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TENNESSEE MEDICAID PLANS

For more information, please contact Customer Service at:

Toll Free1-800-690-1606, TTY 711

8 a.m. – 8 p.m. local time, 7 days a week

Opioid Medication-Assisted Treatment Providers

Medication-assisted treatment (MAT) is the use of medications with counseling and behavioral therapies, to provide a "whole-patient" approach to treatment of substance use disorders. MAT is primarily used for the treatment of addiction to opioids such as heroin and prescription pain relievers that contain opiates.

Essam M Aghel MD
4038 Gap Rd Suite 101
Knoxville, TN 37912
865-689-5757
Internal Medicine

Olayinka Akinwumiju MD
8130 County Village Dr. Suite 102
Cordova, TN 38016
901-308-2924
Psychiatry

Roy Anderson MD
1200 S Willow Avenue
Cookeville, TN 38056
931-432-4123
Internal Medicine

John Argerson MD
926 W Oakland Ave Suite 206
Johnson City, TN 37604
423-282-3379
Internal Medicine

Anuj Aryal MD
2636 N Mount Juliet Rd
Mount Juliet, TN 37122
615-680-0110
Psychiatry

Andrew Averett MD
2636 N Mount Juliet Rd
Mount Juliet, TN 37122
615-680-0110
Addiction Medicine

Timothy J Bilbruk MD
3810 Winchester Rd
Memphis, TN 38118
901-369-1400
Psychiatry

Drew Blackstock MD
6630 Summer Knoll Cir Suite 101
Memphis, TN 38134
901-746-9438
Emergency Medicine

Julie M Brewer MD
617 S 8th St
Nashville, TN 37206
615-227-3000
Family Practice

Clarinda Burton-Shannon MD
324 N Maple St
Lebanon, TN 37087
615-547-4205
Obstetrics And Gynecology

Edward W Capparelli MD
460 Industrial Ln
Oneida, TN 37841
423-569-3800
Family Practice

Michael Casal MD
1080 Neal St Ste 200
Cookeville, TN 38501
931-520-1529
Obstetrics And Gynecology

Michael R Caudle MD
2018 Western Ave
Knoxville, TN 37921
865-544-0406
Obstetrics And Gynecology

Harold Chertok MD
301 Wolverine Trail Suite 200
Smyrna, TN 37167
615-751-0579
Family Practice

Harold Chertok MD
7030 Lee Highway Suite 201
Chattanooga, TN 37421
423-301-5930
Family Practice

Harold Chertok MD
118 Highway 70 East
Dickson, TN 37055
615-560-7001
Family Practice

Harold Chertok MD
172 W University Pkwy Suite A
Jackson, TN 38305
731-201-5590
Family Practice

Guy Clark MD
201 Highland Avenue
Knoxville, TN 37916
865-633-0353
Emergency Medicine

Guy Clark MD
3114 Browns Mill Road
Johnson City, TN 37604
423-631-0432
Emergency Medicine

Guy Clark MD
230 Bowman Street
Morristown, TN 37813
423-586-3249
Emergency Medicine

Guy Clark MD
330 Heritage Blvd
Newport, TN 37821
423-623-7043
Emergency Medicine

Leslie S Cole MD
801 Hill Street Suite 100
Springfield, TN 37172
615-382-3002
Emergency Medicine

Kelly C Cooper MD
2018 Western Ave
Knoxville, TN 37921
865-544-0406
Addiction Medicine

Christopher Copeland MD
201 Highland Avenue
Knoxville, TN 37916
865-633-0353
Anesthesiology

Christopher Copeland MD
3114 Browns Mill Road
Johnson City, TN 37604
423-631-0432
Anesthesiology

Christopher Copeland MD
230 Bowman Street
Morristown, TN 37813
423-586-3249
Anesthesiology

Christopher Copeland MD
330 Heritage Blvd
Newport, TN 37821
423-623-7043
Anesthesiology

Charles Cox MD
503 W Madison Ave
Athens, TN 37303
423-745-2312
Surgery

Allen Craig MD
6000 Ramsey Way
Dickson, TN 37055
615-446-3797
Psychiatry

Allen Craig MD
416 S Main Street
Estill Springs, TN 37330
931-649-3408
Psychiatry

Sadia M Dar MD
1195 Old Hickory Blvd Suite 101
Brentwood, TN 37421
615-373-2000
Family Practice

Stephen Davis MD
2636 N Mount Juliet Road
Mount Juliet, TN 37122
615-680-0110
Addiction Medicine

Clifford Davidson MD
6626 Central Avenue Pike
Knoxville, TN 37912
865-249-6214
Psychiatry

Martin Eason MD
926 W Oakland Ave Suite 92
Johnson City, TN 37609
423-282-3379
Internal Medicine

Ira Ellis MD
37 Sandstone Circle Suite 92
Jackson, TN 38305
731-265-6025
Family Practice

Lisa Fara MD
207 Spears Avenue
Chattanooga, TN 37405
423-756-7644
Family Practice

Lisa Fara MD
7030 Lee Hwy Suite 201
Chattanooga, TN 37421
615-454-6419
Family Practice

Robert Ferretti MD
201 Highland Avenue
Knoxville, TN 37916
865-633-0353
Radiology

Robert Ferretti MD
3114 Browns Mill Road
Johnson City, TN 37604
423-631-0432
Radiology

Robert Ferretti MD
230 Bowman Street
Morristown, TN 37813
423-586-3249
Radiology

Robert Ferretti MD
330 Heritage Blvd
Newport, TN 37821
423-623-7043
Radiology

Marianne Filka MD
201 Highland Avenue
Knoxville, TN 37916
865-633-0353
Family Practice

Marianne Filka MD
3114 Browns Mill Road
Johnson City, TN 37604
423-631-0432
Family Practice

Marianne Fika MD
230 Bowman Street
Morristown, TN 37813
423-586-3249
Family Practice

Marianne Fika MD
330 Heritage Blvd
Newport, TN 37821
423-623-7043
Family Practice

Suzanne M Fletcher MD
839 Wren Rd
Goodlettsville, TN 37027
615-330-0071
Internal Medicine

Liusong Fu MD
8130 Country Village Drive Suite 102
Cordova, TN 38016
901-308-2915
Psychiatry

Cornelia R Graves MD
201 23rd Ave N
Nashville, TN 37203
615-983-5400
Maternal & Fetal Med/Perinatology

Craig Haire MD
201 Highland Avenue
Knoxville, TN 37916
865-633-0353
Internal Medicine

Craig Haire MD
3114 Browns Mill Road
Johnson City, TN 37604
423-631-0432
Internal Medicine

Craig Haire MD
230 Bowman Street
Morristown, TN 37813
423-586-3249
Internal Medicine

Craig Haire MD
330 Heritage Blvd
Newport, TN 37821
423-623-7043
Internal Medicine

Donald J Halke MD
765 Florence Road
Savannah, TN 38372
731-925-2300
Family Practice

Ionela A Halke MD
765 Florence Road
Savannah, TN 38372
731-925-2300
Family Practice

Joe I Hall MD
501 Park Ave S
Hohenwald, TN 38462
931-722-2800
Family Practice

Tara Hamada MD
2636 N Mount Juliet
Mount Juliet, TN 37122
615-680-0110
Pediatrics

Shawn Hamm MD
6630 Summer Knoll Cir Ste 101
Memphis, TN 38134
901-746-9438
Addiction Medicine

Zachary A Hammons MD
130 W Ravine Road Fl 5
Kingsport, TN 37660
423-230-8412
Internal Medicine

Dean M Harless MD
601 W Due West Ave
Madison, TN 37115
615-227-3000
Internal Medicine

Dean M Harless MD
324 N Maple Street
Lebanon, TN 37087
615-547-4205
Internal Medicine

Dean M Harless MD
301 Wolverine Trail Suite 200
Smyrna, TN 37167
615-751-0579
Internal Medicine

Dean M Harless MD
7030 Lee Highway Suite 201
Chattanooga, TN 37421
423-301-5930
Internal Medicine

Dean M Harless MD
118 Highway 70 East
Dickson, TN 37055
615-560-7001
Internal Medicine

Dean M Harless MD
172 W University Pkwy Suite A
Jackson, TN 38305
731-201-5590
Internal Medicine

John J Harris MD
1661 International Diver Suite 407
Memphis, TN 38120
901-322-7517
Internal Medicine

Jason Hayes MD
2002 E Stonebrook Place
Kingsport, TN 37660
423-224-1000
Psychiatry

Donald Henson MD
201 Highland Avenue
Knoxville, TN 37916
865-633-0353
Psychiatry

Donald Henson MD
3114 Browns Mill Road
Johnson City, TN 37604
423-631-0432
Psychiatry

Donald Henson MD
230 Bowman Street
Morristown, TN 37813
423-586-3249
Psychiatry

Donald Henson MD
330 Heritage Blvd
Newport, TN 37821
423-623-7043
Psychiatry

Oba Hollie MD
275 Cumberland Bend
Nashville, TN 37228
615-726-3340
Internal Medicine

Shahana Huda MD
5651 First Blvd Suite 701
Hermitage, TN 37076
615-884-5669
Psychiatry

Raza Hussain MD
2636 N Mount Juliet Road
Mount Juliet, TN 37122
615-680-0110
Psychiatry

Dustin Inman MD
301 Wolverine Trail Suite 200
Smyrna, TN 37167
615-751-0579
Family Practice

Dustin Inman MD
7030 Lee Highway Suite 201
Chattanooga, TN 37421
423-301-5930
Family Practice

Dustin Inman MD
118 Highway 70 East
Dickson, TN 37055
615-560-7001
Family Practice

Dustin Inman MD
172 W University Pkwy Suite A
Jackson, TN 38305
731-201-5590
Family Practice

Billy Jones MD
2636 N Mount Juliet Road
Mount Juliet, TN 37122
615-680-0110
Internal Medicine

Medhat Kalliny MD
301 Wolverine Trail Suite 200
Smyrna, TN 37167
615-751-0579
Psychiatry

Medhat Kalliny MD
118 Highway 70 East
Dickson, TN 37055
615-560-7001
Psychiatry

Medhat Kalliny MD
7030 Lee Highway Suite 201
Chattanooga, TN 37421
423-301-5930
Psychiatry

Michael Kauzlarich MD
201 Highland Avenue
Knoxville, TN 37916
865-633-0353
Family Practice

Michael Kauzlarich MD
3114 Browns Mill Road
Johnson City, TN 37604
423-631-0432
Family Practice

Michael Kauzlarich MD
230 Bowman Street
Morristown, TN 37813
423-586-3249
Family Practice

Michael Kauzlarich MD
330 Heritage Blvd
Newport, TN 37821
423-623-7043
Family Practice

Joseph Kipikasa MD
902 McCallie Ave
Chattanooga, TN 37403
423-664-4460
Maternal & Fetal Med/Perinatology

Wade Lenz MD
5600 Brainerd Road Suite A4
Chattanooga, TN 37411
423-266-4588
Family Practice

Randolph Lowry MD
6626 Central Avenue Pike
Knoxville, TN 37912
865-249-6214
Psychiatry

 

Stephen Loyd MD
2636 N. Mount Juliet Road
Mount Juliet, TN 37122
615-680-0110
Psychiatry

Curtis Markham MD
2018 Western Ave
Knoxville, TN 37921
865-544-0406
Psychiatry

Mark A McGrial MD
2018 Western Ave
Knoxville, TN 37921
865-544-0406
Family Practice

Alice R McKee MD
1010 Wayne Road Suite 202
Savannah, TN 38372
731-513-1798
General Practice

Alice R Mckee MD
154 Carriage House Drive
Jackson, TN 38305
731-513-1798
General Practice

Alice R Mckee MD
301 Wolverine Trail Suite 200
Smyrna, TN 37167
615-751-0579
General Practice

Alice R Mckee MD
7030 Lee Highway Suite 201
Chattanooga, TN 37421
423-301-5930
General Practice

Alice R Mckee MD
118 Highway 70 East
Dickson, TN 37055
615-560-7001
General Practice

Alice R Mckee MD
172 W University Pkwy Suite A
Jackson, TN 38305
731-201-5590
General Practice

Bryan M Merrick MD
205 Hospital Drive Suite A
McKenzie, TN 38201
731-352-7907
Internal Medicine

Jeffrey K Moore MD
514 Fisk St
Nashville, TN 37203
615-321-0776
Family Practice

Julie Munson-Jackson MD
207 Spears Avenue
Chattanooga, TN 37405
423-756-7644
Psychiatry

Pamela D Murray MD
1010 Wayne Road Suite 202
Savannah, TN 38372
731-513-1798
Hospitalist

Pamela D Murray MD
154 Carriage House Drive
Jackson, TN 38305
731-513-1798
Hospitalist

Clinton Allen Musil MD
2001 E Stonebrook Place
Kingsport, TN 37660
423-224-1000
Psychiatry

Paul J Ngo MD
107 Charles E Davis Blvd
Nashville, TN 37210
615-227-3000
Family Practice

Elizabeth Null MD
3011 Harrah Drive Suite T
Spring Hill, TN 37174
615-614-1300
Psychiatry

Martin Olsen MD
325 N State of Franklin 1st Fl
Johnson City, TN 37604
615-614-1300
Obstetrics And Gynecology

David Patzer MD
275 Cumberland Bend
Nashville, TN 37228
615-726-3340
Psychiatry

David Patzer MD
260 Cumberland Bend
Nashville, TN 37228
615-726-3340
Psychiatry

David Patzer MD
250 Cumberland Bend
Nashville, TN 37228
615-726-3340
Psychiatry

Glen Peterson MD
6626 Central Avenue Pike Knoxville, TN 37912
865-249-6214
Psychiatry

Zandra Petway MD
301 Wolverine Trail Suite 200
Smyrna, TN 37167
615-751-0579
General Practice

Zandra Petway MD
7030 Lee Highway Suite 201
Chattanooga, TN 37421
423-301-5930
General Practice

Zandra Petway MD
118 Highway 70 East
Dickson, TN 37055
615-560-7001
General Practice

Zandra Petway MD
172 W University Pkwy Suite A
Jackson, TN 38305
731-201-5590
General Practice

Octavio Pinell MD
929 W Oakland Ave Suite 206
Johnson City, TN 37607
423-282-3379
Obstetrics and Gynecology

Richard E Poehlein MD
930 Adell Ree Park Ln
Knoxville, TN 37909
865-769-2600
Family Practice

Paul Ragan MD
1997 Hwy 51 S
Covington, TN 38019
901-476-8967
Psychiatry

Hannah Ratliff MD
201 Highland Avenue
Knoxville, TN 37916
865-633-0353
Psychiatry

Hannah Ratliff MD
3114 Browns Mill Road
Johnson City, TN 37604
423-631-0432
Psychiatry

Hannah Ratliff MD
230 Bowman Street
Morristown, TN 37813
423-586-3249
Psychiatry

Hannah Ratliff MD
330 Heritage Blvd
Newport, TN 37821
423-623-7043
Psychiatry

Robert Raulston MD
6000 Ramsey Way
Dickson, TN 37055
615-446-3797
Psychiatry

Sonya Saadati MD
201 Highland Avenue
Knoxville, TN 37916
865-633-0353
Psychiatry

Sonya Saadati MD
3114 Browns Mill Road
Johnson City, TN 37604
423-631-0432
Psychiatry

Sonya Saadati MD
230 Bowman Street
Morristown, TN 37813
423-586-3249
Psychiatry

Sonya Saadati MD
330 Heritage Blvd
Newport, TN 37821
423-623-7043
Psychiatry

Tejinder Saini MD
8130 County Village Drive Suite 102
Cordova, TN 38016
901-308-2915
Psychiatry

Neal Sanders MD
201 Highland Avenue
Knoxville, TN 37916
865-633-0353
Psychiatry

Neal Sanders MD
3114 Browns Mill Road
Johnson City, TN 37604
423-631-0432
Psychiatry

Neal Sanders MD
230 Bowman Street
Morristown, TN 37813
423-586-3249
Psychiatry

Neal Sanders MD
330 Heritage Blvd
Newport, TN 37821
423-623-7043
Psychiatry

 

 

Billy Sekulovski MD
6626 Central Avenue Pike
Knoxville, TN 37912
865-249-6214
Psychiatry

Robert A Shearer MD
801 Hill St
Springfield, TN 37172
844-946-7228
Addiction Medicine

Roger Sherman MD
211 Donelson Pike Suite 102
Nashville, TN 37214
615-674-0909
Psychiatry

Roger Sherman MD
2636 N Mount Juliet Rd
Mount Juliet, TN 37122
615-680-0110
Psychiatry

Melanie Skeen MD
201 Highland Avenue
Knoxville, TN 37916
865-633-0353
Psychiatry

Melanie Skeen MD
3114 Browns Mill Road
Johnson City, TN 37604
423-631-0432
Psychiatry

Melanie Skeen MD
230 Bowman Street
Morristown, TN 37813
423-586-3249
Psychiatry

Melanie Skeen MD
330 Heritage Blvd
Newport, TN 37821
423-623-7043
Psychiatry

Donald Sleeter MD
201 Highland Avenue
Knoxville, TN 37916
865-633-0353
Emergency Medicine

Donald Sleeter MD
3114 Browns Mill Road
Johnson City, TN 37604
423-631-0432
Emergency Medicine

Donald Sleeter MD
230 Bowman Street
Morristown, TN 37813
423-586-3249
Emergency Medicine

Donald Sleeter MD
330 Heritage Blvd
Newport, TN 37821
423-623-7043
Emergency Medicine

Timothy Smyth MD
926 W Oakland Ave Suite 206
Johnson City, TN 37605
423-282-3379
Internal Medicine

William Stewart MD
1510 Hunters Crossing Drive
Columbia, TN 38401
931-548-3317
Internal Medicine

Grant K Studebaker MD
37 Sandstone Cir Suite 92
Jackson, TN 38305
731-265-6025
Family Practice

Grant K Studebaker MD
37 Sandstone Cir Suite 92
Jackson, TN 38305
731-265-6025
Family Practice

Naomi Sudeen-Paschall MD
100 Covey Drive Suite 204
Franklin, TN 37607
615-790-4140
Obstetrics and Gynecology

Moses Swauncy MD
301 Wolverine Trail Suite 200
Smyrna, TN 37167
615-751-0579
Psychiatry

Moses Swauncy MD
118 Highway 70 East
Dickson, TN 37055
615-560-7001
Psychiatry

Moses Swauncy MD
7030 Lee Highway Suite 201
Chattanooga, TN 37421
423-301-5930
Psychiatry

Mathew Thomas MD
201 Highland Avenue
Knoxville, TN 37916
865-633-0353
Psychiatry

Mathew Thomas MD
3114 Browns Mill Road
Johnson City, TN 37604
423-631-0432
Psychiatry

Mathew Thomas MD
230 Bowman Street
Morristown, TN 37813
423-586-3249
Psychiatry

Mathew Thomas MD
330 Heritage Blvd
Newport, TN 37821
423-623-7043
Psychiatry

Candace Thompson MD
58 Timber Creek Drive
Cordova, TN 38018
901-566-1002
Psychiatry

Deon L Tolliver MD
217 E High St Suite 200
Lebanon, TN 37087
615-227-3000

Nicholas A Tsambassis MD
1510 Hatcher Lane Suite 1
Columbia, TN 38401
931-548-3177
Internal Medicine

Gregory Vines MD
926 W Oakland Ave Suite 206
Johnson City, TN 37608
423-282-3379
Internal Medicine

Febe I Wallace MD
815 W 5th North St
Morristown, TN 37814
423-586-5032
Internal Medicine

Andrew Waller MD
201 Highland Avenue
Knoxville, TN 37916
865-633-0353
Psychiatry

Andrew Waller MD
3114 Browns Mill Road
Johnson City, TN 37604
423-631-0432
Psychiatry

Andrew Waller MD
230 Bowman Street
Morristown, TN 37813
423-586-3249
Psychiatry

Andrew Waller MD
330 Heritage Blvd
Newport, TN 37821
423-623-7043
Psychiatry

Keith White MD
201 Highland Avenue
Knoxville, TN 37916
865-633-0353
Psychiatry

Keith White MD
3114 Browns Mill Road
Johnson City, TN 37604
423-631-0432
Psychiatry

Keith White MD
230 Bowman Street
Morristown, TN 37813
423-586-3249
Psychiatry

Keith White MD
330 Heritage Blvd
Newport, TN 37821
423-623-7043
Psychiatry

Jerry Wilson MD
2636 N Mount Juliet Rd
Mount Juliet, TN 37122
615-680-0110
Psychiatry

Jennifer Wisdom-Schepers MD
201 Highland Avenue
Knoxville, TN 37916
865-633-0353
Psychiatry

Jennifer Wisdom-Schepers MD
3114 Browns Mill Road
Johnson City, TN 37604
423-631-0432
Psychiatry

Jennifer Wisdom-Schepers MD
230 Bowman Street
Morristown, TN 37813
423-586-3249
Psychiatry

Jennifer Wisdom-Schepers MD
330 Heritage Blvd
Newport, TN 37821
423-623-7043
Psychiatry

Disclaimer information
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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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