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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) Steps to Enroll
  • Tingnan ang Eligibility (magbubukas ng modal window)

Mga Benepisyo at Feature

Pangangalaga Habang Walang Sakit at Kapag May Sakit

If you just need a checkup or if you are injured or sick, you will have access to the care that includes:

  • Unlimited PCP Visits. See your doctor as often as needed.
  • Nurse Advice Line. Speak with a registered nurse 24/7. Nurse Advice Line not for use in emergencies, for informational purposes only.
  • Lab and X-rays. Lab tests, x-rays and diagnostic imaging are covered.
  • Therapy Services. Physical and other needed therapies are covered.

A healthy mom is more likely to have a healthy baby.  Pregnancy is an important time for women to take good care of themselves and their unborn baby.  We have a special program for pregnant members.  Our Healthy First Steps program gives pregnant women information, education and support during pregnancy. 
Pregnant members can enroll in Healthy First Steps by calling 1-800-599-5985

If you have asthma, diabetes or another chronic condition, you can depend on us. Our plan helps you get the care, support and services you may need. Kabilang sa mga benepisyo ang:

  • Mental Health and Substance Abuse Services. Counseling and other treatments are covered.
  • Care Management. Personal support from an experienced professional.
  • Asthma Care. Exams, testing and supplies are covered for asthma and other lung diseases.
  • Kidney Disease Care. Dialysis, medicine and treatments are covered.

As a member of UnitedHealthcare Community Plan, you can also receive flexible benefits, rewards, and incentives. These unique services are offered, in addition to your Medicare/Medicaid covered services, to benefit your health and everyday life. Including Vision Care and Dental.

  • Vision Care. Eye exams are covered once every 24 months for members.
  • Dental. We pay for an exam once every 12 months for members over the age of 21.

You get medical care and equipment you may need to live safely at home. Kabilang sa mga benepisyo ang:

  • Equipment and Supplies. In-home medical and safety equipment are covered.
  • Care Coordinator. Someone to get you the services after surgery or illness.
  • Home Health Care. Medical and personal care in your home, if needed.

Sometimes members need a little extra help using their health plan. For those times, they can rely on:

  • Members Matter. Someone to help you get the most from your plan.
  • Language Help. Connect to a translator through Member Services.
  • Transportation. Please contact the below telephone number to access nonemergency medical transportation services (NEMT) for rides to covered medical services or pharmacy locations.
    • 1-866-426-6607 8:00 am.-5:00 p.m. Monday - Friday (TTY: 1-866-288-3133 8:00 a.m. - 5:00 p.m., Monday - Friday)
    • Flexible Benefits, Rewards, and Incentives: The plan also offers additional rides to noncovered medical or pharmacy locations such as non-waiver dental visits, UHC member events, or to providers that do not have a TPI. Please use the same number to schedule rides.

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

Flexible Benefits, Rewards, and Incentives

Read about all the extras you could get as a UnitedHealthcare Connected member in the community: Ingles | Spanish 

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)

2024 Downloadable Resources (opens modal window)

Mga Resource ng Miyembro

Mga Mapagkukunan ng Miyembro (magbubukas ng modal na window)

Impormasyon sa Enrollment

The UnitedHealthcare Connected®  (Medicare-Medicaid Plan) plan specialists can answer questions and help you enroll.

Tawagan kami:
1-844-972-4514 / TTY: 711

8 AM–8 PM local time, Monday–Friday (voicemail available 24 hours a day, 7 days a week)

Mga Hakbang para Mag-enroll

Impormasyon ng Miyembro

Miyembro na? Mayroon kang access sa aming website na para lang sa miyembro. Mag-print ng mga ID card, makipag-chat sa isang nurse online at higit pa.

Member information is available in paper form, at no cost, upon request, and sent by the health plan within five business days.

Website ng miyembro

2024 Member Handbooks

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