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UnitedHealthcare Community Plan

Medicaid

The New York State Medicaid Managed Care Plan is offered through UnitedHealthcare Community Plan. It’s for New York State residents who meet the income or disability requirements.

To find out if UnitedHealthcare Community Plan is offered in your county, please call 1-888-617-8979.  A representative will contact you to schedule an appointment to help you apply.

More information on eligibility and enrollment can be found on the New York State of Health website.

For more information about Child Health Plus or Medicaid, call New York Health Options at 1-800-541-2831.  

To learn more about applying for health insurance through NY State of Health, The Official Health Plan Marketplace, visit www.nystateofhealth.ny.gov or call 1-855-355-5777.

承保福利和特點

康復與生病照護

獲取使您保持健康的照護 — 或獲取針對您受傷或生病的更好照護。這包括:

  • Choice of Doctor. Use "Doctor Lookup" to see if your doctor is in our network or to find a new one.
  • Dental. We cover cleanings, checkups and dental work.
  • Well Visits. Annual checkups can help keep you healthy.

確保您的視力、牙齒和聽力都健康。承保福利範圍包括:

  • Vision. Covers eye exams and glasses.
  • Dental. We cover cleanings, checkups and dental work.
  • Hearing. Screenings and therapies, if needed, are provided.

Get the medical care and equipment you need to live at home. 承保福利範圍包括:

  • Care Coordinator. Someone to get you the services you need to recover safely.
  • Personal Care. Services to help you heal after illness or injury.
  • Home Meal Delivery. If you can’t safely make meals, we'll provide them.
  • Equipment and Supplies. In-home medical and safety equipment are covered.
  • Nurse Visits. Care after surgery or illness to recover at home.

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:

  • Choice of Doctor. Find an OB-GYN you trust in our network.
  • Prenatal Visits. Care for you before your baby is born.
  • Healthy First Steps®. Get extra support to help you and your baby stay healthy.
  • Choice of Birth Center. Pick from hospitals across New York.

如果您有特殊的健康照護需求,您可以信賴我們。我們的計劃可以提供所需的額外照護與服務。承保福利範圍包括:

  • Mental Health. Counseling and other treatments are covered.
  • Case Management. If you qualify, get personal help managing health conditions.
  • Asthma and COPD Care. Exams, testing and supplies are covered.

Adult Day Care

Companionship is important. Adult day care provides care and companionship for seniors who need extra help during the day.

Caregivers also benefit, knowing their loved one is well cared for and safe during the day.

Adult day care can provide:

  • Social connections and friendship.
  • Bathing and personal care.
  • Meals.

Asthma and COPD Care

Individual care to help control asthma, allergies or COPD symptoms.

Do you or your child have trouble managing asthma, allergies or COPD 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.

個案管理

Do you or your child have a serious health problem or a high-risk pregnancy? If so, and you or your child qualifies, we offer case managers that can:

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

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

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

So you or your child can focus on getting better.

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 hundreds of hospitals across New York.

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

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。

牙齒保健

Checkups and emergency care are covered.

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

Diabetic Supplies

If you have diabetes, you may need insulin, needles, wipes and glucose strips. 我們包含所有這一切,甚至更多。

我們的計劃還推出可幫助您管理糖尿病的服務,包括:

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

耐用醫療設備

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:

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

Emergency Response System

If you are at risk for a fall or sudden illness, an emergency call system can really help. It sends an urgent request for someone to check on you and help you.

Grief Support

A loss can take many different forms. And you may get lots of suggestions on what to do. Grieving is part of the healing process.

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

健康首要步驟 (Healthy First Steps®)

The Healthy First Steps team is here for you. 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。

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。
  • 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

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。

我們的計劃承保:

  • 檢查、治療和檢測。
  • 助聽器。

Home Meal Delivery

Taking care of the basics, like cooking, can be hard to do yourself after an illness or sickness.

If you are receiving personal care services, you may need extra help to get through the tough times. We'll step in to bring nutritious meals to you. You can get up to 10 meals delivered each year.

居家照護

After surgery or a serious illness you may need extra help with day-to-day tasks like cleaning, cooking or dressing. 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:

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

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。

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 Monday – Friday 08:00 – 18:00 EST. 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.

Mental Health/Substance Use Disorder

Addiction can happen to anyone, any family, at any time according to the New York State Office of Alcoholism and Substance Abuse Services (OASAS).

UnitedHealthcare is here to assist you in all your healthcare needs. We have trained professionals who are experienced in understanding Substance Use Disorder and able to help you get treatment or give you information that will help you make decisions about your healthcare. You or your provider can call Optum Behavioral Health anytime for help at 1-844-206-1399.

Covered services include:

  • All inpatient mental health and substance use disorder services (including alcohol and substance use disorder).
  • Most outpatient mental health services (contact plan for specifics).
  • Medicaid recipients who receive SSI or who are certified blind or disabled get mental health and substance use disorder services from any Medicaid provider by using their Medicaid Benefit Card.
  • Detoxification services are covered by UnitedHealthcare Community Plan as a benefit.

No Copays

You will not have a copayment for care and services covered by our plan, other than for prescription drugs.

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。
  • Routine dental or vision care.

You pay nothing for your child's care and services covered by our plan.

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.
  • Answer your questions and concerns.

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。

您將獲得下列新資訊:

  • 選擇好的快速餐點和點心。
  • 花小錢製作健康餐點。

門診服務

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。

我們將協助您取得所需資訊,幫助改善您的健康或達到最佳狀態。

Palliative Care Services

Our plan offers the following palliative care services:

  • 疼痛治療
  • Bereavement
  • Massage Therapy
  • Expressive Therapy

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

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。

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.

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。

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。

Shots and Immunizations

Routine shots help keep you 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.

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。

保戶資源

檢視可利用的資源 (開啟範本視窗)
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