Mapan iti kangrunaan a linaon
Kangrunaan a Linaon

UnitedHealthcare Community Plan

Medicaid

Our Medicaid family plan is for children, pregnant women, families and adults who meet income and health need requirements. We also cover children and young adults with special health or developmental needs. 

Any changes in phone number, email, or address should be reported to the Michigan Department of Health and Human Services (MDHHS). You can do this by going to the MIBridges website at www.michigan.gov/mibridges. If you do not have an account, you will need to create an account by selecting “Register”. Once in your account, when reporting changes, please make sure you do so in both the profile section and the Report Changes area.  The Report Changes area is what the local office will use to update the address for your case.

The Michigan Department of Health and Human Services (MDHHS) is working to eliminate Hepatitis C Virus (HCV) as a health threat to Michiganders through the We Treat Hep C Initiative 

Hepatitis Patient Fact Sheet 
Hepatitis C Brochure - English
Hepatitis C Brochure - Español
Hepatitis C Medicaid Disease Management Brochure

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:

  • Panagpili ti Doktor. Agsapul iti doktor a matalekmo iti network mi.
  • Unlimited PCP Visits. You can see your doctor as often as medically needed.
  • Dagiti agas. Fill your prescriptions at network pharmacies.
  • Lab ken X-rays. Dagiti eksamen ti lab, x-rays ken diagnostic imaging ket masakupan.
  • Dagiti Panagbisita ti Nakaradkad. Annual checkups can help keep you healthy.
  • Shots and Vaccines. Routine shots to help protect against illness.
  • Transportasyon. Get a ride or gas reimbursement to medical visits.

Regular dental care is just as important as medical care. You should go to the network dentist for regular check-ups.

The dentist or dental hygienist will examine your mouth. The examination will include the teeth, gums, tongue, lips, and roof of mouth. The dentist may order a few X-rays to see if there is tooth decay. You may also have your teeth cleaned.

Ammuen ti ad-adu pay

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

  • Choice of Doctor. Find a doctor and dentist you trust in our network.
  • Choice of Birth Centers. Deliver at one of 100 hospitals in Michigan.
  • 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.
  • Transportation. Get a ride or gas reimbursement to medical visits.
  • Wellhop for Mom & Baby. Connect with a community of moms. Get support and information as you welcome your baby.
  • Dental Services.  Get dental coverage as a pregnant member, during and for a full year after delivery. 

If you have diabetes or another health condition, you can depend on us. Our plan makes sure your family and you get the care and services needed. Dagiti benepisyo ket kairamanan ti:

  • Salun-at ti Panunot. Short-term outpatient counseling and other treatments are covered.
  • Panagimaton ti Taripato. Personal support from an experienced professional.
  • Asthma and COPD Care. Individual care for asthma, allergies or COPD.
  • Diabetic Support. Insulin, needles and wipes ordered by your doctor.
  • Heart Care. Extra support for members who have coronary artery disease.
  • Pregnancy Care. Special programs and extra support for pregnant members.

Make sure your sight, speech and hearing are at their best. Dagiti benepisyo ket kairamanan ti:

  • Vision. Covers exams and eyeglasses Including designer-style frames.
  • Speech. Screenings and needed short-term therapies are covered.
  • Hearing. Exams to determine if a hearing problem exists.

If you are recovering from a serious illness or surgery, you may need extra support. Our plan includes the care and equipment needed to recover safely at home. Dagiti benepisyo ket kairamanan ti:

  • Makinarya ken dagiti Suplay. We cover wheelchairs, hospital beds and more.
  • Nurse Visits. Medical care to help you recover at home.

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:

  • Transportasyon. Get a ride or gas reimbursement to medical visits.
  • Tulong iti Lengguahe. Connect to a translator through Customer Services.
  • Customer Services. Your benefit questions are answered by our friendly representatives.
  • Panangisardeng iti Tabako. Dagiti mangisuro ken suplay a tumulong kenka a mangisardeng iti panagusar iti tabako.

Children's Special Health Care Services

The Children Special Health Care Services program is for children and young adults with special health or developmental challenges. Our plan provides extra services and support to help manage your child's care needs. If you are enrolled in Medicaid, you may qualify for this additional coverage.

Download more information about the CSHCS program here: Children's Special Health Care Services (CSHCS) Program.

Asthma and COPD Care

Do you have trouble managing asthma, allergies or COPD 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.
  • Help you or your child stay active.

Asthma Care

Does your child have asthma or respiratory allergies? A nurse who specializes in breathing issues can really help childhood breathing problems. Your child's nurse will

  • Get to know your child
  • Learn his or her triggers and activities.
  • Develop a customized treatment plan.

Panangimaton iti taripato

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

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

Your care manager will stay with you on your medical journey. He or she will:

  • Think beyond your medical needs.
  • Make sure you have support at home.

So you can focus on getting better.

Choice of Doctors

You or your child gets a primary care provider (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 100 hospitals across Michigan.

We encourage you to tour the hospital's birthing center. Ta iti kastoy ket masanay ka iti dayta. Ket nakalkalma kanto nu aganak ka.

Customer Services

Understanding your health care options can be confusing. Now you have someone you can call. Masungbatan mi dagiti saludsod mo iti simple a wagas ken kumpleto.

We help you find:

  • Dodoktor
  • Parmasia.
  • Ospital wenno dadduma a pasilidad iti salun-at.
  • Lokal a paggapuan ti tulong wenno mausar.

We also have people who speak more than one language. Nalabit adda maalami a makasao iti lengguahem.

Suporta iti Diabetic

If you have diabetes you may need insulin, needles, wipes and glucose strips. Masakupan mi dagita ken dadduma pay.

Our plan also steps up with services to help you manage your diabetes including:

  • Panangikoordinar ti taripato ti doktor.
  • Dedicated team to help you understand your condition and manage it.

Makinarya ken dagiti Suplay

Ti salun-at mo ken kinatalged mo iti pagtaengan ket napateg.

Sakupen ti planomi ti medikal nga alikamen a kiddawen ti doktormo. This can include items like:

  • Katre ti ospital.
  • Tangke ti oxygen.
  • Dagiti sarrukod wenno wheelchairs.

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)

Hearing Services

Ti parikut ti panagdengngeg ket apektaran na ti inaldaw a biag mo iti nadum-duma a wagas. Our plan includes services and support to determine whether a hearing problem exists.

Sakupen mi:

  • Eksaminasion, terapi ken pannakaeksamen.
  • Hearing aids are covered for Members under age 21.

Pannakaospital

This plan pays for medical expenses related to a hospital stay.

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. We make sure you get follow-up care to continue healing.

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.

We'll help get the information needed to improve your health or be your best.

Tulong ti Lenggwahe

We have people at our member services who speak more than one language. Nalabit adda maalami a makasao iti lengguahem.

Dagiti Agas

Our plan includes prescription drugs and refills.

We also cover many medically needed, over-the-counter medicines with a written order from your doctor. There is no copay for these medicines.

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

  • Network pharmacies.

Salun-at ti Panagpampanunot

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

Short-term required care is covered with no co-pay. Mairaman ditoy ti:

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

No Copays

You will not have a copayment for most care and services covered by our plan. Kayat na saoen nga awan pulos bayadam para kadagiti masakupan a serbisyo, kairamanan ti:

  • Manglapped a panangaywan.
  • Tinawen a tsek-ap.
  • Ti kanayon a naka-iskedyul a taripato ti panagkita.

Dagiti Panagbisita ti Nars

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.
  • Answer your questions and concerns.

Taripato ti Panagsikog

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

  • Prenatal Visit.
  • Healthy First Steps®.
  • Transportasyon.
  • Wellhop for Mom & Baby. 
  • Dental Services.

Panagbisita Sakbay ti Panaganak.

Your 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.
  • Get dental coverage as a pregnant member, during and for a full year after delivery. 

Panangisardeng ti Panagsigarilyo

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

Indieksion ken Bakuna

Routine shots help protect against illness. Isu a sakupen ti planomi:

  • Dagiti mairekrekomendar nga indieksion ken bakuna.
  • Dagiti bakuna iti trangkaso.

Social Services

Many communities offer additional benefits for children with special care needs. Social Services helps members connect to local programs and services, such as:

  • WIC ken pinansial a suporta.
  • Serbisio iti pagadalan.
  • Pannaripato tapno makainana ti manartaripato.

Download more information about social services benefits here.

Speech Therapy

Dagiti panagbisita iti speech therapy ken ehersisio ket makatulong kadagiti marigatan nga agsao. At your doctor's request we will cover short-term, medically needed physical, occupational, speech and other therapy visits each year.

Dagiti Serbisio a Terapiya

Makatulong ti physical, occupational ken speech therapy tapno umimbagka manipud iti nakaro a pannakadangran wenno panagsakit, wenno tapno magun-odmo ti pagpatinggaan ti kabaelam.

Ipaay ti planomi ti:

  • Okupasyonal a therapy.
  • Pisikal a therapy.
  • Therapy ti panagbalikas.

With a doctor's request your coverage includes short term physical, occupational, speech and/or other therapy visits each year.

Pagluganan

Our plan provides a ride for you to and from health care locations. Mairaman ditoy dagiti pagluganan a mapan iti:

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

You can also be reimbursed for gas for driving to and from health care visits:

ModivCare Member Gas Reimbursement Instructions
ModivCare Mileage Reimbursement App
ModivCare Member Gas Reimbursement Form
ModivCare Standing Order Form

To learn more visit https://www.mymodivcare.com

Unlimited Primary Care Provider/PCP Visits

There may be times when your health requires repeated doctor visits. Our plan does not limit the number of times you can see your primary care provider. This way you get the care you need when you need it. Ket tapno makita ti doktormo no kasano a sumaysayaat ti salun-atmo.

Taripato ti Panagkita

Regular eye exams and glasses, if needed, can help you see more clearly. We also include:

  • Dagiti naireseta a lente.
  • Designer-style frames.

Call Member Services at 1-800-903-5253 for vision services and providers.

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.
  • Mammograms and Pap Smears.
  • Pannakataripato ti nasalun-at a maladaga.
  • Colorectal Screenings.

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.

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