Hmm … mukhang luma na ang browser mo.
I-update natin ang browser mo para ma-enjoy ninyo ang mas mabilis, at mas ligtas na karanasan sa site.
Don't lose benefits
Your health plan renewal date may be coming soon. If you haven’t already, you may need to recertify to keep getting UnitedHealthcare coverage.
Need help finding a provider or setting up a visit?
Call Member Services at 1-888-887-9003, TTY 7-1-1, Monday-Friday 8 AM-8 PM or email memberservices_uhccp@uhc.com to get help finding a provider or setting up a visit.
MCO’s have received communication from HHSC that as of January 2023 some types of assessments will require a face-to-face visit. This means a United Healthcare staff member will need to visit with you in your place of residency.
Please be advised that missing your assessment could impact your services or eligibility. If you have questions, please contact your Service Coordinator or Member Services.
STAR
Medicaid
Not all STAR plans are alike. UnitedHealthcare Community Plan provides standard benefits under the STAR program for children, families, pregnant women and single adults who qualify based on income. We also offer additional services called Value Added Services (VAS). View the list below to see what STAR includes.
Language and Interpreter Services
UnitedHealthcare Community Plan has staff that speaks Ingles and Spanish. If you speak another language or are hearing impaired and need help, call Member Services at 1-888-887-9003 or TTY 711 for hearing impaired.
If you need materials in audio, Braille, larger print and in other languages at your request. Please call 1-888-887-9003 for help.
Available ang planong ito sa mga sumusunod na county:
Aransas, Austin, Bee, Brazoria, Brooks, Calhoun, Cameron, Chambers, Duval, Fort Bend, Galveston, Goliad, Hardin, Harris, Hidalgo, Jasper, Jefferson, Jim Hogg, Jim Wells, Karnes, Kenedy, Kleberg, Liberty, Live Oak, Matagorda, Maverick, McMullen, Montgomery, Newton, Nueces, Orange, Polk, Refugio, San Jacinto, San Patricio, Starr, Tyler, Victoria, Walker, Waller, Webb, Wharton, Willacy, and Zapata.
Maghanap ng mga provider at coverage para sa planong ito.
Maghanap ng mga doktor, ospital, at espesyalista.
Maghanap ng mga gamot na sakop ng planong ito.
Maghanap ng parmasyang malapit sa iyo.
Need help finding a provider or setting up a visit?
Tumawag sa Mga Serbisyo sa Miyembro sa 1-888-887-9003, TTY 7-1-1, Lunes-Biyernes 8 AM-8 PM o mag-email sa memberservices_uhccp@uhc.com para makakuha ng tulong sa paghahanap ng tagapagbigay ng serbisyo o makapagtakda ng pagbisita.
Mga Benepisyo at Feature
Suporta sa Hika at COPD
Individual care to help you control asthma or COPD symptoms.
Do you have trouble managing asthma or COPD symptoms? A nurse who specializes in breathing issues can really help. You’ll get a customized treatment plan and medicine to:
- Manage flare-ups.
- Reduce symptoms.
- Help you stay active.
Pamamahala ng Kaso
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.
- Provide your care team with your medical records.
Your case manager will stay with you on your medical journey. He or she will:
- Think beyond your medical needs.
- Make sure you have support at home.
So you can focus on getting better.
Pagpili ng Doktor
You or your child gets a primary care physician (PCP) who is your main doctor. Gamitin ang tool na Maghanap ng Doktor para makita kung nasa aming network ang iyong doktor.
If you don't have a doctor or if your doctor is not in our network, we can help you find a new one close to you.
Ang iyong PCP ay ang iyong pangunahing doktor para sa:
- Preventive care.
- Paggagamot kung mayroon kang sakit o injury.
- Mga referral sa mga espesyalista para sa ilang partikular na kondisyon.
Choose a Birth Center
Where to deliver your child is an important choice. That's why you can pick from hundreds of hospitals across Texas.
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 deliver your baby.
Pangangalaga sa Ngipin
Checkups, routine and emergency care are covered.
Exams and cleanings every six months help keep teeth and gums strong and healthy. If there is a dental problem that needs to be fixed, that's covered as well.
Mga Kagamitan at Supply
Ang iyong kalusugan at kaligtasan sa tahanan ay mahalaga.
Sakop ng aming plano ang medikal na kagamitang ibinilin ng iyong doktor o case manager. Kasama rito ang:
- Hospital bed.
- Oxygen tank.
- Walker or wheelchair.
Extra Benefits
Sports and school physicals at no cost to you.
Our plan covers up to two free physicals each year so your child can:
- Go to camp.
- Join a team.
- Play a school sport.
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).
Pagkakaospital
Nagbabayad ang planong ito para sa lahat ng gastusing kaugnay ng pananatili sa ospital nang sa gayon, makapagpahinga at makapagpagaling ka.
Kasama rito ang:
- Pangangalaga ng isang nurse.
- Kuwarto at matutuluyan.
- Mga supply at kagamitan.
- Paggagamot at mga therapy.
- Mga diagnostic na test at eksaminasyon.
At pagkalabas mo sa ospital, hindi ka mag-iisa. Titiyakin naming makakakuha ka ng follow-up na pangangalaga para maipagpatuloy ang pagpapagaling sa tahanan.
Mga interpreter
Kailangan magkaunawaan kayo ng iyong doktor. Magiging mahirap ito kung hindi ka magaling magsalita ng Ingles. We can arrange for a medical interpreter to be at your appointment.
We have people at our phone centers that speak more than one language. A service lets us connects with others that speak hundreds of languages.
Tulong sa Wika
You can ask to receive information in another language. Then anything we write to you will only be in that language. Ibinibigay ito sa iyo nang walang bayad.
Mga Gamot
We make getting your medicine easy.
There are no copays for covered drugs. You can fill your prescriptions at:
- Local pharmacies.
- Services that deliver routinely right to your door.
Sinasaklaw din namin ang mga over-the-counter na gamot na may nakasulat na tagubilin mula sa iyong doktor.
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:
- Mga provider ng pangangalagang pantahanan.
- Dentists and vision providers.
- Adult Day Health Centers.
Mental Health
Ang mental health ay kasinghalaga ng physical health. Kaya mayroon kaming parehong saklaw para sa dalawang ito.
Ang kinakailangang pangangalaga ay 100% sinasaklaw nang walang copay. Kasama rito ang:
- Behavioral therapy.
- Paggagamot ng pag-abuso sa substance.
- Mga gamot.
No Copays
Wala kang babayaran para sa mga sinasaklaw na serbisyo.
While your health care is low-cost or free, the care quality is high. Magkakaroon ka ng:
- Care from highly skilled and compassionate doctors.
- Treatments at respected hospitals and clinics.
- Home medical equipment and supplies to help you be at your best.
Hotline ng Nars
Dumarating ang mga medikal na tanong at sitwasyon sa mga hindi magandang pagkakataon. When you have questions about your health or your child's health, you can call a trained nurse 24 hours a day, 7 days a week.
Our Nurse Hotline nurses will:
- Tutukuyin ang mga sintomas.
- Gagabayan ka sa pangangalaga sa sarili.
- Papayuhan ka tungkol sa pagkuha ng pangangalaga sa pagpapatingin sa isang doktor o sa isang center ng agarang pangangalaga.
Suggest you go right to the emergency department.
Mga Pagpapatingin Habang Nagbubuntis
Your pregnancy is a journey you'll want to make with the help of friends, family and a pregnancy doctor, or OB-GYN.
Sakop ng aming plano ang lahat ng inirerekomendang prenatal clinical visit at test.
Sa mga pagpapatinging ito, ang klinika ay:
- Make sure both you and your baby are healthy.
- Ipapaliwanag kung ano ang dapat asahan sa bawat yugto ng iyong pagbubuntis.
- Sasagutin ang iyong mga tanong.
Transportasyon
Whether you live in the city or in the country, rides are available. Our plan provides round trips to and from plan locations. This includes trips to and from the pharmacy to fill your prescriptions.
Vaccines and Immunizations
All of the immunizations your child needs are covered.
Pangangalaga sa Paningin
You'll get the care, eyeglasses and treatment that let you see life more clearly. Coverage includes $105 every two years toward frames or contact lenses.
This benefit is offered by certain stores and retailers.
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.
Matuto Pa
Texas STAR
Transcript ng Video
At UnitedHealthcare we want to make sure you can access all the benefits your plan provides.
If you’ve had a change in your health status and your doctor determines you need a wheelchair, your plan is here for you.
To make sure you get the equipment you need with the coverage you have, follow these simple steps.
You may need a wheelchair evaluation referral from a healthcare provider in your plan’s network for wheelchairs with special features.
Next a Durable Medical Equipment or DME vendor in your health plan network is located.
In many cases, your healthcare provider can help locate an in-network provider and send the referral.
If the health care provider does not complete this step we can help you find an in-network provider and schedule an appointment.
It is important to understand what your insurance does and does not cover, so that you don’t have unexpected expenses.
And we can help you with that.
Once the referral has been sent to the identified provider the evaluation will be performed by a physical therapist, an occupational therapist or a physiatrist who specializes in determining proper seating and positioning.
This evaluation may take place in your home or in the DME provider’s office.
If the assessment takes place at the provider office, be sure to bring your wheelchair with you if you have one.
During the visit you may be asked to provide additional information including your health status and risk factors, transportation needs, and information on your home environment (if the assessment does not take place in your home).
Wheelchairs may take anywhere from 60 to 90 calendar days to be delivered.
Factors such as supply chain issues and availability of parts may cause additional delay.
Your DME provider can assist you with a loaner chair during the waiting period if needed.
When your new wheelchair is delivered be sure to sit in it to ensure proper fit and adjustments.
And even if you have experience with wheelchairs do take the time for the vendor to provide instructions on the use of the chair and its features, care and maintenance.
If any equipment you are requesting is not a covered benefit you may be asked to pay out of pocket for the equipment.
The vendor should provide you with a clear explanation of why it is not part of your benefits.
Generally, a wheelchair should last at least five years, although growing children may need a new chair more often.
If you already use a wheelchair and it’s damaged and unable to be repaired you may also be eligible for a new wheelchair.
Over time your insurance and DME providers may change.
So, be sure and keep all the information about the chair, the DME provider, the coverage and any documentation on any repairs or changes made.
Remember, if you have any questions or need more information visit myuhc.com/CommunityPlan or call member services at the number on the back of your member ID card.
Don't lose benefits
Your health plan renewal date may be coming soon. If you haven’t already, you may need to recertify to keep getting UnitedHealthcare coverage.