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Pangunahing Nilalaman

BadgerCare Plus

Medicaid

Our BadgerCare Plus plan includes a range of benefits. View the benefits below to see all that it offers. It's for pregnant women, children to age 19, families and adults.

More information on eligibility and enrollment can be found on the Wisconsin Department of Health Services website.

Mga Benepisyo at Feature

Pangangalaga Habang Walang Sakit at Kapag May Sakit

Get the care you need to stay healthy — or to get better if you are injured or sick. And pregnant members get extra support to keep you and your baby healthy.

Some member benefits include:

  • Preventive Care. Well visits and a variety of health screenings to keep you healthy.
  • Doctor Visits. Find a doctor you trust in our network. Don't have a doctor? We will help you find one.
  • Hospital and Emergency Care. Your plan covers emergency room and inpatient hospital stays when needed.
  • Nurse Hotline. Speak with a registered nurse 24/7.
  • Lab and X-Rays. Lab tests, x-rays and diagnostic imaging are covered.

There is no copayment for covered well and sick care.

Nothing is more important than the health and well-being of a pregnant member and their child. Ito ang dahilan kung bakit kabilang sa aming mga benepisyo sa plano ang:
  • Choice of Doctors. Find a doctor you trust in our network.
  • Prenatal Visits. Care for you before your baby is born.
  • Babyscripts. The Babyscripts program rewards you for going to your prenatal and postpartum visits. Earn gift cards for signing up and pregnancy care.
  • Choice of Birth Centers. Pick from a large network of hospitals across Wisconsin.
  • Text4baby. Receive text messages with helpful tips and reminders.
  • Wellhop for Mom & Baby. Connect with a community of moms. Get support and information as you welcome your baby.

There is no copayment for covered pregnancy care.

 

If you have asthma, diabetes, or another chronic condition, you can depend on us. Our plan provides the care, support and services you need. Some benefits include:

  • Mental Health. Counseling and other treatments are covered.
  • Substance Use Disorder. Counseling, Medication Assisted Treatment (MAT) and other treatments are covered. Also supported: care coordination with community and social supports, including Hub and Spoke (H&S) Integrated Recovery Support Services Health Homes for SUD.
  • Care Manager. Get personal help managing health conditions.
  • Disease Management. Focused care for those with chronic health needs like asthma and diabetes.

Behavioral health is just as important as physical health. Kaya mayroon kaming coverage para sa dalawang ito.

Our plan supports your behavioral health by offering services such as:

  • Mental health counseling and other treatments.
  • Substance abuse (alcohol and drugs) counseling and other treatments.
  • Medication Assisted Treatment (MAT).
  • Coordination with community and social supports, including Hub and Spoke (H&S) Integrated Recovery Support Services Health Homes for SUD.
  • Online self-care tools, such as Sanvello.
  • Access to telehealth appointments for behavioral health treatment.
  • 24/7 access to behavioral health crisis support.

There is no copayment for covered behavioral health services
 

We help members keep their eyesight, smile and hearing at their best.

Some benefits include:

  • Vision Care. Exams and eyeglasses are covered.
  • Dental Care. For individuals and families living in Kenosha, Milwaukee, Ozaukee, Racine, Washington or Waukesha Counties, dental services like cleanings, checkups and preventive dental work are covered by UnitedHealthcare. If you live in any other county, you may get dental services from any dentist who will accept your ForwardHealth ID card. Your dental services are provided by the State of Wisconsin, not UnitedHealthcare.
  • Hearing Care. Tests, checkups and hearing aids, if needed.

You get the medical care and equipment needed to live safely at home.

Some benefits include:

  • Equipment and Supplies. In-home medical and safety equipment are covered.
  • Home Health Care. Medical and personal care in your home, if medically needed.

There is no copayment for covered home care and supplies.

Sometimes members need a little extra help using their health plan.

For those times, they can rely on:

  • Tulong sa Wika. Translated materials and interpreters who are ready to help.
  • Mga Serbisyo sa Miyembro. Available 7am-7pm (CST)
  • Member Advocate. Local advocates to get you information, services and care.
  • Babyscripts. Get extra support and rewards to keep you and your baby healthy.
  • Nurse Hotline℠. Makipag-usap sa rehistradong nars 24/7.
  • Reminder Programs. We will remind you about important health actions including diabetes testing, breast cancer screening, childhood immunizations and recertification. Some programs have incentives for completing needed health actions.

UnitedHealthcare members can get rides to their appointments through the state’s non-emergency transportation (NEMT) broker.

To schedule a ride, contact 866-907-1493.

BabyScripts

The Babyscripts program rewards you for going to your prenatal and postpartum visits. Members can earn gift cards for signing up and for receiving routine pregnancy care that leads to a healthy birth.
 

Tagapamahala ng Pangangalaga

Do you have a serious health problem? If so, our care 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.

The care manager will stay close by throughout the medical journey. He or she will:

  • Think beyond your immediate health care needs.
  • Make sure you have support at home.
  • Help connect you with services and supports that help you live a healthier life, such as food, housing. and/or transportation resources.

Mga serbisyo ng chiropractic

Whether chiropractor services are your primary or alternative treatment method, you're covered.

This benefit is provided by the State of Wisconsin and you can get chiropractic treatment by any chiropractor who will accept your ForwardHealth ID card.

There may be copayments for chiropractic services provided by the State of Wisconsin

Pagpili ng Birth Center

Where a pregnant person has their baby is an important choice. That's why pregnant people can pick from a large number of hospitals across Wisconsin.

We encourage parents-to-be to tour the hospital's birthing center. This way they will be familiar with it. And be more relaxed when they have their baby.

Pagpili ng Doktor

Each member can choose a primary care physician (PCP). Use the "Doctor Lookup" tool to see if your doctor is in our network.

The PCP is your main doctor for:

  • Preventive care.
  • Paggagamot kung mayroon kang sakit o injury.
  • Mga referral sa mga espesyalista para sa ilang partikular na kondisyon.

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.

Pangangalaga sa Ngipin

Exams and cleanings are covered to help keep teeth and gums strong and healthy. If there is a dental problem that needs to be fixed, that's covered as well.

If you live in Kenosha, Milwaukee, Ozaukee, Racine, Washington or Waukesha Counties, your dental benefits are provided by UnitedHealthcare Community Plan. There is no copayment for covered dental services provided by UnitedHealthcare in these counties.

If you live outside of Kenosha, Milwaukee, Ozaukee, Racine, Washington or Waukesha Counties, you may get dental services from any dentist who will accept your ForwardHealth ID card. Your dental services are provided by the State, not UnitedHealthcare. There may be copayments for dental services provided by the State.

Pamamahala sa Sakit

Kung mayroon kang mga pabalik-balik o lubhang mapanganib na sakit, idinisenyo ang aming mga serbisyo sa pamamahala ng sakit upang suportahan ka.

Mayroon kaming mga espesyal na programa para sa:

  • Chronic obstructive pulmonary disease (COPD)
  • Coronary artery disease (CAD)
  • Congestive heart failure (CHF)
  • Diyabetis
  • High Risk Pregnancy and NICU
  • Sickle Cell Disease

Mga Kagamitan at Supply

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

Sakop ng aming plano ang medikal na kagamitang ibinilin ng iyong doktor o case manager.

Puwedeng kasama sa mga supply ang:

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

There is no copayment for covered medical equipment and supplies.

Federally Qualified Health Centers (FQHCs)

Your UnitedHealthcare Community Plan is proud to offer you access to Federally Qualified Health Centers (FQHCs) across the state.

Federally Qualified Health Centers (FQHCs) “are community-based and patient-directed organizations that deliver comprehensive, culturally competent, high-quality primary health care services to the nation’s most vulnerable individuals and families, including people experiencing homelessness, agricultural workers, residents of public housing, and veterans.” *

In addition to primary care, FQHCs provide access to important services such as pharmacy, mental health, substance use disorder treatments and oral health services (dental). This means that you may be able to get all of these important services at one place.

To find a FQHC in your community, the state of Wisconsin maintains a list of FQHCS in the state. You can also contact member services and they can help find a primary care provider within a FQHC to be your provider.

* https://bphc.hrsa.gov/about-health-centers/what-health-center

Pangangalaga sa Paa

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

Kasama ng aming saklaw sa podiatry ang:

  • Routine foot exams.
  • Mga tip tungkol sa pangangalaga sa paa at pagpili ng mga tamang sapatos.
  • Impormasyon tungkol sa mga senyales ng babala sa pinsala sa nerve.

There is no copayment for covered foot care visits.

Healthy First Steps®

Build a healthy future for you and your baby with Healthy First Steps. Tutulungan ka ng aming programang magawa ang mga tamang hakbang para mapanatiling malusog ang iyong sarili at ang iyong sanggol.

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.
  • Get supplies, including breast pumps for nursing pregnant members.
  • Connect with community resources such as Women, Infants and Children (WIC) services or Prenatal Care Coordination through a local, community-based agency.

Pangangalaga sa Pandinig

Trouble hearing can affect a person's life in many ways. Kabilang sa aming plano ang mga serbisyo at suporta para matulungang protektahan ang iyong pandinig.

Sinasalo namin ang:

  • Mga eksaminasyon, therapy, at test.
  • Mga hearing aid at baterya.

There is no copayment for covered hearing care and equipment.

Pangangalagang Pangkalusugan sa Tahanan

After surgery or a serious illness, you may need extra help with day-to-day tasks. Posibleng kailanganin mo rin ng medikal na pagbisita sa bahay para matingnan kung maaayos ba ang paggaling mo.

With approval from your doctor, our plan covers:

  • In-home medical visits.
  • Medikal na kagamitan tulad ng mga kama sa ospital, walker o wheelchair.
  • Disposable medical supplies
  • Help with personal care

There is no copayment for covered home health care visits

Pagkakaospital

UnitedHealthcare Community Plan pays for expenses related to a hospital stay.

Sinasalo namin 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.

There is no copayment for covered hospitalizations.

Mga interpreter

UnitedHealthcare offers services to help you talk with your doctor or other health care workers. You can get this service if you do not speak Ingles or have hearing and speech barriers. You do not need a referral from your doctor to get these services.

Interpreter services are offered free of charge.

To ask for help with interpreter services, please call 1-800-504-9660, TTY 711. Representatives are available Monday through Friday from 7:00 AM -7:00 PM Central Time.

Laboratoryo at mga X-ray

Mainam na malaman nang maaga pa lang kung ano ang problema.

Sakop ng aming plano ang:

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

Tutulungan ka naming makuha ang impormasyong kailangan mo upang mapabuti ang iyong kalusugan o maibalik ka sa pinakamalusog mong kundisyon.

There is no copayment for covered lab and x-ray services.

Tulong sa Wika

You can receive information in your preferred language. Magtanong lang. We also have people at our member service centers who speak more than one language. Sa malamang, mayroon kaming taong nagsasalita ng wika mo.

Mga Gamot

Prescriptions and certain over-the-counter items are provided by the State of Wisconsin.

You may receive a prescription from a UnitedHealthcare doctor, specialist or dentist. You can fill your prescription at any pharmacy that is a provider for BadgerCare Plus. Just show your ForwardHealth ID card to the pharmacy when you get your prescriptions filled. For questions about pharmacy, please contact the State of Wisconsin at 1-800-362-3002.

You may have copayments or have limits on covered medications that are administered by the State of Wisconsin.

Member Advocate

Pinapahalagahan namin ang iyong kapakanan. Our local member advocates can help solve problems, provide training and education, and work on issues that concern members. Local member advocates are available at 1-888-246-8140 Monday through Friday, 8:00 AM-4:30 PM Central Standard Time.

Our Member Advocates can:

  • Answer your questions about your benefits.
  • Makatulong sa mga isyu sa doktor o reklamo.
  • Help you recertify your health care benefits.

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 hours a day, 7 days a week.

You can connect with one of our member call center advocates Monday through Friday from 7am to 7pm by calling 1-800-504-9660, TTY 711. Sasagutin namin ang iyong mga tanong sa simple at kumpletong paraan.

We can answer your questions about UnitedHealthcare benefits and coverage, and help you find:

  • A primary care provider for you and your family.
  • Mga provider ng pangangalagang pantahanan.
  • Dentists and vision providers.
  • Adult day health centers.

In addition, when you have questions about your health, you can call a nurse 24 hours a day, 7 days a week, at no cost to you via our Nurse Hotline 1-866-827-0806.

Hotline ng Nars

Medical questions and situations sometimes happen at bad times. When you have questions about your health, you can call a nurse 24 hours a day, 7 days a week, at no cost to you

Gagawin ng aming mga nurse ang sumusunod:

  • Listen and learn about your symptoms.
  • Tutulong sa pangangalaga sa sarili.
  • Papayuhan ka tungkol sa pagkuha ng pangangalaga sa pagpapatingin sa isang doktor o sa isang center ng agarang pangangalaga.
  • Tutulungan kang malaman kung kailan dapat pumunta sa emergency room.

 

Personal na Pangangalaga

Sometimes the basics are hard to do yourself in your home after an illness or injury.

Kung kinakailangan, magpapadala kami ng tao para tumulong sa:

  • Pagbibihis.
  • Pagligo.
  • Pagpapakain.
  • Other eligible activities of daily living

There is no copayment for covered personal care services.

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.

There are no copayments for covered prenatal visits and care

Paghinto sa Paninigarilyo

Alam ng karamihan ng mga tao ang masasamang epekto ng paninigarilyo. At alam nilang kailangan nilang huminto. We support our members to help them quit. The only thing they won't get from us is a lecture.

When you are ready to make the change and are looking for more information, the Wisconsin Tobacco Quit Line can help you. Call 1-800-QUIT-NOW, text READY to “200-400” or log onto www.quitline.wisc.edu to learn more about supports and services that can help you quit.

Skilled Nursing Home Care

After a serious illness, surgery or injury, you may need extra nursing and therapy. In these situations, our plan covers short stays in a rehabilitation center where you can heal.

Kabilang ang:

  • Skilled Nursing Home Care.
  • 24 na oras ng pangangalaga.
  • Tulong sa mga aktibidad sa pang-araw-araw na pamumuhay.

There are no copayments for covered skilled nursing home care
 

Social Drivers of Health

Did you know that 80% of our health comes from where we work and play and not the doctor’s office? Food, housing, employment and education all play an important role in our health and the health of our families.

To help you and your family achieve their best health, we offer screenings to identify barriers to key social drivers of health such as food insecurity and poor housing. Based on your individual responses, we can help identify local community resources to help you address these barriers and access supports that will help you reach your health goals.

Mga Serbisyo sa Therapy

Physical, occupational and speech therapy can help members recover from a serious injury or illness, or simply reach their full potential.

Our plan covers visits for:

  • Occupational therapy.
  • Physical therapy.
  • Speech therapy.
  • In-home therapy.

There is no copayment for covered therapy visits.

Transportasyon

BadgerCare Plus provides non-emergency medical transportation to and from health care appointments through a transportation broker.

This benefit includes trips to:

  • Doctor and therapy visits.
  • Mga center ng agarang pangangalaga.
  • Diagnostic testing.

To schedule a ride, contact 866-907-1493.

Paningin

You’ll get the care, eyeglasses and treatment that let you see life more clearly.

Kasama sa saklaw ang:

  • Regular exams.
  • Up to two pairs of eyeglass frames each year.
  • Prescription lenses for your eyeglasses.

There is no copayment for covered vision services.

Mga Pagpapatingin Habang Walang Sakit

Makakatulong sa iyo ang mga pagpapatingin habang walang sakit sa iyong doktor na manatiling malusog. Maaaring matukoy kaagad ang mga problema sa kalusugan sa mga pagpapatinging ito para magamot ang mga ito.

Kabilang sa mga serbisyong pang-iwas sa sakit ang:

  • Mga checkup para sa mga adult at mga bata.
  • Pangangalaga sa sanggol nang walang sakit.
  • Care for pregnant people expecting a baby.
  • Mga regular na iniksyon at pagte-test.
  • Mga mammogram.

Walang copayment para sa pangangalagang pang-iwas sa sakit.

Wellhop for Mom & Baby

Connect with other expectant parents. 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 pregnant people who have similar due dates and a group leader.
  • Chat and share experiences with participants from your group on the Wellhop app or website.
  • Visit the Wellhop library. You’ll find articles, videos and more.

Mga Resource ng Miyembro

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