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Healthy Louisiana Plan

Medicaid

Our Healthy 路易斯安那 plan offers a range of benefits along with extras. View the benefits below to see all that our plan offers. It's for pregnant women, adults and children under the age of 21. 

The following UHC support includes:

  • Help Finding a Network Care Providers:  If you need help finding a care provider in the UHC network or obtaining early prescription can call Member Services at 1-866-675-1607 (TTY: 711).  The number for Member Services is always located on the back of your UHC ID member card.
  • UHC Mobile App:  UHC member app that provides instant access to your member ID card, network care providers, personal health benefits and more. app is available as a free download at the App Store or Google Play.

Remember, if you need assistance please contact UnitedHealthcare Member Services at 1-866-675-1607 (TTY: 711).

Be Ready. Be Safe.

UnitedHealthcare and the State of 路易斯安那 want to ensure all residents are informed during emergencies, such as severe weather or flooding. Please visit www.GetAGamePlan.org for emergency preparedness guides and tips to keep you and your loved ones safe all year long.

For plan participants who may have misplaced their medical ID cards, call 866-633-2446, 08:00 – 20:00 (local time), Monday through Friday. If you have a smartphone, download the UnitedHealthcare Mobile app. It provides instant access to ID cards, network care providers, personal health benefits and more. The UnitedHealthcare Mobile app is available as a free download at the Apple iTunes App Store and the Android Market on Google Play.

UnitedHealthcare is helping members who may be affected by severe weather and flooding. If you need help please call member services at 1-866-675-1607, TTY 711.

Additional information can be found on our Hurricane Resource Page. Helpful Frequently Asked Questions can be viewed hereBehavioral Health Resources can be viewed here.

A free emotional-support help line is also available to everyone at 1-866-342-6892, TTY 711 and is open 24 hours a day, seven days a week. The service is free of charge and open to anyone. Trained Optum mental health specialists can help you manage stress and anxiety. Callers may also be referred to community resources to help with other concerns, including financial and legal matters.

獲取詳細資訊。

承保福利和特點

No-cost phone and cell service

Count on always having good, reliable phone service with a no-cost Android® smart phone, plus no-cost cell service with:

  • Unlimited minutes
  • Unlimited texts
  • Unlimited high-speed data
  • 10GB mobile hotspot data (up to 4G LTE speed)

Get the assistance you need to make life a little easier, or to get better if you are injured or sick. 這包括:

  • Unlimited Doctor Visits for Children. Your child can see the doctor as often as needed.
  • Unlimited Doctor Visits for Adults. See your doctor as often as needed.
  • Well Visits. Annual checkups to help keep your family healthy.
  • Chiropractor Services. Chiropractic visits for members who qualify.
  • Shots and Vaccines. Routine shots help protect against illness. 
  • Medicines. Fill your prescriptions at local pharmacies.
  • 住院。Necessary expenses related to a hospital stay are covered.

 

沒有什麽比您和您的孩子的健康更重要。這就是為何我們的承保福利包括:

  • Choice of Birth Centers. Pick from our partner hospitals across 路易斯安那.
  • Choice of Doctors. Find an OB-GYN you trust in our network.
  • Healthy First Steps®. Get extra support and rewards to keep you and your baby healthy.
  • Prenatal Visits. Care for you before your baby is born.
  • Wellhop for Mom & Baby. Connect with a community of moms. Get support and information as you welcome your baby.

If you have asthma, diabetes or another long-term condition such as substance use disorder, you can depend on us. 我們的計劃可以保證您得到所需的照護、支援與服務。承保福利範圍包括:

  • Asthma and COPD Care. Exams, testing and supplies are covered.
  • Care Management. If you qualify, get personal help managing health conditions.
  • Diabetic Support. Medicine, needles and wipes for managing diabetes.
  • Mental Health. Counseling and other treatments are covered.
  • Disease Management. Focused care for those with critical health needs.

We help you keep your smile, sight and hearing at their best. 承保福利範圍包括:

  • Dental. Covered cleanings, checkups and dental work are provided by MCNA Dental (Managed Care of North America) or DentaQuest for members under the age of 21. We also offer coverage (up to $500 per year)  for adults 21 and over, including dental exams, cleanings, and x-rays through a value-added benefit offered by UnitedHealthcare Community Plan.
  • Vision. Routine exams and glasses and contacts are covered for members under the age of 21. 
  • Hearing. Tests, exams and hearing aids are covered for members to age 21.

* Value added benefit offered by UnitedHealthcare Community Plan.

Get the medical care and equipment you need to live safely at home. Benefits may include:

  • Equipment and Supplies. In-home medical and safety equipment are covered for medically necessary equipment.
  • Home Health Care. Medical and personal care at home, if necessary.

Sometimes you might need a little extra help using everything our health plan offers. 此時,您可以依靠:

  • Language & Interpreter Help. We provide free services, such as information in other languages, large print, Braille and American Sign Language. You can also ask for an interpreter. Call member services for information. 
  • Member Services. Get help with understanding your benefits and get your questions answered.
  • Transportation. We provide rides to and from medical visits.

照護管理

Do you or a loved one have a serious health problem or a high-risk pregnancy? If so, our case managers are in your corner. They will:

  • Explain medical terms in plain language.
  • Coordinate your doctor appointments.

The case manager will stay with you or your loved one throughout the medical journey. He or she will:

  • Think beyond your medical needs.
  • Assess home situation and help where possible.
  • Make sure you have support at home.

So you can focus on getting better.

醫師選擇

Members can choose a primary care provider (PCP). 使用醫師查詢來查看您的醫師是否在我們的網路內。

The PCP is your main doctor for:

  • 預防照護。
  • 在您生病或受傷時為您治療。

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.

選擇生產中心

在哪裡生孩子是一項重要決定。That's why you can pick from partner hospitals across 路易斯安那.

We encourage you to tour the hospital's birthing center. 這樣您可以熟悉它。And you'll be more relaxed when you have your baby.

整脊服務

Whether chiropractor services are your primary or alternative treatment method, you're covered. This benefit is available for members under the age of 21. A referral from your primary care physician is required.

Members over the age of 21 who are managing pain can get up to six (6) visits per year with an in-network chiropractor.

牙齒保健

Regular checkups help keep teeth and gums strong and healthy. Healthy 路易斯安那 members under the age of 21 get:

  • 2 exams per year.
  • Cleanings and x-rays.
  • 氟化物治療。

These services are offered through MCNA Dental (Managed Care of North America) and DentaQuest.

Members age of 21 and above get up to $500 in coverage for:*

  • Regular exams.
  • Cleanings and x-rays.

*This is an added benefit offered by UnitedHealthcare Community Plan.

糖尿病患者支持

如果您患有糖尿病,我們將讓您的生活更輕鬆。您將獲得藥物、用品和教育資訊,協助您達到並維持最佳狀態。

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

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

Members age 21 and above who qualify as well as complete HbA1c labs and LDL-C screenings may be eligible for a yearly $50 voucher to use toward a purchase from a catalog of over the counter health products. This is an added benefit offered by UnitedHealthcare Community Plan.

疾病管理

If you have a chronic health condition like asthma or diabetes, UnitedHealthcare Community Plan has a program to help you live with your condition and improve the quality of your life. These programs are voluntary and available at no cost to you.

設備和用品

部分保戶可能需要更多的支持協助,使居家生活更安全。

Our plan covers medical equipment ordered by your doctor or provider. Some examples include:

  • 醫療用床
  • 氧氣罐。
  • 輪椅或助行器。

足部照護承保

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

我們的足科承保包含:

  • Office visits.
  • Certain radiology and lab procedures.
  • Other diagnostic procedures.

健康教育

Take free classes to help improve your health or to address a condition. Our plan includes classes on diabetes, nutrition and more.

健康首要步驟 (Healthy First Steps®)

加入「Healthy First Steps」計劃,爲您和您的寶寶創造健康的未來,並賺取豐厚獎勵。我們的計劃將幫助您採取正確的步驟來保持您和寶寶的健康。此外,註冊還可以賺取$20獎勵。*

我們將幫助您:

  • 選擇懷孕服務提供者和兒科醫師(孩子的醫師)。
  • 預約就診和檢查,並安排就診接送服務。
  • 您在整個懷孕期間和寶寶 15 個月大之前參與就診可獲得獎勵。
  • 獲取用品,包括哺乳媽媽的擠奶器。
  • 與社區資源聯繫,例如女性、嬰兒和兒童 (Women, Infants and Children, WIC) 服務。

* Value added benefit offered by UnitedHealthcare Community Plan

聽力照護

聽力障礙會在很多方面對您的日常生活產生影響。Our plan includes services and support to help protect the hearing of members under the age of 21.

我們的計劃承保:

  • Exams and tests.
  • 助聽器及電池。

家庭醫療護理

After surgery or a serious illness you may need extra help with day-to-day tasks like cleaning, cooking or dressing.

您甚至可能需要居家醫療訪視,以檢查您的復原情況。在核准後,我們的計劃會承保:

  • 居家醫療訪視。
  • 醫療設備,如病床、助行器或輪椅。
  • 一次性醫療用品。

住院

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

我們的計劃承保:

  • 照護。
  • 病房與餐宿。
  • 用品與設備。
  • 治療。
  • 診斷檢驗和檢查。

And after leaving the hospital, our members are not alone. We make sure they get follow-up care to continue healing at home.

翻譯人員

Both doctor and patient need to understand one another. If needed, we can arrange for a medical interpreter to be at medical appointments.. Our member services team has interpreters who speak over 170 languages. We also offer American Sign Language (ASL).                                            

Lab and X-ray Services

知道健康出了什麼問題,並及早找出問題所在,可能是成功治療的關鍵。Our plan covers medically necessary:

  • 檢驗室檢驗。
  • X 光、掃描和其他影像技術。

We make sure our members get the information needed to help improve their health.

語言幫助

You can receive information in your preferred language. 你只需提出來。We also have people at our customer service centers who speak more than one language. Over 170 languages are supported. Call Member Services for help with interpreters and American Sign Language. They can also help if you need information in large print, Braille or audio files on a CD or flash drive. 

藥物

Our plan includes prescription drugs and refills. Some members may have a small copayment.

And we make getting your medicine easy. You can fill your prescriptions at the network pharmacy of your choice, including local pharmacies and mail order pharmacies. 

保戶服務

有時候您可能需要一些協助,以瞭解您的健康照護選擇。With us, you have someone you can call 24/7. 我們將簡潔完整地回答您的問題。

我們還可以協助您尋找:

  • Home health providers.
  • Dentists and vision providers.
  • Adult Health Services.

Mental Health/Substance Use Treatment

心理健康與身體健康一樣重要。That's why we cover both.

承保範圍包括:

  • 行為健康服務。
  • Substance use treatment.
  • Certain medications.

護士熱線

在不方便的時間發生醫療問題和疾病。For questions about health, you can call a trained nurse 24/7. 

Our Nurse Hotline nurses will:

  • 聽取您的症狀。
  • Provide guidance on self-care.
  • Advise the member about getting care at a doctor visit or an urgent care center.
  • Help know when to go to the emergency room.

護士看診

在離開醫院或緊急照護機構後,有時候會需要持續照護。例如,在重病、手術或受傷後。在這些情況下,護士將會進行居家訪視,以便:

  • 提供醫療照護。
  • 回答任何問題和疑慮。

個人照護

The basics can be hard to do if you have a disability or you've had a serious illness or injury.

我們可協助您。A few examples include: 

  • 更衣。
  • 沐浴。
  • 餵食。

Long-term personal care is available for members 21 or older with disabilities.

產前看診

A pregnancy is a journey that's better with the help of friends, family and a pregnancy doctor, or OB/GYN.

承保推薦的所有產前看診和檢驗。

在看診時,診所將:

  • Make sure mom and baby are healthy.
  • Explain what to expect at each stage of pregnancy.
  • 回答問題。

預防針和疫苗

Routine shots help keep you healthy. 我們的計劃承保:

  • Pneumonia, influenza and shingles shots.
  • Tetanus, Diphtheria and Whooping Cough vaccines.
  • Other recommended shots and vaccines.

載送

Our plan provides rides to and from health care locations. That includes trips to:

  • Doctor and therapy visits.  
  • Health departments.
  • Vision clinics.

無限次數的醫師就診

There may be times when your health requires regular visits to a doctor or specialist). Our plan does not limit the number of times children or adults can see their doctors. This includes sick visits, well visits and specialists. For children, EPSDT screenings are also covered. This way you get care when you need it. And the doctor can see how your health is progressing.

視力照護

With Healthy 路易斯安那, members under the age of 21 receive:

  • Regular eye exams.
  • Eyeglass frames.
  • 處方鏡片。

Members over the age of 21 can get:*

  • One routine eye exam every two years with no copay.
  • $100 allowance for frames/lenses or $105 allowance for contact lenses every two years.

* This is an added benefit offered by UnitedHealthcare Community Plan.

康復看診

Unlimited well visits with your doctor are important for good health. 這些檢查可以及早發現健康問題並進行治療。

Preventive services cover:

  • 成人和兒童的健康檢查。
  • 健康寶寶照護。
  • 孕婦照護。
  • 施打例行預防針和檢測。
  • 乳房攝影檢查。

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.

Some members may also qualify for weight management classes, including (WW) Weight Watchers. *

* Some limitations may apply.

Wellhop for Mom & Baby

Connect with other expectant moms. Get support and information during your pregnancy and after you deliver. This program is part of your health plan and there is no extra cost to you.
Here’s how it works:

  • Join video conversations every other week with women who have similar due dates and a group leader.
  • Chat and share experiences with moms from your group on the Wellhop app or website.
  • Visit the Wellhop library. You’ll find articles, videos and more.

Are You Prepared for Hurricane Season?

UnitedHealthcare Community Plan wants to help you make sure you are prepared for hurricane season and the resulting hazards such as storm surge, high winds, tornadoes, and flooding

保戶資源

檢視可利用的資源 (開啟範本視窗)
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