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UnitedHealthcare Idaho Medicaid Plus (IMPlus) - Lookup Tools

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Check our provider listings to find a network provider or see if your current providers are part of the IMPlus network.

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Primary Care Providers (PCP)

As a member of the Idaho Medicaid Plus plan, you must choose a PCP. Your PCP is chosen through your primary Medicare insurance provider. Picking a PCP is important. They should be someone you seek for most of your health care needs. They know you well and understand your medical history.

How do I make appointments?

Your PCP and Care Coordinator will work with you to get the care you need. If you need an immediate or urgent appointment and your PCP is not able to give you one, they may refer you to an urgent care or emergency room. You may call UnitedHealthcare Community Plan at 1-866-785-1628, TTY 711 for help. Try to set up PCP visits as far ahead as possible. 

If you need help making an appointment, call your Care Coordinator. If you are in a nursing or assisted living facility, ask the staff to help you; if they cannot, call your Care Coordinator.

Behavioral Health Services are available to treat both mental health and substance use disorders. 

Your Care Coordinator can help pick a provider. You can also self-refer by calling a provider from the provider directory. Refer to the benefits tables on pages 28–40 in your handbook for covered services. Your Care Coordinator will give you a directory.

What if I am experiencing a behavioral health crisis?

If you are experiencing a behavioral health crisis it is important for you to get help right away. All members are covered for behavioral health services in a crisis or emergency situation. If you feel you may harm yourself or others, call 911 for emergency help. If you are experiencing a mental health crisis, call 988.

Crisis hotlines:

  • National Suicide and Crisis Lifeline: Phone or text.988 Chat online  https://suicidepreventionlifeline.org/chat ; https://suicidepreventionlifeline.org
  • National substance use and disorder issues: 
    • Referral and treatment hotline. 1-800-662-HELP (4357) 
    • Text. Text the word “HOME” to 741741 
    • Veterans crisis line/Beconnected line: Veteran’s Crisis Line. 988, Option 1 
    • National Maternal Mental Health Hotline | MCHB 24/7, no cost, confidential hotline for pregnant and new moms in English and Spanish. Interpreter services are available in 60 languages (US only). Call or text 1-833-943-5746 (1-833-9-HELP4MOMS) TTY users, dial 711 and then 1-833-943-5746
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Search for drugs (Opens in a New Tab)

The Preferred Drug List (PDL) is a list of covered prescription drugs and drugs needing a prior approval. Prior approval is when your provider must call us before giving you the prescription to see if we will cover it.

If you have questions about covered medications or pharmacy locations, please call Member Services.

FDA Recalls, Market Withdrawals, & Safety Alerts

Direct Member Reimbursement Form

Search for a pharmacy near you (Opens in a New Tab)

If you have questions about covered medications or pharmacy locations, please call Member Services.

Learn more about Idaho Medicaid Plus (IMPlus)


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. 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.

Premium disclaimer

Dual Special Needs plans have a $0 premium for members with Extra Help (Low Income Subsidy).

Benefit disclaimer

Benefits, features, and/or devices vary by plan/area. Limitations, exclusions and/or network restrictions may apply.

Nurse Hotline 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 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. Access to this service is subject to terms of use.

Star ratings disclaimer

Every year, Medicare evaluates plans based on a 5-Star rating system. The 5-Star rating applies to plan year 2025.

Formularies

The formulary, pharmacy network and provider network may change at any time. You will receive notice when necessary.

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.

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.