Lumaktaw sa pangunahing nilalaman
Pangunahing Nilalaman

UnitedHealthcare Health & Home Connection Glosaryo

A

  • Paunang Direktiba

    Isang pasya sa iyong pangangalagang pangkalusugan na iyong paunang ginawa sa sandaling hindi mo na magagawang magsalita para sa iyong sarili kailanman. This will let your family and your doctors know what decisions you would make if you were able to.

  • Apela

    You can file an appeal if you are not happy with a decision we made ("denial"). A denial is when we say no to a service you or your doctor asked us to give you. It could also be when we don't give you as much of a service you wanted. For example, you can file an appeal if your doctor wanted a drug we do not allow. You can also file if we didn't approve a hospital stay. If you are not happy but it is not because we said no to what you asked for, you can file a grievance.

  • ASC/SPU

    Ambulatory surgical center/short procedure unit.

  • Pagpapahintulot

    An approval for a service.

B

  • Mga Benepisyo

    Services, procedures and medications that UnitedHealthcare will cover for you.

C

  • Clinical Care Management

    One-on-one help by a nurse providing education and coordination of UnitedHealthcare benefits, tailored to your needs.

D

  • Disenrollment

    To stop your membership in UnitedHealthcare.

E

  • Emergency

    When you reasonably believe that your health is in serious danger.

F

  • Panloloko

    Isang hindi tapat na pagkilos (halimbawa: kung ginamit ng ibang tao maliban sa iyo ang iyong ID card ng miyembro at nagpanggap na ikaw).

G

  • Karaingan

    You can file a grievance when you are not happy. This can be when you are not happy with our plan, or our providers, or anything other than an "action". For example, you may file a grievance if you have a problem making an appointment with a provider or have trouble finding a provider. You can file if you think you are not getting good care. You can also file if a doctor is sending you bills for services you get with our Plan. You can file an appeal If you are not happy with a decision we made (an 'action') (see Appeal).

H

  • Home Health Agency

    A company contracted by UnitedHealthcare to provide care for you in your home.

I

  • ID Card

    Identification card – a card that says you are a UnitedHealthcare member. Dapat na nasa iyo ang card na ito sa lahat ng oras.

  • Informed Consent

    Doctors give you information about a particular treatment or test in order for you to decide whether or not you wish to have the treatment or test.

  • Inpatient

    Kapag ipinasok ka sa isang ospital sa isang partikular na haba ng panahon.

M

  • Medical Necessity

    Your health care provider decides if a treatment, admission, procedure, medical supply, equipment, service or supply is medically necessary.

  • Miyembro

    A person who is eligible for UnitedHealthcare.

O

  • Outpatient

    Kapag may pinagawa kang pamamaraan na hindi nangangailangan ng magdamag na pananatili sa ospital. In some cases, you may stay overnight in the hospital but not be admitted as an inpatient.

P

  • Pangunahing tagapagbigay ng pangangalaga (PCP)

    A doctor you choose to be your family physician. They have their own private practices.

  • Prior Authorization

    The process for any service that needs an approval from UnitedHealthcare before it can take place.

  • Provider

    Any medical professional that UnitedHealthcare has contracted with to take care of you.

  • Direktoryo ng Provider

    A list of providers who participate with UnitedHealthcare Community Plan to help take care of your healthcare needs.

R

  • Referral

    When you and your primary care doctor agree you need to see another doctor, your primary care doctor will send you to a UnitedHealthcare specialist.

S

  • Self-Referred Services

    Mga serbisyo na kung saan hindi mo na kailangang magpatingin sa iyong provider ng pangunahing pangangalaga para sa isang referral.

  • Espesyalista

    A doctor that has specific, detailed training in one certain medical field.

T

  • Treatment

     The care that you may receive from doctors and facilities.

U

  • Agarang Pangangalaga

    When you need care, treatment or medical advice within a 24-hour time period.

W

  • WIC

    Supplemental Food Program for Women, Infants and Children which provides nutrition counseling, nutrition education, and nutritious foods to pregnant and postpartum women, infants and children up to the age of 2. Children deemed nutritionally deficient are covered up to age 5 if they are low income and are determined to be at nutritional risk.

Bumalik sa tuktok ng pahina

For more information on Florida Medicaid, download the Florida Medicaid Reference Guide.

Matuto nang higit pa tungkol sa UnitedHealthcare Health & Home Connection

Impormasyon sa Enrollment

The Health & Home Connection plan specialists can answer questions and help you enroll. 

Step 1: Call Choice Counseling at their toll-free help line at 1-877-711-3662.

Step 2: Talk with Health & Home Connection Customer Service toll-free.

Tawagan kami:
1-800-791-9233 / TTY: 711

8:00 AM hanggang 5:00 PM lokal na oras, Lunes – Biyernes

If you’re ready to join, or just want to know more call and speak to a Medicaid Choice Counselor toll free at 1-877-711-3662. TTY/TDD users please call 1-866-467-4970. You can also enroll online at flmedicaidmanagedcare.com.

Mga Hakbang para Mag-enroll
Kunin ang mga detalye

Eligibility for enrollment in the UnitedHealthcare Health and Home Connection plan is determined by CARES (Comprehensive Assessment and Review of Long-Term Care Services).

To find out if you are eligible, or to locate a CARES unit near you, call the Elder Helpline: 1-800-963-5337.

Impormasyon ng Miyembro

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.

Website ng Miyembro

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