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UnitedHealthcare Community Plan Medicaid (MMA) Glossary

A

Pakauna a Direktiba

Desision daytoy maipapan iti pannakataripato ti salun-atmo a nasaksakbay nga impakaammom inkaso a saanmonton a mayebkas ti kayatmo. This will let your family and your doctors know what decisions you would make if you were able to.
Apela

You can file an appeal if you are not happy with a decision we made ("denial"). A denial is when we say no to a service you or your doctor asked us to give you. It could also be when we don't give you as much of a service you wanted. For example, you can file an appeal if your doctor wanted a drug we do not allow. You can also file if we didn't approve a hospital stay. If you are not happy but it is not because we said no to what you asked for, you can file a grievance.
ASC/SPU

Ambulatory surgical center/short procedure unit.
Autorisasion

An approval for a service.

B

Dagiti Benepisio

Services, procedures and medications that UnitedHealthcare will cover for you.

C

Clinical Care Management

One-on-one help by a nurse providing education and coordination of UnitedHealthcare benefits, tailored to your needs.

D

Disenrollment

To stop your membership in UnitedHealthcare.

E

Emerhensia

When you reasonably believe that your health is in serious danger.

F

Panagloko

Inuulbod nga aramid (kas koma: no adda sabali a mangusar iti ID kardmo kas miembro ket agpamarang a sika dayta).

G

Reklamo

You can file a grievance when you are not happy. This can be when you are not happy with our plan, or our providers, or anything other than an "action". For example, you may file a grievance if you have a problem making an appointment with a provider or have trouble finding a provider. You can file if you think you are not getting good care. You can also file if a doctor is sending you bills for services you get with our Plan. You can file an appeal If you are not happy with a decision we made (an 'action') (see Appeal).

H

Home Health Agency

A company contracted by UnitedHealthcare to provide care for you in your home.

I

ID Card

Identification card – a card that says you are a UnitedHealthcare member. Sika ket masapul nga addaan iti daytoy a kard iti amin nga oras.
Informed Consent

Doctors give you information about a particular treatment or test in order for you to decide whether or not you wish to have the treatment or test.
Inpatient

No naadmitarka iti maysa a hospital ket napaut ti panagyanmo dita.

M

Medical Necessity

Your health care provider decides if a treatment, admission, procedure, medical supply, equipment, service or supply is medically necessary.
Miembro

A person who is eligible for UnitedHealthcare.

O

Outpatient

No inagasandaka ngem saanka nga agyan iti hospital iti agpatnag. In some cases, you may stay overnight in the hospital but not be admitted as an inpatient.

P

Tagaipaay iti kangrunaan a taripato (PCP)

A doctor you choose to be your family physician. They have their own private practices.
Prior Authorization

The process for any service that needs an approval from UnitedHealthcare before it can take place.
Mangipapaay Serbisyo

Any medical professional that UnitedHealthcare has contracted with to take care of you.
Direktorio ti Mangipapaay Serbisio

A list of providers who participate with UnitedHealthcare Community Plan to help take care of your healthcare needs.

R

Referral

When you and your primary care doctor agree you need to see another doctor, your primary care doctor will send you to a UnitedHealthcare specialist.

S

Self-Referred Services

Dagiti serbisio a saanmo a kasapulan ti rekomendasion ti kangrunaan a mangtaripato kenka.
Espesialista

A doctor that has specific, detailed training in one certain medical field.

T

Treatment

The care that you may receive from doctors and facilities.

U

Maganat a Pannakataripato

When you need care, treatment or medical advice within a 24-hour time period.

W

WIC

Supplemental Food Program for Women, Infants and Children which provides nutrition counseling, nutrition education, and nutritious foods to pregnant and postpartum women, infants and children up to the age of 2. Children deemed nutritionally deficient are covered up to age 5 if they are low income and are determined to be at nutritional risk.

Agsubli iti ngato ti panid

For more information on Florida Medicaid, download the Florida Medicaid Reference Guide.

Learn more about UnitedHealthcare Community Plan Medicaid (MMA)

Impormasion ti Panagpalista

The Florida Medicaid MMA plan specialists can answer questions and help you enroll.

Tawagandakami:
1-888-716-8787 / TTY: 711

24 nga oras kada aldaw, 7 nga aldaw kada lawas

Dagiti Addang tapno Agpalista

If you’re ready to join, or just want to know more call and speak to a Medicaid Choice Counselor toll free at 1-877-711-3662. TTY/TDD users please call 1-866-467-4970. You can also enroll online at flmedicaidmanagedcare.com.

Hmm … ti browser mo ket daan unayen.

UnitedHealthcare Community Plan Medicaid (MMA) Glossary

A

Pakauna a Direktiba

Apela

ASC/SPU

Autorisasion

B

Dagiti Benepisio

C

Clinical Care Management

D

Disenrollment

E

Emerhensia

F

Panagloko

G

Reklamo

H

Home Health Agency

I

ID Card

Informed Consent

Inpatient

M

Medical Necessity

Miembro

O

Outpatient

P

Tagaipaay iti kangrunaan a taripato (PCP)

Prior Authorization

Mangipapaay Serbisyo

Direktorio ti Mangipapaay Serbisio

R

Referral

S

Self-Referred Services

Espesialista

T

Treatment

U

Maganat a Pannakataripato

W

WIC

Learn more about UnitedHealthcare Community Plan Medicaid (MMA)

Impormasion ti Panagpalista

Impormasion ti Miembro