Lumaktaw sa pangunahing nilalaman
Pangunahing Nilalaman

UnitedHealthcare Community Plan

Medicaid

Our Medicaid family plan is for children, pregnant women, families and adults who meet income and health need requirements. We also cover children and young adults with special health or developmental needs. 

Any changes in phone number, email, or address should be reported to the Michigan Department of Health and Human Services (MDHHS). You can do this by going to the MIBridges website at www.michigan.gov/mibridges. If you do not have an account, you will need to create an account by selecting “Register”. Once in your account, when reporting changes, please make sure you do so in both the profile section and the Report Changes area.  The Report Changes area is what the local office will use to update the address for your case.

The Michigan Department of Health and Human Services (MDHHS) is working to eliminate Hepatitis C Virus (HCV) as a health threat to Michiganders through the We Treat Hep C Initiative 

Hepatitis Patient Fact Sheet 
Hepatitis C Brochure - Ingles
Hepatitis C Brochure - Español
Hepatitis C Medicaid Disease Management Brochure

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. Kasama rito:

  • Pagpili ng Doktor. Humanap ng doktor na pinagkakatiwalaan mo sa aming network.
  • Unlimited PCP Visits. You can see your doctor as often as medically needed.
  • Mga gamot. Fill your prescriptions at network pharmacies.
  • Laboratoryo at mga X-ray. Ang mga pagsusuri sa laboratoryo, x-ray at diagnostic imaging ay sinasaklaw.
  • Mga Pagpapatingin Habang Walang Sakit. Annual checkups can help keep you healthy.
  • Shots and Vaccines. Routine shots to help protect against illness.
  • Transportasyon. Get a ride or gas reimbursement to medical visits.

Regular dental care is just as important as medical care. You should go to the network dentist for regular check-ups.

The dentist or dental hygienist will examine your mouth. The examination will include the teeth, gums, tongue, lips, and roof of mouth. The dentist may order a few X-rays to see if there is tooth decay. You may also have your teeth cleaned.

Matuto pa

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

  • Choice of Doctor. Find a doctor and dentist you trust in our network.
  • Choice of Birth Centers. Deliver at one of 100 hospitals in Michigan.
  • 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.
  • Transportation. Get a ride or gas reimbursement to medical visits.
  • Wellhop for Mom & Baby. Connect with a community of moms. Get support and information as you welcome your baby.
  • Dental Services.  Get dental coverage as a pregnant member, during and for a full year after delivery. 

If you have diabetes or another health condition, you can depend on us. Our plan makes sure your family and you get the care and services needed. Kabilang sa mga benepisyo ang:

  • Kalusugan ng pag-iisip. Short-term outpatient counseling and other treatments are covered.
  • Pamamahala sa Pangangalaga. Personal support from an experienced professional.
  • Asthma and COPD Care. Individual care for asthma, allergies or COPD.
  • Diabetic Support. Insulin, needles and wipes ordered by your doctor.
  • Heart Care. Extra support for members who have coronary artery disease.
  • Pregnancy Care. Special programs and extra support for pregnant members.

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

  • Vision. Covers exams and eyeglasses Including designer-style frames.
  • Speech. Screenings and needed short-term therapies are covered.
  • Hearing. Exams to determine if a hearing problem exists.

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

  • Kagamitan at Mga Supply. We cover wheelchairs, hospital beds and more.
  • Nurse Visits. Medical care to help you recover at home.

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

  • Transportasyon. Get a ride or gas reimbursement to medical visits.
  • Tulong sa Wika. Connect to a translator through Customer Services.
  • Customer Services. Your benefit questions are answered by our friendly representatives.
  • Paghinto sa Paninigarilyo. Mga tagapagturo at supply para matulungan kang huminto sa paggamit ng tabako.

Children's Special Health Care Services

The Children Special Health Care Services program is for children and young adults with special health or developmental challenges. Our plan provides extra services and support to help manage your child's care needs. If you are enrolled in Medicaid, you may qualify for this additional coverage.

Download more information about the CSHCS program here: Children's Special Health Care Services (CSHCS) Program.

Asthma and COPD Care

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 or your child stay active.

Asthma Care

Does your child have asthma or respiratory allergies? A nurse who specializes in breathing issues can really help childhood breathing problems. Your child's nurse will

  • Get to know your child
  • Learn his or her triggers and activities.
  • Develop a customized treatment plan.

Pamamahala sa pangangalaga

Do you or a family member have a serious health problem 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 needs.
  • Make sure you have support at home.

So you can focus on getting better.

Choice of Doctors

You or your child gets a primary care provider (PCP) who is your main doctor. Gamitin ang tool na Maghanap ng Doktor para makita kung nasa aming network ang iyong doktor.

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:

  • 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 hospitals across Michigan.

We encourage you to tour the hospital's birthing center. Nang sa gayon ay maging pamilyar ka rito. At mas mapapanatag ka kapag nanganak ka na.

Customer Services

Understanding your health care options can be confusing. Now you have someone you can call. 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.

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

Suporta sa Mga Diabetic

If you have diabetes you may need insulin, needles, wipes and glucose strips. Sinasaklaw namin ang lahat ng iyon at higit pa.

Our plan also steps up with services to help you manage your diabetes including:

  • Pag-coordinate sa pangangalaga ng doktor.
  • Dedicated team to help you understand your condition and manage it.

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. This can include items like:

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

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).

Hearing Services

Ang problema sa pandinig ay maaaring makaapekto sa iyong pang-araw-araw na pamumuhay sa maraming paraan. Our plan includes services and support to determine whether a hearing problem exists.

Sinasalo namin ang:

  • Mga eksaminasyon, therapy, at test.
  • Hearing aids are covered for Members under age 21.

Pagkakaospital

This plan pays for medical expenses related to a hospital stay.

Sakop ng aming plano 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. We make sure you get follow-up care to continue healing.

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.

We'll help get the information needed to improve your health or be your best.

Tulong sa Wika

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

Mga Gamot

Our plan includes prescription drugs and refills.

We also cover many medically needed, over-the-counter medicines with a written order from your doctor. There is no copay for these medicines.

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

  • Network pharmacies.

Mental Health

Ang mental health ay kasinghalaga ng physical health. That's why we cover both.

Short-term required care is covered with no co-pay. Kasama rito ang:

  • Behavioral therapy.
  • Mga gamot.

No Copays

You will not have a copayment for most care and services covered by our plan. Ibig sabihin, wala kang babayaran para sa mga sinasaklaw na serbisyo, kabilang ang:

  • Preventive care.
  • Mga taunang checkup.
  • Regular na pangangalaga sa paningin.

Mga Pagbisita ng Nurse

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.
  • Answer your questions and concerns.

Pangangalaga Habang Buntis

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

  • Prenatal Visit.
  • Healthy First Steps®.
  • Transportasyon.
  • Wellhop for Mom & Baby. 
  • Dental 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.

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.
  • Get dental coverage as a pregnant member, during and for a full year after delivery. 

Paghinto sa Paninigarilyo

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

Mga Iniksyon at Bakuna

Routine shots help protect against illness. Kung kaya, sakop ng aming plano ang:

  • Mga inirerekomendang iniksyon at bakuna.
  • Mga iniksyon para sa trangkaso.

Mga Serbisyong Panlipunan

Many communities offer additional benefits for children with special care needs. Social Services helps members connect to local programs and services, such as:

  • WIC and pinansyal na suporta.
  • Mga serbisyo sa paaralan.
  • Pansamantalang pangangalaga.

Download more information about social services benefits here.

Speech Therapy

Makakatulong ang mga pagbisita at ehersisyo sa speech therapy para sa mga taong nahihirapang magsalita. At your doctor's request we will cover short-term, medically needed physical, occupational, speech and other therapy visits each year.

Mga Serbisyo sa Therapy

Makakatulong ang physical, occupational at speech therapy sa iyo na gumaling mula sa malubhang injury o sakit, o maabot ang buo mong potensyal.

Nagbibigay ang aming plano ng:

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

With a doctor's request your coverage includes short term physical, occupational, speech and/or other therapy visits each year.

Transportasyon

Our plan provides a ride for you to and from health care locations. Kasama riyan ang mga pagsakay papunta sa:

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

You can also be reimbursed for gas for driving to and from health care visits:

ModivCare Member Gas Reimbursement Instructions
ModivCare Mileage Reimbursement App
ModivCare Member Gas Reimbursement Form
ModivCare Standing Order Form

To learn more visit https://www.mymodivcare.com

Unlimited Primary Care Provider/PCP Visits

There may be times when your health requires repeated doctor visits. Our plan does not limit the number of times you can see your primary care provider. This way you get the care you need when you need it. At makikita ng iyong doktor kung paano bumubuti ang iyong kalusugan.

Pangangalaga sa Paningin

Regular eye exams and glasses, if needed, can help you see more clearly. We also include:

  • Mga inireresetang lens.
  • Designer-style frames.

Call Member Services at 1-800-903-5253 for vision services and providers.

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.
  • Mga regular na iniksyon at pagte-test.
  • Mammograms and Pap Smears.
  • Pangangalaga sa sanggol nang walang sakit.
  • Colorectal Screenings.

Walang copayment para sa pangangalagang pang-iwas sa sakit.

Wellhop for Mom & Baby

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

Mga Resource ng Miyembro

Tingnan ang Mga Available na Resource(magbubukas ang modal window)
Powered by Translations.com GlobalLink OneLink SoftwarePowered By OneLink