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AHCCCS Complete Care

Medicaid

Our Arizona Medicaid Plan offers a range of benefits along with extra programs offered only by UnitedHealthcare Community Plan. Children, families, pregnant women and single adults may qualify for temporary assistance to needy families (TANF) based on income. View the benefits below to see all that it offers.

More information on eligibility and enrollment can be found on the Health-e Arizona PLUS website. 

  • AHCCCS Complete Care Steps to Enroll
  • Tingnan ang Eligibility (magbubukas ng modal window)

Behavioral Health Crisis Hotlines by County

Maricopa County: 
602-222-9444 or 1-800-631-1314

Cochise, Graham, Greenlee, La Paz, Pima, Pinal, Santa Cruz and Yuma Counties: 
1-866-495-6735

Apache, Coconino, Gila, Mohave, Navajo and Yavapai Counties: 
1-877-756-4090

Gila River and Ak-Chin Indian Communities: 
1-800-259-3449

Arizona Statewide Crisis Hotline:
1-844-534-HOPE (4673) or 988

Hotline ng Nars
When you have questions about your health, you can call a trained nurse 24/7 at 1-877-440-0255.

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 moms get extra support to keep you and your baby healthy. Kasama rito:

  • Choice of Doctor. Find a doctor you trust in our network. 
  • Medicines. Fill your prescriptions at local network pharmacies. 
  • Well Care. Preventive checkups, shots and needed lab tests.
  • Transportation. We pay for rides to and from medical visits or the pharmacy.
  • Behavioral Health. We are concerned about how you feel.

Wala nang mas mahalaga pa sa kalusugan at kapakanan mo at ng iyong sanggol. That’s why our plan benefits include: 

  • Choice of Doctor. Find a doctor you trust in our network. 
  • Prenatal Visits. Care for you before your baby is born.
  • Healthy First Steps®. Get extra support and rewards to keep you and your baby healthy.

Kung mayroon kang hika, diabetes o isa pang pangmatagalang kundisyon, maaasahan mo kami. Our plan makes sure you get the care and services you need. Kabilang sa mga benepisyo ang:

  • Care Management. Personal support from an experienced professional as needed.
  • Asthma Support. Individual care to help you control asthma or COPD as needed.
  • Behavioral Health. Counseling, substance abuse counseling, and other treatments are covered.
  • Medication Management
  • Special Health Care Needs Care Coordination

We make sure the sight, smile and hearing of our members up to age 21 are at their best:

  • Vision. Eye exams, frames and lenses including replacement and repair are covered. 
  • Dental. We pay for cleanings, checkups and dental work for members through age 20*.
  • Hearing. Tests, checkups and hearing aids are included.

*Members 21 and older have $1,000/year for emergency dental services. This benefit has limitations. Please refer to your Member Handbook for details.

Members recovering from a serious illness or surgery often need extra support. Our plan includes the care and equipment needed to recover safely at home. Kabilang sa mga benepisyo ang:

  • Equipment and Supplies. In-home medical and safety equipment are covered.
  • Personal Care. Services to aid healing after illness or injury.

Kung minsan, maaaring kailanganin mo ng kaunting karagdagang tulong sa paggamit ng iyong planong pangkalusugan. Para sa mga pagkakataong iyon, maaari kang umasa sa:

  • Transportation. Our plan provides trips to and from medical and behavioral health visits or the pharmacy.
  • Interpreters. An interpreter can go with you to medical and behavioral health visits.
  • Language Help. Translated materials are available at no cost.
  • Social Services. Sometimes a person's health and safety requires help from community programs. We help members connect to community services. Here they can get information about a variety of programs like:
    • Food and housing assistance.
    • Community child care.
  • They can help members get much needed relief in many ways.
  • Member Services. Our member services team can help answer questions. They are available Monday - Friday from 8a.m. - 5p.m.

Asthma Support

Individual care to help you or your child control asthma or COPD symptoms.

Do you or your child have trouble managing COPD or asthma symptoms? A nurse who specializes in breathing issues can really help. Benefits include a customized treatment plan and medicine to: 

  • Manage flare-ups.
  • Reduce symptoms.
  • Help you stay active.

Pamamahala sa pangangalaga

Do you or a loved one have a serious health problem, a behavioral health issue, a substance abuse issue or a high-risk pregnancy? 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. 

Your care manager will stay with you on your medical journey. He or she will:

  • Think beyond your medical and behavioral health needs.
  • Make sure you have support at home.

So you can focus on getting better.

Pagpili ng Doktor

Every member gets to choose 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.

Kung wala kang doktor o kung wala sa aming network ang iyong doktor, matutulungan ka naming maghanap ng bagong doktor na malapit sa iyo.

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.

Pagpili ng Birth Center

Mahalagang pumili ng ospital kung saan ka manganganak. That’s why you can pick from nearly 100 in-network hospitals across Arizona. 

Hinihikayat ka naming maglibot sa birthing center ng ospital. Nang sa gayon ay maging pamilyar ka rito. At mas mapapanatag ka kapag nanganak ka na.

Pangangalaga sa Ngipin

We pay for cleanings, checkups and dental work for members through age 20. 

Exams and cleanings every six months help teeth and gums stay strong and healthy. If there is a dental problem that needs to be fixed, that’s covered as well.

Members 21 and older have $1,000/year for emergency dental services*.

*This benefit has limitations. Please refer to your Member Handbook for details.

Mga Kagamitan at Supply

Ang iyong kalusugan at kaligtasan sa tahanan ay mahalaga.

Sakop ng aming plano ang kagamitang medikal na ibinilin ng iyong doktor. Puwedeng kasama sa mga supply ang:

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

Pangangalaga sa Pandinig

Trouble hearing can affect everyday life in many ways. Our plan includes services and support to help protect the hearing of members up to age 21.

Sinasalo namin ang:

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

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

Binabayaran ng planong ito ang lahat ng gastusing nauugnay sa pananatili sa ospital.

Sakop ng aming plano ang:

  • Pangangalaga ng isang nurse.
  • Supplies and equipment
  • Treatments.
  • Mga diagnostic na test at eksaminasyon.

And after leaving the hospital, we make sure each member gets follow-up care, if needed, to continue healing at home.

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 also have people at member services who speak more than one language. Sa malamang, mayroon kaming taong nagsasalita ng wika mo.

KidsCare Premiums

If your child is enrolled in the KidsCare program, they will have a monthly premium to pay. It is crucial to make this payment every month to ensure that your child continues to have their KidsCare health insurance coverage.

If you have any questions about premiums, please call the AHCCCS Premium Billing Center:

Tulong sa Wika

Makakakuha ka ng impormasyon sa wikang gusto mo. Magtanong lang. Then anything we write to you will only be in that language. Ibibigay namin sa iyo ang serbisyong ito nang libre.  

Mga Gamot

Our plan includes prescription drugs and refills.

Sinasaklaw din namin ang mga over-the-counter na gamot na may nakasulat na tagubilin mula sa iyong doktor.

And we make getting your medicine easy. You can fill your prescriptions at:

  • Local network pharmacies.
  • Services that deliver right to your door.

Mga Serbisyo para sa Miyembro

Health insurance is complex. Maaari naming sagutin ang iyong mga tanong nang simple at kumpleto.

We help you find:

  • Mga doktor.
  • Mga parmasya.
  • Mga ospital o iba pang mga pasilidad na pangkalusugan.
  • Mga lokal na resource.

Mental Health

We are concerned about how you feel. Behavioral health services can help you with personal problems that may affect you and/or your family. Ang mga problemang ito ay maaaring stress, depresyon, anxiety, o paggamit ng mga ipinagbabawal na gamot o pag-inom ng alak.

AHCCCS Complete Care members assigned to UnitedHealthcare Community Plan will receive all of their health care from UnitedHealthcare Community Plan with the exception of the first 23 hours of crisis care. If you are experiencing a behavioral health crisis call one of the phone numbers below that matches the county you live in.

Crisis Hotlines by County:

Maricopa County: 602-222-9444 or 1800-631-1314

Cochise, Graham, Greenlee, La Paz, Pima, Pinal, Santa Cruz and Yuma Counties: 1-866-495-6735

Apache, Coconino, Gila, Mohave, Navajo and Yavapai Counties: 1-877-756-4090

Gila River and Ak-Chin Indian Communities: 1-800-259-3449

You may self-refer to a behavioral health provider.

Hotline ng Nars

Nurse Hotline at 1-877-440-0255 available 24 hours per day / 7 days a week.

Mga Pagpapatingin Habang Nagbubuntis

Ang pagbubuntis ay isang hindi kapani-paniwalang karanasan. It’s a journey you 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.

Respite na Pangangalaga

Members accessing behavioral health services can receive up to 600 hours per benefit year (October 1st through September 30th).

Mga Serbisyong Panlipunan

Sometimes a person’s health and safety requires help from community programs.

We help members connect to community services. Here they can get information about a variety of programs, like:  

  • Food and housing assistance.
  • Community child care.

They can help members get much needed relief in many ways.

Transportasyon

If you need a ride to an appointment, ask a friend, a family member or neighbor first. If you cannot get a ride UnitedHealthcare Community Plan will help you. AHCCCS Complete Care members may receive non-emergency transportation services through UnitedHealthcare Community Plan for a physical or behavioral health AHCCCS covered service.

Pangangalaga sa Paningin

Children in the plan receive vision coverage up to age 21. This coverage includes:

  • Regular exams.
  • Frames and lenses.

This benefit is offered by Nationwide Vision.

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 upang 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.
  • Pangangalaga para sa mga babaeng nagbubuntis.
  • Mga regular na iniksyon at pagte-test.
  • Mga mammogram.

You will not have a copayment for preventive care.

Mga Resource ng Miyembro

Mga Mapagkukunan ng Miyembro (magbubukas ng modal na window)
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