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UnitedHealthcare Connected® (Medicare-Medicaid Plan)
Medicare
H7833-001
Our UnitedHealthcare Connected® is for adults ages 21 and older who are eligible for both Medicare and Medicaid. The plan offers members a customized care plan and a single point of contact for all Medicare and Medicaid services.
- UnitedHealthcare Connected® (Medicare-Medicaid 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.
Maghanap ng parmasyang malapit sa iyo.
Maghanap ng dentistang malapit sa iyo.
Mga Benepisyo at Feature
Adult Day Care
Companionship is important. Adult day care provides care and companionship for members who qualify for extra help during the day. Caregivers also benefit, knowing their loved one is well cared for and safe during the day.
If your need for long‑term care has been determined by Texas Medicaid, Adult Day Care can provide:
- Social connections and friendship.
- Bathing and personal care.
- Meals.
Suporta sa Hika at COPD
Individual care to help you control asthma or COPD symptoms.
Do you have trouble managing asthma or COPD symptoms? A nurse who specializes in breathing issues could help. You’ll get a customized treatment plan and medicine to help:
- Manage flare-ups.
- Reduce symptoms.
- Stay active.
Pagpili ng Doktor
From regular checkups to preventive health screenings, we want to make sure you get access to the right care at the right time.
Magkakaroon ka ng doktor ng pangunahing pangangalaga (primary care physician, PCP) na iyong pangunahing doktor. Kung wala kang doktor o kung wala sa aming network ang iyong doktor, matutulungan ka naming maghanap ng bagong doktor na malapit sa iyo.
Ang iyong PCP ay ang iyong pangunahing doktor para sa:
- Preventive care.
- Panggagamot kung mayroon kang sakit o injury
- Mga referral sa mga espesyalista para sa ilang partikular na kondisyon.
- Denture and denture repair
Cologuard®
Coverage begins at age 45 and the frequency of coverage is the same as Medicare.
Cytogenomic Constitutional Microarray
- Covered for women who undergo prenatal diagnostic procedures, and products of conception resulting from recurrent miscarriage.
- Exceptions to the one-per-lifetime limitation may be made with documentation of medical necessity (e.g., subsequent pregnancies).
Pangangalaga sa Ngipin
Checkups, routine and emergency care are covered.
Mga Kagamitan at Supply
The health and safety of our members at home are important.
Our plan covers some medical equipment ordered by a member's doctor or case manager. This can include:
- Walkers
- Wheelchairs
- Mga kama sa ospital
Pangangalaga sa Paa
We provide the exams and treatments needed to help keep your feet in great shape. And for those with 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.
- Therapeutic shoes and inserts for members with diabetes.
Pangangalaga sa Pandinig
Trouble hearing can affect a person’s everyday life in many ways. Our plan includes services and support to help protect hearing.
Sinasalo namin ang:
- Mga eksaminasyon, therapy, at test.
- Hearing aids and accessories.
- Available sa network ng UnitedHealthcare ang iba pang provider ng eksaminasyon sa pandinig. Sakop lang ng plano ang mga hearing aid mula sa isang provider ng UnitedHealthcare Hearing network.
Pagkakaospital
This plan pays for most expenses related to a hospital stay. Sa paraang ito, makakapagpahinga ka at gagaling.
Our plan covers these services and more:
- Pangangalaga ng isang nurse.
- Kuwarto at matutuluyan.
- Mga supply at kagamitan.
- Paggagamot at mga therapy.
- Mga diagnostic na test at eksaminasyon.
And after leaving the hospital, you are not alone. We help make sure you get follow-up care to continue healing at home.
Pangangalagang Pantahanan
Minsan mahirap gawin nang mag-isa ang mga pangunahing kaalaman pagkatapos magkaroon ng sakit o injury. Kung kinakailangan, magpapadala kami ng tao para tumulong sa:
- Dressing
- Bathing
- Feeding
Language and Interpretation
You and your doctor need to understand one another. We can explain information in Ingles or in your native language. If you are visually or hearing impaired, special help can be provided.
Mga Gamot
Our plan includes prescription drugs and refills for prescriptions written by your doctor or specialist. Thousands of drugs are covered.
You pay only a co-pay amount, if needed, and you can get your prescription drugs at any in-network pharmacy.
Mga Serbisyo para sa Miyembro
Minsan kailangan mo ng tulong para maunawaan ang iyong mga opsyon sa pangangalagang pangkalusugan. 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:
- Mga provider ng pangangalagang pantahanan.
- Dentists and vision providers.
- Adult Day Health Centers.
Mental Health
Get help with personal problems that may affect your mental or physical health. These may include depression, anxiety or drugs and alcohol abuse. Our services also include:
- Therapy
- Counseling
- Mga Gamot
Online mental health resources: Access to LiveandWorkWell.com, which provides access to article resources, and provider searches.
No Copays
While you pay nothing for covered services, you get:
- Treatments at hospitals and clinics.
- Prescription drugs and over-the-counter medicines.
Nurse Advice
Dumarating ang mga medikal na tanong at sitwasyon sa mga hindi magandang pagkakataon. 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.
- Nurse Advice Line not for use in emergencies, for informational purposes only.
Paghinto sa Paninigarilyo
You know the bad health effects of smoking. You know you need to quit. We will support you while you quit with coaches and supplies. The only thing you won't get from us is a lecture.
Respite na Pangangalaga
Mayroon ka bang mga kapamilya o kaibigan na nag-aalaga sa iyo sa tahanan? Kung mayroon, hinihiling naming suportahan sila sa kanilang pagsusumikap. Kaya kami nagbibigay ng pansamantalang pangangalaga para makapagpahinga ang iyong mga tagapag-alaga. Ang respite na pangangalaga ay nag-aalok sa mga tagapag-alaga ng pansamantalang bakasyon malayo sa kanilang mga mahal sa buhay na may karamdaman o mga espesyal na pangangailangan sa pangangalaga.
Coordinator ng Serbisyo
Our members' safety is our focus. For members who need extra care, like after a major illness, we'll visit them at home to make sure they're doing okay.
During this visit we:
- See if the residence needs minor modifications, such as ramps and bathroom safety devices.
- Set up emergency monitoring.
- Arrange for a personal care attendant, if needed.
Mga Serbisyo sa Therapy
Physical, occupational and speech therapy can help members recover from a serious injury or illness, or simply reach their full potential.
Our plan covers visits for:
- Occupational therapy
- Physical therapy
- Terapiya sa pagsasalita
- Terapiya sa tahanan
Transportasyon
Whether you live in the city or in the country, rides are available. Our plan provides round trips to and from plan locations. This includes trips to and from the pharmacy to fill your prescriptions.
It can be easy to use your ride benefit:
- As a member of UnitedHealthcare Community Plan, your health plan coverage includes non-emergency transportation to health care services. This includes rides for covered trips to a doctor, a dentist, a drug store, and other places you get Medicaid services.
- Our Transportation Services will work with you to meet your unique transportation needs. They provide dependable rides and excellent personal service. There is no extra cost to you.
Scheduling a ride can be easy.
Call 1-866-427-6607,
8 AM–5 PM CT (7 AM–4 PM MT)
Lunes–Biyernes
Pangangalaga sa Paningin
Eye Exams are covered once every 24 months for members.
UnitedHealthcare Connected® (Medicare-Medicaid Plan)
Matuto Pa
UnitedHealthcare Connected® (Medicare-Medicaid Plan) H7833-001-000