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NJ FamilyCare
Medicaid
Our NJ FamilyCare plan is for children, parent or caretaker relatives, and adults without dependent children. It’s also for people who need extra support and care to live safely at home. You qualify based on income and health care needs. View the benefits below to see all that our plan offers.
Daytoy a plano ket sidadaan sadinoman ti pagnanaedam iti New Jersey.
More information on eligibility and enrollment can be found on the NJ FamilyCare website.
- NJ FamilyCare
Agbirok kadagiti mangipapaay ken masakupan ti seguro para iti daytoy a plano.
Agbirok kadagiti doktor, ospital ken espesialista.
Agsapul kadagiti tagaipaay iti serbisio ti salun-at ti kababalin ken dagiti pammataudan.
Agsapul kadagiti medikasyon a masakupan daytoy a plano.
Agsapul iti dentista nga asideg kenka.
Find a lab near you.
Agsapul iti parmasia nga asideg kenka.
Dagiti Benepisio ken Paset ti Plano
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.
Services will vary by the member's coverage type and may include:
- Social connections and friendship.
- Bathing and personal care.
- Meals.
Caregiver Training*
For MLTSS members: Caring for a loved one or a friend is an act of love and devotion. It can also leave the caregiver emotionally and physically exhausted.
Our workshops teach:
- Caregiving basics.
- Healthy eating and help with eating.
- Health insurance basics.
- How to care for yourself while caring for a loved one.
- Caring for a loved one with dementia or Alzheimer's disease.
Along with instruction, caregivers have an opportunity to socialize with others and build a network of support.
Care Management*
Do you or a loved one have a serious health problem 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 close by throughout the medical journey. He or she will:
- Think beyond your immediate medical needs.
- Make sure you have support at home, so you can focus on getting better.
Ti Panagpili ti Doktor
You or your child gets a primary care provider (PCP) who is your main doctor. Usaren ti Panagbirok iti Doktor a tool tapno makitam no ti doktormo ket adda iti networkmi.
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.
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 100 network hospitals across New Jersey.
We also encourage you to tour the hospital's birthing center. Ta iti kastoy ket masanay ka iti dayta. And you'll be more relaxed when you have your baby.
Community Transition Services*
For MLTSS members: We want to help you live in the place that is right for you. If needed, our plan will help cover the cost of moving from a nursing facility into your community.
Covered items can include:
- Household goods.
- Security deposit.
- Utility deposit.
- Your first week of food, as needed.
Chore Services
If you are having difficulty performing day-to-day household activities, chore services can step in. They can take on the routine tasks that may be hard for you to do on your own.
Services will vary by the member's coverage type and may include:
- Panagaramid kadagiti trabahoen.
- Panagdalus ti balay.
- Doing laundry.
- Panagluto ti makan.
Pannakaaywan ti Ngipen
Routine 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. If approved, the plan covers:
- Crowns and bridges.
- Dentures.
- Oral surgery and root canals.
Diabetic Supplies
If you have diabetes, you may need insulin, needles, wipes and glucose strips. If medically necessary, we cover all that and more.
Ti plano mi ket sakupen na pay dagiti serbisyo a mangtulong kenka a mangimaton ti diabetes mo, kairamanan ti:
- Classes on keeping diabetes in control.
- Panangikoordinar ti taripato ti doktor.
- Panagplano ti taraon ken panagpili kadagiti makan.
Makinarya ken dagiti Suplay
Ti salun-at mo ken kinatalged mo iti pagtaengan ket napateg.
Sakupen ti planomi dagiti medikal nga instrumento nga ibilin ti doktormo wenno ti mangimatmaton iti kasom. Daytoy ket kairamanan dagiti banag kas:
- Katre ti ospital.
- Tangke ti oxygen.
- Wheelchairs or wheelchairs.
Taripato ti Panagdengngeg
Ti parikut ti panagdengngeg ket apektaran na ti inaldaw a biag mo iti nadum-duma a wagas. Ti plano mi ket kairamanan dagiti serbisyo ken suporta a makatulong a mangprotekta ti panagdengngeg.
Sakupen mi:
- Eksaminasion, terapi ken pannakaeksamen.
- Hearing aid ken dagiti baterya.
Some limitations apply.
Umuna nga Addang wenno Healthy First Steps®
The Healthy First Steps team is here for you. Tulongannakayo ti programami a mangaramid kadagiti umno nga addang tapno agtalinaedkayo ken ti maladagayo a nasalun-at.
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.
- 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)
Home Meal Delivery*
For MLTSS members: Taking care of the basics, like cooking, can be hard to do yourself after an illness or sickness. That's why we'll bring nutritious meals to you to help you through tough times. You can get up to 1 meal delivered per day, if needed.
Pannakaospital
Our plan pays for all expenses related to a hospital stay, so you can rest and heal.
Ti plano mi ket sakupen na:
- Nursing care.
- Kuarto ken makan.
- Dagiti suplay ken makinarya.
- Panagagas ken dagiti therapy.
- Dagiti eksamen a diagnostic.
Ken kalpasan a rumuarka ti ospital, saaka nga agmaymaysa. Siguradoen mi nga adda ti follow-up a taripato tapno agtultuloy ka nga agimbag iti pagtaengam.
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 our phone centers who speak more than one language. Nalabit adda maalami a makasao iti lengguahem.
Lab and X-ray Services
Ti panagammmo nu ania iti parikut ken panagduktal iti daytoy ti nasapa ket nalabit a makaaramid ti dakkel a pagdumaan.
- Dagiti Lab ken eksamen.
- Dagiti X-rays, scans ken dadduma nga imaging.
Tulungandaka nga mangala iti impormasyon a kasapulam tapno maparang-ay ti salun-at wenno tapno addaka ti nasayaat a kasasaad.
Dagiti Agas
Our plan includes medicines and refills for prescriptions written by your doctor or specialist. Thousands of drugs are covered.
We also cover some over-the-counter medicines with a written order from your doctor.
And we make getting your medicine easy. You can fill your prescriptions at:
- Local pharmacies in our network.
- Services that deliver right to your door.
Dagiti Serbisyo para ti Kameng
No dadduma mabalin a masapulmo ti bassit a tulong tapno maawatam dagiti pagpilian para iti pannakataripato ti salun-atmo. With us, you have someone you can call 24/7. Masungbatanmi dagiti saludsodmo iti simple ken kumpleto a wagas.
Mabalindaka pay a tulongan a mangsapulka iti/kadagiti:
- Dodoktor
- Parmasia.
- Ospital wenno dadduma a pasilidad iti salun-at.
- Lokal a paggapuan ti tulong wenno mausar.
Dagiti Panagbisita ti Nars
Sometimes you may need continued care after you leave the hospital or urgent care center. 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.
Personal a Pannakataripato
No maminsan narigat nga aramiden dagiti kangrunaan para iti bukodmo a bagi kalpasan ti panagsakit wenno pannakadangran.
Services will vary by the member's coverage type and may include:
- Panagsukat ti bago.
- Panagdigos.
- Pannangan.
Panagbisita Sakbay ti Panaganak.
A pregnancy is a journey you'll want to make with the help of friends, family and a pregnancy doctor, or OB-GYN.
Amin dagiti nairekomenda a klinikal a panagbisita ti masikog ken eksamen ket masakupan.
Kadagitoy a panagbisita, ti klinika ket:
- Siguradoen a nasalun-at ka ken ti maladagam.
- Ipalawag nu ania ti namnamaem kada lebel ti panagsikog mo.
- Sungbatan dagiti saludsod mo.
Respite Care*
For MLTSS members: Adda kadi kameng ti pamilyam wenno gagayyem a mangaywan kenka nu addaka iti pagtaengan? Nu adda, kayat mi a suportaran ti trabaho da met a tumulong kenka. Isu a mangipapaay kami ti respite care tapno makainana met dagiti manartaripato kenka. Ti respite care ket mangidiaya kadagiti mangay-aywan ti waya a makabakasyon wenno makainana manipud kadagiti ay-ayaten da ti biag nga agsaksakit wenno addaan naisangsangayan a kasapulan a taripato.
Indieksion ken Bakuna
Routine shots help keep you healthy.
Ti plano mi ket sakupen na:
- Dagiti mairekrekomendar nga indieksion ken bakuna.
- Dagiti eksamen a diagnostic.
Dagiti Serbisio a Terapiya
Makatulong ti physical, occupational ken speech therapy tapno umimbagka manipud iti nakaro a pannakadangran wenno panagsakit, wenno tapno magun-odmo ti pagpatinggaan ti kabaelam.
Ipaay ti planomi ti:
- Okupasyonal a therapy.
- Pisikal a therapy.
- Therapy ti panagbalikas.
Maganat a Pannakataripato
Mabalin a nadangranka wenno kellaat a nagsakitka a saan a pagpeggadan ti biag ngem masapul ti dagdagus nga atension.
Our plan covers care at:
- Dagiti sentro iti naganat a taripato.
- Medical aid unit.
- Sabali pay a walk-in clinic.
Taripato ti Panagkita
You'll get the care, eyeglasses and treatment that let you see life more clearly.
Iraman ti masakupan iti:
- Routine exams.
- Help with paying for eyeglasses and contact lenses.
This benefit is offered by March Vision.
Dagiti Panagbisita ti Nakaradkad
Ti panagbisita iti doktor para ti karadkad ket makatulong kenyam tapno agtalinaed ka a nasalun-at. Makatulong dagitoy a panagbisita tapno matakuatan a nasapa dagiti problema iti salun-at, tapno maagasan dagitoy.
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.
Awan ti copayment para iti pannaripato tapno maliklikan ti sakit.
Children's Hospital of Philadelphia(CHOP): Dagiti Masansan a Maisaludsod
Getting Started - Make the Most Out of Your Health Plan
Panangala iti Pannarabay iti Panangrugi
Electronic Visit Verification (EVV)
Electronic Visit Verification (EVV) Fact Sheet
Libreta ti Kameng
Libreta ti Kameng
Coordinating Your Care
Today’s health care world requires you to visit many different providers; more than just your Primary Care Provider (PCP). That is why it is important that your care be coordinated to avoid duplication of services and medications.
You will benefit when your primary doctor, health care providers and health plan coordinate your care, because they will be working together to give you the right care, at the right time and in the right setting.
How can you help coordinate your care?
• Tell your PCP about all the specialists you see. Talk about any tests, treatments or medications that a specialist has prescribed or suggested.
• Ask your specialist to contact your PCP directly and send them a copy of your medical report and results. This helps avoid duplication of care or prevent problems when patients take two or more drugs that should not be used together.
• When you go to a specialist, ask for a copy of your medical report and results so you can bring them back to your PCP. It’s a good idea to keep a copy for yourself.
• If you have been to the emergency department or have had a hospital admission, make sure to inform your PCP.
• If your PCP or specialist orders a test, ask the provider when to expect your test results. Find out how you will get the test results; will it be by phone, letter or online on a secure patient portal.
Be sure to learn about all your test results, even when results are normal. This helps you and your doctor to make sure no test results are missed.
Remember you, your doctor and your health plan are all partners in your care.
Emergency Room Alternatives
Emergency Room Alternatives
Urgent Care Centers / Walk-in Clinics
Pangipablakan dagiti Damag
National Flu Campaign Questions and Answers
Pakaammo Kadagiti Napribadoan a Pakarwaman
Dagiti karbengan ti Kameng
Changes in Appeals Process
Napanawen a Pagpaysoan ti Trangkaso
National Flu Campaign Questions and Answers
Kinapribado ti Numero iti Social Security
Planning for a Health Care Visit
5 tips for your next health care visit
Appointment Assistance Form
Makammoka iti Salun-atmo Mangala iti Bakuna Kontra Trangkaso
Ti tiempo iti trangkaso ket adda itan. Iti trangkaso ket mabalin a seryoso unay. Ti panagpabakuna kontra ti trangkaso ket kasayaatan a salaknibmo kontra trangkaso. Iti kasayaatan nga oras tapno agpabakuna ka kontra trangkaso ket Oktubre agingga Disiembre. Nasken nga kasaritam iti doktor mo panggep iti panagpabakunam kontra trangkaso. Wenno mabalinmo nga awagan ti Sentro ti Serbisyo para Kustomer
Sungbatan ti Maikatlo a Partido
Salaknibam iti Annak mo kontra Sabidong ti Buli
Masapol a Dokumento ti Nasyonalidad
Assurance Wireless / Lifeline
Members may be eligible to receive a free cellphone and 350 monthly minutes, unlimited text messages and free calls to UnitedHealthcare Community Plan Member Services. Enroll by visiting www.assurancewireless.com/Partner/bUHC or calling 1-888-321-5880
Dagiti Newsletter para ti Miembro 2016 - Agdama
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NJ Department of Community Affairs (DCA) Utility Arrears Program
Utility Arrears Program
National Diabetes Prevention Program
The National Diabetes Prevention Program addresses prediabetes and type 2 diabetes. The program is available in English and Spanish and features the Center for Disease Control’s (CDC) recognized lifestyle change program to prevent or delay type 2 diabetes. You can find additional information at National Diabetes Prevention Program | Diabetes | CDC
Personal Preference Program
Personal Care Assistance, Your Way: The Personal Preference Program
The Personal Preference Program (PPP) allows you greater flexibility and control over the care you need by self-directing your Personal Care Assistance (PCA). PPP allows you to hire, train, and schedule the people you want to provide the care you need, when and where you need it. PPP is an alternative to traditional agency-delivered PCA, one where you are in control.
For more information about the Personal Preference Program, click here.
To apply for the Personal Preference Program, please print this form and email it United Healthcare at uhcnjppp@uhc.com or call us at 1-800-645-9409.
Suroten ti @UHCPregnantCare ken Suroten ti @UHCEmbarazada
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