STAR Kids Provider Directory

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  • CSTX17MC4023211_001 MNSKKU-0617

    T E X A S J u n e / j u n i o 2 0 1 7

    STAR Kids Provider DirectoryDirectorio de Proveedores de STAR KidsNortheast MRSA Service Area/rea de Servicio:Condados de Anderson, Angelina, Bowie, Camp, Cass, Cherokee, Cooke, Delta, Fannin, Franklin, Grayson, Gregg, Harrison, Henderson, Hopkins, Houston, Lamar, Marion, Montague, Morris, Nacogdoches, Panola, Rains, Red River, Rusk, Sabine, San Augustine, Shelby, Smith, Titus, Trinity, Upshur, Van Zandt, and/y Wood counties

    CMS Designated Children's Hospitals/Hospitales para nios designados por CMS: Texas Childrens Hospital Texas Childrens Hospital West Campus Driscoll Childrens Hospital Brownsville and McAllen

    Other Hospitals With Specialized Children's Services/ Otros hospitales con servicios especializados para nios:

    Memorial Hermann Hospital University of Texas Health Center at Tyler Texoma Medical Center Mother Frances Hospital Tyler ETMC Tyler Dell Childrens Medical Center Baylor Scott & White McLane Childrens Medical Center Childrens Center at Renaissance Childrens Hospital of San Antonio Medical City Childrens Hospital University Health System Childrens Hospital Shriners Hospitals for Children Houston and Galveston

    Look for your doctor/

    hospital inside.

    Mire adentro y escoja a su

    doctor/hospital.

    Call 1-877-597-7799

    Llame al 1-877-597-7799

    4/19/2017

  • Important Telephone Numbers

    UnitedHealthcare Community Plan STAR KidsTDD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 711

    Customer Service . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-877-597-7799

    Behavioral Health Services (Optum) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-877-597-7799

    Pharmacy Benefits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-877-597-7799

    Value Added Services Phone NumbersNurseline . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-844-222-7326

    Vision Services (Superior Vision) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-877-597-7799

    Medical Transportation Program (State Provider) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-877-633-8747

    Non-Emergent Transportation Service (Value added service) LogistiCare . . . . . . . . . . . . . . 1-866-529-2117

    For more information about the pharmacies, hospitals, specialists, and other providers in the UnitedHealthcare Community Plan network, you can call us at 1-877-597-7799 or look on our website at www.UHCCommunityPlan.com.

    Nmeros Telefnicos Importantes

    UnitedHealthcare Community Plan STAR KidsTDD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 711

    Servicio para el Cliente . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-877-597-7799

    Servicios de Salud Mental (Optum) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-877-597-7799

    Beneficios de farmacia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-877-597-7799

    Nmeros Telefnicos de Servicios de Valor Aadido Nurseline (Linea de Enfermera) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-844-222-7326

    Servicios para la visin (Superior Vision) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-877-597-7799

    Programa de servicios de transporte mdico (Proveedor del Estado) . . . . . . . . . . . . . . . . . 1-877-633-8747

    Servicio de transporte que no sea de emergencia (servicio de valor aadido) LogistiCare . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-866-529-2117

    Para ms informacin sobre las farmacias, los hospitales, los especialistas y otros proveedores en la red de UnitedHealthcare Community Plan, llmenos al 1-877-597-7799 o consulte nuestro sitio web en www.UHCCommunityPlan.com.

  • CMS Designated Children's Hospitals/ Hospitales para nios designados por CMS

    To support the families we serve, UnitedHealthcare Community Plan STAR Kids is always striving to improve our

    network. For a current listing of hospitals and providers, call Member Services at 1-877-597-7799, TTY 711 or visit

    our website at www.UHCCommunityPlan.com.

    Para apoyar a las familias que servimos, UnitedHealthcare Community Plan STAR Kids siempre est tratando de

    mejorar nuestra red. Para obtener una lista actual de los hospitales y proveedores, llame a Servicios para Miembros

    al 1-877-597-7799, TTY 711 o visite nuestro sitio Web en www.UHCCommunityPlan.com.

    Provider Name/Nombre del proveedor Address/Direccin

    Texas Childrens Hospital 6621 Fannin St., Houston, TX 77030

    Driscoll Childrens Hospital 1120 E Ridge Rd., McAllen, TX 78503

    Driscoll Childrens Hospital 5500 N Expressway, Brownsville, TX 78526

    Texas Childrens Hospital West Campus 18200 Katy Freeway, Houston, TX 77094

    Other Hospitals With Specialized Children's Services/ Otros hospitales con servicios especializados para nios

    Provider Name/Nombre del proveedor Address/Direccin

    Memorial Hermann Hospital 6411 Fannin St., Houston, TX 77030

    Shriners Hospitals for Children Houston 6977 Main St., Houston, TX 77030

    Shriners Hospitals for Children Galveston 815 Market St., Galveston, TX 77550

    Edinburg Children's Hospital 1102 W Trenton Rd., Edinburg, TX 78539

    University of Texas Heallth Center at Tyler 11937 US Highway 271, Tyler, TX 75708

    Texoma Medical Center 619 W Main St., Denison, TX 75020

    Texoma Medical Center 5016 S US Highway 75, Denison, TX 75020

    Texoma Medical Center 2622 N US Highway 75, Sherman, TX 75090

    Texoma Medical Center 2601 N Cornerstone Dr., Sherman, TX 75092

    Mother Frances Hospital Tyler 800 E Dawson St., Tyler, TX 75701

    ETMC Tyler 1000 S Beckham Ave., Tyler, TX 75701

    Dell Childrens Medical Center 4900 Mueller Blvd., Austin, Texas 78723

  • UnitedHealthcare Community Plan STAR Kids Translation Services

    If you need an interpreter or information in another language, please call us at 1-877-597-7799. Deaf or hearing

    impaired members can call 7-1-1 for TDD access. We can provide materials in English and Spanish. We also offer

    translator (including sign language) at doctor visits.

    What to Do in Case of an Emergency

    An emergency is a serious accident or medical problem that, if not treated immediately, might turn into a life-

    threatening situation. Some examples of a medical emergency are:

    You cant stop bleeding

    You are bleeding for no known reason

    Loss of consciousness

    Very painful stomach or chest pain

    Poisoning

    Convulsions

    Its hard for you to breathe

    You think youre having a heart attack or stroke

    Severe or multiple injuries or burns

    Emergency care for life-threatening or severe medical conditions is always covered, 24 hours a day, 7 days

    a week, no matter where you are.

    REMEMBER: If you have an emergency, call 911 or your local ambulance or go to the local emergency room.

    If you are not sure the symptoms you have are life-threatening, call your PCP.

    Welcome to UnitedHealthcare Community Plan STAR Kids and congratulations!

    Youve made a smart choice in health care programs.

    UnitedHealthcare Community Plan STAR Kids is a health maintenance organization.

    UnitedHealthcare Community Plan STAR Kids has contracted with certain doctors and other health

    care providers to help you get the health care you need.

    Thats why we wrote this booklet to give you information you need when it comes to using the

    UnitedHealthcare Community Plan STAR Kids program. By reading this directory, you will learn

    important things about UnitedHealthcare Community Plan STAR Kids and the care you can expect

    to receive. Included is a listing of providers that have agreed to provide medical care to our members.

    If you have any questions or need help, call the UnitedHealthcare Community Plan STAR Kids

    Member Services Department at 1-877-597-7799 or TDD access at 7-1-1 for the deaf or

    hearing impaired.

    Welcome to

    UnitedHealthcare Community Plan STAR Kids.

  • Provider Listings

    This part of the book lists the doctors who will give you the care you need. Please read this part very carefully. Youll

    need to pick a UnitedHealthcare Community Plan STAR Kids doctor from the Primary Care Physicians listed in this

    book. Your doctor will work with you to provide the covered care and services you need.

    How to Choose a PCP or Clinic

    All UnitedHealthcare Community Plan STAR Kids members must choose a PCP. If you are going to a doctor that you

    like, you can keep going to that doctor if he or she is part of the UnitedHealthcare Community Plan STAR Kids PCP

    network. If your current doctor is a specialist doctor, he or she may be allowed to serve as your PCP, if approved by

    UnitedHealthcare Community Plan STAR Kids.

    After you decide on a PCP, call the Enrollment Counselor at 1-800-964-2777 to let them know you would like to enroll

    in UnitedHealthcare Community Plan STAR Kids