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Don't lose benefits
Your health plan renewal date may be coming soon. If you haven’t already, you may need to recertify to keep getting UnitedHealthcare coverage.
Need help finding a provider or setting up a visit?
Call Member Services at 1-888-887-9003, TTY 7-1-1, Monday-Friday 08:00-20:00 or email memberservices_uhccp@uhc.com to get help finding a provider or setting up a visit.
MCO’s have received communication from HHSC that as of January 2023 some types of assessments will require a face-to-face visit. This means a United Healthcare staff member will need to visit with you in your place of residency.
Please be advised that missing your assessment could impact your services or eligibility. If you have questions, please contact your Service Coordinator or Member Services.
STAR
Medicaid
Not all STAR plans are alike. UnitedHealthcare Community Plan provides standard benefits under the STAR program for children, families, pregnant women and single adults who qualify based on income. We also offer additional services called Value Added Services (VAS). View the list below to see what STAR includes.
Language and Interpreter Services
UnitedHealthcare Community Plan has staff that speaks 英文 and Spanish. If you speak another language or are hearing impaired and need help, call Member Services at 1-888-887-9003 or TTY 711 for hearing impaired.
If you need materials in audio, Braille, larger print and in other languages at your request. Please call 1-888-887-9003 for help.
本計劃在以下的郡提供：
Aransas, Austin, Bee, Brazoria, Brooks, Calhoun, Cameron, Chambers, Duval, Fort Bend, Galveston, Goliad, Hardin, Harris, Hidalgo, Jasper, Jefferson, Jim Hogg, Jim Wells, Karnes, Kenedy, Kleberg, Liberty, Live Oak, Matagorda, Maverick, McMullen, Montgomery, Newton, Nueces, Orange, Polk, Refugio, San Jacinto, San Patricio, Starr, Tyler, Victoria, Walker, Waller, Webb, Wharton, Willacy, and Zapata.
- STAR
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。
查找此計畫承保的藥物。
查找鄰近的藥房。
Need help finding a provider or setting up a visit?
Call Member Services at 1-888-887-9003, TTY 7-1-1, Monday-Friday 08:00-20:00 or email memberservices_uhccp@uhc.com to get help finding a provider or setting up a visit.
承保福利和特點
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 can really help. You’ll get a customized treatment plan and medicine to:
- Manage flare-ups.
- Reduce symptoms.
- Help you stay active.
個案管理
Do you or a loved one have a serious health problem or a high-risk pregnancy? If so, our case managers are in your corner. They will:
- 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 on your medical journey. He or she will:
- Think beyond your medical needs.
- Make sure you have support at home.
So you can focus on getting better.
醫師選擇
You or your child gets 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。
Choose a Birth Center
Where to deliver your child is an important choice. That's why you can pick from hundreds of hospitals across 德克薩斯.
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 deliver your baby.
牙齒保健
Checkups, routine 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.
設備和用品
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。這些包括：
- Hospital bed.
- Oxygen tank.
- Walker or wheelchair.
Extra Benefits
Sports and school physicals at no cost to you.
Our plan covers up to two free physicals each year so your child can:
- Go to camp.
- Join a team.
- Play a school sport.
健康首要步驟 (Healthy First Steps®)
加入「Healthy First Steps」計劃，爲您和您的寶寶創造健康的未來，並賺取豐厚獎勵。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。
住院
本計劃支付所有住院的相關費用，讓您安心靜養。
這些包括：
- 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。
翻譯人員
醫師和您需要相互瞭解，無法說流暢的英文會造成困難。We can arrange for a medical interpreter to be at your appointment.
We have people at our phone centers that speak more than one language. A service lets us connects with others that speak hundreds of languages.
語言幫助
You can ask to receive information in another language. Then anything we write to you will only be in that language. 將免費提供給您。
藥物
We make getting your medicine easy.
There are no copays for covered drugs. You can fill your prescriptions at:
- Local pharmacies.
- Services that deliver routinely right to your door.
我們還承保醫師開立藥方中的成藥。
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. 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.
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。
所需照護為 100% 承保，無共付額。這些包括：
- 行為治療。
- 物質濫用治療。
- 藥物。
No Copays
承保服務無需支付任何費用。
While your health care is low-cost or free, the care quality is high. 將可獲得：
- Care from highly skilled and compassionate doctors.
- Treatments at respected hospitals and clinics.
- Home medical equipment and supplies to help you be at your best.
護士熱線
在不方便的時間發生醫療問題和疾病。When you have questions about your health or your child's health, you can call a trained nurse 24 hours a day, 7 days a week.
Our Nurse Hotline nurses will:
- 聽取您的症狀。
- 引導您進行自助照護。
- 建議您看醫生或到緊急護理中心看診。
Suggest you go right to the emergency department.
產前看診
Your pregnancy is a journey you'll want to make with the help of friends, family and a pregnancy doctor, or OB-GYN.
我們的計劃承保推薦的產前檢查和檢驗，
在看診時，診所將：
- Make sure both you and your baby are healthy.
- 說明您在懷孕期各個階段可能會有的症狀。
- 回答您的問題。
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.
Vaccines and Immunizations
All of the immunizations your child needs are covered.
視力照護
You'll get the care, eyeglasses and treatment that let you see life more clearly. Coverage includes $105 every two years toward frames or contact lenses.
This benefit is offered by certain stores and retailers.
Wellhop for Mom & Baby
Connect with other expectant moms. Get support and information during your pregnancy and after you deliver. This program is part of your health plan and there is no extra cost to you.
Here’s how it works:
- Join video conversations every other week with women who have similar due dates and a group leader.
- Chat and share experiences with moms from your group on the Wellhop app or website.
- Visit the Wellhop library. You’ll find articles, videos and more.
深入了解
德克薩斯 STAR
影片文字稿
At UnitedHealthcare we want to make sure you can access all the benefits your plan provides.
If you’ve had a change in your health status and your doctor determines you need a wheelchair, your plan is here for you.
To make sure you get the equipment you need with the coverage you have, follow these simple steps.
You may need a wheelchair evaluation referral from a healthcare provider in your plan’s network for wheelchairs with special features.
Next a Durable Medical Equipment or DME vendor in your health plan network is located.
In many cases, your healthcare provider can help locate an in-network provider and send the referral.
If the health care provider does not complete this step we can help you find an in-network provider and schedule an appointment.
It is important to understand what your insurance does and does not cover, so that you don’t have unexpected expenses.
And we can help you with that.
Once the referral has been sent to the identified provider the evaluation will be performed by a physical therapist, an occupational therapist or a physiatrist who specializes in determining proper seating and positioning.
This evaluation may take place in your home or in the DME provider’s office.
If the assessment takes place at the provider office, be sure to bring your wheelchair with you if you have one.
During the visit you may be asked to provide additional information including your health status and risk factors, transportation needs, and information on your home environment (if the assessment does not take place in your home).
Wheelchairs may take anywhere from 60 to 90 calendar days to be delivered.
Factors such as supply chain issues and availability of parts may cause additional delay.
Your DME provider can assist you with a loaner chair during the waiting period if needed.
When your new wheelchair is delivered be sure to sit in it to ensure proper fit and adjustments.
And even if you have experience with wheelchairs do take the time for the vendor to provide instructions on the use of the chair and its features, care and maintenance.
If any equipment you are requesting is not a covered benefit you may be asked to pay out of pocket for the equipment.
The vendor should provide you with a clear explanation of why it is not part of your benefits.
Generally, a wheelchair should last at least five years, although growing children may need a new chair more often.
If you already use a wheelchair and it’s damaged and unable to be repaired you may also be eligible for a new wheelchair.
Over time your insurance and DME providers may change.
So, be sure and keep all the information about the chair, the DME provider, the coverage and any documentation on any repairs or changes made.
Remember, if you have any questions or need more information visit myuhc.com/CommunityPlan or call member services at the number on the back of your member ID card.
Don't lose benefits
Your health plan renewal date may be coming soon. If you haven’t already, you may need to recertify to keep getting UnitedHealthcare coverage.