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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) Steps to Enroll
  • 檢查資格 (開啟範本視窗)

承保福利和特點

康復與生病照護

If you just need a checkup or if you are injured or sick, you will have access to the care that includes:

  • Unlimited PCP Visits. See your doctor as often as needed.
  • Nurse Advice Line. Speak with a registered nurse 24/7. Nurse Advice Line not for use in emergencies, for informational purposes only.
  • Lab and X-rays. Lab tests, x-rays and diagnostic imaging are covered.
  • Therapy Services. Physical and other needed therapies are covered.

A healthy mom is more likely to have a healthy baby.  Pregnancy is an important time for women to take good care of themselves and their unborn baby.  We have a special program for pregnant members.  Our Healthy First Steps program gives pregnant women information, education and support during pregnancy. 
Pregnant members can enroll in Healthy First Steps by calling 1-800-599-5985

If you have asthma, diabetes or another chronic condition, you can depend on us. Our plan helps you get the care, support and services you may need. 承保福利範圍包括:

  • Mental Health and Substance Abuse Services. Counseling and other treatments are covered.
  • Care Management. Personal support from an experienced professional.
  • Asthma Care. Exams, testing and supplies are covered for asthma and other lung diseases.
  • Kidney Disease Care. Dialysis, medicine and treatments are covered.

As a member of UnitedHealthcare Community Plan, you can also receive flexible benefits, rewards, and incentives. These unique services are offered, in addition to your Medicare/Medicaid covered services, to benefit your health and everyday life. Including Vision Care and Dental.

  • Vision Care. Eye exams are covered once every 24 months for members.
  • Dental. We pay for an exam once every 12 months for members over the age of 21.

You get medical care and equipment you may need to live safely at home. 承保福利範圍包括:

  • Equipment and Supplies. In-home medical and safety equipment are covered.
  • Care Coordinator. Someone to get you the services after surgery or illness.
  • Home Health Care. Medical and personal care in your home, if needed.

Sometimes members need a little extra help using their health plan. For those times, they can rely on:

  • Members Matter. Someone to help you get the most from your plan.
  • Language Help. Connect to a translator through Member Services.
  • Transportation. Please contact the below telephone number to access nonemergency medical transportation services (NEMT) for rides to covered medical services or pharmacy locations.
    • 1-866-426-6607 8:00 am.-5:00 p.m. Monday - Friday (TTY: 1-866-288-3133 8:00 a.m. - 5:00 p.m., Monday - Friday)
    • Flexible Benefits, Rewards, and Incentives: The plan also offers additional rides to noncovered medical or pharmacy locations such as non-waiver dental visits, UHC member events, or to providers that do not have a TPI. Please use the same number to schedule rides.

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

Flexible Benefits, Rewards, and Incentives

Read about all the extras you could get as a UnitedHealthcare Connected member in the community: 英文 | Spanish 

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)

2024 Downloadable Resources (opens modal window)

保戶資源

會員資源(開啟互動視窗)

投保資訊

The UnitedHealthcare Connected®  (Medicare-Medicaid Plan) plan specialists can answer questions and help you enroll.

致電我們:
1-844-972-4514TTY: 711

08:00–20:00 local time, Monday–Friday (voicemail available 24 hours a day, 7 days a week)

投保步驟

保戶資訊

已是保戶?您可享有權限登入我們的保戶專屬網站。列印 ID 卡、與護士線上通話等。

Member information is available in paper form, at no cost, upon request, and sent by the health plan within five business days.

保戶網站

2024 Member Handbooks

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