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Healthy Louisiana Plan

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.
  • UHC Mobile App:  UHC member app that provides instant access to your member ID card, network care providers, personal health benefits and more. app is available as a free download at the App Store or Google Play.

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 AM – 8 PM (local time), Monday through Friday. If you have a smartphone, download the UnitedHealthcare Mobile app. It provides instant access to ID cards, network care providers, personal health benefits and more. The UnitedHealthcare Mobile app is available as a free download at the Apple iTunes App Store and the Android Market on Google Play.

UnitedHealthcare is helping members who may be affected by severe weather and flooding. If you need help please call member services at 1-866-675-1607, TTY 711.

Additional information can be found on our Hurricane Resource Page. Helpful Frequently Asked Questions can be viewed hereBehavioral Health Resources can be viewed here.

A free emotional-support help line is also available to everyone at 1-866-342-6892, TTY 711 and is open 24 hours a day, seven days a week. The service is free of charge and open to anyone. Trained Optum mental health specialists can help you manage stress and anxiety. Callers may also be referred to community resources to help with other concerns, including financial and legal matters.

Alaen dagiti detalye

Dagiti Benepisio ken Paset ti Plano

No-cost phone and cell service

Count on always having good, reliable phone service with a no-cost Android® smart phone, plus no-cost cell service with:

  • Unlimited minutes
  • Unlimited texts
  • Unlimited high-speed data
  • 10GB mobile hotspot data (up to 4G LTE speed)

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.
  • Shots and Vaccines. Routine shots help protect against illness. 
  • Medicines. Fill your prescriptions at local pharmacies.
  • Pannakaospital. Necessary expenses related to a hospital stay are covered.

 

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

  • 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.

If you have asthma, diabetes or another long-term condition such as substance use 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) or DentaQuest for members under the age of 21. We also offer coverage (up to $500 per year)  for adults 21 and over, including dental exams, cleanings, and x-rays through a value-added benefit offered by UnitedHealthcare Community Plan.
  • Vision. Routine exams and glasses and contacts are covered for members under the age of 21. 
  • Hearing. Tests, exams and hearing aids are covered for members to age 21.

* Value added benefit offered by UnitedHealthcare Community Plan.

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, such as information in other languages, large print, Braille and American Sign Language. You can also ask for an interpreter. Call member services for information. 
  • Member Services. Get help with understanding your benefits and get your questions answered.
  • Transportation. We provide rides to and from medical visits.

Panangimaton iti taripato

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.

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:

  • Manglapped a panangaywan.
  • 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) and DentaQuest.

Members age of 21 and above get up to $500 in coverage for:*

  • Regular exams.
  • Cleanings and x-rays.

*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 age 21 and above who qualify as well as complete HbA1c labs and LDL-C screenings may be eligible for a yearly $50 voucher to use toward a purchase from 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.

Our plan covers medical equipment ordered by your doctor or provider. Some examples include:

  • 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. 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)

* Value added benefit offered by UnitedHealthcare Community Plan

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

This plan pays for all necessary 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.

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. If needed, we can arrange for a medical interpreter to be at medical appointments.. Our member services team has interpreters who speak over 170 languages. We also offer American Sign Language (ASL).                                            

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 medically necessary:

  • 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. Over 170 languages are supported. Call Member Services for help with interpreters and American Sign Language. They can also help if you need information in large print, Braille or audio files on a CD or flash drive. 

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 the network pharmacy of your choice, including local pharmacies and mail order pharmacies. 

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 Use Treatment

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.
  • Substance use treatment.
  • Certain medications.

Hotline dagiti Nars

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

Our Nurse Hotline 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.

Makatulong kami. A few examples include: 

  • 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, Diphtheria and Whooping Cough vaccines.
  • Other recommended shots and vaccines.

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.

Taripato ti Panagkita

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:*

  • One routine eye exam every two years with no copay.
  • $100 allowance for frames/lenses or $105 allowance for contact 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 (WW) Weight Watchers. *

* 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 Pammataudan ti Miembro

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