The New York State Medicaid Managed Care Plan is offered through UnitedHealthcare Community Plan. It’s for New York State residents who meet the income or disability requirements.
To find out if UnitedHealthcare Community Plan is offered in your county, please call 1-800-493-4647. A representative will contact you to schedule an appointment to help you apply.
More information on eligibility and enrollment can be found on the New York State of Health website.
For more information about Child Health Plus or Medicaid, call New York Health Options at 1-800-541-2831.
Albany, Bronx, Broome, Cayuga, Chautauqua, Chemung, Chenango, Clinton, Columbia, Dutchess, Erie, Essex, Franklin, Fulton, Genesee, Greene, Herkimer, Jefferson, Kings, Lewis, Livingston, Madison, Monroe, Nassau, New York, Niagara, Oneida, Onondaga, Ontario, Orange, Orleans, Oswego, Queens, Rensselaer, Richmond, Rockland, Schenectady, Seneca, St. Lawrence, Suffolk, Tioga, Ulster, Warren, Wayne, Westchester, Wyoming, and Yates.
Companionship is important. Adult day care provides care and companionship for seniors who need extra help during the day.
Caregivers also benefit, knowing their loved one is well cared for and safe during the day.
Adult day care can provide:
Individual care to help control asthma, allergies or COPD symptoms.
Do you or your child 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:
Do you or your child have a serious health problem or a high-risk pregnancy? If so, and you or your child qualifies, we offer case managers that can:
Your case manager will stay with you or your child throughout the medical journey. He or she will:
So you or your child can focus on getting better.
Mahalagang pumili ng ospital kung saan ka manganganak. That's why you can pick from hundreds of hospitals across New York.
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.
You get a primary care physician (PCP), who is your main doctor. Use the Doctor Lookup tool to see if your doctor is in our network.
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:
Checkups and emergency care are covered.
Exams and cleanings every six months help keep teeth and gums strong and healthy. If there is a dental problem that needs to be fixed, that’s covered as well.
If you have diabetes, you may need insulin, needles, wipes and glucose strips. Sinasaklaw namin ang lahat ng iyon at higit pa.
Ang aming plano ay may kasama ring mahuhusay na serbisyo upang tulungan kang mapamahalaan ang iyong diabetes, kabilang ang:
Ang iyong kalusugan at kaligtasan sa tahanan ay mahalaga.
Our plan covers medical equipment ordered by your doctor or case manager. This can include supplies like:
If you are at risk for a fall or sudden illness, an emergency call system can really help. It sends an urgent request for someone to check on you and help you.
A loss can take many different forms. And you may get lots of suggestions on what to do. Grieving is part of the healing process.
If a recent loss has made you sad or unhappy, help is available. Our plan offers counseling and support during the grieving process. Our team will work with you to find a counselor or program to help you adjust to your loss.
Maaari kang makatanggap ng tulong at pagpapayo mula sa iyong ina, mga tita, kapatid at kaibigang babae. Gayunpaman, magkakaiba ang bawat pagbubuntis. Susuportahan ka ng programang ito sa kabuuan ng iyong pagbubuntis.
Tutulungan ka naming:
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 ng aming plano ang:
Taking care of the basics, like cooking, can be hard to do yourself after an illness or sickness.
If you are receiving personal care services, you may need extra help to get through the tough times. We'll step in to bring nutritious meals to you. You can get up to 10 meals delivered each year.
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:
This plan pays for all expenses related to a hospital stay, so you can rest and heal.
Hospitalization coverage includes:
At pagkalabas mo sa ospital, hindi ka mag-iisa. Titiyakin naming makakakuha ka ng follow-up na pangangalaga upang maipagpatuloy ang pagpapagaling sa tahanan.
Our plan covers prescription drugs and refills with a small copayment. Your copay is:
Over-the-counter medicines with a written order from your doctor are available for a copayment of $0.50 for each medicine.
And we make getting your medicine easy. You can fill your prescriptions at:
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:
Addiction can happen to anyone, any family, at any time according to the New York State Office of Alcoholism and Substance Abuse Services (OASAS).
UnitedHealthcare is here to assist you in all your healthcare needs. We have trained professionals who are experienced in understanding Substance Use Disorder and able to help you get treatment or give you information that will help you make decisions about your healthcare. You or your provider can call Optum Behavioral Health anytime for help at 1-888-291-2506.
Covered services include:
You will not have a copayment for care and services covered by our plan, other than for prescription drugs.
Ibig sabihin, wala kang babayaran para sa mga sinasaklaw na serbisyo, kabilang ang:
You pay nothing for your child's care and services covered by our plan.
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:
Healthy eating goes a long way to helping you stay at your best.
A nutritionist can meet with you to review your eating habits and food choices.
You'll come away with new ideas for:
Napakainam na malaman nang maaga pa lang kung ano ang problema.
Sinasaklaw ng aming plano ang:
We'll help you get the information needed to help improve your health or be your best.
Sometimes the basics are hard to do yourself after an illness or injury.
If needed, we provide someone to help with:
A 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:
You know the bad health effects of smoking.
You know you need to quit. We support you while you quit with the help of coaches and supplies. The only thing you won't get from us is a lecture.
After a serious illness, surgery or injury, you may need extra nursing and therapy.
If needed, our plan covers short stays in a rehabilitation center where you can heal. Included are:
Mayroon ka bang mga kapamilya o kaibigan na nag-aalaga sa iyo sa tahanan? Kung mayroon, hinihiling naming suportahan sila sa kanilang pagsusumikap. Kaya naman nagbibigay kami ng respite na pangangalaga upang makapagpahinga ang iyong mga caregiver. Ang respite na pangangalaga ay nag-aalok sa mga caregiver ng pansamantalang bakasyon malayo sa kanilang mga mahal sa buhay na may karamdaman o mga espesyal na pangangailangan sa pangangalaga.
Routine shots help keep you healthy.
So, our plan covers:
See life more clearly with routine eye exams and glasses, if needed.
We also include:
This benefit is offered by March Vision Care.
Well visits with your doctor can help you stay healthy. These visits can catch health problems early, so they can be treated.
Kabilang sa mga serbisyong pang-iwas sa sakit ang:
There are no copayments for preventive care.
Planong Pangkomunidad ng UnitedHealthcare
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