UnitedHealthcare Community Plan of Virginia - Medicaid (TANF/Medicaid Expansion)

Medicaid

UnitedHealthcare Community Plan of Virginia offers a range of benefits along with extras that other plans don’t cover. Children, families, pregnant women and single adults may qualify based on income. 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 it offers.

Available ang planong ito sa lahat ng county.

Mga Pakinabang at Feature

Pangangalaga Habang Walang Sakit at Kapag May Sakit

Get the care you need to stay healthy — or to get better if you are injured or sick. Kabilang sa mga benepisyo ng miyembro ang:

  • Pagpili ng Doktor. Find a doctor you trust in our network.
  • Pagkakaospital. Wala kang babayaran para sa pangangalaga sa isang ospital.
  • Laboratoryo at mga X-ray. Ang mga pagsusuri sa laboratoryo, x-ray at diagnostic imaging ay sinasaklaw.
  • Mga gamot. Fill prescriptions at local pharmacies.
  • No Copays. There are no copays for covered drugs.
  • NurseLineSM. Speak with a registered nurse 24/7.
  • Pregnancy Care. Extra care and support for both you and your baby.
  • Shots and Vaccines. Routine shots to help protect against illness.
  • Therapies. Physical or other therapy to help you be your best.
  • Transportasyon. We pay for rides to and from medical visits and the pharmacy.
  • Pangangalaga sa Paningin. Covers eye exams and glasses every two years. Members under 20 may qualify for glasses every year.
  • Mga Pagpapatingin Habang Walang Sakit. Annual physical exams, checkups, shots and lab tests.
  • Unlimited Doctor Visits. See your doctor as often as needed.
  • Urgent Care. Convenient care for a sudden illness or injury.

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.

Kung mayroon kang hika, diabetes o isa pang pangmatagalang kundisyon, maaasahan mo kami. Our plan makes sure you get the care and services you need. 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, wipes and other supplies 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 members with special health care needs.

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

  • 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.
  • Dental. Dental care is managed by Smiles for Children/DentalQuest, 1-888-912-3456 or www.dentaquest.com

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

  • Baby BlocksTM. Earn rewards for keeping you and your baby healthy.
  • Care Coordination. We can help you get needed services.
  • Tulong sa Wika. Connect to a translator through Member Services.
  • Interpreters. Have an interpreter with you at your child’s doctor visits.
  • Member Advocate. Someone to get you information, services and care.
  • Mga Serbisyo sa Miyembro. Your benefit questions are answered Monday through Friday 8 a.m. - 8 p.m. ET.
  • No Copays. Wala kang babayaran para sa mga sinasaklaw na serbisyo.
  • NurseLineSM. Speak with a registered nurse 24/7.
  • Paghinto sa Paninigarilyo. Coaches and supplies to help you quit using tobacco.
  • Social Services. We'll help you find community services.
  • Transportasyon. We pay for rides to and from medical visits or the pharmacy.
  • Pagkontrol sa Timbang. Call Member Services for more information.

Assistance for Asthmatics

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

Copayments

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

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

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

  • Breast pumps.
  • Orthotics.
  • Wheelchairs or walkers.

Edukasyong pangkalusugan

Take free classes to help improve your health or to address a condition.

Our plan includes classes on diabetes, nutrition and more. You can even get a ride, if needed, to and from the class at no cost to you.

Healthy Rewards

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

Earn great gifts for you or your child by doing things like:

  • Completing well-child exams.
  • Getting lab tests.
  • Recording the family's health activities.

Pangangalaga sa Pandinig

Trouble hearing can affect a person's everyday life in many ways. Kabilang sa aming plano ang mga serbisyo at suporta upang matulungang protektahan ang iyong pandinig.

Sinasaklaw namin ang:

  • Exams, therapy and tests.
  • Hearing aids and batteries for children up to age 19.

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, you may need extra help with day-to-day tasks like cleaning, cooking or dressing. You may even need an in-home medical visit to check on how well you are healing. With approval, our plan covers:

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

Interpreters

Your 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 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

Makakapagdulot ng pagbabago kapag alam kung ano ang mali at kapag nalaman ito nang maaga.  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.

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.

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.
  • Specialists.

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:

  • Pampigil na pangangalaga.
  • Mga taunang checkup.

There is never a copayment for prescription drugs, medical, or vision care.

While your family’s health care is low-cost or free, the care quality is high. Magkakaroon ka ng:

  • 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 health, 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 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.

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 the basics are hard to do yourself 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 you recover from a serious injury or illness, or simply reach his or her full potential. 

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 you may need extra nursing and therapy. If needed, our plan covers short stays in a rehabilitation center where you can heal. Included are: 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 you 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.

Urgent Care

You 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.

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:

  • Checkups for adults and children.
  • Well-baby care.
  • Care for women expecting a baby.
  • Routine shots and tests.
  • Mammograms and women's health services.

There are no copayments for preventive care.

Ang iyong mga pangangailangan sa pangangalaga sa kalusugan ay natatangi. Makakatulong sa iyo ang mga dokumentong ito para siguraduhin na makakakuha ka ng tamang saklaw.

Mga Mada-Download na Mapagkukunan

Mga Mapagkukunan ng Miyembro

Tingnan ang Mga Available na Mapagkukunan

Matuto Nang Higit Pa

UnitedHealthcare Community Plan of Virginia - Medicaid (TANF/Medicaid Expansion)

Suriin ang Pagiging Karapat-Dapat

Pag-enroll

Call to enroll today.

Monday-Friday

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

1-844-752-9434
TTY: 711

Get the details.

For information on eligibility and enrollment, contact Cover Virginia or call 1-855-242-8282.

Mga Tanong

Miyembro na?

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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