Lumaktaw sa pangunahing nilalaman
Pangunahing Nilalaman

Healthy Louisiana Plan

Medicaid

Our Healthy Louisiana plan offers a range of benefits along with extras. View the benefits below to see all that our plan offers. It's for pregnant women, adults and children under the age of 21. 

The following UHC support includes:

  • Help Finding a Network Care Providers:  If you need help finding a care provider in the UHC network or obtaining early prescription can call Member Services at 1-866-675-1607 (TTY: 711).  The number for Member Services is always located on the back of your UHC ID member card.
  • UHC Mobile App:  UHC member app that provides instant access to your member ID card, network care providers, personal health benefits and more. app is available as a free download at the App Store or Google Play.

Remember, if you need assistance please contact UnitedHealthcare Member Services at 1-866-675-1607 (TTY: 711).

Be Ready. Be Safe.

UnitedHealthcare and the State of Louisiana want to ensure all residents are informed during emergencies, such as severe weather or flooding. Please visit www.GetAGamePlan.org for emergency preparedness guides and tips to keep you and your loved ones safe all year long.

For plan participants who may have misplaced their medical ID cards, call 866-633-2446, 8 AM – 8 PM (local time), Monday through Friday. If you have a smartphone, download the UnitedHealthcare Mobile app. It provides instant access to ID cards, network care providers, personal health benefits and more. The UnitedHealthcare Mobile app is available as a free download at the Apple iTunes App Store and the Android Market on Google Play.

UnitedHealthcare is helping members who may be affected by severe weather and flooding. If you need help please call member services at 1-866-675-1607, TTY 711.

Additional information can be found on our Hurricane Resource Page. Helpful Frequently Asked Questions can be viewed hereBehavioral Health Resources can be viewed here.

A free emotional-support help line is also available to everyone at 1-866-342-6892, TTY 711 and is open 24 hours a day, seven days a week. The service is free of charge and open to anyone. Trained Optum mental health specialists can help you manage stress and anxiety. Callers may also be referred to community resources to help with other concerns, including financial and legal matters.

Kunin ang mga detalye

Mga Benepisyo at Feature

No-cost phone and cell service

Count on always having good, reliable phone service with a no-cost Android® smart phone, plus no-cost cell service with:

  • Unlimited minutes
  • Unlimited texts
  • Unlimited high-speed data
  • 10GB mobile hotspot data (up to 4G LTE speed)

Get the assistance you need to make life a little easier, or to get better if you are injured or sick. Kasama rito:

  • Unlimited Doctor Visits for Children. Your child can see the doctor as often as needed.
  • Unlimited Doctor Visits for Adults. See your doctor as often as needed.
  • Well Visits. Annual checkups to help keep your family healthy.
  • Chiropractor Services. Chiropractic visits for members who qualify.
  • Shots and Vaccines. Routine shots help protect against illness. 
  • Medicines. Fill your prescriptions at local pharmacies.
  • Pagpapaospital. Necessary expenses related to a hospital stay are covered.

 

Wala nang mas mahalaga pa sa kalusugan at kapakanan mo at ng iyong sanggol. Ito ang dahilan kung bakit kabilang sa aming mga benepisyo sa plano ang:

  • Choice of Birth Centers. Pick from our partner hospitals across Louisiana.
  • Choice of Doctors. Find an OB-GYN you trust in our network.
  • Healthy First Steps®. Get extra support and rewards to keep you and your baby healthy.
  • Prenatal Visits. Care for you before your baby is born.
  • Wellhop for Mom & Baby. Connect with a community of moms. Get support and information as you welcome your baby.

If you have asthma, diabetes or another long-term condition such as substance use disorder, you can depend on us. Tinitiyak ng aming plano na nakukuha mo ang pangangalaga, suporta at mga serbisyong kailangan mo. Kabilang sa mga benepisyo ang:

  • Asthma and COPD Care. Exams, testing and supplies are covered.
  • Care Management. If you qualify, get personal help managing health conditions.
  • Diabetic Support. Medicine, needles and wipes for managing diabetes.
  • Mental Health. Counseling and other treatments are covered.
  • Disease Management. Focused care for those with critical health needs.

We help you keep your smile, sight and hearing at their best. Kabilang sa mga benepisyo ang:

  • Dental. Covered cleanings, checkups and dental work are provided by MCNA Dental (Managed Care of North America) or DentaQuest for members under the age of 21. We also offer coverage (up to $500 per year)  for adults 21 and over, including dental exams, cleanings, and x-rays through a value-added benefit offered by UnitedHealthcare Community Plan.
  • Vision. Routine exams and glasses and contacts are covered for members under the age of 21. 
  • Hearing. Tests, exams and hearing aids are covered for members to age 21.

* Value added benefit offered by UnitedHealthcare Community Plan.

Get the medical care and equipment you need to live safely at home. Benefits may include:

  • Equipment and Supplies. In-home medical and safety equipment are covered for medically necessary equipment.
  • Home Health Care. Medical and personal care at home, if necessary.

Sometimes you might need a little extra help using everything our health plan offers. Para sa mga pagkakataong iyon, maaari kang umasa sa:

  • Language & Interpreter Help. We provide free services, such as information in other languages, large print, Braille and American Sign Language. You can also ask for an interpreter. Call member services for information. 
  • Member Services. Get help with understanding your benefits and get your questions answered.
  • Transportation. We provide rides to and from medical visits.

Pamamahala sa pangangalaga

Do you or a loved one have a serious health problem or a high-risk pregnancy? If so, our case managers are in your corner. They will:

  • Explain medical terms in plain language.
  • Coordinate your doctor appointments.

The case manager will stay with you or your loved one throughout the medical journey. He or she will:

  • Think beyond your medical needs.
  • Assess home situation and help where possible.
  • Make sure you have support at home.

So you can focus on getting better.

Pagpili ng Doktor

Members can choose a primary care provider (PCP). Gamitin ang tool na Maghanap ng Doktor para makita kung nasa aming network ang iyong doktor.

The PCP is your main doctor for:

  • Preventive care.
  • Paggagamot kung mayroon kang sakit o injury.

For members who don't have a doctor or whose doctor is not in our network, we can help find a new one close by.

Pagpili ng Birth Center

Mahalagang pumili ng ospital kung saan ka manganganak. That's why you can pick from partner hospitals across Louisiana.

We encourage you to tour the hospital's birthing center. Nang sa gayon ay maging pamilyar ka rito. And you'll be more relaxed when you have your baby.

Mga serbisyo ng chiropractic

Whether chiropractor services are your primary or alternative treatment method, you're covered. This benefit is available for members under the age of 21. A referral from your primary care physician is required.

Members over the age of 21 who are managing pain can get up to six (6) visits per year with an in-network chiropractor.

Pangangalaga sa Ngipin

Regular checkups help keep teeth and gums strong and healthy. Healthy Louisiana members under the age of 21 get:

  • 2 exams per year.
  • Cleanings and x-rays.
  • Mga panggagamot gamit ang fluoride.

These services are offered through MCNA Dental (Managed Care of North America) and DentaQuest.

Members age of 21 and above get up to $500 in coverage for:*

  • Regular exams.
  • Cleanings and x-rays.

*This is an added benefit offered by UnitedHealthcare Community Plan.

Suporta sa Mga Diabetic

Kung may diyabetis ka, mas pagiginahawain namin ang buhay mo. Makakatanggap ka ng gamot, supply, at edukasyon para matulungan kang maging at manatiling pinakamalusog.

Our diabetes program also includes self-care training and classes focused on:

  • Planning healthy meals.
  • Managing stress.
  • Living a healthy lifestyle.

Members age 21 and above who qualify as well as complete HbA1c labs and LDL-C screenings may be eligible for a yearly $50 voucher to use toward a purchase from a catalog of over the counter health products. This is an added benefit offered by UnitedHealthcare Community Plan.

Pamamahala sa Sakit

If you have a chronic health condition like asthma or diabetes, UnitedHealthcare Community Plan has a program to help you live with your condition and improve the quality of your life. These programs are voluntary and available at no cost to you.

Mga Kagamitan at Supply

Posibleng mangailangan ng karagdagang suporta ng ilang miyembro para ligtas na mabuhay sa bahay.

Our plan covers medical equipment ordered by your doctor or provider. Some examples include:

  • Mga kama sa ospital.
  • Mga oxygen tank.
  • Mga wheelchair or walker.

Pangangalaga sa Paa

We provide the exams needed to help keep your feet in great shape. And for those with diabetes or a circulatory condition, good foot care can help prevent much more serious problems.

Kasama ng aming saklaw sa podiatry ang:

  • Office visits.
  • Certain radiology and lab procedures.
  • Other diagnostic procedures.

Edukasyong Pangkalusugan

Take free classes to help improve your health or to address a condition. Our plan includes classes on diabetes, nutrition and more.

Healthy First Steps®

Bumuo ng malusog na kinabukasan para sa iyo at sa iyong sanggol at makakuha ng magagandang reward sa pamamagitan ng Healthy First Steps. Tutulungan ka ng aming programang magawa ang mga tamang hakbang para mapanatiling malusog ang iyong sarili at ang iyong sanggol. At maaari kang makakuha ng reward na $20 para lang sa pag-sign up. *

Tutulungan ka namin:

  • Pumili ng provider sa pagbubuntis at isang pediatrician (doktor ng bata).
  • Mag-iskedyul ng mga pagpapatingin at pagsusulit at ayusin ang mga pagbiyahe papunta sa mga pagpapatingin mo.
  • Makakuha ng mga reward para sa pagpunta sa mga pagpapatingin sa kabuuan ng iyong pagbubuntis at sa unang 15 (na) buwan ng buhay ng sanggol.
  • Kumuha ng mga supply, kabilang ang mga breast pump para sa mga nagpapasusong ina.
  • Kumonekta sa mga mapagkukunan sa komunidad tulad ng mga serbisyo sa Women, Infants and Children (WIC).

* Value added benefit offered by UnitedHealthcare Community Plan

Pangangalaga sa Pandinig

Ang problema sa pandinig ay maaaring makaapekto sa iyong pang-araw-araw na pamumuhay sa maraming paraan. Our plan includes services and support to help protect the hearing of members under the age of 21.

Sakop ng aming plano ang:

  • Exams and tests.
  • Mga hearing aid at baterya.

Pangangalagang Pangkalusugan sa Tahanan

After surgery or a serious illness you may need extra help with day-to-day tasks like cleaning, cooking or dressing.

Posibleng kailanganin mo rin ng medikal na pagbisita sa bahay para matingnan kung maaayos ba ang paggaling mo. Kapag naaprubahan, sakop ng aming plano ang:

  • Isang medikal na pagbisita sa bahay.
  • Medikal na kagamitan tulad ng mga kama sa ospital, walker o wheelchair. 
  • Mga disposable na medical supply.

Pagkakaospital

This plan pays for all necessary expenses related to a hospital stay, so you can rest and heal.

Sakop ng aming plano ang:

  • Pangangalaga ng isang nurse.
  • Kuwarto at matutuluyan.
  • Mga supply at kagamitan.
  • Paggagamot at mga therapy.
  • Mga diagnostic na test at eksaminasyon.

And after leaving the hospital, our members are not alone. We make sure they get follow-up care to continue healing at home.

Mga interpreter

Both doctor and patient need to understand one another. If needed, we can arrange for a medical interpreter to be at medical appointments.. Our member services team has interpreters who speak over 170 languages. We also offer American Sign Language (ASL).                                            

Lab and X-ray Services

Mainam na malaman nang maaga pa lang kung ano ang problema. Our plan covers medically necessary:

  • Mga laboratoryo at pagte-test.
  • Mga x-ray, scan at iba pang imaging.

We make sure our members get the information needed to help improve their health.

Tulong sa Wika

You can receive information in your preferred language. Magtanong lang. We also have people at our customer service centers who speak more than one language. Over 170 languages are supported. Call Member Services for help with interpreters and American Sign Language. They can also help if you need information in large print, Braille or audio files on a CD or flash drive. 

Mga Gamot

Our plan includes prescription drugs and refills. Some members may have a small copayment.

And we make getting your medicine easy. You can fill your prescriptions at the network pharmacy of your choice, including local pharmacies and mail order pharmacies. 

Mga Serbisyo para sa Miyembro

Minsan kailangan mo ng tulong para maunawaan ang iyong mga opsyon sa pangangalagang pangkalusugan. With us, you have someone you can call 24/7. Sasagutin namin ang iyong mga tanong sa simple at kumpletong paraan.

Maaari ka rin naming tulungang humanap ng:

  • Home health providers.
  • Dentists and vision providers.
  • Adult Health Services.

Mental Health/Substance Use Treatment

Ang mental health ay kasinghalaga ng physical health. That's why we cover both.

Kasama sa saklaw ang:

  • Mga serbisyo sa kalusugan ng pag-uugali.
  • Substance use treatment.
  • Certain medications.

Hotline ng Nars

Dumarating ang mga medikal na tanong at sitwasyon sa mga hindi magandang pagkakataon. For questions about health, you can call a trained nurse 24/7. 

Our Nurse Hotline nurses will:

  • Tutukuyin ang mga sintomas.
  • Provide guidance on self-care.
  • Advise the member about getting care at a doctor visit or an urgent care center.
  • Help know when to go to the emergency room.

Mga Pagbisita ng Nurse

Minsan kailangan ng patuloy na pangangalaga pagkatapos makalabas ng ospital o agarang pangangalaga. Halimbawa, pagkatapos ng malubhang sakit, operasyon, o pinsala. Sa ganitong mga sitwasyon, bibisita ang mga nurse sa bahay para:

  • Magbigay ng medikal na pangangalaga.
  • Sagutin ang anumang tanong at alalahanin.

Personal na Pangangalaga

The basics can be hard to do if you have a disability or you've had a serious illness or injury.

Makakatulong kami. A few examples include: 

  • Pagbibihis.
  • Pagligo.
  • Pagpapakain.

Long-term personal care is available for members 21 or older with disabilities.

Mga Pagpapatingin Habang Nagbubuntis

A pregnancy is a journey that's better with the help of friends, family and a pregnancy doctor, or OB/GYN.

Ang lahat ng iyong inirerekomendang pagpapatingin at pagpapasuri sa klinika habang nagbubuntis ay sinasaklaw.

Sa mga pagpapatinging ito, ang klinika ay:

  • Make sure mom and baby are healthy.
  • Explain what to expect at each stage of pregnancy.
  • Sagutin ang mga tanong.

Mga Iniksyon at Bakuna

Routine shots help keep you healthy. Sakop ng aming plano ang:

  • Pneumonia, influenza and shingles shots.
  • Tetanus, Diphtheria and Whooping Cough vaccines.
  • Other recommended shots and vaccines.

Transportasyon

Our plan provides rides to and from health care locations. That includes trips to:

  • Doctor and therapy visits.  
  • Health departments.
  • Vision clinics.

Walang Limitasyong Pagbisita ng Doktor

There may be times when your health requires regular visits to a doctor or specialist). Our plan does not limit the number of times children or adults can see their doctors. This includes sick visits, well visits and specialists. For children, EPSDT screenings are also covered. This way you get care when you need it. And the doctor can see how your health is progressing.

Pangangalaga sa Paningin

With Healthy Louisiana, members under the age of 21 receive:

  • Regular eye exams.
  • Eyeglass frames.
  • Mga inireresetang lens.

Members over the age of 21 can get:*

  • One routine eye exam every two years with no copay.
  • $100 allowance for frames/lenses or $105 allowance for contact lenses every two years.

* This is an added benefit offered by UnitedHealthcare Community Plan.

Mga Pagpapatingin Habang Walang Sakit

Unlimited well visits with your doctor are important for good health. Maaaring matukoy kaagad ang mga problema sa kalusugan sa mga pagpapatinging ito para magamot ang mga ito.

Preventive services cover:

  • Mga checkup para sa mga adult at mga bata.
  • Pangangalaga sa sanggol nang walang sakit.
  • Pangangalaga para sa mga babaeng nagbubuntis.
  • Mga regular na iniksyon at pagte-test.
  • Mga mammogram.

Weight Control

Our plan encourages a healthy approach to eating and living. To help our members be their best, we cover:

  • Screening for obesity.
  • Support for healthy diet and exercise choices.

Some members may also qualify for weight management classes, including (WW) Weight Watchers. *

* Some limitations may apply.

Wellhop for Mom & Baby

Connect with other expectant moms. Get support and information during your pregnancy and after you deliver. This program is part of your health plan and there is no extra cost to you.
Here’s how it works:

  • Join video conversations every other week with women who have similar due dates and a group leader.
  • Chat and share experiences with moms from your group on the Wellhop app or website.
  • Visit the Wellhop library. You’ll find articles, videos and more.

Are You Prepared for Hurricane Season?

UnitedHealthcare Community Plan wants to help you make sure you are prepared for hurricane season and the resulting hazards such as storm surge, high winds, tornadoes, and flooding

Mga Resource ng Miyembro

Tingnan ang Mga Available na Resource(magbubukas ang modal window)
Powered by Translations.com GlobalLink OneLink SoftwarePowered By OneLink