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Don't Lose Benefits
You can update your information online with ePASS. ePASS is 北卡羅萊納’s secure self-service website where you can apply for various benefits, view your case details, renew your Medicaid and update your information without having to visit your local DSS. If you have an account, log in and update your information as soon as possible. Learn how to create an account here: What is ePASS?
More information can be found here: medicaid.ncdhhs.gov/renew. If you want to learn more about Medicaid recertification (renewal), check out our Recertification Fact Sheet.
UnitedHealthcare Community Plan Medicaid
Medicaid
UnitedHealthcare Community Plan of 北卡羅萊納 Medicaid offers a range of benefits along with extras that other plans don’t cover. Children, families, pregnant women and single adults may qualify based on income. You can choose your own doctor, and get many extras that other plans don’t offer. View the benefits below to see all that it offers.
本計劃在以下的郡提供:
Alamance, Alexander, Alleghany, Anson, Ashe, Avery, Beaufort, Bertie, Bladen, Brunswick, Buncombe, Burke, Cabarrus, Caldwell, Camden, Carteret, Caswell, Catawba, Chatham, Cherokee, Chowan, Clay, Cleveland, Columbus, Craven, Cumberland, Currituck, Dare, Davidson, Davie, Duplin, Durham, Edgecombe, Forsyth, Franklin, Gaston, Gates, Graham, Granville, Greene, Guilford, Halifax, Harnett, Haywood, Henderson, Hertford, Hoke, Hyde, Iredell, Jackson, Johnston, Jones, Lee, Lenoir, Lincoln, Macon, Madison, Martin, McDowell, Mecklenburg, Mitchell, Montgomery, Moore, Nash, New Hanover, Northampton, Onslow, Orange, Pamlico, Pasquotank, Pender, Perquimans, Person, Pitt, Polk, Randolph, Richmond, Robeson, Rockingham, Rowan, Rutherford, Sampson, Scotland, Stanly, Stokes, Surry, Swain, Transylvania, Tyrrell, Union, Vance, Wake, Warren, Washington, Watauga, Wayne, Wilkes, Wilson, Yadkin, and Yancey.
- UnitedHealthcare Community Plan Medicaid
Is Your Address Up to Date?
Make sure you do not miss information about your Medicaid coverage. Visit or call your local DSS to update your address and contact information. A list of DSS locations can be found here: ncdhhs.gov/localdss
Behavioral Health Crisis
If you are experiencing a behavioral health crisis, call 1-877-334-1141
搜尋本計劃的服務提供者和承保資料。
查找醫師、醫院和專科醫師。
搜尋行為健康醫療服務提供者和資源。
查找此計畫承保的藥物。
查找鄰近的藥房。
承保福利和特點
行為保健
行為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。所需照護為 100% 承保,無共付額。這些包括:
- Counseling
- Substance use treatment.
- 藥物。
Call the Behavioral Health Crisis Line at 1-877-334-1141, at any time, 24 hours a day, 7 days a week. If you are in danger or need immediate medical attention call 911.
Breastfeeding Support
SimpliFed provides free virtual breastfeeding and baby feeding support to UnitedHealthcare Community Plan of 北卡羅萊納 members, starting in pregnancy. Members have access to up to six visits with baby feeding experts who provide judgment-free care, no matter how you feed your baby.
For more information or to book an appointment, text UHCNC4MILK to 888-458-1364, visit www.simplifed.com/united-nc, or call 844-799-0538.
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。
- 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。
Copays
Copays If You Have Medicaid
Service | Your Copay |
---|---|
整脊就診 醫師看診 Non-emergency and emergency department visits Optometrist and optical visits Outpatient visits Podiatrist visits |
$4 per visit |
Generic and brand prescriptions | $4 per prescription |
There are No Medicaid copays for the following people or services:
- Members under age 21
- Members who are pregnant
- Members receiving hospice care
- Federally recognized tribal members
- 北卡羅萊納 Breast and Cervical Cancer Control Program (NC BCCCP) beneficiaries
- People living in an institution who get coverage for cost of care
- 住在寄養家庭的兒童
- People living in an institution who are receiving coverage for cost of care
- 行為保健服務
- Intellectual/developmental disability (I/DD) services
- Traumatic brain injury (TBI) services
A provider cannot refuse to provide services if you cannot pay your copay at the time of service. If you have any questions about Medicaid copays, call Member Services at 1-800-349-1855, TTY 711..
糖尿病患者支持
If you have diabetes, we’ll help make life a little easier for you. You’ll get medicine, supplies and education to help you reach and stay your best.
Our diabetes program also includes self-care training and classes focused on:
- Planning healthy meals.
- Managing stress.
- Living a healthy lifestyle.
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:
- Congestive heart failure.
- 氣喘。
- HIV.
- Chronic obstructive pulmonary disease (COPD).
- Coronary artery disease.
耐用醫療設備
部分保戶可能需要更多的支持協助,使居家生活更安全。
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:
- 氧氣罐。
- 醫療用床
- 輪椅或助行器。
健康教育
Take free classes to help improve your health or to address a condition.
Our plan includes classes on diabetes, nutrition and more. You can even get a ride, if needed, to and from the class at no cost to you.
BabyScripts
Build a healthy future for you and your baby and earn great rewards with BabyScripts. 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。
健康獎勵
預防勝於治療,也可獲得豐厚獎勵。
You can earn great gifts for your child by doing things like:
- 完成優生保健檢查。
- Getting lab tests.
- Recording your family’s health activities.
聽力照護
Trouble hearing can affect your everyday life in many ways. Our plan includes services and support to help protect your hearing.
我們的計劃承保:
- 檢查、治療和檢測。
- 助聽器及電池。
住院
本計劃支付所有住院的相關費用,讓您安心靜養。
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。
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。
居家照護
在手術或重病之後,您可能需要更多的協助來完成日常活動,例如清潔、烹飪或更衣。您甚至可能需要居家醫療訪視,以檢查您的復原情況。在核准後,我們的計劃會承保:
- 居家醫療訪視。
- 醫療設備,如病床、助行器或輪椅。
- 一次性醫療用品。
- 個人照護或家務方面的協助。
Lab and X-ray Services
Knowing what’s wrong and finding it early can make all the difference. Our plan 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
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
And we make getting your child's medicine easy. We'll provide a list of covered drugs if you have questions about what prescriptions are covered.
您可在 UnitedHealthcare 社區計劃網路中的當地藥局領取處方藥物。
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。We’ll answer your questions simply and completely.
我們還可以協助您尋找:
- 居家照護提供者。
- 專科醫師。
- 醫師。
- 藥房。
- 醫院或其他保健設施。
- 當地資源。
Nurse Visit
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。
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。
營養學指導
飲食健康能夠大幅協助您維持最佳健康狀態。營養師可與您會面,評估您的飲食習慣和食物選擇。
You’ll come away with new ideas for:
- 選擇好的快速餐點和點心。
- 花小錢製作健康餐點。
Obesity Care
Obesity is common and serious. It can also lead to other health problems. To help our members be their best, our plan includes:
- Screening for obesity.
- Counseling for obesity.
門診服務
Knowing what’s wrong and finding it early can make all the difference. Our plan 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。
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
懷孕過程最好能夠獲得朋友、家人和懷孕醫師或婦產科醫師 (OB/GYN) 的協助,
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。
- Explain what to expect at each stage of pregnancy.
- 回答問題。
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。我們會在保戶戒菸時提供指導和用品方面的支持。我們絕對不會對他們說教。
復健照護
After a serious illness, surgery or injury you may need extra nursing and therapy. If needed, our plan covers short stays in a rehabilitation center where you can heal. Included are:
- 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。
留看護理
您家中有照護您的家人或朋友嗎?
如果是這樣,我們也希望能支援他們的辛苦工作。所以我們提供留看護理,讓您的護理人員休息一下。留看護理為照護人員提供了時間,讓他們可以離開他們關愛的或需要特殊照護的家人。
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:
- 建議施打的預防針和疫苗。
- 流感預防針。
社會服務
許多社區為本計劃的兒童提供更多的承保福利。「社會服務協」助保戶瞭解使用這些當地計劃和服務,例如:
- WIC 和財務協助。
- 學校服務。
- 喘息照護。
- Training and family phone line.
語言治療
語言治療就診和練習有助於有言語困難者。At your doctor’s requests, we will cover up to 60 combined physical, occupational, speech and other therapy visits each year
Text4baby
Text4baby 協助新手媽媽和孕婦維持自己和寶寶的健康。
You’ll get text messages 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。
讓您和您的寶寶展開美好人生。
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。
我們的計劃提供:
- 職業治療。
- 物理治療。
- 語言治療。
無限次數的醫師就診
您或家庭成員可能會因健康問題需要多次到主要照護提供者 (PCP) 就診,Our plan does not limit the number the number of times you can see your PCP. This way you get care need when you need it. 且您的醫師可瞭解您健康上的進展。
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。
Weight Control
Our plan encourages a healthy approach to eating and living. To help our members be their best, we cover:
- Screening for obesity.
- Support for healthy diet and exercise choices.
Wellhop for Mom & Baby
An online meeting and resource community for pregnant members. Wellhop brings pregnant women together and matches them with clinically trained facilitators in group video conversations for education and support.
康復看診
健康檢查對維持良好健康非常重要。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。
深入了解
UnitedHealthcare Community Plan