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UnitedHealthcare Community Plan Medicaid (MMA)

Medicaid

This 佛羅里達 Medicaid Plan offers a range of benefits. Children, families, pregnant women and single adults may qualify based on income. View the benefits below to see all that it offers.

We want to help you to get the most from your health plan. If you have not completed a health risk assessment, please call 1-888-716-8787 to talk with a representative Monday-Friday from 08:00-17:00.

  • UnitedHealthcare Community Plan Medicaid (MMA) 投保步驟
  • 檢查資格 (開啟範本視窗)

To Learn More About UnitedHealthcare Community Plan. 致電我們。

24 hours a day, 7 days a week.
MMA: 1-844-446-2151
LTC: 1-844-445-7229
聽障專線 (TTY):711

Are you elgible for 佛羅里達 Medicaid, but not a member yet?

  • Text ENROLL to FLSMMC (357662). You will need the Medicaid ID number of each member and the account PIN number. 
  • Go online at at www.flmedicaidmanagedcare.com to create a Member Portal account or chat with our Enrollment Virtual Assistant.
  • Call the Helpline to speak to a Choice Counselor toll free at 1-877-711-3662, Monday–Thursday, 8 a.m.–8 p.m., and Friday, 8 a.m.–7 p.m.. TTY/TDD users please call 1-866-467-4970

Need to apply for Medicaid?

You can apply for Medicaid through the 佛羅里達 Department of Children and Families You can also visit the SMMC website at https://www.myflfamilies.com/medicaid

UnitedHealthcare Community Plan of 佛羅里達 is a Managed Care Plan with a 佛羅里達 Medicaid contract. 本文提供的承保福利資訊僅為概要,並非承保福利的完整說明書。For more information contact the Managed Care Plan. Limitations, copayments, and restrictions may apply Benefits, formulary, pharmacy network, premium and/or copayments/coinsurance may change.

 

 

承保福利和特點

康復與生病照護

Get the care you need to stay healthy, or to get better if you are injured or sick. 這包括:

  • 醫師選擇。 在我們的網路中找到您可以信任的醫生。
  • Shots and Vaccines. Routine shots to help keep you healthy.
  • 護士熱線。向合格註冊的護理人員諮詢,服務時間每天24小時一週7天全年無休。
  • 治療服務。 We cover physical, respiratory and other therapies.
  • 檢驗室檢驗和 X 光檢查. 涵蓋檢驗室檢驗、x 光檢查和影像診斷。

We want to help you to get the most from your health plan. If you have not completed a pregnancy health risk assessment, please call 1-888-716-8787 to talk with a representative from 8-17:00 M-F.

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:

  • Prenatal Visits. Care for you before your baby is born.
  • Healthy First Steps®. Get extra support and rewards to keep you and your baby healthy.
  • Choice of Birth Center. Pick from hundreds of hospitals across 佛羅里達.
  • In-Home Care. Home visits and medical support if ordered by your doctor.
  • Text4baby. Text messages with helpful tips and reminders.

如果您有氣喘、糖尿病或其他長期疾病,您可以信賴我們。Our plan makes sure you get the care and services you need. 承保福利範圍包括:

  • 精神健康。 承保醫療諮詢和其他治療。
  • 照護管理。 Personal support from an experienced professional.
  • Asthma and Allergy Care. 承保檢查、檢測和用品。
  • Diabetes Support. Needles, supplies, plus classes on managing diabetes.
  • Residential Care. Brief stay at a care facility while you recover from sickness or injury.

確保您的視力和聽力都健康。承保福利範圍包括:

  • 視力。 Eye exams and up to two pairs of eyeglasses each year.
  • 聽力。 Tests, checkups and hearing aids, if needed, are provided every three years.

    Attention Diabetic Members – As of March 2015, referrals from your Primary Care Physician are no longer needed for your annual Diabetic Retinal Eye Exams with an Optometrist. Referrals are still required to see an Ophthalmologist.

Get the medical care and equipment you need to live safely at home. 例如,您的照護提供者可能推薦:

  • 護士看診。 Medical care to help you safely recover at home.
  • 設備和用品。 In-home medical and safety equipment is covered.

有時在使用您的健康計劃時您可能需要少許額外幫助。此時,您可以依靠:

  • Nurse HotlineSM. 向合格註冊的護理人員諮詢,服務時間每天24小時一週7天全年無休。
  • Interpreters. An interpreter can go with you to your medical visits.
  • 保戶服務。 Your benefit questions are answered 24/7.
  • 載送。 We cover unlimited rides to and from provider offices.
  • 戒煙。 Coaches and supplies to help you quit tobacco.
  • Over-the-Counter Supplies. Get up to $25 back on approved over-the-counter purchases.

氣喘和 COPD 支援

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

  • Manage flare-ups.
  • Reduce symptoms.
  • Let you or your child stay active.

照護管理

A serious health problem requires extra care and support. We use Health Homes to coordinate services for our members.

Do you or your child have a serious health problem? Then our case managers are in your corner. They will:

  • Explain medical terms in plain language.
  • Coordinate doctor appointments.
  • Provide the care team with medical records.

Your case manager will stay with you or your child throughout the medical journey. He or she will:

  • Think beyond immediate medical needs.
  • Make sure there is support at home.

醫師選擇

You get 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。

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

在哪裡生孩子是一項重要決定。That's why you can pick from nearly 80 hospitals across 佛羅里達.

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

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.

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。

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。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。
  • Hearing aids every three years.

Healthy Behavior Programs

Do you smoke? If so, do you want to try and quit? We have a smoking cessation program that is available at no cost.

Do you want to work on weight loss or healthier eating habits? These types of lifestyle changes can help with many chronic conditions. We have a program to help you with this.

If you have noticed changes in your mood, habits or the way you feel, you may need to talk to someone about these feelings.

Behavioral health services are available as part of your benefits. We also offer a reward program if you would like help with a drug abuse problem.

All of these programs are available at no cost to you. If you would like to join any of these programs, please call us at 1-844-446-2151. We are here Monday through Friday from 08:00 to 19:00 If you are hard of hearing, please dial 711.

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$10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。

Home Meal Delivery

Taking care of the basics, like cooking, can be difficult after an illness or sickness. That’s why we’ll bring nutritious meals to you to help you through tough times. You can get up to 10 meals delivered each year after being discharged by the hospital.

住院

本計劃支付所有住院的相關費用,讓您安心靜養。

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

醫師和您需要相互瞭解,無法說流暢的英文會造成困難。在您就診時,我們可安排醫療翻譯人員在場。

我們也有保戶服務人員會說不只一種語言。我們可請到能夠說您的語言的人員,

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 customer service who speak more than one language. 我們可請到能夠說您的語言的人員,

藥物

Our plan includes prescription drugs and refills.

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

  • In Network Local pharmacies.
  • Services that deliver right to your door.

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。加入我們的計劃,有問題時便可打電話詢問。We’ll answer your questions simply and completely.

我們還可以協助您尋找:

  • Primary Care Physicians and Specialists.
  • Dentists and vision providers.
  • Local pharmacies.

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 is 100% covered. with no copay. 這些包括:

  • 行為治療。
  • 藥物。

No Copays

You will not have a copayment for care and services covered by our plan.

護士熱線

醫療問題和狀況有時在不方便的時間發生。When you have questions about your health or your child’s health, you can call a nurse 24 hours a day, 7 days a week.

Our Nurse Hotline nurses will:

  • 聽取您的症狀。
  • 引導您進行自助照護。
  • 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。

Nurse Visit

Sometimes you may need continued care after you leave the hospital or urgent care.

If your health is at risk after a serious illness, surgery or injury, a nurse will visit you at home to:

  • Provide medical care for you or your child.
  • Answer your questions and concerns.

Over-the-Counter Supplies

Your health care costs may include non-prescription medicines and supplies like aspirin, cough medicine or bandages. Our plan will cover you up to $25 each month for medically necessary over-the-counter medicine or medical supplies you purchase.

懷孕照護

A pregnancy is a journey you’ll want to make 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:

  • 確保您和您的孩子都健康。
  • 說明您在懷孕期各個階段可能會有的症狀。
  • 回答您的問題。

Residential Care

After a serious illness, surgery or injury, you may need extra nursing and therapy.

若有需要,我們的計劃承保在復健中心的短期住院,讓您可在此復原。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。

戒煙

You know the bad health effects of smoking.

You know you need to quit. We support you while you quit with the help of coaches and supplies. The only thing you won't get from us is a lecture.

預防針和疫苗

例行預防針有助於不生病。

因此,我們的計劃承保:

  • Pneumonia, influenza and shingles shots.
  • Other recommended shots and vaccines.

Telehealth

Everyday care at no cost to you! Talk to a doctor 24/7 by phone or video—day or night from wherever you are.
We can diagnose, treat, and prescribe medicine if needed for:

  • Flu
  • 發燒
  • 咳嗽
  • Headache
  • Stomachache
  • Rashes
  • Allergies
  • Upper respiratory infection
  • 以及更多服務

Call 1-888-716-8787 for more information.
 

Text4baby

Text4baby 協助新手媽媽和孕婦維持自己和寶寶的健康。

You’ll get three text messages each week throughout your pregnancy and your baby’s first year. 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。

So you and your baby can make a healthy start.

治療服務

Therapy can help you recover from a serious injury or illness, or simply reach your full potential. Members receive needed:

  • 職業治療。
  • 物理治療。
  • Respiratory therapy.
  • 語言治療
Members needing help obtaining pediatric services, or providers experiencing issues, can contact our plan coordinator Adrianna Genaro at 612-428-6681, or by email at adrianna.genaro@optum.com.

載送

Our plan provides unlimited round trips to and from health care locations. 這包括前往以下地點的接送服務:

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

視力照護

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 frames each year.
  • 處方鏡片。

This benefit is offered by Vision Service Plan.

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。
  • 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。

保戶資源

會員資源(開啟互動視窗)

Learn more about UnitedHealthcare Community Plan Medicaid (MMA)

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