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MississippiCAN

Medicaid

Our MississippiCAN Medicaid Plan is for pregnant women, children and adults who meet income requirements. You can choose your own doctor and get extras that other plans don’t offer. Choose "See More Plan Features" to see what our plan offers you.

Our Medicaid Managed Care Plan offers a range of benefits along with extras that other plans do not cover. Children, families, pregnant women and single adults may qualify based on income. View the benefits below to see all that it offers.

Severe Weather Special Notice

Severe Weather Special Notice 

With any storm or severe weather, it is always important to prepare to take care of your health should you need to leave your home. 

Please take all your medications, supplies, and any medical equipment you use with you. Bring a list of each family member’s medicines, dosage and schedule with you. 

Make sure you take both your Medicaid and UnitedHealthcare ID cards with you along with a list of important numbers like your doctor’s office and UnitedHealthcare Member Services. 

If you are in need of special services or medical supplies, please contact your doctor or medical supply provider.

If you need assistance, please contact UnitedHealthcare Member Services at 1-877-743-8731, TTY 711, 7:30 AM – 5:30 PM CT, Monday – Friday, (and 7:30 AM – 8 PM CT on Wednesday). We are also available 8 AM – 5 PM CT the first Saturday and Sunday of each month. 

For the latest updates on the weather in your community, look to your local news as well as the National Weather Service. The Mississippi Department of Health will share information on its social media pages (@MSDH on Twitter and Facebook). 

We encourage residents with questions about the storm, sheltering or medical needs to call 2-1-1. Are you storm ready? Please visit Mississippi Emergency Management Agency Are You Ready to learn more. (https://www.msema.org/preparedness-2/¬). 

Additional storm preparedness information is available on our Special Notice Flyer

Mga Benepisyo at Feature

Pangangalaga Habang Walang Sakit at Kapag May Sakit

Get the assistance you need to be at your best, or to get better if you are injured or sick. Kabilang sa mga benepisyo ng miyembro ang:

  • Hospitalization. You pay nothing for care in a hospital.
  • Lab and X-rays. Lab tests, x-rays and diagnostic imaging are covered.
  • Shots and Immunizations. Routine shots to help protect against illness.
  • Therapies. Physical or other therapy to help you recover.
  • Well Visits. Annual checkups can help keep you healthy.
  • Unlimited Doctor Visits. Get medical care whenever you need it.
  • Urgent Care.. Immediate care for a sudden injury or illness.
  • Chiropractor Services. Chiropractic visits for members who qualify.

Nothing is more important than the health and well-being of a mother and her baby. That's why member benefits include:

  • Choice of Birth Center. Pick from our partner hospitals across Mississippi.
  • Choice of Doctors. Find a doctor you trust in our network.
  • Healthy First Steps®. Get extra support and rewards to keep you and your baby healthy.
  • Prenatal Visits. Care for you before your baby is born.

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:

  • Asthma and COPD Care. Exams, testing and supplies are covered.
  • Care Management. If you qualify, get personal help managing health conditions.
  • Diabetic Services. Education and supplies to manage your diabetes.
  • Kidney Disease Care. Dialysis and medicine are covered.
  • Mental Health. Counseling and crisis services are covered.
  • Residential Care. Brief stay at a care facility while you recover from sickness or injury.
  • Obesity Care. Get local resources and help with lifestyle choices.

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

  • Dental. Exams, cleaning and some dental work are covered.
  • Hearing. Exams and services for members up to age 21.
  • Vision. Covers eye exams and glasses.

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:

  • Home Health Care. Care to help members safely recover at home.
  • Equipment and Supplies. Your in-home safety equipment is covered.

Sometimes you might need a little extra help using child's health plan. Para sa mga pagkakataong iyon, maaari kang umasa sa:

  • Nurse Hotline℠. Speak with a registered nurse 24/7.
  • Interpreters. Have an interpreter with you at your child's doctor visits.
  • Language Help. Translated medical materials are available at no cost.
  • Member Services. Your benefit questions are answered 24/7.
  • The Farm to Fork Program. Pick up a bag of fresh produce monthly.
  • Shots and Immunizations. Routine shots to help protect against illness.
  • Therapies. Physical or other therapy to help you recover.
  • Well Visits. Annual checkups can help keep you healthy.
  • Unlimited Doctor Visits. Get medical care whenever you need it.
  • Urgent Care. Immediate care for a sudden injury or illness.
  • Chiropractor Services. Chiropractic visits for members who qualify.

Mga Paunang Direktiba

You have the right to file an “Advance Directive.” An Advance Directive states in advance what kind of treatment you would like to receive if you have a serious medical condition that prevents you from telling your doctor how you want to be treated.

There are two types of an Advance Directive: 1) a Living Will; and, 2) a Medical Power of Attorney (which may also be called a "durable power of attorney for health care or heath care agent"). An "agent" is the person you trust to speak for you when you are not able to do so for yourself.

You should think carefully about the person you choose to be your health care agent. You should have a long talk with your agent about your advance directive so they are able to make the decision the way you would.

Two examples of Advance Directives can be found below or at https://member.uhc.com/communityplan.

Advance Directives Example 1

Advance Directives Example 2

Suporta sa Hika at COPD

Do you need help trouble managing asthma or COPD (chronic obstructive pulmonary disease) 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.

Pamamahala sa pangangalaga

A serious health problem requires extra care and support. If your health needs qualify, then 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 close by throughout the medical journey. He or she will:

  • Think beyond immediate medical needs.
  • Make sure you have support at home.

Chiropractor Services

Our plan includes visits for chiropractic care. Whether chiropractor services are your primary or alternative treatment method, you're covered.

Members covered for up to $700 in chiropractic care costs per year. And you do not need to get approval prior to scheduling a visit to your chiropractor.

Choose a Birth Center

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

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.

Pagpili ng Doktor

Members can choose a primary care provider (PCP). Gamitin ang tool na Maghanap ng Doktor para makita kung nasa aming network ang iyong doktor.

The PCP is your main doctor for:

  • Preventive care.
  • Paggagamot kung mayroon kang sakit o injury.
  • Mga referral sa mga espesyalista para sa ilang partikular na kondisyon.

Para sa mga miyembrong walang doktor o wala sa aming network ang doktor, puwede kaming tumulong sa paghahanap ng bagong doktor na malapit.

Pangangalaga sa Ngipin

Checkups and emergency care are covered.

Dental checkups and cleanings can help keep teeth and gums healthy. Covered services include:

  • Cleanings.
  • X-rays.
  • Certain dental work, including some extractions.

The benefits for both children and adults are:

  • $2500 maximum each year dental care.
  • $4200 maximum for braces per child.

Diabetes Services

Kung may diyabetis ka, gagawin naming mas maginhawa ang buhay para sa iyo. Makakatanggap ka ng gamot, supply, at edukasyon para matulungan kang maging at manatiling pinakamalusog.

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.

Sakop ng aming plano ang medikal na kagamitang ibinilin ng iyong doktor o case manager. Puwedeng kasama sa mga supply ang:

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

Pangangalaga sa Paa

We provide the exams needed to help keep your feet in great shape. And if you have diabetes, good foot care can help prevent much more serious problems.

Kasama ng aming saklaw sa podiatry ang:

  • Routine foot exams.
  • Mga tip tungkol sa pangangalaga sa paa at pagpili ng mga tamang sapatos.
  • Impormasyon tungkol sa mga senyales ng babala sa pinsala sa nerve.

Farm to Fork Program

A diet that includes fresh vegetables and fruit goes a long way to helping you stay at your best. That's why our plan includes farm-fresh produce for members.

We make getting your produce easy. You can pick up your free bag at one of the many Farm to Fork Program sites across the state.

The program runs from May through September.

Please view a complete list of distribution sites and schedule.

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).

Pangangalaga sa Pandinig

Trouble hearing can affect your child’s everyday life in many ways. Our plan covers hearing exams and services for members up to age 21.

Pangangalagang Pangkalusugan sa Tahanan

Minsan kailangan ng patuloy na pangangalaga pagkatapos makalabas ng ospital o agarang pangangalaga. Halimbawa, pagkatapos ng malubhang sakit, operasyon, o pinsala. Sa ganitong mga sitwasyon, bibisita ang mga nurse sa bahay para:

  • Magbigay ng medikal na pangangalaga.
  • Sagutin ang anumang tanong at alalahanin.

Adult members can get up to 25 home health care visits per year. For children, there is no limit on the number of visits.

Pagkakaospital

Nagbabayad ang planong ito para sa lahat ng gastusing kaugnay ng pananatili sa ospital nang sa gayon, makapagpahinga at makapagpagaling ka.

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. Titiyakin naming makakakuha ka ng follow-up na pangangalaga para maipagpatuloy ang pagpapagaling sa tahanan.

Mga interpreter

Kailangan magkaunawaan kayo ng iyong doktor. Magiging mahirap ito kung hindi ka magaling magsalita ng Ingles. Puwede kaming mag-iskedyul para sa isang medikal na interpreter para samahan ka sa iyong mga appointment.

Mayroon din kaming mga tao sa mga serbisyo sa miyembro na nagsasalita ng higit sa isang wika. Sa malamang, mayroon kaming taong nagsasalita ng wika mo.

Pangangalaga para sa Sakit sa Kidney

Malubhang medikal na kondisyon ang sakit sa kidney.

Kasama sa aming plano ang:

  • Dialysis.
  • Mga gamot.
  • Edukasyong pangkalusugan at suporta.
  • Pag-transplant ng organ kung kinakailangan.

Lab and X-ray Services

Mainam na malaman nang maaga pa lang kung ano ang problema. Our plan covers most:

  • 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

Puwede mong makuha ang impormasyong ito sa ibang wika. Magtanong lang. Then anything we write to you will only be in that language. Ibinibigay ito sa iyo nang walang bayad.

Mga Gamot

For members over age 21, our plan includes up to six prescription drugs and refills each month. For members up to age 21, there are no limits.

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

  • Local in-network pharmacies.
  • Services that deliver routinely right to your door.

Member Incentives

 

Incentive Name Gift Card Amount/Value
MS CAN/MSCHIP Well Child Visit Incentive Ages 5-18 $25.00
Immunizations for Adolescents  $25.00 1st vaccine services
$25 2nd HPV
Comprehensive Diabetes Care- HbA1C Testing  $25.00
Comprehensive Diabetes Care- HbA1C testing - Q3 Push increased incentive  $50.00
Eye Exam for Patients with Diabetes $25.00
Breast Cancer Screening  $25.00
Healthy First Steps Rewards

8 possible rewards with a value of $10-$20 per reward

Mga Serbisyo para sa Miyembro

Minsan kailangan mo ng tulong para maunawaan ang iyong mga opsyon sa pangangalagang pangkalusugan. Sa amin, mayroon kang matatawagan. Sasagutin namin ang iyong mga tanong sa simple at kumpletong paraan.

Maaari ka rin naming tulungang humanap ng:

  • Mga provider ng pangangalagang pantahanan.
  • Dentists and vision providers.
  • Adult day health centers.
If you need assistance, please call member services at 1-877-743-8731, TTY 711

Mental Health

Ang mental health ay kasinghalaga ng physical health. Kaya mayroon kaming coverage para sa dalawang ito.

Required care is 100% covered. Kasama rito ang:

  • Individual therapy.
  • Outpatient psychiatric care.
  • Crisis services and medications.

Mental Health Crisis Line call 1-877-743-8731, TTY 711,  24 hours a day, 7 days a week. 

Hotline ng Nars

Dumarating ang mga medikal na tanong at sitwasyon sa mga hindi magandang pagkakataon. For questions about health, members or their caregivers can call 1-877-370-4009, TTY 711 to speak with a trained nurse 24 hours a day, 7 days a week.

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.

Obesity Care

Obesity is common and serious. It can also lead to other health problems. To help members live healthier, we will:

Obesity is common and serious. It can also lead to other health problems. To help our members be their best, our plan includes:

  • Provide information on a healthy diet and exercise.

Connect you to support in the community.

Mga Pagpapatingin Habang Nagbubuntis

A pregnancy is a journey that’s easier with the help of friends, family and a pregnancy doctor, or OB/GYN.

Sakop ng aming plano ang lahat ng inirerekomendang prenatal clinical visit at test.

Sa mga pagpapatinging ito, ang klinika ay:

  • Tiyaking parehong malusog ang ina at sanggol.
  • Ipapaliwanag kung ano ang dapat asahan sa bawat yugto ng iyong pagbubuntis.
  • Sagutin ang mga tanong.

Residential Care

After a serious illness, surgery or injury, you may need ongoing nursing and therapy. Kung kinakailangan, saklaw ng aming plano ang maiikling pananatili sa rehabilitation center kung saan puwede kang magpagaling. Kabilang ang:

  • Mga serbisyo ng pangangalaga sa bahay.
  • 24 na oras ng pangangalaga.
  • Tulong sa mga aktibidad sa pang-araw-araw na pamumuhay.
  • Physical, occupational at speech therapy.

Shots and Immunizations

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

  • Pneumonia, influenza and shingles shots.

Other recommended shots and vaccines.

Terapiya na nauugnay sa katawan, pananalita at trabaho

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

Our plan provides up to 12 visits for:

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

Transportasyon

Whether you live in the city or in the country, our plan provides rides to and from health care locations. That includes trips to:

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

Walang Limitasyong Pagbisita ng Doktor

There may be times when your health requires regular visits to a primary care provider (PCP).

Hindi nililimitahan ng aming plano ang bilang ng beses na puwede kang magpatingin sa iyong PCP. This way you get care when you need it. And the doctor can see how your health is progressing.

Agarang Pangangalaga

    Posibleng mayroon kang injury o biglaang sakit na hindi nakamamatay pero kailangan ng agarang atensyon. Sakop ng aming plano ang pangangalaga sa:

  • Mga center ng agarang pangangalaga.
  • Mga unit ng medikal na tulong.
  • Iba pang walk-in na klinika.

Pangangalaga sa Paningin

You'll get the care, eyeglasses and treatment that let you see life more clearly.

  • Children can get up to two pair of eyeglasses per year.
  • Adults receive new eyeglasses every three years.

This benefit is offered by March Vision Care..

Mga Pagpapatingin Habang Walang Sakit

Makakatulong sa iyo ang mga regular na medikal na pagbisita 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.
  • Pangangalaga sa sanggol nang walang sakit.
  • Pangangalaga para sa mga babaeng nagbubuntis.
  • Mga regular na iniksyon at pagte-test.
  • Mga mammogram.

Walang copayment para sa pangangalagang pang-iwas sa sakit.

NCQA Accredited Commendable Health Plan

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