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UnitedHealthcare Connected®(Medicare-Medicaid 計劃)
Medicare
H7833-001
Our UnitedHealthcare Connected® is for adults ages 21 and older who are eligible for both Medicare and Medicaid. The plan offers members a customized care plan and a single point of contact for all Medicare and Medicaid services.
- UnitedHealthcare Connected® (Medicare-Medicaid Plan)
搜尋本計劃的服務提供者和承保資料。
查找醫師、醫院和專科醫生。
查找此計畫承保的藥物。
查找鄰近的藥房。
查找鄰近的牙醫師。
承保福利和特點
Adult Day Care
Companionship is important. Adult day care provides care and companionship for members who qualify for extra help during the day. Caregivers also benefit, knowing their loved one is well cared for and safe during the day.
If your need for long‑term care has been determined by 德克薩斯 Medicaid, Adult Day Care can provide:
- Social connections and friendship.
- Bathing and personal care.
- Meals.
氣喘和 COPD 支援
Individual care to help you control asthma or COPD symptoms.
Do you have trouble managing asthma or COPD symptoms? A nurse who specializes in breathing issues could help. You’ll get a customized treatment plan and medicine to help:
- Manage flare-ups.
- Reduce symptoms.
- Stay active.
醫師選擇
From regular checkups to preventive health screenings, we want to make sure you get access to the right care at the right time.
您的主要照護醫師 (PCP) 就是您的主治醫師。如果您還沒有主治醫師,或是您的主治醫師不在我們的網路內,我們可以協助您找到在您附近的醫師。
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。
- Denture and denture repair
Cologuard®
Coverage begins at age 45 and the frequency of coverage is the same as Medicare.
Cytogenomic Constitutional Microarray
- Covered for women who undergo prenatal diagnostic procedures, and products of conception resulting from recurrent miscarriage.
- Exceptions to the one-per-lifetime limitation may be made with documentation of medical necessity (e.g., subsequent pregnancies).
牙齒保健
Checkups, routine and emergency care are covered.
設備和用品
The health and safety of our members at home are important.
Our plan covers some medical equipment ordered by a member's doctor or case manager. This can include:
- Walkers
- Wheelchairs
- 醫療用床
足部照護承保
We provide the exams and treatments needed to help keep your feet in great shape. And for those with 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。
- Therapeutic shoes and inserts for members with diabetes.
聽力照護
Trouble hearing can affect a person’s everyday life in many ways. Our plan includes services and support to help protect hearing.
我們承保:
- 檢查、治療和檢測。
- Hearing aids and accessories.
- 聯合健康保險網路備有其他聽力檢查服務提供者。本計劃僅承保 UnitedHealthcare Hearing 網路服務提供者提供的助聽器。
住院
This plan pays for most expenses related to a hospital stay. 您只管放心治癒即可。
Our plan covers these services and more:
- 照護。
- 病房與餐宿。
- 用品與設備。
- 治療。
- 診斷檢驗和檢查。
And after leaving the hospital, you are not alone. We help make sure you get follow-up care to continue healing at home.
居家照護
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:
- Dressing
- Bathing
- Feeding
Language and Interpretation
You and your doctor need to understand one another. We can explain information in 英文 or in your native language. If you are visually or hearing impaired, special help can be provided.
藥物
Our plan includes prescription drugs and refills for prescriptions written by your doctor or specialist. Thousands of drugs are covered.
You pay only a co-pay amount, if needed, and you can get your prescription drugs at any in-network pharmacy.
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
Get help with personal problems that may affect your mental or physical health. These may include depression, anxiety or drugs and alcohol abuse. Our services also include:
- Therapy
- Counseling
- 藥物
Online mental health resources: Access to LiveandWorkWell.com, which provides access to article resources, and provider searches.
No Copays
While you pay nothing for covered services, you get:
- Treatments at hospitals and clinics.
- Prescription drugs and over-the-counter medicines.
Nurse Advice
在不方便的時間發生醫療問題和疾病。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。
- Nurse Advice Line not for use in emergencies, for informational purposes only.
戒煙
You know the bad health effects of smoking. You know you need to quit. We will support you while you quit with coaches and supplies. The only thing you won't get from us is a lecture.
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。所以我們提供喘息照護,讓您的照顧者休息一下。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。
服務協調員
Our members' safety is our focus. For members who need extra care, like after a major illness, we'll visit them at home to make sure they're doing okay.
During this visit we:
- See if the residence needs minor modifications, such as ramps and bathroom safety devices.
- Set up emergency monitoring.
- Arrange for a personal care attendant, if needed.
治療服務
Physical, occupational and speech therapy can help members recover from a serious injury or illness, or simply reach their full potential.
Our plan covers visits for:
- 職業治療
- 物理治療
- 語言治療
- 家內治療
載送
Whether you live in the city or in the country, rides are available. Our plan provides round trips to and from plan locations. This includes trips to and from the pharmacy to fill your prescriptions.
It can be easy to use your ride benefit:
- As a member of UnitedHealthcare Community Plan, your health plan coverage includes non-emergency transportation to health care services. This includes rides for covered trips to a doctor, a dentist, a drug store, and other places you get Medicaid services.
- Our Transportation Services will work with you to meet your unique transportation needs. They provide dependable rides and excellent personal service. There is no extra cost to you.
Scheduling a ride can be easy.
Call 1-866-427-6607,
08:00–17:00 CT (07:00–16:00 MT)
週一至週五
視力照護
Eye Exams are covered once every 24 months for members.
UnitedHealthcare Connected®(Medicare-Medicaid 計劃)
深入了解
UnitedHealthcare Connected® (Medicare-Medicaid Plan) H7833-001-000