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Don't lose benefits
Your health plan renewal date may be coming soon. If you haven’t already, you may need to recertify to keep getting UnitedHealthcare coverage.
Need help finding a provider or setting up a visit?
Call Member Services at 1-888-887-9003, TTY 7-1-1, Monday-Friday 8 AM-8 PM or email memberservices_uhccp@uhc.com to get help finding a provider or setting up a visit.
MCO’s have received communication from HHSC that as of January 2023 some types of assessments will require a face-to-face visit. This means a United Healthcare staff member will need to visit with you in your place of residency.
Please be advised that missing your assessment could impact your services or eligibility. If you have questions, please contact your Service Coordinator or Member Services.
STAR+PLUS
Medicaid
Not all Texas STAR+PLUS plans are alike. UnitedHealthcare Community Plan provides standard benefits under the STAR+PLUS program for adults who need extra support and care, including services to help with daily activities. We also offer additional services called Value Added Services (VAS). You qualify based on income and health needs. View the list below to see what STAR+PLUS includes.
Available ang planong ito sa mga sumusunod na county:
Anderson, Angelina, Aransas, Austin, Bastrop, Bee, Bell, Blanco, Bosque, Bowie, Brazoria, Brazos, Brooks, Burleson, Burnet, Caldwell, Calhoun, Camp, Cass, Chambers, Cherokee, Colorado, Comanche, Cooke, Coryell, DeWitt, Delta, Erath, Falls, Fannin, Fayette, Fort Bend, Franklin, Freestone, Galveston, Gillespie, Goliad, Gonzales, Grayson, Gregg, Grimes, Hamilton, Hardin, Harris, Harrison, Hays, Henderson, Hill, Hopkins, Houston, Jackson, Jasper, Jefferson, Jim Wells, Karnes, Kenedy, Kleberg, Lamar, Lampasas, Lee, Leon, Liberty, Limestone, Live Oak, Llano, Madison, Marion, Matagorda, McLennan, Milam, Mills, Montague, Montgomery, Morris, Nacogdoches, Newton, Nueces, Orange, Panola, Polk, Rains, Red River, Refugio, Robertson, Rusk, Sabine, San Augustine, San Jacinto, San Patricio, San Saba, Shelby, Smith, Somervell, Titus, Travis, Trinity, Tyler, Upshur, Van Zandt, Victoria, Walker, Waller, Washington, Wharton, Williamson, and Wood.
- STAR+PLUS
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.
Need help finding a provider or setting up a visit?
Tumawag sa Mga Serbisyo sa Miyembro sa 1-888-887-9003, TTY 7-1-1, Lunes-Biyernes 8 AM-8 PM o mag-email sa memberservices_uhccp@uhc.com para makakuha ng tulong sa paghahanap ng tagapagbigay ng serbisyo o makapagtakda ng pagbisita.
Mga Benepisyo at Feature
Pagpili ng Doktor
Magkakaroon ka ng doktor ng pangunahing pangangalaga (primary care physician, PCP) na iyong pangunahing doktor. Gamitin ang tool na Maghanap ng Doktor para makita kung nasa aming network ang iyong doktor.
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:
- Preventive care.
- Paggagamot kung mayroon kang sakit o injury.
- Mga referral sa mga espesyalista para sa ilang partikular na kondisyon.
Pagkakaospital
This plan pays for all expenses related to a medically necessary hospital stay.
After you leave the hospital, you are not alone. Titiyakin naming makakakuha ka ng follow-up na pangangalaga para maipagpatuloy ang pagpapagaling sa tahanan.
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:
- Pagbibihis.
- Pagligo.
- Pagpapakain.
Mga interpreter
Kailangan magkaunawaan kayo ng iyong doktor. Magiging mahirap ito kung hindi ka magaling magsalita ng Ingles. We can arrange for an interpreter for your appointment.
We have people at our phone centers that speak more than one language. A service lets us connects with others that speak hundreds of languages.
Tulong sa Wika
You can ask to receive information in another language. Then anything we write to you will only be in that language. Ibinibigay ito sa iyo nang walang bayad.
Mga Gamot
We make getting your medicine easy.
There are no copays for covered drugs. You can fill your prescriptions at:
- Local pharmacies.
- Services that deliver routinely right to your door.
- Mail order services.
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.
Mental Health
Ang mental health ay kasinghalaga ng physical health. Kaya mayroon kaming parehong saklaw para sa dalawang ito.
Ang kinakailangang pangangalaga ay 100% sinasaklaw nang walang copay. Kasama rito ang:
- Behavioral therapy.
- Substance use treatment.
- Mga gamot.
No Copays
Wala kang babayaran para sa mga sinasaklaw na serbisyo.
While your health care is low-cost or free, the care quality is high. Magkakaroon ka ng:
- Care from highly skilled and compassionate doctors.
- Treatments at respected hospitals and clinics.
- Prescription drugs coverage.
Hotline ng Nars
Dumarating ang mga medikal na tanong at sitwasyon sa mga hindi magandang pagkakataon. When you have questions about your health or your child's health, you can call a trained nurse 24 hours a day, 7 days a week.
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.
- Suggest you go right to the emergency department.
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.
Service Coordination - Cornerstone of the STAR+PLUS program
- Explain medical terms in plain language.
- Coordinate your doctor appointments and other services or treatments you may need.
- Connect you with community resources.
Your case manager will stay with you on your medical journey. He or she will:
- Think beyond just your medical needs.
- Make sure you have support at home as needed.
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.
Pangangalaga sa Paningin
You'll get the care, eyeglasses and treatment that let you see life more clearly. Coverage includes $105 each year toward frames or contact lenses.
This benefit is offered by certain stores and retailers.
Matuto Pa
STAR+PLUS
Tingnan kung ano ang maiaalok ng UnitedHealthcare.
Transcript ng Video
Kalusugan mo ito. Na iyo ang desisyon.
Karapat-dapat ang lahat sa abot-kayang pangangalagang pangkalusugan, kasama ka.
Seniors and people with disabilities, who qualify for Medicaid’s STAR+PLUS Program, should check out UnitedHealthcare Community Plan of Texas
Mayroon kaming mga benepisyo ng Medicaid at mga extra na maaaring makagawa ng tunay na kaibahan sa iyong buhay. Lahat nang wala kang gastos.
- Find a Primary Care Physician you trust in our network to be your main doctor.
- Vision coverage.
- Transportation to and from doctor appointments.
- 24/7 Nurse Hotline to answer your health questions.
Kung minsan, maaaring kailanganin mo ng kaunting karagdagang tulong. Kumuha ng mga extra na hindi saklaw ng Medicaid.
- Receive one fire and waterproof bag per fiscal year to safely store important documents, medications and personal items when experiencing a natural disaster.
- Receive an exercise kit to help you adopt an active lifestyle or to lose weight.
- Online mental health services.
- Help getting a ride when traditional Medicaid transportation is not available.
Nag-aalok din kami ng mga mapagkukunan upang matulungan kang masulit ang iyong plano. Kabilang ang:
- Mga Advocate na Miyembro
- Service Coordinators
- Mga tool sa edukasyong pangkalusugan
- Pamamahala sa pangangalaga
Visit yourtexasbenefits.com for more information.
Tinutulungan kang mabuhay nang mas malusog. Narito kami para sa iyo, Texas
Remember to choose UnitedHealthcare Community Plan. And get the Plan that gives you more.
To learn more about UnitedHealthcare Community Plan, visit UHCCommunityPlan dot com forward slash TX.
Transcript ng Video
At UnitedHealthcare we want to make sure you can access all the benefits your plan provides.
If you’ve had a change in your health status and your doctor determines you need a wheelchair, your plan is here for you.
To make sure you get the equipment you need with the coverage you have, follow these simple steps.
You may need a wheelchair evaluation referral from a healthcare provider in your plan’s network for wheelchairs with special features.
Next a Durable Medical Equipment or DME vendor in your health plan network is located.
In many cases, your healthcare provider can help locate an in-network provider and send the referral.
If the health care provider does not complete this step we can help you find an in-network provider and schedule an appointment.
It is important to understand what your insurance does and does not cover, so that you don’t have unexpected expenses.
And we can help you with that.
Once the referral has been sent to the identified provider the evaluation will be performed by a physical therapist, an occupational therapist or a physiatrist who specializes in determining proper seating and positioning.
This evaluation may take place in your home or in the DME provider’s office.
If the assessment takes place at the provider office, be sure to bring your wheelchair with you if you have one.
During the visit you may be asked to provide additional information including your health status and risk factors, transportation needs, and information on your home environment (if the assessment does not take place in your home).
Wheelchairs may take anywhere from 60 to 90 calendar days to be delivered.
Factors such as supply chain issues and availability of parts may cause additional delay.
Your DME provider can assist you with a loaner chair during the waiting period if needed.
When your new wheelchair is delivered be sure to sit in it to ensure proper fit and adjustments.
And even if you have experience with wheelchairs do take the time for the vendor to provide instructions on the use of the chair and its features, care and maintenance.
If any equipment you are requesting is not a covered benefit you may be asked to pay out of pocket for the equipment.
The vendor should provide you with a clear explanation of why it is not part of your benefits.
Generally, a wheelchair should last at least five years, although growing children may need a new chair more often.
If you already use a wheelchair and it’s damaged and unable to be repaired you may also be eligible for a new wheelchair.
Over time your insurance and DME providers may change.
So, be sure and keep all the information about the chair, the DME provider, the coverage and any documentation on any repairs or changes made.
Remember, if you have any questions or need more information visit myuhc.com/CommunityPlan or call member services at the number on the back of your member ID card.
Don't lose benefits
Your health plan renewal date may be coming soon. If you haven’t already, you may need to recertify to keep getting UnitedHealthcare coverage.