UnitedHealthcare Community Plan Medicaid (MMA)

Medicaid

This Florida Medicaid Plan offers a range of benefits. Children, families, pregnant women and single adults may qualify based on income. View the benefits below to see all that it offers.

We want to help you to get the most from your health plan. If you have not completed a health risk assessment, please call 1-888-716-8787 to talk with a representative from 8-5 pm M-F.

Alachua, Baker, Bradford, Citrus, Clay, Columbia, Dixie, Duval, Flagler, Gilchrist, Hamilton, Hardee, Hernando, Highlands, Hillsborough, Lafayette, Lake, Levy, Manatee, Marion, Miami-Dade, Monroe, Nassau, Polk, Putnam, St. Johns, Sumter, Suwannee, Union, and Volusia.

Mga Pakinabang 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. That includes:

  • Pagpili ng Doktor. Find a doctor you trust in our network.
  • Shots and Vaccines. Routine shots to help keep you healthy.
  • NurseLineSM. Speak with a registered nurse 24/7.
  • Therapy Services. We cover physical, respiratory and other therapies.
  • Laboratoryo at mga X-ray. Ang mga pagsusuri sa laboratoryo, x-ray at diagnostic imaging ay sinasaklaw.

We want to help you to get the most from your health plan. If you have not completed a pregnancy health risk assessment, please call 888-716-8787 to talk with a representative from 8-5 pm M-F.

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

  • Mga Pagpapatingin Habang Nagbubuntis. Pangangalaga para sa iyo bago ipanganak ang iyong sanggol.
  • Healthy First Steps®. Karagdagang suporta upang tulungan kayo ng iyong sanggol na manatiling malusog.
  • Pagpili ng Birth Center. Pick from hundreds of hospitals across Florida.
  • Pangangalaga sa Tahanan. Home visits and medical support if ordered by your doctor.
  • Text4baby. Text messages with helpful tips and reminders.

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:

  • Kalusugan ng pag-iisip. Saklaw ang pagpapayo at iba pang mga panggagamot.
  • Pamamahala sa Pangangalaga. Personal support from an experienced professional.
  • Asthma and Allergy Care. Exams, testing and supplies are covered.
  • Diabetes Support. Needles, supplies, plus classes on managing diabetes.
  • Residential Care. Brief stay at a care facility while you recover from sickness or injury.

Make sure your sight, smile and hearing are at their best. Kabilang sa mga benepisyo ang:

  • Vision. Eye exams and up to two pairs of eyeglasses each year.
  • Dental. We cover cleanings, checkups and dental work.
  • Hearing. Tests, checkups and hearing aids, if needed, are provided every three years.

    Attention Diabetic Members – As of March 2015, referrals from your Primary Care Physician are no longer needed for your annual Diabetic Retinal Eye Exams with an Optometrist. Referrals are still required to see an Ophthalmologist.

Get the medical care and equipment you need to live safely at home. Halimbawa, maaaring irekomenda ng iyong provider ng pangangalaga ang:

  • Nurse Visits. Medical care to help you safely recover at home.
  • Kagamitan at Mga Supply. In-home medical and safety equipment is covered.

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

  • NurseLineSM. Speak with a registered nurse 24/7.
  • Interpreters. An interpreter can go with you to your medical visits.
  • Mga Serbisyo sa Miyembro. Your benefit questions are answered 24/7.
  • Transportasyon. We cover unlimited rides to and from provider offices.
  • Paghinto sa Paninigarilyo. Coaches and supplies to help you quit tobacco.
  • Over-the-Counter Supplies. Get up to $25 back on approved over-the-counter purchases.

Asthma and COPD Support

Do you or your child have trouble managing COPD or asthma 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.
  • Let you or your child stay active.

Care Management

Do you or your child have a serious health problem? Then our case managers are in your corner. They will:

  • Explain medical terms in plain language.
  • Coordinate doctor appointments.
  • Provide the care team with medical records.

Your case manager will stay with you or your child throughout the medical journey. He or she will:

  • Think beyond immediate medical needs.
  • Make sure there is support at home.

Pagpili ng Doktor

You get a primary care physician (PCP), who is your main doctor. Use the Doctor Lookup tool to see if your doctor is in our network.

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:

  • Pampigil na pangangalaga.
  • Panggagamot kung mayroon kang sakit o pinsala.
  • Mga referral sa mga espesyalista para sa ilang partikular na kundisyon.

Pagpili ng Birth Center

Mahalagang pumili ng ospital kung saan ka manganganak. That's why you can pick from nearly 80 hospitals across Florida.

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

Pangangalaga sa Ngipin

Checkups and emergency care are covered.

Exams cleanings and fillings 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.

Diabetic Support

If you have diabetes, we'll make life a little easier for you. You'll get medicine, supplies and education to help you reach and stay your best.

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

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

Mga Kagamitan at Supply

Ang iyong kalusugan at kaligtasan sa tahanan ay mahalaga.

Our plan covers medical equipment ordered by your doctor or case manager. This can include supplies like:

  • Mga kama sa ospital.
  • Oxygen tanks.
  • Wheelchairs or walkers.

Pangangalaga sa Pandinig

Ang problema sa pandinig ay maaaring makaapekto sa iyong pang-araw-araw na pamumuhay sa maraming paraan. Kabilang sa aming plano ang mga serbisyo at suporta upang matulungang protektahan ang iyong pandinig.

Sinasaklaw namin ang:

  • Exams, therapy and tests.
  • Hearing aids every three years.

Healthy Behavior Programs

Do you smoke? If so, do you want to try and quit? We have a smoking cessation program that is available at no cost.

Do you want to work on weight loss or healthier eating habits? These types of lifestyle changes can help with many chronic conditions. We have a program to help you with this.

If you have noticed changes in your mood, habits or the way you feel, you may need to talk to someone about these feelings.

Behavioral health services are available as part of your benefits. We also offer a reward program if you would like help with a drug abuse problem.

All of these programs are available at no cost to you. If you would like to join any of these programs, please call us at 1-888-716-8787. We are here Monday through Friday from 8:00 a.m. to 7:00 p.m. If you are hard of hearing, please dial 711.

Healthy First Steps®

Maaari kang makatanggap ng tulong at pagpapayo mula sa iyong ina, mga tita, kapatid at kaibigang babae. Gayunpaman, magkakaiba ang bawat pagbubuntis. Susuportahan ka ng programang ito sa kabuuan ng iyong pagbubuntis.

Tutulungan ka naming:

  • Find a doctor for you and your baby.
  • Learn resources for nutrition, fitness and safety.
  • Get pregnancy related supplies.

Home Meal Delivery

Taking care of the basics, like cooking, can be difficult after an illness or sickness. That’s why we’ll bring nutritious meals to you to help you through tough times. You can get up to 10 meals delivered each year after being discharged by the hospital.

Pagkakaospital

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

Sinasaklaw ng aming plano ang:

  • Pangangalaga ng isang nurse.
  • Kwarto at matutuluyan.
  • Mga supply at kagamitan.
  • Panggagamot at mga therapy.
  • Mga diagnostic na pagsusuri at eksaminasyon.

At pagkalabas mo sa ospital, hindi ka mag-iisa. Titiyakin naming makakakuha ka ng follow-up na pangangalaga upang maipagpatuloy ang pagpapagaling sa tahanan.

Interpreters

Your doctor and you need to understand each other. Not speaking English well makes this difficult. We can arrange for a medical interpreter to be at your appointments.

We also have people in member services who speak more than one language. Chances are, we have someone who speaks your language.

Laboratoryo at mga X-ray

Napakainam na malaman nang maaga pa lang kung ano ang problema. Sinasaklaw ng aming plano ang:

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

Tutulungan ka naming makuha ang impormasyong kailangan upang makatulong na mapabuti ang iyong kalusugan at maibalik ka sa pinakamalusog na kundisyon.

Tulong sa Wika

You can receive information in your preferred language. Magtanong lang. We also have people at our customer service who speak more than one language. Chances are, we have someone who speaks your language.

Medicines

Our plan includes prescription drugs and refills.

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

  • In Network Local pharmacies.
  • Services that deliver right to your door.

Mga Serbisyo para sa Miyembro

Sometimes you might need a little help understanding your health care options. With us, you have someone you can call. We’ll answer your questions simply and completely.

Maaari ka rin naming tulungang humanap ng:

  • Primary Care Physicians and Specialists.
  • Dentists and vision providers.
  • Local pharmacies.

Kalusugan ng Pag-iisip

Mental health is as important as physical health. That's why we have coverage for both.

Required care is 100% covered. with no copay. This includes:

  • Therapy para sa kalusugan ng pag-iisip na apektado ng pag-uugali.
  • Medications.

No Copays

You will not have a copayment for care and services covered by our plan.

NurseLine℠

Medical questions and situations sometimes happen at inconvenient times. When you have questions about your health or your child’s health, you can call a nurse 24 hours a day, 7 days a week.

Our NurseLine 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.
  • Tutulungan kang malaman kung kailan dapat pumunta sa emergency room.

Nurse Visit

Sometimes you may need continued care after you leave the hospital or urgent care.

If your health is at risk after a serious illness, surgery or injury, a nurse will visit you at home to:

  • Provide medical care for you or your child.
  • Answer your questions and concerns.

Over-the-Counter Supplies

Your health care costs may include non-prescription medicines and supplies like aspirin, cough medicine or bandages. Our plan will cover you up to $25 each month for medically necessary over-the-counter medicine or medical supplies you purchase.

Pangangalaga Habang Buntis

A pregnancy is a journey you’ll want to make 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:

  • Titiyaking malusog kayo ng iyong sanggol.
  • Ipapaliwanag kung ano ang dapat asahan sa bawat yugto ng iyong pagbubuntis.
  • Sasagutin ang iyong mga tanong.

Residential Care

After a serious illness, surgery or injury, you may need extra nursing and therapy.

If needed, our plan covers short stays in a rehabilitation center where you can heal. Included are:

  • Nursing home services.
  • 24-hour nursing care.
  • Help with activities of daily living.
  • Physical, occupational and speech therapy.

Quitting Tobacco

You know the bad health effects of smoking.

You know you need to quit. We support you while you quit with the help of coaches and supplies. The only thing you won't get from us is a lecture.

Shots and Vaccines

Routine shots help protect you from illness.

So, our plan covers:

  • Pneumonia, influenza and shingles shots.
  • Other recommended shots and vaccines.

Text4baby

Text4baby can help new and expecting mothers keep themselves and their babies healthy.

You’ll get three text messages each week throughout your pregnancy and your baby’s first year. Each text contains health and safety tips for topics like:

  • Prenatal care.
  • Labor and delivery.
  • Breastfeeding.
  • Safe sleep.
  • Nutrition.
  • Car seat safety.

So you and your baby can make a healthy start.

Therapy Services

Therapy can help you recover from a serious injury or illness, or simply reach your full potential. Members receive needed:

  • Occupational therapy.
  • Physical therapy.
  • Respiratory therapy.
  • Speech therapy.

Transportasyon

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

  • Doctor or therapy visits.
  • Health departments.
  • Vision clinics.
  • Mga center ng agarang pangangalaga.

Important Notice About Transportation Benefits

Pangangalaga sa 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 frames each year.
  • Mga inireresetang lens.

This benefit is offered by Vision Service Plan.

Mga Pagpapatingin Habang Walang Sakit

Well visits with your doctor can help you stay healthy. These visits can catch health problems early, so they can be treated.

Kabilang sa mga serbisyong pang-iwas sa sakit ang:

  • Checkups for adults and children.
  • Well-baby care.
  • Care for women expecting a baby.
  • Routine shots and tests.
  • Mga mammogram.

Mga Mapagkukunan ng Miyembro

Mga Mapagkukunan ng Miyembro

Matuto Nang Higit Pa

UnitedHealthcare Community Plan Medicaid (MMA)

Suriin ang Pagiging Karapat-Dapat

Pag-enroll

Call to enroll today.

24 hours a day. 7 days a week. 

1-888-716-8787
TTY: 711

Learn about the steps to enroll.

Get the details.

More information on eligibility and enrollment can be found on the Florida Medicaid website.

Mga Tanong

Miyembro na?

Miyembro na? Mayroon kang access sa aming website na para lang sa miyembro. Mag-print ng mga ID card, makipag-chat sa isang nurse online at higit pa.

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