Commonwealth Coordinated Care Plus (CCC Plus)

Medicaid

This plan is for adults who need extra support and care. You get many services to help with daily activities that other Virginia Commonwealth Coordinated Care Plus (CCC Plus) plans don’t offer. You qualify based on income and health needs. This includes the new, expanded, low cost Medicaid coverage now available to Virginia adults and parents who are between 19–64 years old.

This includes the new, expanded, low cost Medicaid coverage now available to Virginia adults and parents who are between 19–64 years old.

View the benefits below to see all that our Virginia Medicaid plan offers.

Available ang planong ito sa lahat ng county.

Mga Pakinabang at Feature

Pangangalaga Habang Walang Sakit at Kapag May Sakit

Get the assistance you need to be at your best — or to get better if you are injured or sick. That includes:

  • Hospital Care. Wala kang babayaran para sa pangangalaga sa isang ospital.
  • Mga gamot. Fill your prescriptions at local pharmacies.
  • Laboratoryo at mga X-ray. Ang mga pagsusuri sa laboratoryo, x-ray at diagnostic imaging ay sinasaklaw.
  • Care Coordinator. Someone to help you live on your own at home if necessary.
  • NurseLineSM. Speak with a registered nurse 24/7.
  • Mga pagpapatingin habang walang sakit. Annual checkups can help keep you healthy or reach your potential. 

Wala nang mas mahalaga pa sa kalusugan at kapakanan mo at ng iyong sanggol. That's why our plan benefits include:

  • Pagpili ng Doktor. Find a doctor or OB/GYN you trust in our network. 
  • Choice of Birth Center. Pick from a large network of hospitals across Virginia.
  • Mga Pagpapatingin Habang Nagbubuntis. Pangangalaga para sa iyo bago ipanganak ang iyong sanggol.
  • Baby BlocksTM. Earn rewards for completing checkups on time during and after your pregnancy.

If you have asthma, diabetes or another health condition, you can depend on us. Our Commonwealth Coordinated Care Plus (CCC Plus) plan makes sure you get the care and services you need. Kabilang sa mga benepisyo ang:

  • Care Coordinators. Personal support from an experienced professionals. 
  • Asthma Support. Individual care to help you manage asthma or COPD.
  • Behavioral Health. Counseling and other treatments are available.

Make sure your eyes, ears and smile are at their best. Kabilang sa mga benepisyo ang:

  • Vision. Includes exams and frames or lenses every two years.
  • Hearing. Tests, checkups and hearing aids, if needed, are provided for members under 21.
  • Dental. Checkups and routine care are covered.

Get the medical equipment, assistance and supplies you need to live safely at home. Kabilang sa mga benepisyo ang:

  • Personal Care. Someone to help with dressing, bathing and dining.
  • Home Meal Delivery. Meals delivered after a hospital or nursing facility stay.
  • Kagamitan at Mga Supply. In-home medical and safety equipment is covered.

Kung minsan, maaaring kailanganin mo ng kaunting karagdagang tulong sa paggamit ng iyong planong pangkalusugan. Para sa mga pagkakataong iyon, maaari kang umasa sa:

  • Transportasyon. We pay for rides to and from medical visits or the pharmacy.
  • NurseLineSM. Call our nurses for advice 24/7.
  • Interpreters. An interpreter can go with you to medical visits.
  • Tulong sa Wika. Translated medical materials are available at no cost.
  • Mga Serbisyo sa Miyembro. Your benefit questions are answered 24/7.

Read about all the extras you could get when you become a Commonwealth Coordinated Care Plus (CCC Plus):

  • Pagkontrol sa Timbang. Get 10 Weight Watchers meeting vouchers each year.
  • MyHealthLine. Free cellphone program includes 350 minutes per month and unlimited texting.
  • Quit For Life®. Get coaching to help you quit smoking. 

Asthma and COPD Support

Individual care to help control your child's asthma.

Does your child have trouble managing asthma or COPD symptoms? A nurse who specializes in breathing issues can really help. Your child will get a customized treatment plan and medicine to:

  • Manage flare-ups.
  • Reduce symptoms.
  • Let your child stay active.

Kalusugan sa Pag-uugali

Ang kalusugan ng pag-iisip na apektado ng pag-uugali ay kasinghalaga ng kalusugan ng pangangatawan. That's why we have coverage for both.

Required care is 100% covered with no copay. This includes:

  • Testing and diagnosis.
  • Therapy para sa kalusugan ng pag-iisip na apektado ng pag-uugali.
  • Medication.

Choose a Birth Center

Mahalagang pumili ng ospital kung saan ka manganganak. That's why you can pick from a large network of hospitals  all across Washington.

We also encourage you to tour the hospital's birthing center. Nang sa gayon ay maging pamilyar ka rito. And be more relaxed when you have your baby.

Pagpili ng Doktor

Magkakaroon ka ng doktor ng pangunahing pangangalaga (primary care physician, PCP) na iyong pangunahing doktor. Use the Doctor Lookup tool to see if your doctor is in our network.

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:

  • Pampigil na pangangalaga.
  • Panggagamot kung mayroon kang sakit o pinsala.
  • Mga referral sa mga espesyalista para sa ilang partikular na kundisyon.

Diabetes Support

If you have diabetes, we'll help make life a little easier for you. You'll  get medicine, supplies and education to help you reach and stay your best.  You are also rewarded with gift cards for taking simple steps to manage your diabetes.

Our diabetes program also includes self-care training and classes focused on:

  • Planning healthy meals.
  • Managing stress.
  • Living a healthy lifestyle.

Equipment and Medical Supplies

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:

  • Mga kama sa ospital.
  • Oxygen tanks.
  • Mga walker o wheelchair.

Pangangalaga sa Paa

If you have diabetes or a circulatory condition, good foot care can help prevent much more serious problems. We provide the needed exams to help keep your feet in great shape.

Kasama ng aming saklaw sa podiatry ang:

  • Routine foot exams.
  • Mga tip tungkol sa pangangalaga sa paa at pagpili ng mga tamang sapatos.
  • Impormasyon tungkol sa mga senyales ng babala sa pinsala sa nerve.

Edukasyong pangkalusugan

Free coaching to help improve your health or to address a condition.

Our plan includes coaching 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®

When you're pregnant, you receive help and advice from your mom, aunts, sisters and girlfriends. Gayunpaman, magkakaiba ang bawat pagbubuntis. This program will support you through your pregnancy. Get pregnancy and parenting support by calling (toll-free) 1-800-599-5985 (TTY 711).

We can help you:

  • Find a doctor for both mother and baby.
  • Learn about nutrition, fitness and safety.
  • Get supplies, including breast pumps for nursing moms.

Pangangalaga sa Pandinig

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.

We cover exams and testing, as well as hearing aids for enrollees age 20 and younger.

Home Health Care

After surgery or a serious illness — or if you have disability — you may need extra help with day-to-day tasks. You may even need an in-home medical visit to check on how well you are healing. With approval, our plan covers:

  • In-home medical visit.
  • Medical equipment like hospital beds, walkers or wheelchairs.
  • Disposable medical supplies.
  • Help with personal care or housekeeping.

Pagkakaospital

This plan pays for all expenses related to a hospital stay, so you can rest and heal.

  • Pangangalaga ng isang nurse.
  • Kwarto at matutuluyan.
  • Mga supply at kagamitan.
  • Panggagamot at mga therapy.
  • Mga diagnostic na pagsusuri at eksaminasyon.

At pagkalabas mo sa ospital, hindi ka mag-iisa. Titiyakin naming makakakuha ka ng follow-up na pangangalaga upang maipagpatuloy ang pagpapagaling sa tahanan.

Interpreters

Your doctor and you need to understand each other. Not speaking English well makes this difficult. We can arrange for a medical interpreter to be at your appointments.

We also have people in member services who speak more than one language. Chances are, we have someone who speaks your language or they can connect you with our interpreter service which covers more than 170 languages.

Kidney Disease Care

Kidney disease is a serious medical condition. After the kidneys stop working, regular treatments, called renal dialysis or an organ transplant are needed to live. Dialysis uses a machine to clean the blood just like healthy kidneys do.

Kasama ng aming plano ang:

  • Dialysis.
  • Medications.
  • Health education and support.
  • Organ transplant if needed.

Laboratoryo at mga X-ray

Napakainam na malaman nang maaga pa lang kung ano ang problema.  Sinasaklaw ng aming plano ang:

  • Mga laboratoryo at pagsusuri.
  • Mga x-ray, scan at iba pang imaging.

 

Tutulungan ka naming makuha ang impormasyong kailangan upang makatulong na mapabuti ang iyong kalusugan at maibalik ka sa pinakamalusog na kundisyon.

You can receive information in your preferred language. Magtanong lang. We also have people at our customer service centers who speak more than one language. Chances are, we have someone who speaks your language or they can connect you with our interpreter service which covers more than 170 languages.

Medicines

Our plan includes prescription drugs and refills with no copays. Sinasaklaw din namin ang mga over-the-counter na gamot na may nakasulat na tagubilin mula sa iyong doktor.

And we make getting your medicine easy. You can fill your prescriptions at:

  • Local pharmacies.
  • Services that deliver routinely right to your door.

Mga Serbisyo para sa Miyembro

Sometimes you might need a little help understanding your health care options. With us, you have someone you can call. We’ll answer your questions simply and completely.

Maaari ka rin naming tulungang humanap ng:

  • Home care providers.
  • Dentists and vision providers.
  • Adult Day Health Centers.

No Copays for Doctor Visits or Prescriptions

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.
  • Home medical equipment and supplies to help you be at your best.

NurseLine℠

Medical questions and situations sometimes happen at inconvenient times. When you have questions about your health, you can call a nurse 24 hours a day, 7 days a week: 1-877-543-3409 (TTY 711).

Our nurses will: 

  • Listen to symptoms.
  • Help with self-care.
  • 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 Visits

Sometimes continued care is needed after leaving the hospital or urgent care. For example, after a serious illness, surgery or injury. In these cases, a nurse will make home visits to:

  • Provide medical care.
  • Answer any questions and concerns.

Personal Care

Sometimes the basics are hard to do yourself after an illness or injury. If needed, we provide someone to help with:

  • Dressing.
  • Bathing.
  • Feeding. 

Personal Care Manager

Do you or a family member have a serious health problem? If your health needs qualify then our care managers are in your corner. They will:

  • Explain medical terms in plain language.
  • Coordinate your doctor appointments.
  • Provide your care team with your medical records.

Your care manager will stay with you throughout the medical journey. He or she will:

  • Think beyond your medical needs.
  • Make sure you have support at home.

Programs for Kids and Teens

Kids with positive role models make more healthy choices. That's why we provide free memberships to the Boys & Girls Clubs in your area.

Along with fun and games, these clubs offer help with:

  • Homework.
  • Mentoring.
  • Coaching.

Mga Pagpapatingin Habang Nagbubuntis

Your pregnancy is a journey you'll want to make with the help of friends, family and a pregnancy doctor, or OB-GYN. With our plan, you will also be rewarded with gift cards for prenatal and postpartum doctor visits.

All recommended prenatal clinical visits and tests are covered by our plan.

Sa mga pagpapatinging ito, ang klinika ay:

  • Make sure both mom and baby are healthy.
  • Ipapaliwanag kung ano ang dapat asahan sa bawat yugto ng iyong pagbubuntis.
  • Sasagutin ang iyong mga tanong.

Residential Care

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:

  • Nursing home services.
  • 24-hour nursing care.
  • Help with activities of daily living.
  • Physical, occupational and speech therapy.

Quitting Tobacco

You know the bad health effects of smoking. You know you need to quit. We support you while you quit with coaches and supplies. The only thing you won't get from us is a lecture. Call 1.866.QUIT.4.LIFE (1.866.784.8454) Or visit www.quitnow.net.

Shots and Vaccines

Routine shots help protect your child from illness.

So, our plan covers:

  • Recommended shots and vaccines.
  • Influenza shots.

Therapy Services

Physical, occupational and speech therapy can help you recover from a serious injury or illness, or simply reach your full potential.

Our plan provides:

  • Occupational therapy.
  • Physical therapy.
  • Speech therapy.
  • In-home therapy.

Pangangalaga sa Paningin

You'll get the care and treatment that let you see life more clearly. Kasama sa saklaw ang:

  • Eye exams every twenty-four months for adults and once every twelve months for children and age 21. Eyeglasses, contact lenses, and hardware fittings are covered separately under the Apple Health fee-for-service program.
  • Annual eye exams for members to age 21.

Mga Pagpapatingin Habang Walang Sakit

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:

  • Checkups for children.
  • Screenings for adults.
  • Well-baby care.
  • Care for women expecting a baby.
  • Routine shots and tests.
  • Mga mammogram.

There are no copayments for preventive care.

Mga Mapagkukunan ng Miyembro

Mga Mapagkukunan ng Miyembro

Matuto Nang Higit Pa

Commonwealth Coordinated Care Plus (CCC Plus)

Suriin ang Pagiging Karapat-Dapat

Pag-enroll

Call to enroll today.

7 (na) araw sa isang linggo
8 a.m. to 8 p.m. local time

1-866-622-7982
TTY: 711

Get the details.

More information on eligibility and enrollment can be found on the Virginia DMAS website or on DMAS’s enrollment broker website.

Mga Tanong

Miyembro na?

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.

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