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Attention TennCare and CoverKids members:
Renewals are starting soon. Don't risk a gap in your health insurance! Verify your contact information with TennCare. You can do this online or by phone 1-855-259-0701.
UnitedHealthcare Community Plan
Medicaid
Ang aming TennCare Medicaid plan ay nag-aalok ng hanay ng mga benepisyo. Ang mga bata, buntis na kababaihan, matatanda at mga taong may edad na o may kapansanan ay maaaring maging karapat-dapat batay sa kita. View the benefits below to see all that our Tennessee Medicaid plan offers.
Available ang planong ito saan ka man nakatira sa Tennessee.
More information on eligibility and enrollment can be found on the TennCare website.
View and manage health benefits online with TennCare Connect. For more information, visit tenncareconnect.tn.gov.
Available ang planong ito sa mga sumusunod na county:
Anderson, Bedford, Benton, Bledsoe, Blount, Bradley, Campbell, Cannon, Carroll, Carter, Cheatham, Chester, Claiborne, Clay, Cocke, Coffee, Crockett, Cumberland, Davidson, DeKalb, Decatur, Dickson, Dyer, Fayette, Fentress, Franklin, Gibson, Giles, Grainger, Greene, Grundy, Hamblen, Hamilton, Hancock, Hardeman, Hardin, Hawkins, Haywood, Henderson, Henry, Hickman, Houston, Humphreys, Jackson, Jefferson, Johnson, Knox, Lake, Lauderdale, Lawrence, Lewis, Lincoln, Loudon, Macon, Madison, Marion, Marshall, Maury, McMinn, McNairy, Meigs, Monroe, Montgomery, Moore, Morgan, Obion, Overton, Perry, Pickett, Polk, Putnam, Rhea, Roane, Robertson, Rutherford, Scott, Sequatchie, Sevier, Shelby, Smith, Stewart, Sullivan, Sumner, Tipton, Trousdale, Unicoi, Union, Van Buren, Warren, Washington, Wayne, Weakley, White, Williamson, and Wilson.
- UnitedHealthcare Community Plan
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.
Need Help and Civil Rights
We obey federal and state civil rights laws. We do not treat people in a different way because of their race, color, birth place, language, age, disability, religion, or sex. Do you think we did not help you or you were treated differently because of your race, color, birth place, language, age, disability, religion, or sex? You can file a complaint by mail, by email, or by phone. Download and print the information (PDF 30.64 KB) or see below:
UnitedHealthcare Community Plan
Paunawa: Mga Apela at Daing
P.O. Box 5220
Kingston, NY 12402-5220
Phone: 800-690-1606 TTY: 711
Health Care Finance and Administration
Office of Civil Rights Compliance
310 Great Circle Road, Floor 3W
Nashville, Tennessee 37243
Email: HCFA.Fairtreatment@tn.gov
Telepono: 855-857-1673 (TRS 711)
You can get a complaint form online at:
http://www.tn.gov/hcfa/article/civil-rights-compliance
You can get a complaint form online at:
http://www.hhs.gov/ocr/office/file/index.html
Or you can file a complaint online at:
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
U.S. Department of Health & Human Services
Office for Civil Rights
200 Independence Ave SW, Rm 509F, HHH Bldg.
Washington, D.C. 20201
Phone: 800-868-1019 (TDD): 800-537-7697
Mga Benepisyo at Feature
Mga Kagamitan at Supply
The health and safety of our members at home are important.
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 walker o wheelchair.
Edukasyong Pangkalusugan
Free classes to help improve your health or address a condition.
Our plan includes classes on diabetes, nutrition and more. You can even get a ride, if needed, to and from the class at no cost to you.
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).
Pagkakaospital
This plan pays for expenses related to a hospital stay, so you can rest and heal.
Kasama rito 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.
Internet
Do you know about the Affordable Connectivity Program? It’s a new program that helps pay for high-speed internet. You can use the internet for work, school, healthcare, and more. What do you get with this program? You may get up to $30 per month off your internet bills. There is also a one-time $100 discount off a laptop, tablet, or computer. Who can get this program? Any household that has at least one person enrolled in Medicaid. How do you get this program? You must enroll to get it. Go online to getinternet.gov and enroll today.
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.
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.
Tutulungan ka naming makuha ang impormasyong kailangan para makatulong na mapabuti ang iyong kalusugan at maibalik ka sa pinakamalusog na kondisyon.
Tulong sa Wika
You can receive information in your preferred language. Magtanong lang. We also have people at our member service centers who speak more than one language. Sa malamang, mayroon kaming taong nagsasalita ng wika mo.
Mga Serbisyo para sa Miyembro
Understanding your health care options can be confusing. 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.
Mental Health
Ang mental health ay kasinghalaga ng physical health. That’s why we have the same coverage for both.
Ang kinakailangang pangangalaga ay 100% sinasaklaw nang walang copay. Kasama rito ang:
- Mental health therapy.
- Paggagamot ng pag-abuso sa substance.
- Mga gamot.
No Copays
Members have no copayments for:
- Preventive care.
- Mga taunang checkup.
Mga Pagbisita ng Nurse
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:
- Provide medical care for you.
- Answer your questions and concerns.
- Home health. Home nursing care limited to 125 visits per calendar year.
Hotline ng Nars
Medical questions and situations can sometimes come at inconvenient times. When you have questions about your health or your child’s health, you can call a trained nurse 24/7.
Our Nurse Hotline nurses will:
- Tutukuyin ang mga sintomas.
- Gagabayan ka 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.
Mga Pagpapatingin Habang Nagbubuntis
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:
- Titiyaking malusog kayo ng iyong sanggol.
- Ipapaliwanag kung ano ang dapat asahan sa bawat yugto ng iyong pagbubuntis.
- Sasagutin ang iyong mga tanong.
Pangunahing Provider ng Pangangalaga
You can have one main person for your health care. He or she can be a doctor, a nurse practitioner, or a physician’s assistant. This person is called your Primary Care Provider (PCP).
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.
To change your PCP:
- Find a new PCP in the UnitedHealthcare Community Plan network. To find a new PCP you can look in our Provider Directory, you can go online at
myuhc.com/CommunityPlan, or call 1-800-690-1606. - Then call the new PCP to make sure that he or she is in the UnitedHealthcare Community Plan provider network. Be sure to ask if he or she is taking new patients.
- If the new PCP is in our network and taking new patients, fill out the PCP Change Request in Part 8 of your Member Handbook and mail it back to us. Or you can call us at
1-800-690-1606 to tell us the name of your new PCP.
Paghinto sa Paninigarilyo
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.
Mga Iniksyon at Bakuna
Routine shots help keep you healthy. Kung kaya, sakop ng aming plano ang:
- Mga inirerekomendang iniksyon at bakuna.
- Mga iniksyon para sa trangkaso.
Transportasyon
In case of emergency call 911
Important tips for setting up a ride- Please review Tennessee Carriers website- Rider Information Riders | Tennessee Carriers (tenncarriers.com)
- Tumawag sa 1-866-405-0238, TTY 711 upang itakda ang iyong biyahe
- Call at least seventy-two (72) hours in advance of your appointment whenever possible
- If the time for your return trip home was not already scheduled, you are responsible for calling to tell the transporter that you are ready to be picked up for your trip home
- If you cancel your appointment/visit, call 1-866-405-0238 to cancel your ride
- Ihanda ang iyong ID card sa Medicaid
- If you have more than one appointment on the same day, you can get a ride to all covered services. Please give Tennessee Carriers information for each appointment
- Alamin ang address ng iyong tagapagbigay ng pangangalagang pangkalusugan at ang petsa at oras ng iyong appointment
- Maging partikular sa kung saan mo kailangan ang masasakyan
- Kung bibigyan ka ng reseta ng iyong doktor, maaari kang dumaan sa botika upang kunin ito
- Ipaalam sa amin kung mayroon kang mga espesyal na pangangailangan tulad ng wheelchair
- Any minor requesting transportation without an accompanying adult will be handled on a case-by-case basis
- If you wish to bring someone with you to your appointment, you can have someone ride with you. This is sometimes called an escort. An escort is someone over the age of 12. Please let Tennessee Carriers know you’ll have an escort riding with you
- If you’re going to an appointment and need to take your child with you, he or she won’t count as your escort
Weight Control
Our plan encourages a healthy approach to eating and living. To help our members be their best, we cover:
- Screening for obesity.
- Support for healthy diet and exercise choices.
- Health coaching.
Mga Pagpapatingin Habang Walang Sakit
Makakatulong sa iyo ang mga pagpapatingin habang walang sakit sa iyong doktor na manatiling malusog. These visits can help catch health problems early so they can be treated. 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.
You will not have a copayment for preventive care.
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.
Healthier Tennessee is a priority of the Governor’s Foundation for Health & Wellness, involving action promoting healthier behaviors in schools, workplaces and in places of worship. More information is available at www.healthiertn.com.
Matuto Pa
Medicaid Managed Care