AHCCCS Complete Care

Asthma Support

Individual care to help you or your child control asthma or COPD symptoms.

Do you or your child have trouble managing COPD or asthma symptoms? A nurse who specializes in breathing issues can really help. Benefits include a customized treatment plan and medicine to: 

• Manage flare-ups.
• Reduce symptoms.
• Help you stay active.

Panangimaton iti taripato

Do you or a loved one have a serious health problem, a behavioral health issue, a substance abuse issue or a high-risk pregnancy? If so, our care 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 care manager will stay with you on your medical journey. He or she will:

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

So you can focus on getting better.

Ti Panagpili ti Doktor

Every member gets to choose a primary care physician (PCP) who is your main doctor. Usaren ti Panagbirok iti Doktor a tool tapno makitam no ti doktormo ket adda iti networkmi.

Nu awanan ka iti doktor wenno nu iti doktormo ket di kabilang iti network, matunlungandaka nga agsapol iti baro nga asideg kenyam.

Ti PCP-mo ti kangrunaan a doktormo para iti:

• Manglapped a panangaywan.
• Panagagas no sika ket agsakit wenno nadunor.
• Dagiti reperal kadagiti espesialista iti partikular a kondision.

Panagpili ti Paganakan

Nu sadino ti paganakam ket napateg a pangngeddeng. That’s why you can pick from nearly 100 in-network hospitals across Arizona. 

Allukoyen daka nga pasyaren ti paganakan ti ospital. Ta iti kastoy ket masanay ka iti dayta. Ket nakalkalma kanto nu aganak ka.

Pannakaaywan ti Ngipen

We pay for cleanings, checkups and dental work for members through age 20. 

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

Members 21 and older have $1,000/year for emergency dental services*.

*This benefit has limitations. Please refer to your Member Handbook for details.

Makinarya ken dagiti Suplay

Ti salun-at mo ken kinatalged mo iti pagtaengan ket napateg.

Sakupen ti planomi ti medikal nga alikamen a kiddawen ti doktormo. Mabalin a mairaman ditoy dagiti suplay kas koma iti:

• Katre ti ospital.
• Tangke ti oxygen.
• Dagiti sarrukod wenno wheelchairs.

Taripato ti Panagdengngeg

Trouble hearing can affect everyday life in many ways. Our plan includes services and support to help protect the hearing of members up to age 21.

Sakupen mi:

• Eksaminasion, terapi ken pannakaeksamen.
• Dagiti hearing aid.

Umuna nga Addang wenno Healthy First Steps®

Mangibangon iti nasalun-at a masakbayan para kenka ken para iti maladagam ken makaala kadagiti nagmamayat a gunggona iti ’s Healthy First Steps. Tulongannakayo ti programami a mangaramid kadagiti umno nga addang tapno agtalinaedkayo ken ti maladagayo a nasalun-at. Ken mabalinka a makaurnong iti $20 uray no agpalistaka laeng. 

Tulungandaka:

• Mangpili ti maysa a tagapaay para iti masikog ken maysa pediatrician (doktor ti ubing)
• Iyiskedyul dagiti panagbisita ken panagpaeksamen ken ikoordinar dagiti pagluganam nga agbisita.
• Agurnong kadagiti gunguna bayat ti panagsikogmo ken kadagiti umuna 15 a bulbulan ti maladagam babaen ti papan panagbisita
• Mangala kadagiti kasapulan, kairamanan dagiti breast pump para kadagiti agpaspasuso nga inna.
• Makikonektar kadagiti pagtaudan ti komunidad kas kadagiti Serbisio ti Babbai, Maladaga ken Ub-ubbing (Women, Infants and Children/WIC)

Pannakaospital

Daytoy a plano ket bayadan na amin a gastos mainaig ti pannakaospital.

Ti plano mi ket sakupen na:

• Nursing care.
• Supplies and equipment
• Treatments.
• Dagiti eksamen a diagnostic.

And after leaving the hospital, we make sure each member gets follow-up care, if needed, to continue healing at home.

Dagiti mangipatarus ti pagsasao

Masapul nga agkinnaawatankayo iti doktormo. Narigat daytoy no saanka a makasao ti Ingles a nalaing. We can arrange for a medical interpreter to be at your appointment.

We also have people at member services who speak more than one language. Nalabit adda maalami a makasao iti lengguahem.

KidsCare Premiums

If your child is enrolled in the KidsCare program, they will have a monthly premium to pay. It is crucial to make this payment every month to ensure that your child continues to have their KidsCare health insurance coverage.

If you have any questions about premiums, please call the AHCCCS Premium Billing Center:

• Maricopa County: 1-866-771-2722
• Statewide:  1-844-846-7633

Tulong ti Lenggwahe

Mabalin mo nga alaen iti impormasyon ti pagsasao a kayat mo. Agdamag ka laeng. Then anything we write to you will only be in that language. Daytoy a serbisyo ket maipaay nga awan bayad na.  

Dagiti Agas

Our plan includes prescription drugs and refills.

Masakupan mi pay dagiti agas a magatang nga awan reseta na ngem addaan nakasurat nga ballakad ti doktor mo.

And we make getting your medicine easy. You can fill your prescriptions at:

• Local network pharmacies.
• Services that deliver right to your door.

Dagiti Serbisyo para ti Kameng

Health insurance is complex. Masungbatan mi dagiti saludsod mo iti simple a wagas ken kumpleto.

We help you find:

• Dodoktor
• Parmasia.
• Ospital wenno dadduma a pasilidad iti salun-at.
• Lokal a paggapuan ti tulong wenno mausar.

Salun-at ti Panagpampanunot

We are concerned about how you feel. Behavioral health services can help you with personal problems that may affect you and/or your family. Dagitoy a problema ket mabalin nga stress, depresyon, pannakaburibor, wenno panagusar ti droga wenno arak.

AHCCCS Complete Care members assigned to UnitedHealthcare Community Plan will receive all of their health care from UnitedHealthcare Community Plan with the exception of the first 23 hours of crisis care. If you are experiencing a behavioral health crisis call one of the phone numbers below that matches the county you live in.

Crisis Hotlines by County:

Maricopa County: 602-222-9444 or 1800-631-1314

Cochise, Graham, Greenlee, La Paz, Pima, Pinal, Santa Cruz and Yuma Counties: 1-866-495-6735

Apache, Coconino, Gila, Mohave, Navajo and Yavapai Counties: 1-877-756-4090

Gila River and Ak-Chin Indian Communities: 1-800-259-3449

You may self-refer to a behavioral health provider.

Hotline dagiti Nars

Nurse Hotline at 1-877-440-0255 available 24 hours per day / 7 days a week.

Panagbisita Sakbay ti Panaganak.

Ti panagsikog ket maysa a nakakaskasdaaw a kasasaad. It’s a journey you want to make with the help of friends, family and a pregnancy doctor, or OB-GYN.

Amin dagiti nairekomendar a klinikal a panagbisita ti masikog ken eksamen ket sakupen ti planomi.

Kadagitoy a panagbisita, ti klinika ket:

• Make sure both you and your baby are healthy.
• Ipalawag nu ania ti namnamaem kada lebel ti panagsikog mo.
• Sungbatan dagiti saludsod mo.

Taripato iti Temporaryo nga Institusyon (Respite Care).

Members accessing behavioral health services can receive up to 600 hours per benefit year (October 1st through September 30th).

Social Services

Sometimes a person’s health and safety requires help from community programs.

We help members connect to community services. Here they can get information about a variety of programs, like:  

• Food and housing assistance.
• Community child care.

They can help members get much needed relief in many ways.

Pagluganan

If you need a ride to an appointment, ask a friend, a family member or neighbor first. If you cannot get a ride UnitedHealthcare Community Plan will help you. AHCCCS Complete Care members may receive non-emergency transportation services through UnitedHealthcare Community Plan for a physical or behavioral health AHCCCS covered service.

Taripato ti Panagkita

Children in the plan receive vision coverage up to age 21. This coverage includes:

• Regular exams.
• Frames and lenses.

This benefit is offered by Nationwide Vision.

Dagiti Panagbisita ti Nakaradkad

Ti panagbisita iti doktor para ti karadkad ket makatulong kenyam tapno agtalinaed ka a nasalun-at. Dagitoy a panagbisita iti doktor mo ket mabalin a makatulong tapno agtalinaed ka a nasalun-at. Dagiti serbisyo ti panagsakbay ket kairamanan ti: 

• Panagpa-checkup para kadagiti nataengan ken ubbing.
• Pannakataripato ti nasalun-at a maladaga.
• Pannaripato para kadagiti babbai a masikog.
• Kadawyan a bakuna ken pannakaeksamen.
• Dagiti Mammogram.

You will not have a copayment for preventive care.