UnitedHealthcare Community Plan of Virginia FAMIS

Medicaid

With UnitedHealthcare Community Plan (FAMIS), your child gets extras that other plans don’t offer. View the list of benefits below to see all that our plan covers. It’s for children and young adults up to age 19 whose families meet income requirements.

Available ang planong ito sa lahat ng county.

Mga Pakinabang at Feature

Pangangalaga Habang Walang Sakit at Kapag May Sakit

Get the care your children need to stay healthy – or to be at their best. That includes:

  • Pagpili ng Doktor. Find a doctor for your child from our broad network.
  • Pagkakaospital. Hospital care is covered.
  • Laboratoryo at mga X-ray. Ang mga pagsusuri sa laboratoryo, x-ray at diagnostic imaging ay sinasaklaw.
  • Mga gamot. Fill prescriptions at local pharmacies.
  • NurseLineSM. Speak with a registered nurse 24/7.
  • Therapies. Physical or other therapy to help your child recover.
  • Shots and Vaccines. Routine shots to help protect against illness.
  • Pangangalaga sa Paningin. Covers eye exams and glasses.
  • Mga Pagpapatingin Habang Walang Sakit. All routine well-baby or child exams are covered.
  • Urgent Care. Convenient care for a sudden illness or injury.
  • Copayments. Doctor or emergency room visits require copayments.
  • Speech. Screenings and needed therapies are provided.
  • Unlimited Doctor Visits. Your child can see the doctor as often as needed.
  • Transportasyon. We pay for rides to and from medical visits and the pharmacy.

Nothing is more important than the health and well-being of a mother and her baby. That's why member benefits include:

  • Choice of Doctors. Find a doctor or OB/GYN you trust in our network.
  • Baby BlocksTM. Earn rewards for taking steps to keep you and your baby healthy.
  • Mga Pagpapatingin Habang Nagbubuntis. Pangangalaga para sa iyo bago ipanganak ang iyong sanggol.
  • Text4baby. Receive text messages with helpful tips and reminders.

If your child has special health care needs, you can count on us. Our plan will provide the extra care and services he or she needs. Kabilang sa mga benepisyo ang:

  • Asthma and Allergies Care. Exams, testing and supplies are covered.
  • Pamamahala sa Pangangalaga. Kung kwalipikado ka, kumuha ng personal na tulong sa pamamahala sa mga kundisyon ng kalusugan.
  • Diabetic Support. Medicine, needles and wipes for managing diabetes.
  • Kidney Disease Care. Dialysis, medicine and treatments are covered.
  • Behavioral/Mental Health Disorders. Saklaw ang pagpapayo at iba pang mga panggagamot.
  • Obesity Care. We cover screenings and counseling for obesity
  • Special Needs Unit. Services for children with special health care needs.

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

  • Dental. We cover cleanings, checkups and dental work. Dental care is managed by Smiles for Children/DentalQuest, 1-888-912-3456 or www.dentaquest.com
  • Hearing. Ang mga pagsusuri, checkup at hearing aid, kung kailangan, ay ibinibigay.
  • Vision. Covers exams and glasses. Call Member Services for more information or to make an appointment.

Sometimes you might need a little extra help using your child's health plan. Para sa mga pagkakataong iyon, maaari kang umasa sa:

  • Healthy Rewards. Earn great gifts for your healthy habits.
  • Edukasyon sa Kalusugan. Mga libreng klase upang matulungang mapabuti ang iyong kalusugan.
  • Interpreters. Have an interpreter with you at your child’s doctor visits.
  • Tulong sa Wika. Connect to a translator through Member Services.
  • Mga Serbisyo sa Miyembro. Your benefit questions are answered Monday through Friday 8 a.m. - 8 p.m. ET.
  • Member Advocate. Someone to get you information, services and care.
  • NurseLineSM. Speak with a registered nurse 24/7.
  • Nutrition Coaching. Helpful advice to improve your child's diet.
  • Transportasyon. We pay for rides to and from medical visits or the pharmacy.
  • Special Needs Unit. Help getting care and services for those with challenges.
  • Pagkontrol sa Timbang. Support and treatment to reach a healthy weight.

Assistance for Asthmatics

Receive mattress covers and pillowcases that help eliminate dust mites for people with asthma.

Baby Blocks™

Build a healthy future for you and your baby — and earn great rewards — through Baby Blocks. This program helps keep you and your baby healthy during your pregnancy and your baby's first 15 months of life.

Baby Blocks includes:

  • Email appointment reminders.
  • Fun program to keep track of appointments.
  • Reward cards for clothing and more.

Once you sign up, you can choose a $20 Old Navy gift card or a stylish diaper bag. The choice is yours.

Boys and Girls Club

Free registration fee at a participating Boys and Girls Club of America.

  • For all school-aged members between the ages of 5 and 18
  • Present your United ID card at the time of registration

Call Member Services for participating clubs.

Chiropractic Services

We cover up to $500 in chiropractic services per year. A small copayment may apply.

Pagpili ng Doktor

You can choose your child’s primary care provider (PCP). Use the Doctor Lookup tool to see if your doctor is in our network.

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.

For members who don’t have a doctor or whose doctor is not in our network, we can help find a new one close by.

Copayments

Our members pay nothing for preventive care or annual checkups covered by our plan.

There is a small copayment for other types of care. The copayment amount is based on a member’s ability to pay.

Diabetic 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.

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

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

Pamamahala sa Sakit

Kung mayroon kang mga pabalik-balik o lubhang mapanganib na sakit, idinisenyo ang aming mga serbisyo sa pamamahala ng sakit upang suportahan ka.

Mayroon kaming mga espesyal na programa para sa:

  • Congestive heart failure
  • Hika.
  • Chronic obstructive pulmonary disease (COPD).
  • Coronary artery disease.
  • Cancer.

Matibay na Medikal na Kagamitan

Some members may need extra support to live safely at home.

Our plan covers medical equipment ordered by your child's doctor or case manager. This can include supplies like:

  • Orthotics.
  • Crutches.
  • Wheelchairs.

Edukasyong pangkalusugan

Free classes to help improve your child’s health or address a condition.

Our plan also offers classes on nutrition, parenting and more. You and your child can even get a free ride, if needed, to and from the class.

Healthy Rewards

An ounce of prevention can be worth a pound of cure. It can also be worth great rewards.

You can earn great gifts for your child by doing things like:

  • Completing well-child exams.
  • Getting lab tests.
  • Recording your family’s health activities.

Pangangalaga sa Pandinig

Trouble hearing can affect your child's everyday life in many ways. Our plan includes services and support to help protect your child's hearing.

Sinasaklaw namin ang:

  • Exams, therapy and tests.
  • Hearing aids and batteries.

Pagkakaospital

Some members have a small copay.

Sinasaklaw ng aming plano ang:

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

And after leaving the hospital, a member is not alone. We make sure the follow-up care is available to continue healing at home.

In-Home Care

After surgery or a serious illness, your child may need extra care and services to recover. This may include an in-home medical visit to check on how well your child is healing. With approval, our plan covers:

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

Interpreters

Your child's doctor and you need to understand each other. Speaking English as a second language can make this difficult. We can arrange for a medical interpreter to be at your child's appointments.

We also have people in member services who speak more than one language. Chances are, we have someone who speaks your language.

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 necessary. 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

Knowing what’s wrong and finding it early can make all the difference for your child. Sinasaklaw ng aming plano ang:

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

We’ll help you get the information needed for your child’s health.

Tulong sa Wika

You can get information in another language. Magtanong lang. Then anything we write to you will only be in that language. This is provided at no cost to you.

Medicines

Our plan includes prescription drugs and refills, including family planning drugs, supplies and devices.

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.

Member Advocates

Pinapahalagahan namin ang iyong kapakanan. Member advocates can help solve problems, provide training and education, and work on issues that concern members. Our member advocates can be reached at 1-844-752-9434 and are available M-F 8 a.m. - 8 p.m. ET.

They can:

  • Provide information about your plan.
  • Teach you to get the care you need.
  • Help with doctor issues or complaints.

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 at 1-844-752-9434, M-F 8 a.m. - 8 p.m ET. We’ll answer your questions simply and completely.

Maaari ka rin naming tulungang humanap ng:

  • Home care providers.
  • Dentists and vision providers.

Kalusugan ng Pag-iisip

Mental health is as important as physical health. That’s why we have coverage for both.

This includes:

  • Therapy para sa kalusugan ng pag-iisip na apektado ng pag-uugali.
  • Substance use treatment.
  • Medications.

Mobile Lab

Now your child can get any kind of blood test needed at home.

Our mobile lab brings the lab to your home. In addition to convenience, the mobile lab offers:

  • Accurate test results.
  • Comfortable setting for members.

No Copays

There are no copayments for:

  • Preventative care.
  • Immunizations.

There is a small copayment for other medical services including prescription drugs, or vision care. Please call Member Services for more information.

While your child's health care is low-cost or free, the care quality is high. Your child gets:

  • Visits to doctors in our network.
  • Treatments at hospitals and clinics.
  • Prescription drugs and over-the-counter medicines.

NurseLine℠

Medical questions and situations can come at inconvenient times. When you have questions about your child's care, you can call a nurse 24 hours a day, 7 days a week at 1-800-842-3014.

Our nurses will:

  • Tutukuyin ang mga sintomas.
  • Help with care questions.
  • Advise you about getting care for your child at a doctor visit or an urgent care center.
  • Help you know when to take your child to the 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.

Outpatient Services

Knowing what's wrong and finding it early can make all the difference for your child.

Sinasaklaw ng aming plano ang:

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

We'll help you get the information needed to help improve your child's health or be at his or her best.

Personal Care

Sometimes you need extra help to manage your child’s recovery after an illness or injury. If needed, we provide someone to help with:

  • Dressing.
  • Bathing.
  • Feeding.

Physical, Speech or Occupational Therapy

Physical, occupational and speech therapy can help your child recover from a serious injury or illness, or simply reach his or her full potential.  Depending upon your plan, you may have a copay for therapy visits.

Therapies include:

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

Mga Pagpapatingin Habang Nagbubuntis

A pregnancy is a journey 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:

  • 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.

Quitting Tobacco

Most people know the bad health effects of smoking. And they know they need to quit. We support our members while they quit, with coaches and supplies. The only thing they won’t get from us is a lecture. Call Member services for information on our phone-based program to help you quit tobacco.

Rehabilitation Care

After a serious illness, surgery or injury your child may need extra nursing and therapy. If needed, our plan covers short stays in a rehabilitation center where your child can heal. Included are:

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

Shots and Vaccines

Routine shots help protect your child from illness.

So, our plan covers:

  • Recommended shots and vaccines.
  • Influenza shots.

Social Services

Your Community Department of Social Services (DSS) offers additional information and resources for:

  • Energy and Food assistance
  • Child care or Child support
  • Protective Services
  • Other resources

Visit the main Virginia website to see all what is offered, how to apply, and how to find your local agency. Visit www.dss.virginia.gov or call the main state number at 804-726-7000 for more information.

Sports Physical

We encourage kids to take part in healthy activities like team or individual sports. We cover a sports physical each year for all school-aged members.

Text4baby

Text4baby can help new and expecting mothers keep themselves and their babies healthy.

You’ll get text messages throughout your pregnancy and your baby’s first year. Each text contains health and safety tips for topics like:

  • Prenatal care.
  • Labor and delivery.
  • Breastfeeding.
  • Safe sleep.
  • Nutrition.
  • Car seat safety.

So you and your baby can make a great start on life.

Transportasyon

We pay for rides to and from:

  • Medical visits and the pharmacy
  • Food resources, including WIC and food banks
  • Department of Social Services
  • Weight Watchers

Unlimited Doctor Visits

There may be times when your child's health requires repeated doctor visits. Our plan does not limit the number the number of times your child can see a primary care provider. This way your child gets care when it's needed. And your doctor can see how your child's health is progressing.

Urgent Care

Your child may have an injury or sudden illness that is not life-threatening but needs immediate attention. So our plan covers care at:

  • Mga center ng agarang pangangalaga.
  • Medical aid units.
  • Other walk-in clinics.

Paningin

Covers eye exams and glasses or contacts.

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.
  • Weight Watchers Vouchers

Mga Pagpapatingin Habang Walang Sakit

Well visits with your doctor are important for good health. These visits can catch health problems early, so they can be treated. Kabilang sa mga serbisyong pang-iwas sa sakit ang:

  • Annual checkups for children.
  • Well-baby care.
  • Routine shots and tests.

There are no copayments for preventive care.

Mga Mapagkukunan ng Miyembro

Tingnan ang Mga Available na Mapagkukunan

Matuto Nang Higit Pa

UnitedHealthcare Community Plan of Virginia FAMIS

Suriin ang Pagiging Karapat-Dapat

Pag-enroll

Call to apply today.

Monday-Friday

8 a.m. to 8 p.m. local time

1-844-752-9434
TTY: 711

Mga Tanong

Tawagan Kami

Monday-Friday

8 a.m. to 8 p.m. local time

1-844-752-9434
TTY: 711

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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