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Healthy Louisiana a Plano

Medicaid

Our Healthy Louisiana plan offers a range of benefits along with extras. View the benefits below to see all that our plan offers. It's for pregnant women, adults and children under the age of 21.

The following UHC support includes:

  • Help Finding a Network Care Providers:  If you need help finding a care provider in the UHC network or obtaining early prescription can call Member Services at 1-866-675-1607 (TTY: 711).  The number for Member Services is always located on the back of your UHC ID member card.
  • Health4Me app:  UHC member app that provides instant access to your member ID card, network care providers, personal health benefits and more. The Health4Me app is available as a free download at the App Store or Google Play.
  • UHC Doctor Chat app:  if your doctor is unavailable and you have a non-emergency problem, you can connect to a doctor in seconds with the UHC Doctor Chat app. There is no cost to you.  Download the app to your mobile device from the Apple Store or Google Play, register your account and complete the short form.  Doctors are available to chat through the app 24 hours a day, 7 days a week.

Remember, if you need assistance please contact UnitedHealthcare Member Services at 1-866-675-1607 (TTY: 711).

Be Ready. Be Safe.

UnitedHealthcare and the State of Louisiana want to ensure all residents are informed during emergencies, such as severe weather or flooding. Please visit www.GetAGamePlan.org for emergency preparedness guides and tips to keep you and your loved ones safe all year long.

For plan participants who may have misplaced their medical ID cards, call 866-633-2446, 8 a.m. – 8 p.m. (in the local time zone), Monday through Friday. People enrolled in employer-sponsored and individual health plans who have a smartphone can download the free Health4Me app, which provides instant access to their ID card, network care providers, their personal health benefits and more. The Health4Me app is available as a free download at the Apple iTunes App Store and the Android Market on Google Play.

This plan is available in all parishes.

More information on eligibility and enrollment can be found on the Healthy Louisiana website.    

UnitedHealthcare continues to partner with state and local public health departments, following guidance and protocols appropriate to our members that are provided by the U.S. Centers for Disease Control and Prevention (CDC), and state and local public health departments that are appropriate for our members. Please review the UnitedHealthcare Coronavirus (COVID-19) Information. To learn more, go to CDC.gov

Louisiana members who have questions about coronavirus, can contact Louisiana 211 Network by dialing dial 211. For the most current information about the outbreak as it becomes available, text keyword LACOVID to 898-211 or visit the Louisiana Office of Public Health at: http://ldh.la.gov/coronavirus

If you qualify for Medicaid’s transportation services, you can use this service to get a ride to your appointment to receive a COVID-19 vaccine. Medicaid members who qualify can use this service to get transportation to receive a COVID-19 vaccine at any location offering vaccines. Call 1-866-726-1472 to schedule your ride. Please try to schedule your ride 48 hours before your appointment. Find COVID-19 vaccine resources in your area.

Dagiti Benepisio ken Paset ti Plano

Taripato para ti Nakaradkad ken Agsakit

Get the assistance you need to make life a little easier, or to get better if you are injured or sick. Nga agraman ti:

  • Unlimited Doctor Visits for Children. Your child can see the doctor as often as needed.
  • Unlimited Doctor Visits for Adults. See your doctor as often as needed.*
  • Well Visits. Annual checkups to help keep your family healthy.
  • Chiropractor Services. Chiropractic visits for members who qualify.
  • Hospitalization. You pay nothing for care in a hospital.
  • Shots and Vaccines. Routine shots help protect against illness. Adults are covered too.*
  • Medicines. Fill your prescriptions at local pharmacies.

* Value added benefit offered by UnitedHealthcare Community Plan.

Awan ti napatpateg ngem nu di ti salun-at ken karadkadyo nga agina. That's why our plan benefits include:

  • Choice of Birth Centers. Pick from our partner hospitals across Louisiana.
  • Choice of Doctors. Find an OB-GYN you trust in our network.
  • Healthy First Steps®. Get extra support and rewards to keep you and your baby healthy.
  • Prenatal Visits. Care for you before your baby is born.
  • Wellhop for Mom & Baby. Connect with a community of moms. Get support and information as you welcome your baby.

* Value added benefit offered by UnitedHealthcare Community Plan.

If you have asthma, diabetes or another long-term condition such as substance abuse disorder, you can depend on us. Ti plano mi ket siguradoen a maalam ti taripato, suporta ken dagiti serbisyo a kasapulam. Dagiti benepisyo ket kairamanan ti:

  • Asthma and COPD Care. Exams, testing and supplies are covered.
  • Care Management. If you qualify, get personal help managing health conditions.
  • Diabetic Support. Medicine, needles and wipes for managing diabetes.
  • Mental Health. Counseling and other treatments are covered.
  • Disease Management. Focused care for those with critical health needs.

We help you keep your smile, sight and hearing at their best. Dagiti benepisyo ket kairamanan ti:

  • Dental. Covered cleanings, checkups and dental work are provided by MCNA Dental (Managed Care of North America) for members under the age of 21. We also offer coverage for adults.
  • Vision. Exams and eyeglasses or an allowance for lenses are covered for members under the age of 21. We also offer coverage for adults.
  • Hearing. Tests, exams and hearing aids for members to age 21.

Get the medical care and equipment you need to live safely at home. Benefits may include:

  • Equipment and Supplies. In-home medical and safety equipment are covered for medically necessary equipment.
  • Home Health Care. Medical and personal care at home, if necessary.

Sometimes you might need a little extra help using everything our health plan offers. Kadagidiay a tiempo, mabalin a mangnamnama ka kadakami:

  • Language & Interpreter Help. We provide free services to help you communicate with us or your doctor. Such as, letters in other languages or large print. Or, you can ask for an interpreter for any language.
  • Member Services. Get help with understanding your benefits and get your questions answered.
  • Transportation. We provide rides to and from medical visits.

Care Management

Do you or a loved one have a serious health problem or a high-risk pregnancy? If so, our case managers are in your corner. They will:

  • Explain medical terms in plain language.
  • Coordinate your doctor appointments.

The case manager will stay with you or your loved one throughout the medical journey. He or she will:

  • Think beyond your medical needs.
  • Assess home situation and help where possible.
  • Make sure you have support at home.

So you can focus on getting better.

Cell Phones

When your health is not at its best, it is important to know that help is just a phone call away. We make cell phones available to some members who have a high-risk health issue or high-risk pregnancy and do not have reliable access to a telephone. The program makes sure members have access to UnitedHealthcare, 911, the doctor's office and NurseLine.*

* This is an added benefit offered by UnitedHealthcare Community Plan.

Ti Panagpili ti Doktor

Members can choose a primary care provider (PCP). Usaren ti Panagbirok iti Doktor a tool tapno makitam no ti doktormo ket adda iti networkmi.

The PCP is your main doctor for:

  • Managlapped a taripato.
  • Panagagas no sika ket agsakit wenno nadunor.

For members who don't have a doctor or whose doctor is not in our network, we can help find a new one close by.

Panagpili ti Paganakan

Nu sadino ti paganakam ket napateg a pangngeddeng. That's why you can pick from partner hospitals across Louisiana.

We 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.

Dagiti serbisio ti chiropractic

Whether chiropractor services are your primary or alternative treatment method, you're covered. This benefit is available for members under the age of 21. A referral from your primary care physician is required.

Members over the age of 21 who are managing pain can get up to six (6) visits per year with an in-network chiropractor.

Pannakaaywan ti Ngipen

Regular checkups help keep teeth and gums strong and healthy. Healthy Louisiana members under the age of 21 get:

  • 2 exams per year.
  • Cleanings and x-rays.
  • Dagiti panagagas iti fluoride.

These services are offered through MCNA Dental (Managed Care of North America).

Members over the age of 21 get up to $500 in coverage for:*

  • Regular exams.
  • Cleanings and x-rays.
  • Fillings & extractions.

*This is an added benefit offered by UnitedHealthcare Community Plan.

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.

Members over 21 who complete HbA1c labs and LDL-C screenings within 90 days of joining the plan may be eligible for a $50 voucher toward a catalog of over the counter health products. This is an added benefit offered by UnitedHealthcare Community Plan.

Panangimaton ti Sakit

If you have a chronic health condition like asthma or diabetes, UnitedHealthcare Community Plan has a program to help you live with your condition and improve the quality of your life. These programs are voluntary and available at no cost to you.

Makinarya ken dagiti Suplay

Mabalin a masapul ti sumagmamano a miembro ti ekstra a suporta tapno makapagnaedda a natalged iti pagtaengan.

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 Saka

We provide the exams needed to help keep your feet in great shape. And for those with diabetes or a circulatory condition, good foot care can help prevent much more serious problems.

Iti masakupan ti podiary a serbisyo iramanna iti:

  • Office visits.
  • Certain radiology and lab procedures.
  • Other diagnostic procedures.

Edukasyon para ti Salun-at

Take free classes to help improve your health or to address a condition. Our plan includes classes on diabetes, nutrition and more.

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. Ti programami ket tumulong kena a mangaramid kadagiti umiso nga addang tapno mapagtalinaedka ken ti babym 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)

Taripato ti Panagdengngeg

Ti parikut ti panagdengngeg ket apektaran na ti inaldaw a biag mo iti nadum-duma a wagas. Our plan includes services and support to help protect the hearing of members under the age of 21.

Ti plano mi ket sakupen na:

  • Exams and tests.
  • Hearing aid ken dagiti baterya.

Panangtaripato ti Salun-at iti Pagtaengan

After surgery or a serious illness you may need extra 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.

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.

And after leaving the hospital, our members are not alone. We make sure they get follow-up care to continue healing at home.

Dagiti mangipatarus ti pagsasao

Both doctor and patient need to understand one another. Narigat daytoy no saanka a makasao ti Ingles a nalaing. We can arrange for a medical interpreter to be at medical appointments.

We also have people at member services 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. Our plan covers most:

  • Dagiti Lab ken eksamen.
  • Dagiti X-rays, scans ken dadduma nga imaging.

We make sure our members get the information needed to help improve their health.

Tulong ti Lenggwahe

You can receive information in your preferred language. Agdamag ka laeng. We also have people at our customer service centers who speak more than one language. Nalabit adda maalami a makasao iti lengguahem.

Dagiti Agas

Our plan includes prescription drugs and refills. Some members may have a small copayment.

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

  • 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. 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:

  • Home health providers.
  • Dentists and vision providers.
  • Adult Health Services.

Mental Health/Substance Abuse

Ti salun-at ti panunot ket kas kapateg ti salun-at a pisikal. That's why we cover both.

Iraman ti masakupan iti:

  • Dagiti serbisio iti salun-at ti kababalin.
  • Panagagas iti panagabuso ti droga.
  • Certain medications.

NurseLine

Dagiti medikal a saludsod ken sitwasyon ket sumangbay kadagiti tiempo a saan mo a namnamaen. For questions about health, call a For questions about health, you can call a trained nurse 24/7. 

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.

Dagiti Panagbisita ti Nars

No dadduma masapul ti agtultuloy a pannakataripato kalpasan iruruar iti ospital wenno lugar ti maganat a pannakataripato. Kas pangarigan, kalpasan ti panagsakit iti nakaro, operasion wenno pannakadangran. Kadagitoy a kaso, bumisita ti nars iti pagtaengan tapno:

  • Mangipaay ti medikal a pannakataripato.
  • Sungbatan ti aniaman a saludsod wenno pakaseknan.

Personal a Pannakataripato

The basics can be hard to do if you have a disability or you've had a serious illness or injury.

No kasapulam, mangipaay kami iti maysa a tao a tumulong iti:

  • Panagsukat ti bago.
  • Panagdigos.
  • Pannangan.

Long-term personal care is available for members 21 or older with disabilities.

Panagbisita Sakbay ti Panaganak.

A pregnancy is a journey that's better 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:

  • Make sure mom and baby are healthy.
  • Explain what to expect at each stage of pregnancy.
  • Sungbatan dagiti saludsod.

Indieksion ken Bakuna

Routine shots help keep you healthy. Ti plano mi ket sakupen na:

  • Pneumonia, influenza and shingles shots.
  • Tetanus, Diptheria and Whooping Cough vaccines.*
  • Other recommended shots and vaccines.

* Adult coverage is an added benefit offered by UnitedHealthcare Community Plan.

Pagluganan

Our plan provides rides to and from health care locations. That includes trips to:

  • Doctor and therapy visits.  
  • Health departments.
  • Vision clinics.

Awan Limitasionna a Panagbisita iti Doktor

There may be times when your health requires regular visits to a doctor or specialist). Our plan does not limit the number of times children or adults* can see their doctors. This includes sick visits, well visits and specialists. For children, EPSDT screenings are also covered. This way you get care when you need it. And the doctor can see how your health is progressing.

* Unlimited doctor visits for adults is an added benefit offered by UnitedHealthcare Community Plan.

Taripato ti Panagkita

Regular eye exams and glasses, if needed, can help you see more clearly.

With Healthy Louisiana, members under the age of 21 receive:

  • Regular eye exams.
  • Eyeglass frames.
  • Dagiti naireseta a lente.

Members over the age of 21 can get:*

  • Additional vision services to complement Medicaid vision benefits.
  • One routine eye exam every two years.
  • $100 allowance for frames/lenses every two years.

* This is an added benefit offered by UnitedHealthcare Community Plan.

Dagiti Panagbisita ti Nakaradkad

Unlimited well visits with your doctor are important for good health. Makatulong dagitoy a panagbisita tapno matakuatan a nasapa dagiti problema iti salun-at, tapno maagasan dagitoy.

Preventive services cover:

  • 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.

Weight Control

Our plan encourages a healthy approach to eating and living. To help our members be their best, we cover:* 

  • Screening for obesity.
  • Support for healthy diet and exercise choices.

Some members may also qualify for weight management classes, including Weight Watchers and JOIN for ME.**

* This is an added benefit offered by UnitedHealthcare Community Plan.

** Some limitations may apply.

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.

Are You Prepared for Hurricane Season?

UnitedHealthcare Community Plan wants to help you make sure you are prepared for hurricane season and the resulting hazards such as storm surge, high winds, tornadoes, and flooding

Dagiti Pamuspusan ti Kameng

Kitaen Dagiti Sidadaan a Pagbasaran (aglukat iti modal a window)
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