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Don't lose benefits
You may need to renew your healthcare coverage soon. If you haven't already, you may need to complete an annual renewal to keep your current UnitedHealthcare Community plan and your MO HealthNet benefits.
UnitedHealthcare Community Plan - MO HealthNet Managed Care
Medicaid
The UnitedHealthcare Community Plan – MO HealthNet Managed Care offers a range of benefits. It’s for children, families, pregnant women and adults who meet income requirements. We also offer support to adults with special health care needs. View the benefits below to see all that our health plan offers.
Available ang planong ito sa mga sumusunod na county:
Adair, Andrew, Atchison, Audrain, Barry, Barton, Bates, Benton, Bollinger, Boone, Buchanan, Butler, Caldwell, Callaway, Camden, Cape Girardeau, Carroll, Carter, Cass, Cedar, Chariton, Christian, Clark, Clay, Clinton, Cole, Cooper, Crawford, Dade, Dallas, Daviess, DeKalb, Dent, Douglas, Dunklin, Franklin, Gasconade, Gentry, Greene, Grundy, Harrison, Henry, Hickory, Holt, Howard, Howell, Iron, Jackson, Jasper, Jefferson, Johnson, Knox, Laclede, Lafayette, Lawrence, Lewis, Lincoln, Linn, Livingston, Macon, Madison, Maries, Marion, McDonald, Mercer, Miller, Mississippi, Moniteau, Monroe, Montgomery, Morgan, New Madrid, Newton, Nodaway, Oregon, Osage, Ozark, Pemiscot, Perry, Pettis, Phelps, Pike, Platte, Polk, Pulaski, Putnam, Ralls, Randolph, Ray, Reynolds, Ripley, Saline, Schuyler, Scotland, Scott, Shannon, Shelby, St. Charles, St. Clair, St. Francois, St. Louis, St. Louis City, Ste. Genevieve, Stoddard, Stone, Sullivan, Taney, Texas, Vernon, Warren, Washington, Wayne, Webster, Worth, and Wright.
- UnitedHealthcare Community Plan - MO HealthNet Managed Care
To Report a Change in Address
If you have a change in address please report this change with MO Healthnet. It is important so they can contact you with information about your coverage.
To make a change go here: Welcome to myDSS | mydss.mo.gov and click the “Report a Change” icon.
Maghanap ng mga provider at coverage para sa planong ito.
Maghanap ng mga doktor, ospital, at espesyalista.
Maghanap ng mga gamot na sakop ng planong ito.
Maghanap ng parmasyang malapit sa iyo.
Mga Benepisyo at Feature
Asthma Care
Do you or a family member have trouble managing asthma symptoms?
You will get a customized treatment plan and medicine to:
- Manage flare-ups.
- Reduce symptoms.
- Help you stay active.
Babyscripts
Earn great rewards:
- The Babyscripts program rewards you for going to your prenatal and postpartum visits
- Earn up to 3 rewards in all
- Get a gift card just for signing up
To sign up, visit the Apple App Store® or Google Play™ store on your smartphone. Download the Babyscripts myJourney app. Or call 1-800-599-5985, 8 AM–5 PM, Monday–Friday. It’s that simple.
Behavioral Health and Substance Use Services
Inpatient, residential and outpatient services for behavioral health and substance use are covered. The type, amount and length of services provided will be based on the level of your needs. These services are part of your MO HealthNet Managed Care benefits.
Pamamahala sa pangangalaga
When a member has complex health care needs, a care manager can really help. He or she will:
- Work with you and family members and friends on a plan of care.
- Explain medical terms in plain language.
- Coordinate your doctor appointments.
- Provide your care team with your medical records.
- Make a referral to community social service programs.
Pagpili ng Birth Center
Mahalagang pumili ng ospital kung saan ka manganganak. That's why you can pick from our large network of hospitals or Birthing Center.
We also encourage you to tour the hospital's birthing center. This way you will be familiar with it and be better informed when you have your baby.
Pagpili ng Doktor
Ang bawat miyembro ay maaaring pumili ng provider ng pangunahing pangangalaga (PCP). Gamitin ang tool na Maghanap ng Doktor para makita kung nasa aming network ang iyong doktor.
The PCP is the main doctor for:
- Preventive care.
- Paggagamot kung mayroon kang sakit o injury.
- Care coordination with specialists.
For members who don’t have a doctor or whose doctor is not in our network, member services can help find a new one close by.
Pamamahala sa Sakit
Kung mayroon kang mga pabalik-balik o lubhang mapanganib na sakit, idinisenyo ang aming mga serbisyo sa pamamahala ng sakit upang suportahan ka.
Doctor Chat
As a UnitedHealthcare member, you can skip the waiting room and connect to doctors in seconds with the UHC Doctor Chat app. Doctors are available 24 hours a day, 7 days a week to answer any questions. Learn more here.
Mga Kagamitan at Supply
Our member's health and safety at home are important.
MO HealthNet Managed Care covers medical equipment ordered by the doctor or care manager. Puwedeng kasama sa mga supply ang:
- Mga oxygen tank.
- Mga kama sa ospital.
- Mga wheelchair or walker.
Home Care
After surgery or a serious illness, you may need in-home medical visit(s) to check on how well you are healing.
MO HealthNet Managed Care covers:
- In-home medical visit(s).
- Medikal na kagamitan tulad ng mga kama sa ospital, walker o wheelchair.
- Mga disposable na medical supply.
Pagkakaospital
MO HealthNet Managed Care covers expenses related to a hospital stay, so our members can rest and heal.
Kasama sa coverage ng pagkakaospital ang:
- Pangangalaga ng isang nurse.
- Kuwarto at matutuluyan.
- Mga supply at kagamitan.
- Paggagamot at mga therapy.
- Mga diagnostic na test at eksaminasyon.
And after leaving hospital, we can provide transitional care services. MO HealthNet Managed Care makes sure you get follow-up care to continue healing at home.
Mga interpreter
Kailangang magkaunawaan kayo ng iyong doktor. We have interpreters for you if your provider does not speak your language. We also have qualified American Sign Language interpreters available. This is provided at no cost to you when you speak to us, your provider, or Nurse Hotline.SM
We provide aids and services to people with disabilities at no cost to you to help you communicate with us. Such as, letters in other languages or large print, audio, accessible electronic formats, other formats. Or, you can ask for an interpreter if Ingles is not your primary language. Qualified American sign language interpreters are also available at no cost. To ask for help, please call the toll-free member phone number listed on your health 1-866-292-0359, TTY 711, Monday through Friday, 8:00 AM to 5:00 PM
Laboratoryo at mga X-ray
Mainam na malaman nang maaga pa lang kung ano ang problema. MO HealthNet Managed Care covers:
- Mga laboratoryo at pagte-test.
- Mga x-ray, scan at iba pang imaging.
Tutulungan ka naming makuha ang impormasyong kailangan mo upang mapabuti ang iyong kalusugan o maibalik ka sa pinakamalusog mong kundisyon.
Tulong sa Wika
Members can get printed information in their preferred language. You will get member materials in Ingles and Spanish. We can give you member materials in a language or format that is easier for you to understand. We also have qualified American sign language interpreters available. Magtanong lang.
We provide aids and services to people with disabilities at no cost to you to help you communicate with us. Such as, letters in other languages or large print, audio, accessible electronic formats, other formats. Or, you can ask for an interpreter if Ingles is not your primary language. Qualified American sign language interpreters are also available at no cost. To ask for help, please call the toll-free member phone number listed on your health 1-866-292-0359, TTY 711, Monday through Friday, 8:00 AM to 5:00 PM
Mga Serbisyo para sa Miyembro
Minsan kailangan mo ng tulong para maunawaan ang iyong mga opsyon sa pangangalagang pangkalusugan. Tawagan kami. Sasagutin namin ang iyong mga tanong sa simple at kumpletong paraan.
We help you find:
- Mga doktor.
- Mga parmasya.
- Mga ospital o iba pang mga pasilidad na pangkalusugan.
- Mga lokal na resource.
No Copays
You will not have a copayment for care and services covered by MO HealthNet Managed Care.
This includes in network services:
- Visits to doctors
- Treatments at hospitals and clinics.
- Behavioral Health and Substance Use.
- Home medical equipment and supplies to help you be at your best.
Hotline ng Nars
Minsan may mga medikal na tanong at sitwasyon sa mga hindi magandang oras. Kapag may mga tanong ka tungkol sa iyong kalusugan, puwede kang tumawag sa nurse 24 (na) oras sa isang araw, 7 (na) araw sa isang linggo.
Gagawin ng aming mga nurse ang sumusunod:
- Pakinggan ang mga sintomas.
- Tutulong 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.
Pharmacy
All pharmacy benefits are covered by MO HealthNet Fee-for-Service. For more information:
Please contact 1-800-392-2161 or visit the MO HealthNet website at www.dss.mo.gov.
Mga Pagpapatingin Habang Nagbubuntis
Your pregnancy is a journey you'll want to make with the help of friends, family and a pregnancy doctor.
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.
Paghinto sa Paninigarilyo
Alam ng karamihan ng mga tao ang masasamang epekto ng paninigarilyo. At alam nilang kailangan nilang huminto. That's why we encourage members to talk to their doctor about getting smoking cessation support. UnitedHealthcare Community Plan covers counseling when you enroll with Quit for Life. Medication for smoking cessation is available. Tumawag sa 1-800-784-8669.
Mga Iniksyon at Bakuna
Routine shots help protect members and their family from illness. MO HealthNet Managed Care covers:
- Pneumonia, influenza and shingles shots.
- Vaccines and Immunizations. Routine shots to help keep your child healthy.
- Other recommended shots and vaccines.
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.
For children under age 21 and for pregnant women, MO HealthNet Managed Care provides:
- Occupational therapy.
- Physical therapy.
- Speech therapy.
Transplant Services
Covered when ordered by a network physician.
Transportasyon
Members get unlimited trips to the following:
- Doctors and providers
- Mga dentista
- Mga parmasya
- WIC
- Grocery stores
- Mga food pantry
- Weight management classes or programs
- YMCA or local gym
- Job and career training
- If you’re pregnant, substance abuse services
- Learn more here
Members and Member’s family and friends (if helping the member with a ride) can submit a form for gas mileage reimbursement. You can find the form here. Tandaan: The form must be signed off by the correct medical personnel to receive reimbursement.
Unlimited Primary Care Provider Visits
There may be times when a member's health requires repeated doctor visits. Our plan does not limit the number the number of visits to a primary care provider (PCP). This way the members get the care they need. And the doctor can see how their health is progressing.
Pangangalaga sa Paningin
You'll get the care, eyeglasses and treatment that help you see better. Kasama sa saklaw ang:
- One eye exam every 24 months for members 21 and over.
- One eye exam every 12 months for children under 21 and pregnant women.
- One pair of frames and lenses ever 24 months.
This benefit is offered by MARCH Vision Care.
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.
- Mga mammogram.
Walang copayment para sa pangangalagang pang-iwas sa sakit.
Matuto pa
Don't lose benefits
You may need to renew your healthcare coverage soon. If you haven't already, you may need to complete an annual renewal to keep your current UnitedHealthcare Community plan and your MO HealthNet benefits.
Don't lose benefits
You may need to renew your healthcare coverage soon. If you haven't already, you may need to complete an annual renewal to keep your current UnitedHealthcare Community plan and your MO HealthNet benefits.