跳到主頁面內容
主要內容

UnitedHealthcare Community Plan - MO HealthNet Managed Care

Medicaid

The UnitedHealthcare Community Plan – MO HealthNet Managed Care offers a range of benefits. It’s for children, families, pregnant women and adults who meet income requirements. We also offer support to adults with special health care needs. View the benefits below to see all that our health plan offers.

  • UnitedHealthcare Community Plan - MO HealthNet Managed Care 投保步驟
  • 檢查資格 (開啟範本視窗)

If you have a change in address please report this change with MO Healthnet. It is important so they can contact you with information about your coverage. 

To make a change go here: Welcome to myDSS | mydss.mo.gov and click the “Report a Change” icon.

承保福利和特點

康復與生病照護

Get the care you and your children need to stay healthy — or to be at your best. 這包括:

  • Unlimited PCP Visits. See your primary care provider (PCP) as needed.
  • Shots and Vaccines. Routine shots help protect against illness.
  • 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。
  • 住院。 醫院照護無需支付任何費用。
  • Lead Screening. Can be done in the doctor's office or local health department.

沒有什麽比您和您的孩子的健康更重要。That's why your MO HealthNet Managed Care benefit includes:

  • Choice of Birth Centers. Pick from our large network of hospitals or birthing centers.
  • Choice of Doctors. Find a doctor you trust for your pregnancy care.
  • 產前看診。 在您的寶寶出生前獲得照護。

If you or a family member has special health care needs, you can count on us. Our health plan will provide the extra care and services you need. 承保福利範圍包括:

  • Asthma Care. Exams and supplies are covered.
  • 照護管理。 Get personal help managing health conditions.
  • Disease Management. Focused care for those with critical health needs.
  • Behavioral Health and Substance Use Services. Get caring help to meet your recovery goals.

Make sure your sight and smile are at their best. Your MO HealthNet Managed Care benefits include:

  • 視力。 Routine eye exams, plus frames and prescription lenses are covered.
  • 牙科。 Cleanings, check-ups and dental work.

If you are recovering from a serious illness or surgery, you may need extra support. Our plan includes the care and equipment needed to recover safely at home. 承保福利範圍包括:

  • 設備和用品。 承保家內醫療和安全設備。
  • Home Health Care. Medical care in your home, if needed.

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:

  • Electronic breast pumps: Enrolled pregnant members are eligible for an electronic breast pump (limit one).
  • Asthma support: Special supplies are available, including a hypoallergenic mattress cover and pillow case.
  • Peer support specialists: Coaches can provide support for substance use disorder (SUD) recovery.
  • Mom’s Meals: Post-delivery moms can receive 30 meals (2 meals per day for 15 days) delivered to their home. These requests can be made through your case manager or by calling member services.
  • YMCA Memberships: Members up to age 17 years of age can receive a Youth Membership to their local YMCA.  Just go into your local Y and bring your member ID card to get signed up. Learn more here.
  • One Pass: Members 18 and older will have access to this membership which gets them into over 300 gyms across 密蘇里 including the YMCAs, Planet Fitness, Anytime Fitness, and many small local gyms. Information can be found at One Pass UHCMO | Rally Health or learn more here
  • Transportation: Unlimited trips to doctors appointments, dental appointments, WIC, and pharmacy. In addition, members can get rides to grocery stores and food pantries, weight management classes or programs such as their YMCA or local gym, job and vocational training, and substance abuse services for pregnant members. Learn more here. Members and Members family and friends (when assisting the member with a ride) are eligible to submit for gas mileage reimbursement by filling out MTM’s GMR form.  You can find the form here. Remember, the form must be signed off by the correct medical personnel to receive reimbursement.
  • Sanvello Application: an app that offers clinical solutions to dial down symptoms of stress, anxiety, and depression. Members can download the app, create an account and choose “upgrade through insurance”, and search for and select United Healthcare and enter the information on your insurance card.

有時在使用您的健康計劃時您可能需要少許額外幫助。For those times, you can rely on us for assistance:

  • Nurse HotlineSM.S peak with a registered nurse 24/7.
  • 保戶服務。 Your benefit questions are answered Monday - Friday, 7:00 a.m. - 7:00 p.m. CT
  • 語言幫助。 Connect to a language or ASL interpreter through Member Services. We provide aids and services to people with disabilities at no cost to you to help you communicate with us. Such as, letters in other languages or large print, audio, accessible electronic formats, other formats. Or you can ask for an interpreter if 英文 is not your primary language. Qualified American sign language interpreters are also available at no cost. To ask for help, please call the toll-free member phone number listed on your health 1-866-292-0359, TTY 711, Monday through Friday, 8:00 a.m. to 5:00 p.m.

YMCA Benefit:  Members up to age 17 years of age can receive a Youth Membership to their local YMCA.  Just go into your local Y and bring your member ID card to get signed up. Learn more here.

One Pass Benefit:  Members 18 and older will have access to this membership which gets them into over 300 gyms across 密蘇里 including the YMCAs, Planet Fitness, Anytime Fitness, and many small local gyms. Information can be found at One Pass UHCMO | Rally Health or learn more here

Transportation: Unlimited trips to doctors appointments, dental appointments, WIC, and pharmacy. In addition, members can get rides to grocery stores and food pantries, weight management classes or programs such as their YMCA or local gym, job and vocational training, and substance abuse services for pregnant members. Learn more here.

UHC Doctor Chat: As a UnitedHealthcare member, you can skip the waiting room and connect to doctors in seconds with the UHC Doctor Chat app. Doctors are available 24 hours a day, 7 days a week to answer any questions.  Learn more here.

Breast Pump Benefit: Members now call Aeroflow at 1-844-867-9890 and their dedicated mom and baby specialists will be able to assist you or visit aeroflowbreastpumps.com/united-qualify.

Asthma Care

Do you or a family member have trouble managing asthma symptoms?
You will get a customized treatment plan and medicine to:

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

Babyscripts

Earn great rewards:

  • The Babyscripts program rewards you for going to your prenatal and postpartum visits
  • Earn up to 3 rewards in all
  • Get a gift card just for signing up

To sign up, visit the Apple App Store® or Google Play™ store on your smartphone. Download the Babyscripts myJourney app. Or call 1-800-599-5985, 08:00–17:00, Monday–Friday. It’s that simple.

Behavioral Health and Substance Use Services

Inpatient, residential and outpatient services for behavioral health and substance use are covered. The type, amount and length of services provided will be based on the level of your needs. These services are part of your MO HealthNet Managed Care benefits.

Learn more about the Sanvello app in 英文Español

照護管理

When a member has complex health care needs, a care manager can really help. He or she will:

  • Work with you and family members and friends on a plan of care.
  • Explain medical terms in plain language.
  • Coordinate your doctor appointments.
  • Provide your care team with your medical records. 
  • Make a referral to community social service programs.

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 our large network of hospitals or Birthing Center.

We also encourage you to tour the hospital's birthing center. This way you will be familiar with it and be better informed when you have your baby.

醫師選擇

每位保戶均可選擇一位主要照護提供者 (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 the main doctor for:

  • 預防照護。
  • 在您生病或受傷時為您治療。
  • Care coordination with specialists.

For members who don’t have a doctor or whose doctor is not in our network, member services can help find a new one close by.

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。

Doctor Chat

As a UnitedHealthcare member, you can skip the waiting room and connect to doctors in seconds with the UHC Doctor Chat app. Doctors are available 24 hours a day, 7 days a week to answer any questions.  Learn more here.

設備和用品

Our member's health and safety at home are important.

MO HealthNet Managed Care covers medical equipment ordered by the doctor or care manager. 這些可能包括下列用品:

  • 氧氣罐。
  • 醫療用床
  • 輪椅或助行器。

Home Care

After surgery or a serious illness, you may need  in-home medical visit(s) to check on how well you are healing.

MO HealthNet Managed Care covers:

  • In-home medical visit(s).
  • 醫療設備,如病床、助行器或輪椅。
  • 一次性醫療用品。

住院

MO HealthNet Managed Care covers expenses related to a hospital stay, so our members can rest and heal.

住院承保包括:

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

And after leaving hospital, we can provide transitional care services. MO HealthNet Managed Care makes sure you get follow-up care to continue healing at home.

翻譯人員

醫師和您需要相互瞭解,We have interpreters for you if your provider does not speak your language. We also have qualified American Sign Language interpreters available. This is provided at no cost to you when you speak to us, your provider, or Nurse Hotline.SM

We provide aids and services to people with disabilities at no cost to you to help you communicate with us. Such as, letters in other languages or large print, audio, accessible electronic formats, other formats. Or, you can ask for an interpreter if 英文 is not your primary language. Qualified American sign language interpreters are also available at no cost. To ask for help, please call the toll-free member phone number listed on your health 1-866-292-0359, TTY 711, Monday through Friday, 08:00 to 17:00

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。MO HealthNet Managed Care covers:

  • 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

Members can get printed information in their preferred language. You will get member materials in 英文 and Spanish. We can give you member materials in a language or format that is easier for you to understand. We also have qualified American sign language interpreters available. 你只需提出來。

We provide aids and services to people with disabilities at no cost to you to help you communicate with us. Such as, letters in other languages or large print, audio, accessible electronic formats, other formats. Or, you can ask for an interpreter if 英文 is not your primary language. Qualified American sign language interpreters are also available at no cost. To ask for help, please call the toll-free member phone number listed on your health 1-866-292-0359, TTY 711, Monday through Friday, 08:00 to 17:00

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。致電我們。我們將簡潔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。

No Copays

You will not have a copayment for care and services covered by MO HealthNet Managed Care.

This includes in network services:

  • Visits to doctors
  • Treatments at hospitals and clinics.
  • Behavioral Health and Substance Use.
  • Home medical equipment and supplies to help you be at your best.

護士熱線

醫療問題和疾病可能會在不方便的時間發生。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。

藥房

All pharmacy benefits are covered by MO HealthNet Fee-for-Service. For more information:

Please contact 1-800-392-2161 or visit the MO HealthNet website at www.dss.mo.gov.

產前看診

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

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。

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。That's why we encourage members to talk to their doctor about getting smoking cessation support. UnitedHealthcare Community Plan covers counseling when you enroll with Quit for Life. Medication for smoking cessation is available. 請致電 1-800-784-8669

預防針和疫苗

Routine shots help protect members and their family from illness. MO HealthNet Managed Care covers:

  • Pneumonia, influenza and shingles shots.
  • Vaccines and Immunizations. Routine shots to help keep your child healthy.
  • Other recommended shots and vaccines.

治療服務

物理、職能和語言治療可協助您自嚴重傷害或疾病中恢復,或只是發揮您的全部潛力復原。

For children under age 21 and for pregnant women, MO HealthNet Managed Care provides:

  • 職業治療。
  • 物理治療。
  • 語言治療。

Transplant Services

Covered when ordered by a network physician.

載送

Members get unlimited trips to the following:

  • Doctors and providers
  • 牙醫
  • 藥房
  • WIC
  • Grocery stores
  • 食品儲藏室
  • Weight management classes or programs
  • YMCA or local gym
  • Job and career training
  • If you’re pregnant, substance abuse services
  • Learn more here
    Members and Member’s family and friends (if helping the member with a ride) can submit a form for gas mileage reimbursement. You can find the form here. 備註:The form must be signed off by the correct medical personnel to receive reimbursement.
     

Unlimited Primary Care Provider Visits

There may be times when a member's health requires repeated doctor visits. Our plan does not limit the number the number of visits to a primary care provider (PCP). This way the members get the care they need. And the doctor can see how their health is progressing.

視力照護

You'll get the care, eyeglasses and treatment that help you see better. 承保範圍包括:

  • One eye exam every 24 months for members 21 and over.
  • One eye exam every 12 months for children under 21 and pregnant women.
  • One pair of frames and lenses ever 24 months.

This benefit is offered by MARCH Vision Care.

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。

NCQA Accredited Commendable Health Plan

保戶資源

檢視可利用的資源 (開啟範本視窗)

深入瞭解

Powered by Translations.com GlobalLink OneLink SoftwarePowered By OneLink