BadgerCare Plus

BabyScripts

The Babyscripts program rewards you for going to your prenatal and postpartum visits. Members can earn gift cards for signing up and for receiving routine pregnancy care that leads to a healthy birth.
 

照護管理員

Do you have a serious health problem? If so, 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.

The care manager will stay close by throughout the medical journey. He or she will:

• Think beyond your immediate health care needs.
  
• Make sure you have support at home.
• Help connect you with services and supports that help you live a healthier life, such as food, housing. and/or transportation resources.

整脊服務

Whether chiropractor services are your primary or alternative treatment method, you're covered.

This benefit is provided by the State of Wisconsin and you can get chiropractic treatment by any chiropractor who will accept your ForwardHealth ID card.

There may be copayments for chiropractic services provided by the State of Wisconsin

選擇生產中心

Where a pregnant person has their baby is an important choice. That's why pregnant people can pick from a large number of hospitals across Wisconsin.

We encourage parents-to-be to tour the hospital's birthing center. This way they will be familiar with it. And be more relaxed when they have their baby.

醫師選擇

Each member can choose a primary care physician (PCP). Use the "Doctor Lookup" tool to see if your doctor is in our network.

The PCP is your main doctor for:

• 預防照護。
• 在您生病或受傷時為您治療。
• 針對您的特殊健康問題，將您轉診給專科醫生。

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.

牙齒保健

Exams and cleanings are covered to help keep teeth and gums strong and healthy. If there is a dental problem that needs to be fixed, that's covered as well.

If you live in Kenosha, Milwaukee, Ozaukee, Racine, Washington or Waukesha Counties, your dental benefits are provided by UnitedHealthcare Community Plan. There is no copayment for covered dental services provided by UnitedHealthcare in these counties.

If you live outside of Kenosha, Milwaukee, Ozaukee, Racine, Washington or Waukesha Counties, you may get dental services from any dentist who will accept your ForwardHealth ID card. Your dental services are provided by the State, not UnitedHealthcare. There may be copayments for dental services provided by the State.

疾病管理

如果您有慢性或高風險疾病，我們還可為您提供疾病管理服務。

我們有針對以下狀況的特別方案：

• 慢性阻塞性肺病 (COPD)
• Coronary artery disease (CAD)
• Congestive heart failure (CHF)
• 糖尿病
• High Risk Pregnancy and NICU
• 鐮狀細胞病

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。

我們的計劃承保您的醫師或照護經理開立的醫療器材。

這些可能包括下列用品：

• 醫療用床
• 氧氣罐。
• 輪椅或助行器。

There is no copayment for covered medical equipment and supplies.

Federally Qualified Health Centers (FQHCs)

Your UnitedHealthcare Community Plan is proud to offer you access to Federally Qualified Health Centers (FQHCs) across the state.

Federally Qualified Health Centers (FQHCs) “are community-based and patient-directed organizations that deliver comprehensive, culturally competent, high-quality primary health care services to the nation’s most vulnerable individuals and families, including people experiencing homelessness, agricultural workers, residents of public housing, and veterans.”*

In addition to primary care, FQHCs provide access to important services such as pharmacy, mental health, substance use disorder treatments and oral health services (dental). This means that you may be able to get all of these important services at one place.

To find a FQHC in your community, the state of Wisconsin maintains a list of FQHCS in the state. You can also contact member services and they can help find a primary care provider within a FQHC to be your provider.

* https://bphc.hrsa.gov/about-health-centers/what-health-center

足部照護承保

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

我們的足科承保包含：

• Routine foot exams.
• 提供足部照護以及如何選擇合適鞋類的有用秘訣。
• 提供神經受損警兆的相關資訊。

There is no copayment for covered foot care visits.

健康首要步驟 (Healthy First Steps®)

Build a healthy future for you and your baby with Healthy First Steps. 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。

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。
• Get supplies, including breast pumps for nursing pregnant members.
• Connect with community resources such as Women, Infants and Children (WIC) services or Prenatal Care Coordination through a local, community-based agency.

聽力照護

Trouble hearing can affect a person's life in many ways. 我們的計劃包括幫助您保護聽力的服務和支援。

我們承保：

• 檢查、治療和檢測。
• 助聽器及電池。

There is no copayment for covered hearing care and equipment.

家庭醫療護理

After surgery or a serious illness, you may need extra help with day-to-day tasks. 您甚至可能需要居家醫療訪視，以檢查您的復原情況。

With approval from your doctor, our plan covers:

• In-home medical visits.
• 醫療設備，如病床、助行器或輪椅。
• Disposable medical supplies
• Help with personal care

There is no copayment for covered home health care visits

住院

UnitedHealthcare Community Plan pays for expenses related to a hospital stay.

我們承保：

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

在您離開醫院後仍可獲得關懷。我們保證您可獲得後續照護幫助您在家治癒。

There is no copayment for covered hospitalizations.

翻譯人員

UnitedHealthcare offers services to help you talk with your doctor or other health care workers. You can get this service if you do not speak 英文 or have hearing and speech barriers. You do not need a referral from your doctor to get these services.

Interpreter services are offered free of charge.

To ask for help with interpreter services, please call 1-800-504-9660, TTY 711. Representatives are available Monday through Friday from 07:00 -19:00 Central Time.

檢驗室檢驗和 X 光檢查

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。

我們的計劃承保：

• 檢驗室檢驗。
• X 光、掃描和其他影像技術。

我們會協助您取得所需資訊，幫助改善您的健康或達到最佳狀態。

There is no copayment for covered lab and x-ray services.

語言幫助

You can receive information in your preferred language. 你只需提出來。We also have people at our member service centers who speak more than one language. 我們可請到能夠說您的語言的人員，

藥物

Prescriptions and certain over-the-counter items are provided by the State of Wisconsin.

You may receive a prescription from a UnitedHealthcare doctor, specialist or dentist. You can fill your prescription at any pharmacy that is a provider for BadgerCare Plus. Just show your ForwardHealth ID card to the pharmacy when you get your prescriptions filled. For questions about pharmacy, please contact the State of Wisconsin at 1-800-362-3002.

You may have copayments or have limits on covered medications that are administered by the State of Wisconsin.

Member Advocate

我們會協助您照顧健康。Our local member advocates can help solve problems, provide training and education, and work on issues that concern members. Local member advocates are available at 1-888-246-8140 Monday through Friday, 08:00-16:30 Central Standard Time.

Our Member Advocates can:

• Answer your questions about your benefits.
• 協助有關醫師的問題或不滿。
• Help you recertify your health care benefits.

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 hours a day, 7 days a week.

You can connect with one of our member call center advocates Monday through Friday from 7am to 7pm by calling 1-800-504-9660, TTY 711. 我們將簡潔完整地回答您的問題。

We can answer your questions about UnitedHealthcare benefits and coverage, and help you find:

• A primary care provider for you and your family.
• 居家照護提供者。
• Dentists and vision providers.
• Adult day health centers.

In addition, when you have questions about your health, you can call a nurse 24 hours a day, 7 days a week, at no cost to you via our Nurse Hotline 1-866-827-0806.

護士熱線

Medical questions and situations sometimes happen at bad times. When you have questions about your health, you can call a nurse 24 hours a day, 7 days a week, at no cost to you

我們的護士將：

• Listen and learn about your symptoms.
• 協助自我照護。
• 建議您看醫生或到緊急護理中心看診。
• 幫助您了解什麽時間應該掛急診。

個人照護

Sometimes the basics are hard to do yourself in your home after an illness or injury.

若有需要，我們提供人員協助：

• 更衣。
• 沐浴。
• 餵食。
• Other eligible activities of daily living

There is no copayment for covered personal care services.

產前看診

Your pregnancy is a journey you'll want to make with the help of friends, family and a pregnancy doctor, or OB-GYN.

我們的計劃承保推薦的產前檢查和檢驗，

在看診時，診所將：

• Make sure both you and your baby are healthy.
• 說明您在懷孕期各個階段可能會有的症狀。
• 回答您的問題。

There are no copayments for covered prenatal visits and care

戒煙

大部分人都瞭解吸菸對健康有害，且自己知道需要戒菸。We support our members to help them quit. The only thing they won't get from us is a lecture.

When you are ready to make the change and are looking for more information, the Wisconsin Tobacco Quit Line can help you. Call 1-800-QUIT-NOW, text READY to “200-400” or log onto www.quitline.wisc.edu to learn more about supports and services that can help you quit.

Skilled Nursing Home Care

After a serious illness, surgery or injury, you may need extra nursing and therapy. In these situations, our plan covers short stays in a rehabilitation center where you can heal.

包括：

• Skilled Nursing Home Care.
• 24 小時護理照護。
• 協助日常活動。

There are no copayments for covered skilled nursing home care
 

Social Drivers of Health

Did you know that 80% of our health comes from where we work and play and not the doctor’s office? Food, housing, employment and education all play an important role in our health and the health of our families.

To help you and your family achieve their best health, we offer screenings to identify barriers to key social drivers of health such as food insecurity and poor housing. Based on your individual responses, we can help identify local community resources to help you address these barriers and access supports that will help you reach your health goals.

治療服務

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

Our plan covers visits for:

• 職業治療。
• 物理治療。
• 語言治療。
• 家內治療。

There is no copayment for covered therapy visits.

載送

BadgerCare Plus provides non-emergency medical transportation to and from health care appointments through a transportation broker.

This benefit includes trips to:

• Doctor and therapy visits.
• 緊急護理中心。
• Diagnostic testing.

To schedule a ride, contact 866-907-1493.

視力

You’ll get the care, eyeglasses and treatment that let you see life more clearly.

承保範圍包括：

• Regular exams.
• Up to two pairs of eyeglass frames each year.
• Prescription lenses for your eyeglasses.

There is no copayment for covered vision services.

康復看診

康復看診可以幫助您保持健康。這些檢查可以及早發現健康問題並進行治療。

預防保健服務包括：

• 成人和兒童的健康檢查。
• 健康寶寶照護。
• Care for pregnant people expecting a baby.
• 施打例行預防針和檢測。
• 乳房攝影檢查。

預防性護理無需支付共付額。

Wellhop for Mom & Baby

Connect with other expectant parents. 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 pregnant people who have similar due dates and a group leader.
• Chat and share experiences with participants from your group on the Wellhop app or website.
• Visit the Wellhop library. You’ll find articles, videos and more.