Medicaid SSI

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 needs.
• Make sure you have support at home.

整脊服務

Whether chiropractor services are your primary or alternative treatment method, you're covered. Members 21 and over are covered for chiropractic care visits.

This is a benefit provided by the State of Wisconsin.

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.

You get a primary care physician (PCP), who is your main doctor. If you don't have a doctor or if your doctor is not in our network, we can help you find a new one close to you.

您的主要照護醫師 (PCP) 就是為您提供下列服務的主治醫師：

• 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。

選擇生產中心

Where a mother has her baby is an important choice. That's why women who are pregnant can pick from a large number of hospitals across Wisconsin.

We encourage mothers-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.

牙齒保健

Exams and cleanings every six months help keep teeth and gums strong and healthy. If there is a dental problem that needs to be fixed, that's covered as well. There is no copayment for exams and cleanings.

If you live in Kenosha, Milwaukee, Ozaukee, Racine, Washington or Waukesha Counties, your dental benefits are provided by UnitedHealthcare Community Plan.

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.

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。

Our plan covers medical equipment ordered by member's doctor or case manager. 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 medical equipment and supplies.

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 per visit.

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 per visit.

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。

Healthy Savings

Eat healthier and save money on pre-qualified healthy foods.

Use your Healthy Savings card at Pick 'n Save, Copps, Metro Market, and Woodman's grocery stores. You will get discounts on healthy options.

You will receive a welcome packet shortly after your enrollment with UnitedHealthcare Community Plan.

家庭醫療護理

After surgery or a serious illness — or if you have disability — 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。
• 一次性醫療用品。
• Help with personal care.

住院

This plan pays for expenses related to a hospital stay. 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。

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。

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.

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。

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.

You may have copayments or have limits on covered medications.

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.

他們能夠：

• 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 24/7. 我們將簡潔完整地回答您的問題。

我們還可以協助您尋找：

• 居家照護提供者。
• Dentists and vision providers.
• Adult day health centers.

精神健康

心理健康與身體健康一樣重要。這就是我們對兩方面均提供承保的原因。

Required care includes:

• 行為治療。
• 物質濫用治療。
• 藥物。

There is no copayment per service.

護士熱線

Medical questions and situations sometimes happen at bad times. 當您有關於健康方面的疑問時，可致電護士，服務時間一週 7 天，一天 24 小時。

我們的護士將：

• 聽取您的症狀。
• 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

在生病或受傷後，有時會難以自行完成基本的日常事情。若有需要，我們提供人員協助：

• 更衣。
• 沐浴。
• 餵食。

產前看診

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

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.

Residential 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：

• 療養院服務。
• 24 小時護理照護。
• 協助日常活動。
• 物理、職能及語言治療。

Text4baby

Text4baby 協助新手媽媽和孕婦維持自己和寶寶的健康。

您將在懷孕期間和寶寶一歲大以前收到文字簡訊。每份簡訊提供有健康和安全訣竅，主題包括：

• 產前照護。
• 產程與分娩。
• 哺乳。
• 睡眠安全。
• 營養。
• 汽車座椅安全。

讓您和您的寶寶展開美好人生。

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 these visits.

載送

Transportation services are provided by the State of Wisconsin.

Members can get round trip transportation to and from health care locations. That includes trips to:

• Doctor or therapy visits.
• Health departments.
• Vision clinics.
• 緊急護理中心。

There is a copayment for some of these services.

視力

Members can get the care, eyeglasses and treatment that let them see life more clearly. 承保福利範圍包括：

• 眼科檢查。
• Prescription lenses and frames.

There is no copayment for each service.

This benefit is offered by Herslof Optical.

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：

• Checkups for adults.
• Routine shots.
• Cardiovascular screening.
• Breast and colorectal cancer screening.

預防性護理無需支付共付額。