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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.
Change in dental providers effective May 1, 2024
Please note that there will be a change in dental providers effective May 01, 2024. Affected members were notified by mail. If you received a letter or need to locate a dental provider before May 1st, 2024 please call Member Services at 1-800-895-2017 (TTY 711).
Is your address up to date?
Make sure your current address, phone, and email are on file so you'll get notices about changes to your coverage. Log in at Self Service Portal Home Page (ohio.gov).
UnitedHealthcare Community Plan
Medicaid
UnitedHealthcare Community Plan of Ohio
Our Ohio Medicaid plan covers eligible families, pregnant women of any age, infants, children and young adults. The plan also offers extra support and care to adults and children with a disability, long-term illness or special health care needs. Members can choose a primary care doctor from our network. Plus get access to a 24/7 nurse advice hotline, health education materials and extras that other plans don't offer. View the benefits below to see all that it offers.
More information on eligibility and enrollment can be found on the Ohio Medicaid website, or by calling the Medicaid Hotline at 1-800-324-8680, TTY users should call Ohio Relay at 7-1-1.
OhioRISE
Ohio Resilience through Integrated Systems and Excellence (OhioRISE) program is a managed care program for youth with behavioral health needs. OhioRISE increases access to in-home and community-based services to ensure OhioRISE members and families have help with systems such as juvenile justice, child protection, developmental disabilities, mental health and addiction, education, and others.
An individual who is enrolled in the OhioRISE program will also keep their managed care enrollment for the physical health benefit. To be eligible for OhioRise, you must be: enrolled in Ohio Medicaid, under the age of 21 and meet a functional needs threshold for behavioral health care, as identified by the Child and Adolescent Needs and Strengths (CANS) assessment.
Daytoy a plano ket sidadaan para kadagiti sumaganad a county:
Adams, Allen, Ashland, Ashtabula, Athens, Auglaize, Belmont, Brown, Butler, Carroll, Champaign, Clark, Clermont, Clinton, Columbiana, Coshocton, Crawford, Cuyahoga, Darke, Defiance, Delaware, Erie, Fairfield, Fayette, Franklin, Fulton, Gallia, Geauga, Greene, Guernsey, Hamilton, Hancock, Hardin, Harrison, Henry, Highland, Hocking, Holmes, Huron, Jackson, Jefferson, Knox, Lake, Lawrence, Licking, Logan, Lorain, Lucas, Madison, Mahoning, Marion, Medina, Meigs, Mercer, Miami, Monroe, Montgomery, Morgan, Morrow, Muskingum, Noble, Ottawa, Paulding, Perry, Pickaway, Pike, Portage, Preble, Putnam, Richland, Ross, Sandusky, Scioto, Seneca, Shelby, Stark, Summit, Trumbull, Tuscarawas, Union, Van Wert, Vinton, Warren, Washington, Wayne, Williams, Wood, and Wyandot.
- UnitedHealthcare Community Plan
2024 Medicaid Managed Care Annual Open Enrollment
Beginning November 1, Ohio Medicaid managed care members will be able to select their plan by calling the Ohio Medicaid Consumer Hotline at 1-866-693-0898 or utilizing the Ohio Medicaid Consumer Hotline Member Portal at https://members.ohiomh.com/Login.aspx. You do not have to do anything if you want to keep your current Medicaid Managed Care Plan.
Visit the Ohio Medicaid Consumer Hotline website at www.ohiomh.com for information.
Renewing Your Medicaid Coverage
After you receive your renewal form from the Ohio Department of Medicaid (ODM) you will need to take a few steps to keep UnitedHealthcare as your health insurance company.
Click here to learn how to renew your Medicaid coverage.
Agbirok kadagiti mangipapaay ken masakupan ti seguro para iti daytoy a plano.
Agbirok kadagiti doktor, ospital ken espesialista.
Agbirok kadagiti tagaipaay iti serbisio, klinika ken dagiti sentro ti panagagas.
Agsapul kadagiti medikasyon a masakupan daytoy a plano.
Agsapul iti parmasia nga asideg kenka.
Dagiti Benepisio ken Paset ti Plano
For OhioRISE, please refer to the OhioRISE handbook.
Asthma and COPD Care
Individual care to help control asthma or COPD symptoms.
Some members may have trouble managing asthma or COPD symptoms. For them, a nurse who specializes in breathing issues can really help. They get a customized treatment plan and medicine to:
- Manage flare-ups.
- Reduce symptoms.
- Help you stay active.
Panangimaton iti taripato
Members who need extra help get a Personal Care Manager. The care manager is there for you throughout your medical journey. He or she will:
- Work with you to develop a plan of care that meets your individual needs.
- Coordinate with family members, caregivers and health care providers.
- Help get additional services or support you may need.
Dagiti serbisio ti chiropractic
Our plan includes visits for chiropractic care.
- Members of all ages can get up to 15 visits per year.
- Members under 21 may get additional visits with prior authorization.
Ti Panagpili ti Doktor
From regular checkups to preventive health screenings, we want to make sure you get access to the right care at the right time.
You get a primary care physician (PCP), who is your main doctor. 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
Where a mother has her baby is an important choice. That's why pregnant moms can pick from hundreds of hospitals across Ohio.
We encourage mothers-to-be to tour the hospital's birthing center. This way they will be familiar with it. And be more relaxed when they have their baby.
Pannakaaywan ti Ngipen
Checkups and cleanings are covered.
Exams and cleanings every six months help keep teeth and gums strong and healthy. If you obtain prior approval for a dental problem that needs to be fixed, that's covered as well.
Employment Physicals
Some employers or training programs require a physical before a person can start work. Our plan covers pre-employment physical exams.
Makinarya ken dagiti Suplay
The health and safety of our members at home are important.
Our plan covers medical equipment ordered by a member's doctor or care manager. Mabalin a mairaman ditoy dagiti suplay kas koma iti:
- Katre ti ospital.
- Tangke ti oxygen.
- Wheelchair wenno walker.
For some of these services prior approval is required. Please check your member handbook for these details.
Taripato ti Saka
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.
Iti masakupan ti podiary a serbisyo iramanna iti:
- Routine foot exams.
- Singasing panggep iti panagtaripato ti saka ken panagpili iti umno a sapatos.
- Impormasyon panggep kadagiti patigmaan nga senyales ti panagdadael iti urat.
Taripato ti Panagdengngeg
Trouble hearing can affect a person's everyday life in many ways. Ti plano mi ket kairamanan dagiti serbisyo ken suporta a makatulong a mangprotekta ti panagdengngeg.
Sakupen mi:
- Eksaminasion, terapi ken pannakaeksamen.
- With prior approval, hearing aids and batteries.
Healthchek
Healthchek covers medical exams, immunizations (shots), health education, and laboratory tests for Medicaid eligible individuals under the age of 21. Healthchek also covers medical, vision, dental, hearing, nutritional, developmental, and behavioral health exams, in addition to other care to treat physical, behavioral or other problems or conditions found by an exam. Learn more information about Healthchek.
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)
Dagiti Gunggona iti Salun-at
Ti maysa nga onsa ti panangliklik ket kas kapateg ti maysa a libra ti panagagas. Adda pay kaibatoganna a napipintas a gunggona.
Earn great gifts for you or your child by doing things like:
- Panangkompleto kadagiti eksaminasion ti nasalun-at nga ubing.
- Getting lab tests.
- Recording the family's health activities.
Panangtaripato ti Salun-at iti Pagtaengan
If you are living with a long-term health condition, disability or leaving the hospital after surgery or a serious illness, you may need extra support. This can include help with day-to-day tasks like cleaning, cooking or dressing. Mabalin pay a masapulmo ti medikal a panagbisita iti uneg ti pagtaengan tapno ammuen no umim-imbagka met laeng.
No maaprubaran, sakupen ti planomi ti:
- Medikal a panagbisita iti uneg ti pagtaengan.
- Medikal a ramit kas koma dagiti katre ti ospital, walker wenno wheelchair.
- Dagiti disposable a medikal a suplay.
- Tulong iti personal a pannakataripato wenno panagtagibalay.
Pannakaospital
This plan pays for all medically necessary expenses related to a hospital stay. Iti daytoy a wagas ket makainana ka ken maagasan.
Ti plano mi ket sakupen na:
- Nursing care.
- Kuarto ken makan.
- Dagiti suplay ken makinarya.
- Panagagas ken dagiti therapy.
- Dagiti eksamen a diagnostic.
And after leaving the hospital, you are not alone. Siguradoen mi nga adda ti follow-up a taripato tapno agtultuloy ka nga agimbag iti pagtaengam.
Pannakataripato ti Sakit iti Kidney
Ti sakit iti kidney ket serioso a medikal a kondision. After the kidneys stop working regular treatments, called renal dialysis, or an organ transplant are needed to live. Agusar ti dialysis iti makina a mangdalus iti dara a kas iti aramiden dagiti nasalun-at a bekkel.
Ti planomi iramanna dagiti:
- Dialysis.
- Ag-agas.
- Edukasion iti salun-at ken suporta.
- Pannakai-transplant ti organ no kasapulan.
Lab ken X-rays
Ti panagammmo nu ania iti parikut ken panagduktal iti daytoy ti nasapa ket nalabit a makaaramid ti dakkel a pagdumaan. With prior approval, our plan covers:
- 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.
Tulong ti Lenggwahe
You can receive information in your preferred language. Agdamag ka laeng. We also have people at our service centers who speak more than one language. Nalabit adda maalami a makasao iti lengguahem.
Dagiti Agas
Our plan includes prescription drugs and refills for prescriptions written by your doctor or specialist. Thousands of drugs are covered.
You pay a co-pay amount, if needed, and you can get your prescription drugs at any in-network pharmacy.
Member Services Representative
Meet your personal health plan assistant. Our job is to help you get the most of your benefits. Matulongandaka nga:
- Schedule doctor, dental and vision appointments.
- Arrange for extra support services.
- Complete a health risk assessment.
- Stay in touch with you.
Mental Health and Substance Abuse Services
Get help with personal problems that may affect your mental or physical health. These may include stress, depression, anxiety or drugs and alcohol abuse. Our services also include:
- Therapy
- Counseling
- Dagiti agas
For some of these services prior approval is required. Maidawat a kontakem ti Dagiti Serbisio iti Miembro tapno maammoan ti ad-adu pay.
No Copays
With our plan there are no copayments for covered services.
Members get:
- Care from highly skilled and compassionate doctors.
- Treatments at respected hospitals and clinics.
- Home medical equipment and supplies to help them be their best.
NurseLine
Dagiti medikal a saludsod ken sitwasyon ket sumangbay kadagiti tiempo a saan mo a namnamaen. For questions about health, call a nurse 24/7. Call: 1-866-801-4407, TTY 711.
Our NurseLine nurses will:
- Agdengngeg kadagiti sintomas.
- Provide guidance on self-care.
- Advise the member about getting care at a doctor visit or an urgent care center.
- Help know when to go to the emergency room.
Obesity Care
Obesity is common and serious. It can also lead to other health problems. To help our members be their best, our plan includes:
- Screening for obesity.
- Counseling for obesity.
Panagbisita Sakbay ti Panaganak.
Ti panagsikog ket maysa a nakakaskasdaaw a kasasaad. It's a journey the new mother wants 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 mother and baby are healthy.
- Explain what to expect at each stage of the pregnancy.
- Answer any questions.
Residential Care
After a serious illness, surgery or injury, you may need extra nursing and therapy.
With prior approval, our plan covers short stays in a rehabilitation center where you can heal. Mairaman dagiti sumaganad:
- Serbisio a pannaripato iti pagtaengan.
- 24-nga-oras a pannaripato ti nars.
- Tulong kadagiti aktibidad ti inaldaw a panagbiag.
- Speech, physical ken occupational therapy.
Call Member Services for information on available providers.
Taripato iti Temporaryo nga Institusyon (Respite Care).
Caring for a child recovering from an illness, surgery or with special health needs is an act of love. It can also be physically and emotionally exhausting. This service is for SSI members under 21 years of age.
Panangisardeng ti Panagsigarilyo
Ammo ti kaaduan a tattao dagiti saan a nasayaat nga epekto ti panagsigarilyo iti salun-at. Ken ammoda a kayatda ti agsardeng. We support our members with coaching while they quit. Suportaranmi dagiti miembromi bayat ti panagsardengda, babaen kadagiti mangisuro ken suplay. The only thing they won't get from us is a lecture.
Dagiti Serbisio a Terapiya
Physical, occupational and speech therapy can help members recover from a serious injury or illness, or simply reach their full potential.
With prior approvals, our plan covers visits for:
- Okupasyonal a therapy.
- Pisikal a therapy.
- Therapy ti panagbalikas.
- Therapy ti pagnaedan.
Pagluganan
Our plan provides up to 30 one way or 15 round trip rides to medical appointments and other needed services. Call 1-800-895-2017 (TTY 711) to schedule a ride. You must call at least 48 hours ahead of time..
Rides are available to:
- Dental and vision appointments.
- Parmasia.
- Women, infants and children (WIC) visits.
- Job and Family Services offices for benefits redetermination.
UnitedHealthcare OMW™
UnitedHealthcare On My Way™ is an engaging, interactive program that informs Ohio youth and helps prepare them for many real-world situations that lie ahead. UnitedHealthcare OMW™ teaches the practical skills of managing bank accounts, securing housing, creating a resume, finding job training and applying for college. It is a reliable, go-to resource they can use throughout their journey toward independent living.
Maganat a Pannakataripato
Mabalin a nadangranka wenno kellaat a nagsakitka a saan a pagpeggadan ti biag ngem masapul ti dagdagus nga atension. Isu a sakupen ti plano ti pannakataripato kadagiti:
- Dagiti sentro iti naganat a taripato.
- Federally qualified health centers.
- Sabali pay a walk-in clinic.
Taripato ti Panagkita
You'll get the care, eyeglasses and treatment that let you see life more clearly.
Dagiti benepisyo ket kairamanan ti:
- Annual eye exams.
- Glasses and $150 toward contact lenses.
You also can chose from an expanded selection of frames.
This benefit is offered by March Vision.
Dagiti Panagbisita ti Nakaradkad
Well visits with your doctor can help keep you and your family healthy. 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.
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.
Ammuen ti Ad-adu pay
UnitedHealthcare Community Plan