United Health Care Kancare
- What is United Health Care Kancare?
- History of United Health Care Kancare
- The Benefits of United Health Care Kancare
- Who Is Eligible for United Health Care Kancare?
- How to Enroll In United Health Care Kancare
- What Services Are Covered Under United Health Care Kancare?
- How to Find Health Care Providers Under United Health Care Kancare
- How to Use Your United Health Care Kancare Benefits
- How to File a Claim with United Health Care Kancare
- FAQs About United Health Care Kancare
What is United Health Care Kancare?
United Health Care Kancare is a managed care health insurance program offered by the state of Kansas. The program is designed to provide affordable healthcare coverage to low-income families, elderly individuals, children, and pregnant women. United Health Care Kancare is administered by the Kansas Department of Health and Environment (KDHE) and is available to residents of Kansas who meet certain eligibility requirements.
History of United Health Care Kancare
The United Health Care Kancare program was created in 2013 as part of the Affordable Care Act. The program was developed to merge three existing Medicaid programs in Kansas into one comprehensive program. The three programs that were combined were the State Children's Health Insurance Program (SCHIP), the Kansas HealthWave program, and the Medicaid program for the disabled and elderly.
The Benefits of United Health Care Kancare
One of the primary benefits of United Health Care Kancare is that it provides comprehensive healthcare coverage to individuals who may not have access to insurance otherwise. The program covers a wide range of services, including doctor visits, hospital stays, prescription drugs, behavioral health services, and dental care. Additionally, the program offers preventative care services, such as vaccinations, check-ups, and screenings, which can help individuals maintain good health and avoid costly medical bills in the future.
Who Is Eligible for United Health Care Kancare?
Eligibility for United Health Care Kancare is based on income and other factors. Individuals who are eligible for Medicaid or the Children's Health Insurance Program (CHIP) are automatically eligible for United Health Care Kancare. Other individuals who may be eligible for the program include low-income families, children, pregnant women, and individuals with disabilities. To be eligible, an individual must have a household income that is at or below 138% of the federal poverty level.
How to Enroll In United Health Care Kancare
Individuals who are interested in enrolling in United Health Care Kancare can apply online through the Kansas Department of Health and Environment website. They can also apply by phone or in person at a local Department for Children and Families office. To apply, individuals will need to provide information about their income, family size, and other factors that may affect their eligibility. Once an individual is approved for the program, they will receive a Kancare card that they can use to access healthcare services.
What Services Are Covered Under United Health Care Kancare?
United Health Care Kancare covers a wide range of healthcare services, including doctor visits, hospital stays, prescription drugs, behavioral health services, and dental care. The program also covers preventative care services, such as vaccinations, check-ups, and screenings. Additionally, United Health Care Kancare covers long-term care services for individuals with disabilities or chronic health conditions.
How to Find Health Care Providers Under United Health Care Kancare
United Health Care Kancare has a network of healthcare providers that individuals can choose from. To find a provider, individuals can use the provider search tool on the United Health Care Kancare website. They can also call the customer service number on the back of their Kancare card for assistance in finding a provider that meets their needs. It is important to note that not all healthcare providers accept United Health Care Kancare, so it is important to check with the provider before making an appointment.
How to Use Your United Health Care Kancare Benefits
Using United Health Care Kancare benefits is easy. Individuals can use their Kancare card to pay for services at participating healthcare providers. When visiting a healthcare provider, individuals should present their Kancare card and provide any necessary information about their medical history or current health concerns. If a service is not covered under the United Health Care Kancare plan, individuals may be responsible for paying for the service out-of-pocket.
How to File a Claim with United Health Care Kancare
If an individual receives a bill for a healthcare service that they believe should be covered under their United Health Care Kancare plan, they can file a claim with the Kansas Department of Health and Environment. To file a claim, individuals should contact the United Health Care Kancare customer service number on the back of their Kancare card. The customer service representative will provide instructions on how to file the claim and what documentation is needed.
FAQs About United Health Care Kancare
1. What is the difference between United Health Care Kancare and traditional Medicaid?
United Health Care Kancare is a managed care program that provides comprehensive healthcare coverage to eligible individuals. Traditional Medicaid is a fee-for-service program that covers healthcare services on a case-by-case basis. United Health Care Kancare offers a network of healthcare providers and preventative care services that are not always available under traditional Medicaid.
2. Is dental care covered under United Health Care Kancare?
Yes, United Health Care Kancare covers dental care services, including routine cleanings, fillings, and extractions. However, certain dental services, such as cosmetic procedures, may not be covered under the plan.
3. Can I choose my own healthcare provider under United Health Care Kancare?
Yes, individuals can choose their own healthcare provider from the United Health Care Kancare network. However, it is important to note that not all healthcare providers accept United Health Care Kancare, so it is important to check with the provider before making an appointment.
4. What happens if I am no longer eligible for United Health Care Kancare?
If an individual is no longer eligible for United Health Care Kancare, they may be able to enroll in another healthcare program, such as private insurance or traditional Medicaid. The Kansas Department of Health and Environment can provide information on other healthcare options that may be available.
5. How often do I need to renew my United Health Care Kancare coverage?
Individuals must renew their United Health Care Kancare coverage every year. The Kansas Department of Health and Environment will send a renewal notice to individuals before their coverage expires. To renew their coverage, individuals will need to provide updated information about their income, family size, and other factors that may affect their eligibility.
In conclusion, United Health Care Kancare is a managed care program that offers comprehensive healthcare coverage to eligible individuals in Kansas. The program covers a wide range of services, including doctor visits, hospital stays, prescription drugs, behavioral health services, and dental care. Eligibility for the program is based on income and other factors, and individuals can apply online, by phone, or in person. Using United Health Care Kancare benefits is easy, and individuals can choose their own healthcare provider from the program's network. Overall, United Health Care Kancare is a valuable resource for individuals and families who need access to affordable healthcare services.Frequently Asked Questions about United Health Care Kancare
What is United Health Care Kancare?
United Health Care Kancare is a Medicaid managed care plan offered by United Health Care to eligible residents in the state of Kansas. The plan provides health care coverage for low-income families, children, pregnant women, people with disabilities, and seniors.
What services does United Health Care Kancare cover?
United Health Care Kancare covers a range of services including doctor visits, hospital stays, prescription drugs, dental care, vision care, mental health services, and more. Some services may require prior authorization.
How do I enroll in United Health Care Kancare?
You can enroll in United Health Care Kancare by visiting the KanCare website or calling the KanCare customer service center at 1-866-305-5147. You will need to provide some personal information and details about your income and health care needs to determine if you are eligible for the plan.
Can I choose my own doctor with United Health Care Kancare?
Yes, you can choose your own doctor with United Health Care Kancare. The plan has a network of providers, but you may be able to see an out-of-network provider in some circumstances. It is important to verify that your doctor is in the network before making an appointment to avoid additional costs.
What if I have a complaint or issue with my United Health Care Kancare coverage?
If you have a complaint or issue with your United Health Care Kancare coverage, you can contact the KanCare Ombudsman at 1-866-305-5147. The ombudsman can provide assistance with resolving issues related to your coverage or services.
