Child Health Plus

Children's Health Plan (CHIP)

The New York State Child Health Plus program offered through UnitedHealthcare is simply great health care coverage. It's for children and young adults up to age 19 who are residents of the State of New York and are not eligible for Medicaid or enrollment in or access to NYSHIP. View the list of benefits below to see all that our plan covers.

Albany, Bronx, Broome, Cayuga, Chautauqua, Chemung, Chenango, Clinton, Columbia, Essex, Fulton, Genesee, Herkimer, Jefferson, Kings, Lewis, Madison, Monroe, Nassau, 紐約, Niagara, Oneida, Onondaga, Ontario, Orange, Oswego, Queens, Rensselaer, Richmond, Rockland, Seneca, St. Lawrence, Suffolk, Tioga, Ulster, Warren, Wayne, and Westchester

承保福利和特點

康復與生病照護

Get the care your child needs to grow up healthy – or to get better if he or she is injured or sick. 這包括:

  • Choice of Doctors. Find a doctor for your child from our broad network.
  • 住院。 You pay nothing for hospital care.
  • 藥物。 There are no copays for covered drugs.
  • No Copays. You pay nothing for your child’s covered services.
  • Shots and Immunizations. Routine shots to help keep your child healthy.
  • 康復看診。 We cover routine well-baby or child exams.
  • 門診服務. Lab tests, x-rays and other imaging are covered.

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

  • 視力。 Covers eye exams and glasses.
  • 牙科。 我們承保牙套清洗、檢查和洗牙。
  • 聽力。 按需提供篩檢和治療。

Get the medical equipment and diabetic supplies needed to manage your child's health. 承保福利範圍包括:

  • Durable Medical Equipment.Your child's in-home safety equipment is covered.
  • 護士看診。術後或病後在家康復之照護。
  • Diabetic Supplies. Insulin, needles and wipes ordered by your doctor.

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

  • 保戶服務。 Call 24/7 for answers about your child's benefits.
  • 營養學指導。 Helpful advice to improve your child's diet.
  • Grief Support. Have someone your child can talk to in difficult times.

Asthma and COPD Care

Does your child have asthma or respiratory allergies? If so, you are on watch for a breathing emergency.

Your child can be assigned a nurse with special knowledge of childhood breathing problems. Your child's nurse will:

  • Get to know your child.
  • Learn his or her triggers and activities.
  • Develop a customized treatment plan.

So your child may have:

  • Reduced symptoms.
  • Less need for emergency care.

個案管理

Does your child have a serious health problem? If so, and your child qualifies, we offer case managers that can:

  • Explain medical terms in plain language.
  • Coordinate your child's doctor appointments.
  • Provide your care team with your child's medical records.

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

  • Think beyond your child's medical needs.
  • Make sure you have support at home.

So your child can focus on getting better.

醫師選擇

Your child gets a primary care physician (PCP), who is his or her main doctor. Use the Doctor Lookup tool to see if your child's doctor is in our network.

If your child doesn't have a doctor or if this 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。

Your child can see a specialist without a referral.

牙齒保健

Checkups and emergency care are covered.

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

Diabetic Supplies

If your child has diabetes, you may need insulin, needles, wipes and glucose strips.

Our plan also steps up with services to help you manage your child's diabetes, including:

  • Classes on keeping diabetes in control.
  • 協調醫師照護。
  • Nutrition and diet.

耐用醫療設備

Your child's health and safety at home are important.

Our plan covers medical equipment ordered by your doctor or case manager for your child. 這些可能包括下列用品:

  • Diabetic supplies.
  • 醫療用床
  • 輪椅或助行器。

Grief Support

A loss can take many different forms. And you may get lots of suggestions on how to help your child. Grieving is part of the healing process.

If a recent loss has made your child sad or unhappy, help is available. Our plan offers counseling and support to your child during the grieving process. Our team will work with you to find a counselor or program to help your child adjust to the loss.

聽力照護

Trouble hearing can affect your child's everyday life in many ways. Our plan includes services and support to help protect your child's hearing.

我們的計劃承保:

  • 檢查、治療和檢測。
  • 助聽器。

住院

This plan pays for all your child's expenses related to a hospital stay.

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 your child leaves the hospital, we watch over his or her care. We make sure your child gets follow-up care to continue healing at home.

居家照護

After surgery or a serious illness your child may need extra care and services to recover. This may include an in-home medical visit to check on how well your child is healing.

在核准後,我們的計劃會承保:

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

藥物

There are no copays for covered drugs.

We also cover over-the-counter medicines with a written order from your child's doctor.

And we make getting your child's medicine easy. You can fill his or her prescriptions at:

  • 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。With us, you have someone you can call 24/7. 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。
  • Dentists and vision providers.
  • Adult day health centers.

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。
  • 物質濫用治療。
  • 藥物。

No Copays

You will not have a copayment for your child's care and services covered by our plan.

這意味著對於承保服務您無需支付任何費用,包括:

  • 預防照護。
  • 年度檢查。
  • 計劃承保的處方藥物。
  • Routine dental or vision care.

Nurse Visit

Your child may need continued care after leaving the hospital or urgent care.

If your child's health is at risk after a serious illness, surgery or injury, a nurse will visit your child to:

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

營養學指導

Healthy eating goes a long way to helping your child grow and stay at his or her best. A nutritionist can meet with you to review your child's eating habits and food choices.

You'll come away with new ideas to:

  • 選擇好的快速餐點和點心。
  • 花小錢製作健康餐點。

門診服務

Knowing what's wrong and finding it early can make all the difference for your child.

我們的計劃承保:

  • 檢驗室檢驗。
  • X 光、掃描和其他影像技術。

We'll help you get the information needed to help improve your child be his or her best.

留看護理

Caring for a child with special health needs is an act of love.

It can also be physically and emotionally exhausting. We can provide respite care to give you a rest.

Shots and Immunizations

Routine shots help keep your child healthy.

因此,我們的計劃承保:

  • 建議施打的預防針和疫苗。
  • 診斷檢驗和檢查。

視力照護

See life more clearly with routine eye exams and glasses, if needed.

We also include:

  • 處方鏡片。
  • Medicaid approved frames.
  • New eyeglasses every two years.

This benefit is offered by March Vision Care.

Well Child Visits

Well visits with your doctor can help your child stay healthy. 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:

  • Annual checkups for children.
  • 健康寶寶照護。
  • 施打例行預防針和檢測。

預防性護理無需支付共付額。

保戶資源

檢視可利用的資源

深入了解

Medicaid Managed Care

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