Indiana PathWays for Aging is an Indiana health coverage program for Hoosiers aged 60 and older who are eligible for Medicaid. Research shows that most older adults – 75% or more – want to age at home and in their communities. Indiana PathWays for Aging makes it possible for Hoosiers to age their way. Our plan offers more choices for people to get nursing facility level of care at home or in a community setting, while living independently. Note that a nursing home might be the right choice for some.
FSSA has contracted with UnitedHealthcare to administer the Indiana PathWays for Aging program. UnitedHealthcare is your health plan.
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This plan is available in all Indiana counties.
Need help? Our Indiana PathWays for Aging plan staff can answer questions and help you get connected so that you can enroll.
We can also help with interpreter services, including American Sign Language.
Find providers, hospitals, behavioral health, and other specialists.
Find medications covered by this plan.
Pill Bottle IconFind a pharmacy near you.
Mental Health IconSearch for behavioral health providers and resources.
Eye Exam IconFind a vision center.
Tooth IconFind a dentist near you.
If you are a new Indiana PathWays for Aging program member, getting connected during your first 30 days is very important. Here is a to-do list. When you complete this list, it lets us know your choices when it comes to managing your health:
You should also:
UnitedHealthcare will help you understand all of your health coverages and benefits. We support coordination of all services under Medicare, Medicaid, or private health insurance. This includes traditional Medicare, a different Medicare Advantage plan, Chronic Condition Special Needs Plans (C-SNPs), and Institutional Special Needs Plans (I-SNPs).
We make sure that services are covered and provided by the Indiana PathWays for Aging program when members are eligible for both Medicare and Medicaid services. We will work with Medicare payers, Medicare Advantage plans, and your providers to coordinate the care and benefits. We work with all relevant state and social service agencies and community-based organizations (CBOs) as needed to better identify and address both medical and social needs.
Mental Health IconMental health services are covered and do not need a referral. This includes office visits, inpatient, and outpatient services. See the member handbook for details.
Each UnitedHealthcare member in this program has a single person as a main point of contact. This is the Care Coordinator. The Care Coordinator is trained to understand all programs, services, benefits, and coverages available in Indiana. When members share, the Care Coordinator listens. They support goals and remove barriers. A Care Coordinator gives members, and those who support them, peace of mind as they navigate the health care system.
Chiropractic care is covered with some limits. See the member handbook for details.
Tooth IconRoutine dental services are covered. UnitedHealthcare offers extra dental services like X-rays, fluoride, gum disease treatments, and virtual dental visits.
Emergency Room IconFor emergency care, members should call 911 or go to the nearest emergency room (ER). Do not call us before calling 911. Emergency transportation is covered.
Added Benefits IconPlease click the Member Resources section of this website to learn more about our free programs and services. Some of these are only available to UnitedHealthcare members.
Foot Care IconUp to 6 routine foot care visits are covered each year. Some services need prior approval. Please see the member handbook for details.
Home and Community-Based Services (HCBS) include services such as adult day services, home-delivered meals, homemaker and other supports that allow you to live as independently as possible, for as long as possible. Please see the member handbook for details.
Coverage is available to home health agencies for medically necessary skilled nursing services provided by a qualified nurse, as well as home health aide services. See the member handbook for details.
Hospital IconWhether it is for a procedure that is done the same day (outpatient) or includes an overnight stay (inpatient), hospital services are covered.
We want members and their families to enjoy safe and affordable housing. We can help with a plan to improve a current home or plan a move to a different home. A Care Coordinator will work to collect goals and share options that address the needs of our members.
Handshake IconMany members have friends and family who often help out or check in on them. We have programs to help the people who help our members. Talk to a Care Coordinator to learn more.
Medicare Part A IconLong-term care is available. Members and those who support them can talk to a Care Coordinator to understand all available options. We will work to set goals that match up with the member’s desired outcome. All members must be screened and approved for long-term care.
Crutches IconCoverage is available for medical supplies, equipment, and devices that can be used in the home. A Care Coordinator can help arrange for needed equipment and supplies.
Nursing home care is available. Members and those who support them can talk to a Care Coordinator to understand all available options. We will work to set goals that match up with the member’s desired outcome. All members must be screened and approved for nursing home care. This can be approved for a short-term or a long-term stay.
Travel IconThere are limits when getting services outside of Indiana. Please see the member handbook for details. If members are experiencing an emergency, visiting an emergency room is covered.
Medicare Part D IconPrescribed medications are covered. All health plans follow the same rules about the medications that are covered as part of the Indiana PathWays for Aging program. The same list of approved medications is used. This is called the Preferred Drug List, or PDL.
Medicare Part B IconMost office visits are covered. See the member handbook for details.
Email IconWhen it is time to renew benefits and coverage, this is called redetermination. The Indiana Family and Social Services Administration (FSSA) will mail you a “Notice of Renewal” reminder, which may ask you for information. Carefully read the directions that come with your renewal form. You may be required to sign the form and return it with some information, or you may only need to review the form and report if any of the information has changed within the last year. If it is all correct, you will not have to respond. You must remain Medicaid eligible to stay in the Indiana PathWays for Aging program.
There are rules for staying in a rehabilitative unit. The member’s Care Coordinator can help answer questions or explain any limits or prior approval needed.
Rehab stays are short-term. The stay could be needed for addiction recovery. It could also be a stay that includes therapies related to physical recovery.
Pill Bottle IconMembers can get residential treatment if they are getting help due to alcohol or drug use. This includes overnight stays in a facility. The member’s Care Coordinator can help answer questions or explain any limits or prior approval needed.
For members who do not drive or have trouble finding a ride, transportation is covered. UnitedHealthcare members have free transportation (ride) benefits for:
There are additional options available for members who are eligible for the HCBS Waiver. These rides must be part of the member’s service plan. The member’s Care Coordinator will make sure needed transportation is on the service plan.
Routine vision care is covered. UnitedHealthcare offers 1 free eye exam each year. We also offer an allowance for the cost of glasses or contact lenses once a year.
Virtual Care IconThese welcome materials provide an overview of how members get started when they become an Indiana PathWays for Aging member through UnitedHealthcare Community Plan.
Learn more about all the benefits and resources available to you as a member. This welcome letter provides a brief overview of the plan and what to expect as a UnitedHealthcare member.
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We want to provide you with all the resources and information you need. This useful guide provides a quick resource for getting started, finding help, your benefits, how to connect, getting care, and so much more.
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If you have questions about your health plan, please call us. Our toll-free Member Services number is 1-800-832-4643, TTY 711. We are open Monday through Friday, 8 am to 8 pm EST. You can use this number 24/7 to get urgent assistance.
We want you to be able to understand our health information. Here are ways we can make it easier:
For help or to find out more, please contact our Member Service Navigators.
The Just Plain Clear® Glossary contains thousands of health care terms defined in plain, clear language to help you make informed decisions. Visit justplainclear.com to use this free and helpful tool. This resource is currently available in English, Spanish, Burmese, Chinese, and Portuguese.
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There are many ways to choose a health care provider. It is important to find providers who are a good fit for you. Ideas include:
We want you to feel good about the quality of the providers you choose. Health care providers include:
You can also get information about the quality of health care providers by using these links below:
Of course, you can also call Member Services at 1-800-832-4643. We will help you make the choice that’s right for you.
Medical questions can come up at any time. When you have questions about your health, you can call a nurse 24 hours a day, 7 days a week: 1-800-832-4643 / TTY 711.
Our nurses will:
We have a virtual dentist or a virtual provider available 24 hours a day, 7 days a week. Visit MyUHC.com/CommunityPlan to get started.
MyUHC.com/CommunityPlan is your secure member website. See your covered benefits, claims, select a new PMP, view your plan documents, review your individual health record, get access to our extra programs, and much more.
Earn rewards for connecting with us and making healthy choices. When you earn a reward, you get to pick something from our member rewards catalog. An online version of the member rewards catalog can be found at MyUHC.com/CommunityPlan. Members may call Member Services to get a catalog sent to them. Members can leave feedback on the rewards offered. They can also suggest future rewards.
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We connect people with resources for free services when needed. Talk to a Care Coordinator to learn more.
Our UnitedHealthcare® app is available for use on your smartphone. Just search UnitedHealthcare in the App Store or Google Play to download. You can access your digital member ID card, review health benefits, access claims information, locate providers, and more.
This is a free health and well-being mobile app. Get tools to help with stress, anxiety, and coping. It is free to members and those who help them. Talk to a Care Coordinator to learn more.
We offer a variety of transportation options. This includes trips to the gym, trips to a food bank, grocery pick-up, rides for non-medical appointments, or a stop at the pharmacy after a provider visit.
We have resources to help you stop using tobacco products.
The Indiana Tobacco Quitline is 1-800-784-8669. Get free coaching and supplies. You can also text READY to 34191 to register for free services.
Get fresh fruits and vegetables by mail. Talk to a Care Coordinator to learn more.
Work out for free at many fitness centers across the state, or choose to exercise online. Call Member Services to learn more.
We offer many brochures about health conditions. Talk to Member Services about your health needs. We will connect you with a Care Coordinator. They will help you create a plan of care. They can also help you get the services you need.
Call your Care Coordinator to get a copy of any flyer. Call 1-800-832-4643. TTY users may dial 711. This information is also viewable on myuhc.com/communityplan account. Log in, go to the Health & Wellness tab, and click on the Health Education Library.
Caring for others can be rewarding. But being a caregiver can also be difficult, and can cause stress and burnout. We have a program to help you cope. We offer monthly calls. Topics include:
Feel free to join us on a monthly caregiver call:
When: Third Tuesday of each month
Time: 3:00 pm EST
How: Dial 1-844-767-5679. Enter access code 1893910
If you get long-term help from a friend or family member, we offer a special program to support them. Talk to a Care Coordinator to learn more.
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Being healthy is not always about your medical needs. Sometimes you need help connecting to resources out in the community. We call these social needs. These are things like housing, getting food every day, getting to the grocery or feeling safe. We can also help you get access to help with employment or finishing your education. Want to find help on your own? Check out UHCHealthierLives.com. You can also talk to your Care Coordinator or Member Services. They can give you referrals to local organizations.
Our newsletter is a great way to learn about our health plan and important health topics. It is available online so you can read it whenever and wherever you want.
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UnitedHealthcare is committed to your personal safety. If you or another person is in danger, report it right away. Your Care Coordinator can share options that keep you and your loved ones safe. You may also make a report independently. Visit Ombudsman.IN.gov for information.
A Postbook creates deeper relationships with a relative or friend. Pick your Postbook pal, and share post cards based on ideas in the journal. We include postage and supplies.
It is your right to choose the medical care you receive. This includes life-saving measures in an emergency.
Advance directives are instructions you give about your future medical care. These are important if you cannot speak or make decisions for yourself. These instructions help your family and providers understand your wishes. They protect your right to accept or refuse medical or surgical treatment. With advance directives, you can:
Advance directives are only used if you cannot speak or make decisions for yourself. It does not take away your right to make a different choice if you later become able to speak or make medical decisions for yourself. You can make an advance directive by:
Ready to make your advance directive? You can visit PREPARE for your care. This site offers a free advance directive form. This form is available in English and Spanish. If you speak another language, please call us at 1-800-832-4643 for support. We will connect you with someone who can help.
To learn more, please visit the Indiana State Department of Health. This site explains the law in Indiana. It also has other forms available.
If you have an advance directive then your providers and all those around you must honor those wishes. If you get services that you did not agree to, you have the right to complain to the state of Indiana. You can complain orally or in writing. We can help you file a complaint. If you are an authorized person who is speaking on behalf of a member who cannot make decisions for themselves, these same rights apply.
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This form is used to give another person permission to receive or give information about you and your health.
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This form takes away permission for someone to receive or give information about you and your health.
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It is never too late to learn how to use and enjoy the internet. This is a special website with lots to offer. They offer live classes for adults who are older, led by adults who are also older. Visit MyUHC.com/CommunityPlan to join. Your care coordinator can help you sign up.
You have certain rights and responsibilities when you enroll. It is important that you fully understand both your rights and your responsibilities. For detailed information about your rights and responsibilities download here.
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You are our hero, and your voice matters. HERO stands for Health, Empowerment, Resources, and Opportunities. The purpose of the HERO Council is to listen to what you say. We act on your ideas to improve our programs and services. We host meetings in person and by phone each month. Members earn a reward for attending. Anyone who helps the member is welcome to join the meeting. We offer refreshments, and free rides or mileage reimbursement. We can arrange an interpreter if you need one. Meetings include games, prizes, community speakers, and information-sharing.
We would like to hear from you! Call Member Services to join.
Below is a schedule of upcoming virtual meetings.
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We want to hear from our members about any questions, complaints, or concerns you may have. If you have a grievance, please call Member Services toll-free, at 1-800-832-4643, TTY 711.
If you are not happy with your care or treatment by Member Services, Care Coordinator or a provider, you may file a grievance. You may file a complaint or grievance against us (the health plan) or a provider at any time.
Members may file a grievance verbally with Member Services from 8 am to 8 pm EST, Monday through Friday, at 1-800-832-4643, TTY 711. All members can file a grievance through this process.
You can also send a letter. Please include your name, address, member ID, reason for your grievance, and any other information you think is important. That address is:
UnitedHealthcare Grievances and Appeals
P.O. Box 31364
Salt Lake City, UT 84131-0364
You have other rights that include appeals and a State Fair Hearing. For detailed information about complaints and appeals, contact Member Services or view the Appeals and Grievances section of the Member Handbook.
If you are not happy with the outcome of a grievance or appeal, you have the right to request to change health plans for just cause. Requests can be made by phone or mail to Maximus. Maximus is the state enrollment broker. They process a just cause request only after a grievance has been completed. Maximus is the organization to contact about changing health plans. The phone number is 1-866-963-7383. You can also send a letter. The address is:
Maximus
101 W. Ohio Street
Indianapolis, IN 46204
We have a Notice of Privacy Practices that tells you how health information about you may be used and shared. We are required by law to let you know that the Notice is available, and how you can get a copy of it. View a copy of our Notice of Privacy Practices.
Fraud, waste, and abuse are serious problems. There can be penalties under law. To make a report, call the UnitedHealthcare Fraud Hotline at 1-844-359-7736. You can also call Member Services at 1-800-832-4643. We will not use your name in your report. You will not get in trouble for reporting this. We will look into the matter for you. The State of Indiana also has a fraud, waste, and abuse toll-free hotline. You can call 1-800-403-0864. Reports can be made anonymously. TTY users may dial 711 for all options.
For more information about fraud, waste, or abuse, or to make a report online go here.
[MUSIC PLAYING IN THE BACKGROUND THROUGHOUT VIDEO]
[Text On Screen – UnitedHealthcare]
[FEMALE SPEAKING ON SCREEN]
FEMALE: Welcome to the Indiana Pathways for Aging program, and thank you for choosing UnitedHealthcare. With this program, you are in control of your care. And we're here to listen and support you when you have questions.
[Text On Screen – How do I know if I’m eligible?]
FEMALE VOICEOVER: How do I know if I'm eligible?
FEMALE: Indiana Pathways for Aging is an Indiana health coverage program for Hoosiers aged 60 and older who are eligible for Medicaid. You may also have a Medicare plan at the same time. When you choose UnitedHealthcare, we will help to coordinate the two plans for you.
[Text On Screen – That sounds confusing.]
MALE VOICEOVER: That sounds confusing.
[Text On Screen – How can I get my questions answered?]
How can I get my questions answered?
FEMALE: Every member in the program will get a care coordinator, like me. We will help you get everything you need to age your way. You can choose for that to be in your home or wherever you choose to live.
[Text On Screen – What benefits come with the program?]
FEMALE 2 VOICEOVER: What benefits come with the program?
[Text On Screen – Health visits, Preventive care, Dental care, Vision, Mental health, Transportation to appointments]
FEMALE: All kinds. Health visits, preventive care, dental care, vision, mental health, and transportation to appointments.
[Text On Screen – Fitness memberships, A virtual community center, Support programs for your caregiver, Meals after an inpatient hospital stay, Smartphone with unlimited call and text, Telehealth with Doctor Chat and Teledentistry appointments, Rewards for activities like completing a health needs survey]
We even offer extra things that support you in staying healthy, like fitness memberships, a virtual community center, support programs for your caregiver, meals after an inpatient hospital stay, smartphone with unlimited call and text, telehealth with Doctor Chat and Teledentistry, and rewards for activities like completing a health needs survey.
[Text On Screen – That all sounds great.]
MALE VOICEOVER: That all sounds great.
[Text On Screen – How do I get started?]
How do I get started?
FEMALE: Getting started is easy. Your UnitedHealthcare Care Coordinator will reach out to connect with you and make a plan. You can also call Member Services and ask to speak with your Care Coordinator. Remember, you’re in charge of the plan. You have options about where you want to live, who you want helping you if you need it, and what things you need to make you happy, comfortable, and healthy. We want to make it easy for you to get what you need.
[Text On Screen – If you need immediate assistance, please call Member Services at 1-800-832-4643.]
If you need immediate assistance, please call member services at 1-800-832-4643.
[Text On Screen – TTY users dial 711.]
TTY users may dial 711.
[Text On Screen – myuhc.com]
You can also get information at myuhc.com. And again, welcome. We look forward to working with you to help you plan your care.
[UNITEDHEALTHCARE LOGO IN ANIMATION]
[Text On Screen – UnitedHealthcare There for what matters™ uhc.com]
Our Indiana PathWays for Aging plan staff can answer questions and help you connect with resources.
The number below is also available 24/7 for urgent assistance.
Office Hours: Monday–Friday from 8 a.m.–8 p.m. ET
This plan is not currently available in the ZIP code entered.
Our Indiana PathWays for Aging plan staff can answer questions and help you connect with resources.
The number below is also available 24/7 for urgent assistance.
Office Hours: Monday–Friday from 8 a.m.–8 p.m. ET
This plan is not currently available in the ZIP code entered.
Members have access to our member-only website where you can print ID cards and more. Members and non-members can view our handbook below.
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Do you have other format needs?
Call us today to let us know if you need information in a different format. We offer our materials in other languages, large print, audio files, and Braille.
Members have access to our member-only website where you can print ID cards and more. Members and non-members can view our handbook below.
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Do you have other format needs?
Call us today to let us know if you need information in a different format. We offer our materials in other languages, large print, audio files, and Braille.
Looking for the federal government’s Medicaid website? Look here at Medicaid.gov.
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. Benefits, features and/or devices vary by plan/area. Limitations, exclusions and/or network restrictions may apply. Benefits, premiums and/or co-payments/co-insurance may change on January 1 of each year.
Dual Special Needs plans have a $0 premium for members with Extra Help (Low Income Subsidy).
Benefits, features, and/or devices vary by plan/area. Limitations, exclusions and/or network restrictions may apply.
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 provider'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. Nurse Hotline not for use in emergencies, for informational purposes only.
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.
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.
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.
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.
UnitedHealthcare Senior Care Options (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 and does not have any other comprehensive health Insurance, except 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 Senior Care Options (SCO) program.
Every year, Medicare evaluates plans based on a 5-Star rating system. The 5-Star rating applies to plan year 2024.
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.
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.
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 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.
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 1-888-638-6613 / TTY 711, or use your preferred relay service.
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.
If CMS hasn’t provided an end date for the disaster or emergency, plans will resume normal operation 30 days after the initial declaration.