offer. To learn more about what those extras are, click here or call our Member Services team at 1-800-349-1855, TTY 711 if you have any questions.

Hello, North Carolina

We’ve got you covered with low or no cost options from UnitedHealthcare

Helping people is at the heart of all we do

Get the Plans that get you more. All North Carolinians deserves affordable health care, including you. That includes adults, people with disabilities, pregnant women and children. UnitedHealthcare has services and extras that can make a real difference in your life.

We offer many plans to help North Carolinians get healthy. And stay healthy. Including Medicaid Plans and Exchange Plans.

Plus, we offer one of the largest provider networks in North Carolina. Which gives you more options to choose the doctors and specialists that fit your health care needs.

See why people choose UnitedHealthcare in North Carolina

  • Regardless of the plan you choose, you'll get the care you need at UnitedHealthcare.
    • Large variety and network of doctors/ providers
    • No cost virtual visits
    • Low or no cost prescriptions
  • View the video on the right to learn more about the NC Medicaid.
  • Learn More about open enrollment for North Carolina
  • Stay informed about Coronavirus (COVID-19)

It’s your health. It’s your choice.

Everyone deserves affordable health care, including you.

That includes working adults, people with disabilities, pregnant women and children.

If that’s you, check out UnitedHealthcare Community Plan Medicaid.

We have the Medicaid services and extras that can make a real difference in your life. All at no cost to you.

  • Find a doctor you trust in our network.
  • Unlimited doctor visits for adults.
  • Vision coverage.
  • Transportation to and from doctor appointments.
  • 24/7 NurseLine to answer your health questions.

Sometimes, you might need a little extra help. Get extras not covered by Medicaid.

  • Earn rewards for keeping you and your baby healthy.
  • Earn gift cards for getting preventative services.
  • Support and treatment to reach a healthy weight.
  • Members 18 and older can get free GED Exam Voucher and materials(up to $160).

We also offer resources to help you make the most of your plan. Including:

  • Member Advocates
  • Social Services Support
  • Nutrition Coaching
  • Health Education Tools
  • Care Management

Visit NC medicaidplans dot gov for more information.

Helping you live a healthier life.

We are here for you, North Carolina

Remember to choose UnitedHealthcare Community Plan.

And get the Plan that gets you more.

To learn more about UnitedHealthcare Community Plan, visit UHCCommunityPlan.com forward slash NC.

North Carolina health plans as low as $0 cost

UHC NC Medicaid Plans:

  • Low - or no cost
  • Pregnant women and children
  • Low income individuals and families
  • All ages
  • Blind and disabled Individuals

NC Individual & Family ACA Marketplace Plans:

  • $0 Unlimited primary care1
  • $0 Unlimited virtual urgent care1, 2
  • $3 Tier 1 prescriptions at Walgreens1, 3, 4
  • $100 Member rewards for Walgreens, Walmart, or Amazon3

Featured Programs

Pregnant-couple

We Cover North Carolina

With one of the widest networks in North Carolina, UnitedHealthcare is proud to offer health care coverage to over 1.4 million North Carolinians through Medicaid, Medicare, Exchanges and Commerical plans, for over 30 years.

Medicaid: More for You in 2023

As a UnitedHealthcare NC Medicaid member, you’ll get extra benefits that some plans don’t offer.   

  • Member Rewards for healthy actions
  • Healthy First Steps Rewards for new moms 
  • Youth Club Memberships 
  • Rides to medical and non-medical sites
  • WW (formerly Weight Watchers)

Virtual Visits

You can talk to health care providers through your phone or computer for a variety of care needs, including routine or urgent needs. 

Here is a short video about virtual visits and how they work. 

Exchange Plans in 2023

UnitedHealthcare is offering individual and family plans in North Carolina that are designed to provide the best possible coverage at an affordable price. 

  • Up to 6 $0 virtual urgent care and virtual primary care visits
  • Digital fitness classes at no additional cost
  • $3 copays on Tier 1 generic drugs at Walgreens

If you do not qualify for Medicaid or Dual Special Needs Plans, the Exchange Plans may be right for you. We have plan choices in all three metal levels - bronze, silver and gold. Our friendly and experienced team can help with any questions. 

UnitedHealthcare Mobile App

This free mobile app will allow you to access key information on the go. You can search for nearby doctors, view your member handbook or view your member ID card. 

The UnitedHealthcare mobile app can be downloaded to an Apple® or Android® smartphone or tablet. 

Support Healthy Living

Regardless of which UnitedHealthcare plan you enroll in, we offer several supports to help you live a healthier life:

  • Wellness Rewards (NC Medicaid)
  • Prenatal and Healthy Child Rewards (NC Medicaid) 
  • Post-discharge meal programs (NC Medicaid)
  • Special programs for long-term conditions (NC Medicaid)
Reading-newsltter

North Carolina Healthy Opportunities

Basic living challenges can make it hard to focus on your health. Healthy Opportunities is a new program meant to offer extra support. 

These services may be covered by UnitedHealthcare Community Plan of North Carolina. Find out more in the flyers below: 

English | Español | Chinese

Reading-newsltter

North Carolina HealthTalk Member Newsletter

Our NC 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 | Español

Health Education

woman-power-walking

Healthy weight. Getting exercise.

Exercising - and being active - is important in helping lose weight and maintain a healthy weight. Be sure to talk to your doctor or provider before starting any exercies or weight-loss program

Try to get 60 minutes or more of exercise every day. If you're not able to get to the gym, don't worry. Below are ideas you can do at home. 

Move! Dancing to your favorite tunes can help you burn more than 300 calories an hour. 

If you do play video games, play games where you have to move. You don’t even have to leave the house. 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.

UHC NC Medicaid Plans
NC Exchange Plans

Depression

Depression is a real illness. It can be treated.

You can feel like yourself again. Depression is an illness like diabetes or heart disease. The first step is to accept that you need help. The second step is to talk to your doctor or provider.

Note:  If you or someone you know is in suicidal crisis or emotional distress, get emergency help right away. 

  • Call 911 or 
  • Call the National Suicide Prevention Lifeline for 24/7, free and confidential support. Call 1-800-273-8255 and 1-800-799-4889 (TTY)

Common signs of depression can include:

• Feeling unhappy, down or sad every day or feeling worthless, guilty, helpless or hopeless. 
• Loss of interest in hobbies, activities and people you once enjoyed.
• Trouble sleeping or sleeping more than usual, or feeling tired, weak or low in energy.
• Loss of appetite or eating too much.
• Having trouble concentrating, remembering or making decisions.
• Thinking or talking about suicide.

Find out more online at liveandworkwell.com.

UnitedHealthcareCommunityPlan

Learn about plan types

North Carolina Medicaid Card

Medicaid Plans

Medicaid is health insurance for people with low incomes. You might be able to get Medicaid if you're pregnant, have children or live with a disability. In some cases, other adults also may qualify. Costs to you are low and based on your ability to pay. It's important to know that Medicaid rules and coverage differ from state to state.

Exchange Card

Exchange Plans

Exchange plans, also known as the Health Insurance Marketplace (R) plans, help individuals, families, and small businesses shop for and enroll in affordable healthcare coverage.  Whether you qualify for these programs depends on your expected income, household members, and other information.

See Plans in North Carolina

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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