Healthy Louisiana Plan

Medicaid

Our Healthy Louisiana plan offers a range of benefits along with extras. View the benefits below to see all that our plan offers. It's for pregnant women, adults and children under the age of 21.

Keep your Medicaid information up to date to maintain coverage

Healthy Louisiana members need to make sure their information stays current to ensure their Medicaid coverage. You can make changes to your address and your financial and employment information online at https://sspweb.lameds.ldh.la.gov/selfservice/. You will need to create an account to make changes.    

Medicaid is now checking eligibility more than once a year, so it is important that your information and your address is current.  If you get a letter from Medicaid asking for more information or asking you to verify your income, be sure to respond as soon as possible. If you do not, your case may be closed and you may lose your Medicaid coverage, even if you are still eligible.

Be Ready. Be Safe.    

UnitedHealthcare and the State of Louisiana want to ensure all residents are informed during emergencies, such as severe weather or flooding. Please visit www.GetAGamePlan.org for emergency preparedness guides and tips to keep you and your loved ones safe all year long.    

For plan participants who may have misplaced their medical ID cards, call 866-633-2446, 8 a.m. – 8 p.m. (in the local time zone), Monday through Friday. People enrolled in employer-sponsored and individual health plans who have a smartphone can download the free Health4Me app, which provides instant access to their ID card, network care providers, their personal health benefits and more. The Health4Me app is available as a free download at the Apple iTunes App Store and the Android Market on Google Play.    

Available ang planong ito sa lahat ng county.

More information on eligibility and enrollment can be found on the Healthy Louisiana website.    

Mga Pakinabang at Feature

Pangangalaga Habang Walang Sakit at Kapag May Sakit

Get the assistance you need to make life a little easier, or to get better if you are injured or sick. That includes:

  • Unlimited Doctor Visits for Children. Your child can see the doctor as often as needed.
  • Unlimited Doctor Visits for Adults. See your doctor as often as needed.*
  • Mga Pagpapatingin Habang Walang Sakit. Annual checkups to help keep your family healthy.
  • Chiropractor Services. Chiropractic visits for members who qualify.
  • Pagkakaospital. Wala kang babayaran para sa pangangalaga sa isang ospital.
  • Shots and Vaccines. Routine shots help protect against illness. Adults are covered too.*
  • Mga gamot. Fill your prescriptions at local pharmacies.

* Value added benefit offered by UnitedHealthcare Community Plan.

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

  • Choice of Birth Centers. Pick from our partner hospitals across Louisiana.
  • Choice of Doctors. Find an OB-GYN you trust in our network.
  • Baby Blocks™. Earn rewards for keeping you and your baby healthy.*
  • Healthy First Steps®. Karagdagang suporta upang tulungan kayo ng iyong sanggol na manatiling malusog.
  • Mga Pagpapatingin Habang Nagbubuntis. Pangangalaga para sa iyo bago ipanganak ang iyong sanggol.

* Value added benefit offered by UnitedHealthcare Community Plan.

If you have asthma, diabetes or another long-term condition such as substance abuse disorder, you can depend on us. Tinitiyak ng aming plano na nakukuha mo ang pangangalaga, suporta at mga serbisyong kailangan mo. Kabilang sa mga benepisyo ang:

  • Asthma and COPD Care. Exams, testing and supplies are covered.
  • Pamamahala sa Pangangalaga. Kung kwalipikado ka, kumuha ng personal na tulong sa pamamahala sa mga kundisyon ng kalusugan.
  • Diabetic Support. Medicine, needles and wipes for managing diabetes.
  • Kalusugan ng pag-iisip. Saklaw ang pagpapayo at iba pang mga panggagamot.
  • Disease Management. Focused care for those with critical health needs.

We help you keep your smile, sight and hearing at their best. Kabilang sa mga benepisyo ang:

  • Dental. Covered cleanings, checkups and dental work are provided by MCNA Dental (Managed Care of North America) for members under the age of 21. We also offer coverage for adults.
  • Vision. Exams and eyeglasses or an allowance for lenses are covered for members under the age of 21. We also offer coverage for adults.
  • Hearing. Tests, exams and hearing aids for members to age 21.

Get the medical care and equipment you need to live safely at home. Benefits may include:

  • Kagamitan at Mga Supply. In-home medical and safety equipment are covered for medically necessary equipment.
  • Home Health Care. Medical and personal care at home, if necessary.

Sometimes you might need a little extra help using everything our health plan offers. Para sa mga pagkakataong iyon, maaari kang umasa sa:

  • Language & Interpreter Help. We provide free services to help you communicate with us or your doctor. Such as, letters in other languages or large print. Or, you can ask for an interpreter for any language.
  • Mga Serbisyo sa Miyembro. Get help with understanding your benefits and get your questions answered.
  • Transportasyon. We provide rides to and from medical visits.

Asthma and COPD Support

Do you have trouble managing asthma, allergies 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.

If referred by a doctor, some members may get an Asthma Home Assessment to help identify and resolve issues in their homes. This is an added benefit offered by UnitedHealthcare Community Plan.

Baby Blocks

Build a healthier future for you and your baby — and earn great rewards — through Baby Blocks. This program helps keep you and your baby healthy during your pregnancy and your baby's first 15 months of life.

Baby Blocks includes*:

  • Email appointment reminders.
  • Fun program to keep track of appointments.
  • Reward cards for clothing and more.

Once you sign up, you can choose a $20 gift card or a stylish diaper bag. The choice is yours.

*This is an added benefit offered by UnitedHealthcare Community Plan.

Care Management

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.

The case manager will stay with you or your loved one throughout the medical journey. He or she will:

  • Think beyond your medical needs.
  • Assess home situation and help where possible.
  • Make sure you have support at home.

So you can focus on getting better.

Cell Phones

When your health is not at its best, it is important to know that help is just a phone call away. We make cell phones available to some members who have a high-risk health issue or high-risk pregnancy and do not have reliable access to a telephone. The program makes sure members have access to UnitedHealthcare, 911, the doctor's office and NurseLine.*

* This is an added benefit offered by UnitedHealthcare Community Plan.

Pagpili ng Doktor

Members can choose a primary care provider (PCP). Use the Doctor Lookup tool to see if your doctor is in our network.

The PCP is your main doctor for:

  • Pampigil na pangangalaga.
  • Panggagamot kung mayroon kang sakit o pinsala.

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.

Pagpili ng Birth Center

Mahalagang pumili ng ospital kung saan ka manganganak. That's why you can pick from partner hospitals across Louisiana.

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 have your baby.

Chiropractor Services

Whether chiropractor services are your primary or alternative treatment method, you're covered. This benefit is available for members under the age of 21. A referral from your primary care physician is required.

Members over the age of 21 who are managing pain can get up to six (6) visits per year with an in-network chiropractor.

Pangangalaga sa Ngipin

Regular checkups help keep teeth and gums strong and healthy. Healthy Louisiana members under the age of 21 get:

  • 2 exams per year.
  • Cleanings and x-rays.
  • Fluoride treatments.

These services are offered through MCNA Dental (Managed Care of North America).

Members over the age of 21 get up to $500 in coverage for:*

  • Regular exams.
  • Cleanings and x-rays.
  • Fillings & extractions.

*This is an added benefit offered by UnitedHealthcare Community Plan.

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.

Members over 21 who complete HbA1c labs and LDL-C screenings within 90 days of joining the plan may be eligible for a $50 voucher toward a catalog of over the counter health products. This is an added benefit offered by UnitedHealthcare Community Plan.

Pamamahala sa Sakit

If you have a chronic health condition like asthma or diabetes, UnitedHealthcare Community Plan has a program to help you live with your condition and improve the quality of your life. These programs are voluntary and available at no cost to you.

Mga Kagamitan at Supply

Some members may need extra support to live safely at home.

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 Paa

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

Kasama ng aming saklaw sa podiatry ang:

  • Office visits.
  • Certain radiology and lab procedures.
  • Other diagnostic procedures.

Edukasyong pangkalusugan

Take free classes to help improve your health or to address a condition. Our plan includes classes on diabetes, nutrition and more.

Pangangalaga sa Pandinig

Ang problema sa pandinig ay maaaring makaapekto sa iyong pang-araw-araw na pamumuhay sa maraming paraan. Our plan includes services and support to help protect the hearing of members under the age of 21.

Sinasaklaw ng aming plano ang:

  • Exams and tests.
  • Hearing aids and batteries.

Healthy First Steps®

When you're pregnant, you receive help and advice from your mom, aunts, sisters and girlfriends. Gayunpaman, magkakaiba ang bawat pagbubuntis. Susuportahan ka ng programang ito sa kabuuan ng iyong pagbubuntis.

We can:

  • Help you find a doctor.
  • Set up transportation to appointments.
  • Offer helpful information on caring for your baby.
  • Support you after your baby is born.

Home Health Care

After surgery or a serious illness you may need extra help with day-to-day tasks like cleaning, cooking or dressing.

You may even need an in-home medical visit to check on how well you are healing. With approval, our plan covers:

  • An in-home medical visit.
  • Medical equipment like hospital beds, walkers or wheelchairs. 
  • Disposable medical supplies.

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.

And after leaving the hospital, our members are not alone. We make sure they get follow-up care to continue healing at home.

Interpreters

Both doctor and patient need to understand one another. Not speaking English well makes this difficult. We can arrange for a medical interpreter to be at medical appointments.

We also have people at 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. Our plan covers most:

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

We make sure our members get the information needed to help improve their health.

Tulong sa Wika

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

Medicines

Our plan includes prescription drugs and refills. Some members may have a small copayment.

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

  • 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 24/7. We'll answer your questions simply and completely.

Maaari ka rin naming tulungang humanap ng:

  • Home health providers.
  • Dentists and vision providers.
  • Adult Health Services.

Mental Health/Substance Abuse

Mental health is as important as physical health. That's why we cover both.

Kasama sa saklaw ang:

  • Behavioral health services.
  • Panggagamot sa pang-aabuso sa gamot.
  • Certain medications.

NurseLine℠

Medical questions and situations sometimes happen at inconvenient times. For questions about health, you can call a trained nurse 24/7.

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 Visits

Sometimes continued care is needed after leaving the hospital or urgent care. For example, after a serious illness, surgery or injury. In these cases, a nurse will make home visits to:

  • Provide medical care.
  • Answer any questions and concerns.

Personal Care

The basics can be hard to do if you have a disability or you've had a serious illness or injury.

If needed, we provide someone to help with:

  • Dressing.
  • Bathing.
  • Feeding.

Long-term personal care is available for members 21 or older with disabilities.

Mga Pagpapatingin Habang Nagbubuntis

A pregnancy is a journey that's better 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:

  • Make sure mom and baby are healthy.
  • Explain what to expect at each stage of pregnancy.
  • Answer questions.

Shots and Vaccines

Routine shots help keep you healthy. Sinasaklaw ng aming plano ang:

  • Pneumonia, influenza and shingles shots.
  • Tetanus, Diptheria and Whooping Cough vaccines.*
  • Other recommended shots and vaccines.
* Adult coverage is an added benefit offered by UnitedHealthcare Community Plan.

Transportasyon

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

  • Doctor and therapy visits.  
  • Health departments.
  • Vision clinics.

Unlimited Doctor Visits

There may be times when your health requires regular visits to a doctor or specialist). Our plan does not limit the number of times children or adults* can see their doctors. This includes sick visits, well visits and specialists. For children, EPSDT screenings are also covered. This way you get care when you need it. And the doctor can see how your health is progressing.

* Unlimited doctor visits for adults is an added benefit offered by UnitedHealthcare Community Plan.

Pangangalaga sa Paningin

Regular eye exams and glasses, if needed, can help you see more clearly.

With Healthy Louisiana, members under the age of 21 receive:

  • Regular eye exams.
  • Eyeglass frames.
  • Mga inireresetang lens.

Members over the age of 21 can get:*

  • Additional vision services to complement Medicaid vision benefits.
  • One routine eye exam every two years.
  • $100 allowance for frames/lenses every two years.

* This is an added benefit offered by UnitedHealthcare Community Plan.

Mga Pagpapatingin Habang Walang Sakit

Unlimited well visits with your doctor are important for good health. These visits can catch health problems early, so they can be treated.

Preventive services cover:

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

There are no copayments for preventive care.

Weight Control

Our plan encourages a healthy approach to eating and living. To help our members be their best, we cover:* 

  • Screening for obesity.
  • Support for healthy diet and exercise choices.

Some members may also qualify for weight management classes, including Weight Watchers and JOIN for ME.**

* This is an added benefit offered by UnitedHealthcare Community Plan.

** Some limitations may apply.

Are You Prepared for Hurricane Season?

UnitedHealthcare Community Plan wants to help you make sure you are prepared for hurricane season and the resulting hazards such as storm surge, high winds, tornadoes, and flooding

Important Emergency Preparedness Tips

Important Emergency Preparedness Tips

Mga Mapagkukunan ng Miyembro

Tingnan ang Mga Available na Mapagkukunan

Matuto Nang Higit Pa

Healthy Louisiana Plan

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