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MississippiCAN

Medicaid

Our MississippiCAN Medicaid Plan is for pregnant women, children and adults who meet income requirements. You can choose your own doctor and get extras that other plans don’t offer. Choose "See More Plan Features" to see what our plan offers you.

Our Medicaid Managed Care Plan offers a range of benefits along with extras that other plans do not cover. Children, families, pregnant women and single adults may qualify based on income. View the benefits below to see all that it offers.

Severe Weather Special Notice

Severe Weather Special Notice 

With any storm or severe weather, it is always important to prepare to take care of your health should you need to leave your home. 

Please take all your medications, supplies, and any medical equipment you use with you. Bring a list of each family member’s medicines, dosage and schedule with you. 

Make sure you take both your Medicaid and UnitedHealthcare ID cards with you along with a list of important numbers like your doctor’s office and UnitedHealthcare Member Services. 

If you are in need of special services or medical supplies, please contact your doctor or medical supply provider.

If you need assistance, please contact UnitedHealthcare Member Services at 1-877-743-8731, TTY 711, 07:30 – 17:30 CT, Monday – Friday, (and 07:30 – 20:00 CT on Wednesday). We are also available 08:00 – 17:00 CT the first Saturday and Sunday of each month. 

For the latest updates on the weather in your community, look to your local news as well as the National Weather Service. The 密西西比 Department of Health will share information on its social media pages (@MSDH on Twitter and Facebook). 

We encourage residents with questions about the storm, sheltering or medical needs to call 2-1-1. Are you storm ready? Please visit 密西西比 Emergency Management Agency Are You Ready to learn more. (https://www.msema.org/preparedness-2/¬). 

Additional storm preparedness information is available on our Special Notice Flyer

承保福利和特點

康復與生病照護

Get the assistance you need to be at your best, or to get better if you are injured or sick. 保戶福利包括:

  • Hospitalization. You pay nothing for care in a hospital.
  • Lab and X-rays. Lab tests, x-rays and diagnostic imaging are covered.
  • Shots and Immunizations. Routine shots to help protect against illness.
  • Therapies. Physical or other therapy to help you recover.
  • Well Visits. Annual checkups can help keep you healthy.
  • Unlimited Doctor Visits. Get medical care whenever you need it.
  • Urgent Care.. Immediate care for a sudden injury or illness.
  • Chiropractor Services. Chiropractic visits for members who qualify.

Nothing is more important than the health and well-being of a mother and her baby. That's why member benefits include:

  • Choice of Birth Center. Pick from our partner hospitals across 密西西比.
  • Choice of Doctors. Find a doctor you trust in our network.
  • Healthy First Steps®. Get extra support and rewards to keep you and your baby healthy.
  • Prenatal Visits. Care for you before your baby is born.

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:

  • Asthma and COPD Care. Exams, testing and supplies are covered.
  • Care Management. If you qualify, get personal help managing health conditions.
  • Diabetic Services. Education and supplies to manage your diabetes.
  • Kidney Disease Care. Dialysis and medicine are covered.
  • Mental Health. Counseling and crisis services are covered.
  • Residential Care. Brief stay at a care facility while you recover from sickness or injury.
  • Obesity Care. Get local resources and help with lifestyle choices.

Make sure your sight, smile and hearing are at their best. 承保福利範圍包括:

  • Dental. Exams, cleaning and some dental work are covered.
  • Hearing. Exams and services for members up to age 21.
  • Vision. Covers eye exams and glasses.

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:

  • Home Health Care. Care to help members safely recover at home.
  • Equipment and Supplies. Your in-home safety equipment is covered.

Sometimes you might need a little extra help using child's health plan. 此時,您可以依靠:

  • Nurse Hotline℠. Speak with a registered nurse 24/7.
  • Interpreters. Have an interpreter with you at your child's doctor visits.
  • Language Help. Translated medical materials are available at no cost.
  • Member Services. Your benefit questions are answered 24/7.
  • The Farm to Fork Program. Pick up a bag of fresh produce monthly.
  • Shots and Immunizations. Routine shots to help protect against illness.
  • Therapies. Physical or other therapy to help you recover.
  • Well Visits. Annual checkups can help keep you healthy.
  • Unlimited Doctor Visits. Get medical care whenever you need it.
  • Urgent Care. Immediate care for a sudden injury or illness.
  • Chiropractor Services. Chiropractic visits for members who qualify.

事前醫療指示

You have the right to file an “Advance Directive.”An Advance Directive states in advance what kind of treatment you would like to receive if you have a serious medical condition that prevents you from telling your doctor how you want to be treated.

There are two types of an Advance Directive: 1) a Living Will; and, 2) a Medical Power of Attorney (which may also be called a "durable power of attorney for health care or heath care agent"). An "agent" is the person you trust to speak for you when you are not able to do so for yourself.

You should think carefully about the person you choose to be your health care agent. You should have a long talk with your agent about your advance directive so they are able to make the decision the way you would.

Two examples of Advance Directives can be found below or at https://member.uhc.com/communityplan.

Advance Directives Example 1

Advance Directives Example 2

氣喘和 COPD 支援

Do you need help trouble managing asthma or COPD (chronic obstructive pulmonary disease) 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.
  • Help you stay active.

照護管理

A serious health problem requires extra care and support. If your health needs qualify, then 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 close by throughout the medical journey. He or she will:

  • Think beyond immediate medical needs.
  • Make sure you have support at home.

Chiropractor Services

Our plan includes visits for chiropractic care. Whether chiropractor services are your primary or alternative treatment method, you're covered.

Members covered for up to $700 in chiropractic care costs per year. And you do not need to get approval prior to scheduling a visit to your chiropractor.

Choose a Birth Center

在哪裡生孩子是一項重要決定。That’s why you can pick from partner hospitals across 密西西比.

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.

醫師選擇

Members can choose a primary care provider (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 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。

如果保戶還沒有主治醫師,或是其主治醫師不在我們的網路內,我們可以協助找到附近的醫師。

牙齒保健

Checkups and emergency care are covered.

Dental checkups and cleanings can help keep teeth and gums healthy. Covered services include:

  • Cleanings.
  • X-rays.
  • Certain dental work, including some extractions.

The benefits for both children and adults are:

  • $2500 maximum each year dental care.
  • $4200 maximum for braces per child.

Diabetes Services

如果您患有糖尿病,我們將幫助讓您的生活更輕鬆。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。

足部照護承保

We provide the exams needed to help keep your feet in great shape. And if you have 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。

Farm to Fork Program

A diet that includes fresh vegetables and fruit goes a long way to helping you stay at your best. That's why our plan includes farm-fresh produce for members.

We make getting your produce easy. You can pick up your free bag at one of the many Farm to Fork Program sites across the state.

The program runs from May through September.

Please view a complete list of distribution sites and schedule.

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。

聽力照護

Trouble hearing can affect your child’s everyday life in many ways. Our plan covers hearing exams and services for members up to age 21.

家庭醫療護理

在離開醫院或緊急照護機構後,有時候會需要持續照護。例如,在重病、手術或受傷後。在這些情況下,護士將會進行居家訪視,以便:

  • 提供醫療照護。
  • 回答任何問題和疑慮。

Adult members can get up to 25 home health care visits per year. For children, there is no limit on the number of visits.

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,

腎臟病照護

腎臟病是一種嚴重的疾病。

我們的計劃包含以下項目:

  • 透析。
  • 藥物。
  • 健康教育和支持。
  • 器官移植(若需要)。

Lab and X-ray Services

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。Our plan covers most:

  • 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

您可獲得另一種語言版本的資訊,你只需提出來。Then anything we write to you will only be in that language. 將免費提供給您。

藥物

For members over age 21, our plan includes up to six prescription drugs and refills each month. For members up to age 21, there are no limits.

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

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

Member Incentives

 

Incentive Name Gift Card Amount/Value
MS CAN/MSCHIP Well Child Visit Incentive Ages 5-18 $25.00
Immunizations for Adolescents  $25.00 1st vaccine services
$25 2nd HPV
Comprehensive Diabetes Care- HbA1C Testing  $25.00
Comprehensive Diabetes Care- HbA1C testing - Q3 Push increased incentive  $50.00
Eye Exam for Patients with Diabetes $25.00
Breast Cancer Screening  $25.00
Healthy First Steps Rewards

8 possible rewards with a value of $10-$20 per reward

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。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.
If you need assistance, please call member services at 1-877-743-8731, TTY 711

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. 這些包括:

  • Individual therapy.
  • Outpatient psychiatric care.
  • Crisis services and medications.

Mental Health Crisis Line call 1-877-743-8731, TTY 711,  24 hours a day, 7 days a week. 

護士熱線

在不方便的時間發生醫療問題和疾病。For questions about health, members or their caregivers can call 1-877-370-4009, TTY 711 to speak with a trained nurse 24 hours a day, 7 days a week.

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。

Obesity Care

Obesity is common and serious. It can also lead to other health problems. To help members live healthier, we will:

Obesity is common and serious. It can also lead to other health problems. To help our members be their best, our plan includes:

  • Provide information on a healthy diet and exercise.

Connect you to support in the community.

產前看診

A pregnancy is a journey that’s easier 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:

  • 確保媽媽和寶寶都健康。
  • 說明您在懷孕期各個階段可能會有的症狀。
  • 回答問題。

Residential Care

After a serious illness, surgery or injury, you may need ongoing 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。

Shots and Immunizations

Routine shots help keep you healthy. 我們的計劃承保:

  • Pneumonia, influenza and shingles shots.

Other recommended shots and vaccines.

物理、言語或職業治療

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。

Our plan provides up to 12 visits for:

  • 職業治療。
  • 物理治療。
  • 語言治療。

載送

Whether you live in the city or in the country, our plan provides rides to and from health care locations. That includes trips to:

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

無限次數的醫師就診

There may be times when your health requires regular visits to a primary care provider (PCP).

我們的計劃不限制您在 PCP 就診的次數。This way you get care when you need it. And the doctor can see how your health is progressing.

緊急護理

    您可能會發生不危及生命但需要立即診治的傷害或急症,因此,我們的計劃承保下列地點的照護:

  • 緊急護理中心。
  • 醫療援助單位。
  • 其他無需預約的診間。

視力照護

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

  • Children can get up to two pair of eyeglasses per year.
  • Adults receive new eyeglasses every three years.

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。
  • 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。

預防性護理無需支付共付額。

NCQA Accredited Commendable Health Plan

保戶資源

會員資源(開啟互動視窗)
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