Mapan iti kangrunaan a linaon
Kangrunaan a Linaon

UnitedHealthcare Community Plan Medicaid (MMA)

Medicaid

This Florida Medicaid Plan offers a range of benefits. Children, families, pregnant women and single adults may qualify based on income. View the benefits below to see all that it offers.

We want to help you to get the most from your health plan. If you have not completed a health risk assessment, please call 1-888-716-8787 to talk with a representative Monday-Friday from 8 AM-5 PM.

  • UnitedHealthcare Community Plan Medicaid (MMA) Dagiti Addang iti Panagpalista
  • Kitaen ti pannakakualipikar (aglukat iti modal a window)

To Learn More About UnitedHealthcare Community Plan. Tawagandakami.

24 hours a day, 7 days a week.
MMA: 1-844-446-2151
LTC: 1-844-445-7229
TTY: 711

Are you elgible for Florida Medicaid, but not a member yet?

  • Text ENROLL to FLSMMC (357662). You will need the Medicaid ID number of each member and the account PIN number. 
  • Go online at at www.flmedicaidmanagedcare.com to create a Member Portal account or chat with our Enrollment Virtual Assistant.
  • Call the Helpline to speak to a Choice Counselor toll free at 1-877-711-3662, Monday–Thursday, 8 a.m.–8 p.m., and Friday, 8 a.m.–7 p.m.. TTY/TDD users please call 1-866-467-4970

Need to apply for Medicaid?

You can apply for Medicaid through the Florida Department of Children and Families You can also visit the SMMC website at https://www.myflfamilies.com/medicaid

UnitedHealthcare Community Plan of Florida is a Managed Care Plan with a Florida Medicaid contract. Iti naipaay nga impormasyon iti benepisyo ket ab-baba a dagup, di kompleto a panangiladawan kadagiti benepisyo. For more information contact the Managed Care Plan. Limitations, copayments, and restrictions may apply Benefits, formulary, pharmacy network, premium and/or copayments/coinsurance may change.

 

 

Dagiti Benepisio ken Paset ti Plano

Taripato para ti Nakaradkad ken Agsakit

Get the care you need to stay healthy, or to get better if you are injured or sick. Nga agraman ti:

  • Kayat a Doktor. Agsapul iti doktor a matalekmo iti network mi.
  • Shots and Vaccines. Routine shots to help keep you healthy.
  • Nurse Hotline. Makitungtong iti rehistrado a nars 24/7.
  • Dagiti Serbisio a Terapiya We cover physical, respiratory and other therapies.
  • Lab ken X-rays. Dagiti eksamen ti lab, x-rays ken diagnostic imaging ket masakupan.

We want to help you to get the most from your health plan. If you have not completed a pregnancy health risk assessment, please call 1-888-716-8787 to talk with a representative from 8-5 PM M-F.

Awan ti napatpateg ngem nu di ti salun-at ken karadkadyo nga agina. Dayta ti rason a karaman kadagiti benepisio ti planomi ti:

  • Prenatal Visits. Care for you before your baby is born.
  • Healthy First Steps®. Get extra support and rewards to keep you and your baby healthy.
  • Choice of Birth Center. Pick from hundreds of hospitals across Florida.
  • In-Home Care. Home visits and medical support if ordered by your doctor.
  • Text4baby. Text messages with helpful tips and reminders.

No adda angkit mo, diabetes wenno dadduma a kondisyon a naunday, mabalin ka nga mangnamnama kadakami. Our plan makes sure you get the care and services you need. Dagiti benepisyo ket kairamanan ti:

  • Salun-at ti Panunot. Iti pamagbaga ken dagiti sabali a panagagas ket masakupan.
  • Panagimaton ti Taripato. Personal support from an experienced professional.
  • Asthma and Allergy Care. Exams, testing and supplies are covered.
  • Diabetes Support. Needles, supplies, plus classes on managing diabetes.
  • Residential Care. Brief stay at a care facility while you recover from sickness or injury.

Siguradoen nga iti panagkitam ken panagdengngeg mo ket nasayaat da. Dagiti benepisyo ket kairamanan ti:

  • Vision. Eye exams and up to two pairs of eyeglasses each year.
  • Hearing. Tests, checkups and hearing aids, if needed, are provided every three years.

    Attention Diabetic Members – As of March 2015, referrals from your Primary Care Physician are no longer needed for your annual Diabetic Retinal Eye Exams with an Optometrist. Referrals are still required to see an Ophthalmologist.

Get the medical care and equipment you need to live safely at home. Kaspangarigan, mabalin nga irekomenda ti mangipapaay taripato kenka ti:

  • Nurse Visits. Medical care to help you safely recover at home.
  • Makinarya ken dagiti Suplay. In-home medical and safety equipment is covered.

Mabalin a kasapulam nu dadduma ti kanayonan a tulong a mangusar ti plano ti salun-at mo. Kadagidiay a tiempo, mabalin a mangnamnama ka kadakami:

  • Nurse HotlineSM. Makitungtong iti rehistrado a nars 24/7.
  • Interpreters. An interpreter can go with you to your medical visits.
  • Dagiti Serbisyo para ti Kameng. Your benefit questions are answered 24/7.
  • Transportasyon. We cover unlimited rides to and from provider offices.
  • Panangisardeng iti Tabako. Coaches and supplies to help you quit tobacco.
  • Over-the-Counter Supplies. Get up to $25 back on approved over-the-counter purchases.

Suporta iti Angkit ken COPD

Do you or your child have trouble managing COPD or asthma 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.
  • Let you or your child stay active.

Panangimaton iti taripato

A serious health problem requires extra care and support. We use Health Homes to coordinate services for our members.

Do you or your child have a serious health problem? Then our case managers are in your corner. They will:

  • Explain medical terms in plain language.
  • Coordinate doctor appointments.
  • Provide the care team with medical records.

Your case manager will stay with you or your child throughout the medical journey. He or she will:

  • Think beyond immediate medical needs.
  • Make sure there is support at home.

Ti Panagpili ti Doktor

You get 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.

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 nearly 80 hospitals across Florida.

We also encourage you to tour the hospital’s birthing center. Ta iti kastoy ket masanay ka iti dayta. And be more relaxed when you have your baby.

Suporta iti Diabetic

No adda diabetesmo, pasayaatenminto ti panagbiag para kenka. Makaalakanto iti agas, suplay ken edukasion a tumulong tapno maragpat ken agtalinaedka iti kasayaatan a kasasaad.

Our diabetes program also includes self-care training and classes focused on:

  • Planning healthy meals.
  • Managing stress.
  • Living a healthy lifestyle.

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. Mabalin a mairaman ditoy dagiti suplay kas koma iti:

  • Katre ti ospital.
  • Tangke ti oxygen.
  • Wheelchair wenno walker.

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 aids every three years.

Healthy Behavior Programs

Do you smoke? If so, do you want to try and quit? We have a smoking cessation program that is available at no cost.

Do you want to work on weight loss or healthier eating habits? These types of lifestyle changes can help with many chronic conditions. We have a program to help you with this.

If you have noticed changes in your mood, habits or the way you feel, you may need to talk to someone about these feelings.

Behavioral health services are available as part of your benefits. We also offer a reward program if you would like help with a drug abuse problem.

All of these programs are available at no cost to you. If you would like to join any of these programs, please call us at 1-844-446-2151. We are here Monday through Friday from 8:00 AM to 7:00 PM If you are hard of hearing, please dial 711.

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 $10 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)

Home Meal Delivery

Taking care of the basics, like cooking, can be difficult 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 10 meals delivered each year after being discharged by the hospital.

Pannakaospital

Bayadan daytoy a plano ti amin a gastos mainaig iti pannakayospital, tapno makainana ken umimbag ka.

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. Mabalinmi nga urnosen ti medikal a mangipatarus ti pagsasao a kaduam kadagiti appointmentmo.

Adda pay empleadomi kadagiti serbisio para iti miembro a makasao iti nasurok ngem maysa a lengguahe. Nalabit adda maalami a makasao iti lengguahem.

Lab ken X-rays

Ti panagammmo nu ania iti parikut ken panagduktal iti daytoy ti nasapa ket nalabit a makaaramid ti dakkel a pagdumaan. Ti plano mi ket sakupen na:

  • 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 customer service who speak more than one language. Nalabit adda maalami a makasao iti lengguahem.

Dagiti Agas

Our plan includes prescription drugs and refills.

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

  • In Network Local pharmacies.
  • 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. Babaen kadakami, adda namnamaem a matawagam. We’ll answer your questions simply and completely.

Mabalindaka pay a tulongan a mangsapulka iti/kadagiti:

  • Primary Care Physicians and Specialists.
  • Dentists and vision providers.
  • Local pharmacies.

Salun-at ti Panagpampanunot

Ti salun-at ti panunot ket kas kapateg ti salun-at a pisikal. Isu a sakupenmi dagitoy nga agpada.

Required care is 100% covered. with no copay. Mairaman ditoy ti:

  • Therapy ti Tig-tignay.
  • Ag-agas.

No Copays

You will not have a copayment for care and services covered by our plan.

Hotline dagiti Nars

Dagiti medikal a saludsod ken kasasaad ket mapaspasamak nu dadduma kadagiti saan a nanam-ay a tiempo. When you have questions about your health or your child’s health, you can call a nurse 24 hours a day, 7 days a week.

Our Nurse Hotline nurses will:

  • Agdengngeg kadagiti sintomas.
  • Igiya naka para ti bukod mo a taripato.
  • Balakadan naka maipapan ti panangalam ti taripato iti panagbisitam iti doktor mo wenno iti urgent care center.
  • Tulongan naka a mang-ammo nu kaano ka a mapan ti emergency room.

Nurse Visit

Sometimes you may need continued care after you leave the hospital or urgent care.

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 or your child.
  • Answer your questions and concerns.

Over-the-Counter Supplies

Your health care costs may include non-prescription medicines and supplies like aspirin, cough medicine or bandages. Our plan will cover you up to $25 each month for medically necessary over-the-counter medicine or medical supplies you purchase.

Taripato ti Panagsikog

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.

Residential Care

After a serious illness, surgery or injury, you may need extra nursing and therapy.

No kasapulan, sakupen ti planomi dagiti apagbiit a panagtalinaed iti sentro ti rehabilitasion no sadino a makapaimbagka. 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.

Panangisardeng ti Panagsigarilyo

You know the bad health effects of smoking.

You know you need to quit. We support you while you quit with the help of coaches and supplies. The only thing you won't get from us is a lecture.

Indieksion ken Bakuna

Tumulong dagiti kadawyan nga indieksion tapno maprotektaranka manipud iti sakit.

Isu a sakupen ti planomi:

  • Pneumonia, influenza and shingles shots.
  • Other recommended shots and vaccines.

Telehealth

Everyday care at no cost to you! Talk to a doctor 24/7 by phone or video—day or night from wherever you are.
We can diagnose, treat, and prescribe medicine if needed for:

  • Flu
  • Gurigor
  • Uyek
  • Headache
  • Stomachache
  • Rashes
  • Allergies
  • Upper respiratory infection
  • Ken adu pay

Call 1-888-716-8787 for more information.
 

Text4baby

Makatulong ti Text4baby kadagiti kalkalpas ken dandanin agpasngay tapno mapagtalinaedda ti salun-atda ken ti salun-at ti maladagada.

You’ll get three text messages each week throughout your pregnancy and your baby’s first year. Tunggal text ket aglaon kadagiti makatulong nga impormasion ti salun-at ken kinatalged para kadagiti topiko a kas koma ti:

  • Pannakataripato sakbay ti panaganak.
  • Panagpasikal ken panaganak.
  • Panagpasuso.
  • Natalged a pannaturog.
  • Nutrision.
  • Kinatalged iti tugaw ti lugan.

So you and your baby can make a healthy start.

Dagiti Serbisio a Terapiya

Therapy can help you recover from a serious injury or illness, or simply reach your full potential. Members receive needed:

  • Okupasyonal a therapy.
  • Pisikal a therapy.
  • Respiratory therapy.
  • Terapia iti panagbalikas
Members needing help obtaining pediatric services, or providers experiencing issues, can contact our plan coordinator Adrianna Genaro at 612-428-6681, or by email at adrianna.genaro@optum.com.

Pagluganan

Our plan provides unlimited round trips to and from health care locations. Mairaman ditoy dagiti pagluganan a mapan iti:

  • Doctor or therapy visits.
  • Health departments.
  • Vision clinics.
  • Dagiti sentro iti naganat a taripato.

Taripato ti Panagkita

You’ll get the care, eyeglasses and treatment that let you see life more clearly. Iraman ti masakupan iti:

  • Regular exams.
  • Up to two pairs of frames each year.
  • Dagiti naireseta a lente.

This benefit is offered by Vision Service Plan.

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.
  • Kadawyan a bakuna ken pannakaeksamen.
  • Dagiti Mammogram.

Awan ti copayment para iti pannaripato tapno maliklikan ti sakit.

Dagiti Pammataudan ti Miembro

Dagiti Pammataudan ti Miembro (aglukat iti modal a window)
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