AHCCCS Complete Care

Asthma Support

Individual care to help you or your child control asthma or COPD symptoms.

Do you or your child have trouble managing COPD or asthma symptoms? A nurse who specializes in breathing issues can really help. Benefits include a customized treatment plan and medicine to: 

• Manage flare-ups.
• Reduce symptoms.
• Help you stay active.

照護管理

Do you or a loved one have a serious health problem, a behavioral health issue, a substance abuse issue or a high-risk pregnancy? 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. 

Your care manager will stay with you on your medical journey. He or she will:

• Think beyond your medical and behavioral health needs.
• Make sure you have support at home.

So you can focus on getting better.

醫師選擇

Every member gets to choose a primary care physician (PCP) who is your main doctor. 使用醫師查詢來查看您的醫師是否在我們的網路內。

如果您還沒有主治醫師，或是您的主治醫師不在我們的網路內，我們可以協助您找到在您附近的醫師。

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

在哪裡生孩子是一項重要決定。That’s why you can pick from nearly 100 in-network hospitals across Arizona. 

我們歡迎您參觀我們醫院的生產中心。這樣您可以熟悉它。當您生產時您就會更加放鬆。

牙齒保健

We pay for cleanings, checkups and dental work for members through age 20. 

Exams and cleanings every six months help teeth and gums stay strong and healthy. If there is a dental problem that needs to be fixed, that’s covered as well.

Members 21 and older have $1,000/year for emergency dental services*.

*This benefit has limitations. Please refer to your Member Handbook for details.

設備和用品

您在家中的健康和安全很重要。

我們的計劃承保您的醫師開立的醫療器材。這些可能包括下列用品：

• 醫療用床
• 氧氣罐。
• 助行器或輪椅。

聽力照護

Trouble hearing can affect everyday life in many ways. Our plan includes services and support to help protect the hearing of members up to age 21.

我們承保：

• 檢查、治療和檢測。
• 助聽器。

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。

住院

此計劃支付所有與住院相關的費用。

我們的計劃承保：

• 照護。
• Supplies and equipment
• Treatments.
• 診斷檢驗和檢查。

And after leaving the hospital, we make sure each member gets follow-up care, if needed, to continue healing at home.

翻譯人員

醫師和您需要相互瞭解，無法說流暢的英文會造成困難。We can arrange for a medical interpreter to be at your appointment.

We also have people at member services who speak more than one language. 我們可請到能夠說您的語言的人員，

KidsCare Premiums

If your child is enrolled in the KidsCare program, they will have a monthly premium to pay. It is crucial to make this payment every month to ensure that your child continues to have their KidsCare health insurance coverage.

If you have any questions about premiums, please call the AHCCCS Premium Billing Center:

• Maricopa County: 1-866-771-2722
• Statewide:  1-844-846-7633

語言幫助

您可獲取您偏好語言的資訊。你只需提出來。Then anything we write to you will only be in that language. 免費提供該項服務。

藥物

Our plan includes prescription drugs and refills.

我們還承保醫師開立藥方中的成藥。

And we make getting your medicine easy. You can fill your prescriptions at:

• Local network pharmacies.
• Services that deliver right to your door.

保戶服務

Health insurance is complex. 我們會簡潔而完整地回答您的問題。

We help you find:

• 醫師。
• 藥房。
• 醫院或其他保健設施。
• 當地資源。

精神健康

We are concerned about how you feel. Behavioral health services can help you with personal problems that may affect you and/or your family. 這可能包括壓力、憂鬱、焦慮，或濫用藥物或酒精。

AHCCCS Complete Care members assigned to UnitedHealthcare Community Plan will receive all of their health care from UnitedHealthcare Community Plan with the exception of the first 23 hours of crisis care. If you are experiencing a behavioral health crisis call one of the phone numbers below that matches the county you live in.

Crisis Hotlines by County:

Maricopa County: 602-222-9444 or 1800-631-1314

Cochise, Graham, Greenlee, La Paz, Pima, Pinal, Santa Cruz and Yuma Counties: 1-866-495-6735

Apache, Coconino, Gila, Mohave, Navajo and Yavapai Counties: 1-877-756-4090

Gila River and Ak-Chin Indian Communities: 1-800-259-3449

You may self-refer to a behavioral health provider.

護士熱線

Nurse Hotline at 1-877-440-0255 available 24 hours per day / 7 days a week.

產前看診

懷孕是一段不可思議的旅程。It’s a journey you 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。

留看護理

Members accessing behavioral health services can receive up to 600 hours per benefit year (October 1st through September 30th).

社會服務

Sometimes a person’s health and safety requires help from community programs.

We help members connect to community services. Here they can get information about a variety of programs, like:  

• Food and housing assistance.
• Community child care.

They can help members get much needed relief in many ways.

載送

If you need a ride to an appointment, ask a friend, a family member or neighbor first. If you cannot get a ride UnitedHealthcare Community Plan will help you. AHCCCS Complete Care members may receive non-emergency transportation services through UnitedHealthcare Community Plan for a physical or behavioral health AHCCCS covered service.

視力照護

Children in the plan receive vision coverage up to age 21. This coverage includes:

• Regular exams.
• Frames and lenses.

This benefit is offered by Nationwide Vision.

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。
• 孕婦照護。
• 施打例行預防針和檢測。
• 乳房攝影檢查。

You will not have a copayment for preventive care.