UnitedHealthcare Community Plan - Heritage Health

Medicaid

UnitedHealthcare Community Plan offers a range of benefits. It’s for pregnant women, children, families and adults who meet income requirements. There are no costs to you for Medicaid benefits and services. View the benefits below to see all that our plan offers.

This is a current summary of health services and drug coverage provided by UnitedHealthcare Community Plan of Nebraska. A detailed description of the benefits can be found in the Member Handbook.

Available ang planong ito sa lahat ng county.

Mga Pakinabang at Feature

Pangangalaga Habang Walang Sakit at Kapag May Sakit

Get the care you and your children need to stay healthy — or to be at your best. That includes:

  • Get the care you and your children need to stay healthy — or to be at your best. That includes:
  • Unlimited PCP Visits. See your primary care provider (PCP) as needed.
  • Shots and Vaccines. Routine shots help protect against illness.
  • NurseLine℠. Speak with a registered nurse 24/7.
  • Lab and X-rays. Lab tests, x-rays and diagnostic imaging are covered.
  • Therapy Services. Physical or other therapy to help you be your best.
  • Foot Care. We provide special care to keep your feet healthy.
  • Hospitalization. You pay nothing for care in a hospital.
  • Chiropractor Services. Limited chiropractic visits are covered
  • Lead Screening. Can be done in the doctor’s office or local health department.
  • Prescriptions. No copayment.

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 large network of hospitals or Birthing Center.
  • Choice of Doctors. Find a doctor you trust for your pregnancy care. 
  • Healthy First Steps®. Extra support to help you and your baby stay healthy.
  • Prenatal Visits. Care for you before your baby is born.
  • Text4baby. Text messages with helpful tips and reminders for you and your baby.. 
  • Baby Blocks™. Earn rewards for taking steps to keep you and your baby healthy.
  • Community Baby Showers. Education on prenatal and postpartum care.
  • Electric Breast Pumps covered.

If you or a family member has special health care needs, you can count on us. Our plan will provide the extra care and services you need. Kabilang sa mga benepisyo ang: 

  • Asthma, Allergy, Heart Failure, CAD, Depression, Diabetes and COPD Care. Exams, testing and supplies are covered.
  • Care Management. Get personal help managing health conditions.
  • Mental Health and Substance Use Services. Get caring help to meet your recovery goals.

Tiyaking nasa pinakamagandang kundisyon ang iyong paningin at pandinig. Kabilang sa mga benepisyo ang:

  • Hearing. Tests, checkups and hearing aids, if needed.
  • Vision. Routine eye exams, plus frames and prescription lenses are covered. 

Vision Provider Lookup

 

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:

  • Equipment and Supplies. In-home medical and safety equipment are covered.
  • Home Health Care. Medical care in your home, if needed.
  • Skilled Nursing Facility. Brief stay at a skilled nursing facility while you recover from sickness or injury.

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

  • NurseLine℠. Speak with a registered nurse 24/7.
  • Member Services. Your benefit questions are answered Monday - Friday, 7:00 a.m. - 7:00 p.m. CT or 6:00 a.m. – 6:00 p.m. MT
  • Language Help. Connect to an interpreter through Member Services.
  • Paghinto sa Paninigarilyo. Enroll with the Nebraska Tobacco - Free Quit Line and ask your doctor about support to help you quit.
  • myConnections™. Helping you and your family with employment, housing, and financial needs.

Asthma, Allergy and COPD Care

Do you or a family member have trouble managing asthma or COPD symptoms?
You will get a customized treatment plan and medicine to:

  • Manage flare-ups.
  • Reduce symptoms.
  • Help you stay active.

Baby Blocks™

Build a health 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 gift cards for clothing and more.

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

Care Management

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.
  • Offer rewards like a gift card for chronic care checkups or well care visits.

Cell Phone Program

MyHealthLine™

Eligible members can get health support with mobile phone service at NO COST to you from select Lifeline service providers. We want to help you stay connected!  Apply Now! Call Member Services at 1-800-641-1902, TTY 711 for assistance.

Children's Health Support

  • Rewards program for well-child visits.
  • 4-H program include information on asthma, food nutrition and healthy habits.
  • Dr. Health E. Hound® provides nutritional education and promotes fitness and healthy habits.

Chiropractor Services

Our plan includes limited visits for chiropractic care when ordered by a network physician.

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.

Diabetic Support

If you have diabetes, we'll help 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:

  • Managing stress.
  • Living a healthy lifestyle.
  • Wellness Rewards for getting needed exams.

Pamamahala sa Sakit

If you have chronic or high-risk illnesses, our disease management services may help you. We provide support for:

  • Congestive heart failure.
  • Hika.
  • HIV.
  • Chronic obstructive pulmonary disease (COPD).
  • Coronary artery disease.

Mga Kagamitan at Supply

Our member’s health and safety at home are important.

Our plan covers medical equipment ordered by the doctor or care manager. This can include supplies like:

  • Oxygen tanks.
  • Mga kama sa ospital.
  • Wheelchairs or walkers. 

Pangangalaga sa Paa

Ibinibigay namin ang mga pagsusuri na kailangan mo upang makatulong na mapanatili sa maayos na katayuan ang iyong mga paa. 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.

Healthy First Steps®

Our Healthy First Steps® program makes sure that both mom and baby get good medical attention.

We will help:

  • Find a doctor for both mother and baby.
  • Get good advice on nutrition, fitness and safety.
  • Get supplies, including breast pumps for nursing moms.

Pangangalaga sa Pandinig

Ang problema sa pandinig ay maaaring makaapekto sa iyong pang-araw-araw na pamumuhay sa maraming paraan.  Kabilang sa aming plano ang mga serbisyo at suporta upang matulungang protektahan ang iyong pandinig. 

Sinasaklaw namin ang:

  • Exams, aids and tests.
  • Hearing aids and batteries.

Home Care

After surgery or a serious illness, you may need  in-home medical visit(s) to check on how well you are healing.

With approval, our plan covers:

  • In-home medical visit(s).
  • Medical equipment like hospital beds, walkers or wheelchairs.
  • Disposable medical supplies.

Pagkakaospital

This plan pays for expenses related to a hospital stay, so our members can rest and heal.

Hospitalization coverage includes:

  • Pangangalaga ng isang nurse.
  • Kwarto at matutuluyan.
  • Mga supply at kagamitan.
  • Panggagamot at mga therapy.
  • Mga diagnostic na pagsusuri at eksaminasyon.

And after leaving hospital, we can provide transitional care services. Titiyakin naming makakakuha ka ng follow-up na pangangalaga upang maipagpatuloy ang pagpapagaling sa tahanan.

Mga serbisyong hospisyo

Hospice services are covered when they are ordered by a physician.

Laboratoryo at mga X-ray

Makakapagdulot ng pagbabago kapag alam kung ano ang mali at kapag nalaman ito nang maaga.  Sinasaklaw ng aming plano ang:

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

Tutulungan ka naming makuha ang impormasyong kailangan upang makatulong na mapabuti ang iyong kalusugan at maibalik ka sa pinakamalusog na kundisyon. 

Tulong sa Wika

Your doctor and you need to understand each other. Not speaking English well makes this difficult. We can arrange for a medical interpreter to be available for you over the telephone at your appointments. We also have people in member services who speak more than one language. Chances are, we have someone who speaks your language.

Members can get information in their preferred language. You will get member materials in English and Spanish. We can give you member materials in a language or format that is easier for you to understand. Magtanong lang.

Mga Serbisyo para sa Miyembro

Sometimes you might need a little help understanding your health care options. Tawagan kami. We’ll answer your questions simply and completely.

We help you find:

  • Mga doktor.
  • Mga parmasya.
  • Mga ospital o iba pang mga pasilidad na pangkalusugan.
  • Mga lokal na mapagkukunan.

Mental Health and Substance Use Services

Inpatient, residential and outpatient services for mental health and substance use disorders are covered by UnitedHealthcare. The type, amount and length of services provided will be based on the level of your needs. Visit www.liveandworkwell.com.

NurseLine℠

Medical questions and situations can come at inconvenient times. When you have questions about your health, you can call a nurse 24 hours a day, 7 days a week.

Our nurses will: 

  • Listen to symptoms.
  • Help with self-care.
  • 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.

Over-The-Counter Drugs/Supplies

Covered 100% with your doctor’s prescription.  

Your health care costs may include non-prescription medicines and supplies like aspirin, cough medicine or a cane. Covered 100% with your doctor’s prescription.

Pharmacy

Our plan includes prescription drugs and refills, and we make getting your medicine easy. Medicare and other insurance copays may apply. You can fill your prescriptions at:

  • Local pharmacies.
  • Services that deliver right to your door.

When you have a prescription filled, be sure to check that:

  • It’s included on the Preferred Drug List (PDL). 
  • It’s written by a network provider. 
  • It’s filled at a network pharmacy. 
  • You show your member ID card when you have it filled. 

Mga Pagpapatingin Habang Nagbubuntis

Your pregnancy is a journey you’ll want to make with the help of friends, family and a pregnancy doctor.

All recommended prenatal clinical visits and tests are covered by our plan.

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.

Quitting Tobacco

Most people know the bad health effects of smoking. And they know they need to quit. That’s why we encourage members to talk to their doctor about getting smoking cessation support. Counseling is covered when you enroll with the Nebraska Tobacco-Free Quit Line.  Medication for smoking cessation are available through Nebraska Medicaid. Call 1-800-784-8669

Residential Care

After a serious illness, surgery or injury, you may need extra nursing and therapy.  If needed, our plan covers short stays in a skilled facility where you can heal. 

Included are:

  • Nursing home services.
  • 24-hour nursing care.
  • Help with activities of daily living.
  • Physical, occupational and speech therapy.

Shots and Vaccines

Routine shots help protect members and their family from illness. Sinasaklaw ng aming plano ang:

  • Pneumonia, influenza and shingles shots.
  • Vaccines and Immunizations.  Routine shots to help keep your child healthy.
  • Other recommended shots and vaccines.

Text4baby

Text4baby can help new and expecting mothers keep themselves and their babies healthy.

You’ll get text messages throughout your pregnancy and your baby’s first year. Each text contains health and safety tips for topics like:

  • Prenatal care.
  • Labor and delivery.
  • Breastfeeding.
  • Safe sleep.
  • Nutrition.
  • Car seat safety.

So you and your baby can make a great start on life.

Therapy Services

Physical, occupational and speech therapy can help you recover from a serious injury or illness, or simply reach your full potential. 

Our plan provides:

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

Transportasyon

Your coverage for transportation includes rides with National MedTrans for medical visits and other health related appointments.

National MedTrans provides dependable rides and excellent personal service. Your health care appointments are important, and they work to meet your unique transportation needs with 24/7 support.

Schedule non-urgent rides at least tthree business days before your appointment.

Urgent care and same-day rides are accepted.

Call to schedule rides at 1-833-583-5683 (TTY 1- 833-587-6527)

You can also learn more, schedule rides at www.natmedtrans.com/ne

Transplant Services

Covered when ordered by a network physician.

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 let you see life more clearly. Kasama sa saklaw ang:

·  Annual eye exams.
·  Prescription lenses.

This benefit is offered by March Vision.

Wandering and Elopement

We will provide members and families with door and window alarms (up to six per household) to help reduce wandering without caregiver awareness.

Mother and daughter

KidsHealth

The healthy advice you need from a source you trust. For parents, kids and teens.

Mother and baby

Health4Me

The Health4Me app makes it easy to find doctors, ER or urgent care centers near you, call Nurseline, view your ID card, contact member services.

Mga Mapagkukunan ng Miyembro

Tingnan ang Mga Available na Mapagkukunan

Matuto Nang Higit Pa

UnitedHealthcare Community Plan - Heritage Health

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