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UnitedHealthcare Community Plan
Our TennCare Medicaid plan offers a range of benefits. Children, pregnant women, adults and people who are elderly or have a disability may qualify based on income. View the benefits below to see all that our Tennessee Medicaid plan offers.
This plan is available wherever you live in Tennessee.
More information on eligibility and enrollment can be found on the TennCare website.
Find providers and coverage for this plan.
Search for doctors, hospitals and specialists.
Find medications covered by this plan.
Need Help and Civil Rights
We obey federal and state civil rights laws. We do not treat people in a different way because of their race, color, birth place, language, age, disability, religion, or sex. Do you think we did not help you or you were treated differently because of your race, color, birth place, language, age, disability, religion, or sex? You can file a complaint by mail, by email, or by phone. Download and print the information (PDF 30.64 KB) or see below:
UnitedHealthcare Community Plan
Attn: Appeals and Grievances
P.O. Box 5220
Kingston, NY 12402-5220
Phone: 800-690-1606 TTY: 711
Health Care Finance and Administration
Office of Civil Rights Compliance
310 Great Circle Road, Floor 3W
Nashville, Tennessee 37243
Phone: 855-857-1673 (TRS 711)
You can get a complaint form online at:
You can get a complaint form online at:
Or you can file a complaint online at:
U.S. Department of Health & Human Services
Office for Civil Rights
200 Independence Ave SW, Rm 509F, HHH Bldg.
Washington, D.C. 20201
Phone: 800-868-1019 (TDD): 800-537-7697
Benefits & Features
Equipment and Supplies
The health and safety of our members at home are important.
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.
- Walkers or wheelchairs.
Free classes to help improve your health or address a condition.
Our plan includes classes on diabetes, nutrition and more. You can even get a ride, if needed, to and from the class at no cost to you.
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 expenses related to a hospital stay, so you can rest and heal.
- 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.
Do you know about the Affordable Connectivity Program? It’s a new program that helps pay for high-speed internet. You can use the internet for work, school, healthcare, and more. What do you get with this program? You may get up to $30 per month off your internet bills. There is also a one-time $100 discount off a laptop, tablet, or computer. Who can get this program? Any household that has at least one person enrolled in Medicaid. How do you get this program? You must enroll to get it. Go online to getinternet.gov and enroll today.
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 member service centers who speak more than one language. Chances are, we have someone who speaks your language.
Understanding your health care options can be confusing. We can answer your questions simply and completely.
We help you find:
- Hospitals or other health facilities.
- Local resources.
Mental health is as important as physical health. That’s why we have the same coverage for both.
Required care is 100% covered with no copay. This includes:
- Mental health therapy.
- Substance abuse treatment.
Members have no copayments for:
- Preventive care.
- Annual checkups.
Sometimes continued care is needed after leaving the hospital or urgent care. For example, after a serious illness, surgery or injury. In these cases, a nurse will make home visits to:
- Provide medical care for you.
- Answer your questions and concerns.
- Home health. Home nursing care limited to 125 visits per calendar year.
Medical questions and situations can sometimes come at inconvenient times. When you have questions about your health or your child’s health, you can call a trained nurse 24/7.
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.
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.
Primary Care Provider
You can have one main person for your health care. He or she can be a doctor, a nurse practitioner, or a physician’s assistant. This person is called your Primary Care Provider (PCP).
Your PCP is your main doctor for:
- Preventive care.
- Treatment if you are sick or injured.
- Referrals to specialists for certain conditions.
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 keep you healthy. So, our plan covers:
- Recommended shots and vaccines.
- Influenza shots.
In case of emergency call 911
Important tips for setting up a ride- Please review Tennessee Carriers website- Rider Information Riders | Tennessee Carriers (tenncarriers.com)
- Call 1-866-405-0238, TTY 711 to set up your ride
- Call at least seventy-two (72) hours in advance of your appointment whenever possible
- If the time for your return trip home was not already scheduled, you are responsible for calling to tell the transporter that you are ready to be picked up for your trip home
- If you cancel your appointment/visit, call 1-866-405-0238 to cancel your ride
- Have your Medicaid ID card available
- If you have more than one appointment on the same day, you can get a ride to all covered services. Please give Tennessee Carriers information for each appointment
- Know the address of your health care provider and the date and time of your appointment
- Be specific about where you need a ride to
- If your doctor gives you a prescription, you can stop at the pharmacy to get it
- Let us know if you have special needs like a wheelchair
- Any minor requesting transportation without an accompanying adult will be handled on a case-by-case basis
- If you wish to bring someone with you to your appointment, you can have someone ride with you. This is sometimes called an escort. An escort is someone over the age of 12. Please let Tennessee Carriers know you’ll have an escort riding with you
- If you’re going to an appointment and need to take your child with you, he or she won’t count as your escort
Our plan encourages a healthy approach to eating and living. To help our members be their best, we cover:
- Screening for obesity.
- Support for healthy diet and exercise choices.
- Health coaching.
Well visits with your doctor can help keep you healthy. These visits can help 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.
Wellhop for Mom & Baby
Connect with other expectant moms. Get support and information during your pregnancy and after you deliver. This program is part of your health plan and there is no extra cost to you.
Here’s how it works:
- Join video conversations every other week with women who have similar due dates and a group leader.
- Chat and share experiences with moms from your group on the Wellhop app or website.
- Visit the Wellhop library. You’ll find articles, videos and more.
Healthier Tennessee is a priority of the Governor’s Foundation for Health & Wellness, involving action promoting healthier behaviors in schools, workplaces and in places of worship. More information is available at www.healthiertn.com.
Behavioral Health Resources
If a member has a mental health or substance abuse emergency, call United Behavioral Health right away. United Behavioral Health will help guide him or her to the best care for the situation. With an emergency admission, call United Behavioral Health for authorization within 24 hours of admission.
liveandworkwell - Need help dealing with stress, anxiety, depression or other mental health issues? The United Behavioral Health liveandworkwell web site has lots of information that may be helpful to you.
Search for Behavioral Health Providers - Use the United Behavioral Health liveandworkwell clinician web search to search a list of behavioral health professionals who have offices near you.
Mental Health and Substance Abuse Crisis Information
Need help with a mental health problem? Need help with a drug or alcohol abuse problem?
TennCare members who live in Middle Tennessee can get behavioral health services. These are for people who have a mental health problem. They are also for people who have a substance abuse problem.
We can help you deal with troubles in your family or job. Or if you are just unhappy, we can help. We can also help you or someone you love with a drug or alcohol problem.
How Do I Get Help?
Call 1-800-690-1606 (TTY/TDD hearing impaired 711) for help. We will find a doctor who can help you the best. This process is called “authorization.” It allows you to get help quickly and easily.
The Tennessee REDLINE is available to provide accurate, up-to-date alcohol, drug, problem gambling, and other addiction information and referrals to all citizens of Tennessee at their request. The toll-free number is 1-800-889- 9789.
You may also visit the liveandworkwell.com. It can help you make the most of your life.
Note: Before you receive services, you must call 1-800-690-1606 (TTY/TDD hearing impaired 711). All services must be authorized.
Safe at Home Address Confidentiality Program
The Safe at Home Address Confidentiality Program is a new statewide address confidentiality program administered by the Office of the Tennessee Secretary of State. The Safe at Home Program is open to all victims of domestic abuse, stalking, human trafficking, rape, sexual battery, or any other sexual offense who satisfy eligibility and application requirements at no cost.
Please call 1-800-690-1606 to request more information or to join any of our health programs.
- Select option 1 as a member, and then you will be asked to enter your member ID number.
- After entering your ID number, press 0 to reach a customer service representative.
View NurseLineSM information in html.
TennCare / CHOICES
TennCare / First CHOICES (ECF)
TennCare Kids Newsletters
2022 Medicaid Newsletters
2021 Medicaid Newsletters
Member Handbook Addendum
Updating your TennCare Information
Telling TennCare about a new phone number, address, or other changes is easy.
There are several ways to report a change. You only have to pick one:
- Call TennCare Connect for free at 855-259-0701.
- Use your TennCare Connect online account at https://tenncareconnect.tn.gov.
Haven’t created an online account yet? Go to https://tenncareconnect.tn.gov and click on the Create Account button. After you create an account and have logged in, select Link My Case from the menu option at the top. You’ll need to enter your Social Security Number (SSN) to link your case to your TennCare Connect account.
- Use the TennCare Mobile App to report phone or address changes.
Haven’t downloaded it yet? Go to the iTunes or Google Play store and look for TennCare Connect. After installing the app, create an account by clicking the Create Account button. You’ll need to enter your Social Security Number (SSN) to link your case to your TennCare Connect account.
Medicaid Managed Care
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.