Mapan iti kangrunaan a linaon
Kangrunaan a Linaon

UnitedHealthcare Community Plan - MO HealthNet Managed Care

Medicaid

The UnitedHealthcare Community Plan – MO HealthNet Managed Care offers a range of benefits. It’s for children, families, pregnant women and adults who meet income requirements. We also offer support to adults with special health care needs. View the benefits below to see all that our health plan offers.

  • UnitedHealthcare Community Plan - MO HealthNet Managed Care Dagiti Addang iti Panagpalista
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If you have a change in address please report this change with MO Healthnet. It is important so they can contact you with information about your coverage. 

To make a change go here: Welcome to myDSS | mydss.mo.gov and click the “Report a Change” icon.

Dagiti Benepisio ken Paset ti Plano

Taripato para ti Nakaradkad ken Agsakit

Get the care you and your children need to stay healthy — or to be at your best. Nga agraman ti:

  • Unlimited PCP Visits. See your primary care provider (PCP) as needed.
  • Shots and Vaccines. Routine shots help protect against illness.
  • Lab ken X-rays. Dagiti eksamen ti lab, x-rays ken diagnostic imaging ket masakupan.
  • Pannakaospital. Awan pulos ti bayadam para iti taripato ti ospital.
  • Lead Screening. Can be done in the doctor's office or local health department.

Awan ti napatpateg ngem nu di ti salun-at ken karadkadyo nga agina. That's why your MO HealthNet Managed Care benefit includes:

  • Choice of Birth Centers. Pick from our large network of hospitals or birthing centers.
  • Choice of Doctors. Find a doctor you trust for your pregnancy care.
  • Dagiti Panagbisita Bayat ti Panagsikog. Taripato kenka sakbay a maiyanak ti maladagam.

If you or a family member has special health care needs, you can count on us. Our health plan will provide the extra care and services you need. Dagiti benepisyo ket kairamanan ti:

  • Asthma Care. Exams and supplies are covered.
  • Panagimaton ti Taripato. Get personal help managing health conditions.
  • Disease Management. Focused care for those with critical health needs.
  • Behavioral Health and Substance Use Services. Get caring help to meet your recovery goals.

Make sure your sight and smile are at their best. Your MO HealthNet Managed Care benefits include:

  • Vision. Routine eye exams, plus frames and prescription lenses are covered.
  • Dental. Cleanings, check-ups and dental work.

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. Masakupan ti medikal ken natalged a makinarya para ti pagtaengan.
  • Home Health Care. Medical care in your home, if needed.

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:

  • Electronic breast pumps: Enrolled pregnant members are eligible for an electronic breast pump (limit one).
  • Asthma support: Special supplies are available, including a hypoallergenic mattress cover and pillow case.
  • Peer support specialists: Coaches can provide support for substance use disorder (SUD) recovery.
  • Dagiti Taraon ni Inang: Post-delivery moms can receive 30 meals (2 meals per day for 15 days) delivered to their home. These requests can be made through your case manager or by calling member services.
  • YMCA Memberships: Members up to age 17 years of age can receive a Youth Membership to their local YMCA.  Just go into your local Y and bring your member ID card to get signed up. Learn more here.
  • One Pass: Members 18 and older will have access to this membership which gets them into over 300 gyms across Missouri including the YMCAs, Planet Fitness, Anytime Fitness, and many small local gyms. Information can be found at One Pass UHCMO | Rally Health or learn more here
  • Transportation: Unlimited trips to doctors appointments, dental appointments, WIC, and pharmacy. In addition, members can get rides to grocery stores and food pantries, weight management classes or programs such as their YMCA or local gym, job and vocational training, and substance abuse services for pregnant members. Learn more here. Members and Members family and friends (when assisting the member with a ride) are eligible to submit for gas mileage reimbursement by filling out MTM’s GMR form.  You can find the form here. Remember, the form must be signed off by the correct medical personnel to receive reimbursement.
  • Sanvello Application: an app that offers clinical solutions to dial down symptoms of stress, anxiety, and depression. Members can download the app, create an account and choose “upgrade through insurance”, and search for and select United Healthcare and enter the information on your insurance card.

Mabalin a kasapulam nu dadduma ti kanayonan a tulong a mangusar ti plano ti salun-at mo. For those times, you can rely on us for assistance:

  • Nurse HotlineSM.S peak with a registered nurse 24/7.
  • Dagiti Serbisyo para ti Kameng. Your benefit questions are answered Monday - Friday, 7:00 a.m. - 7:00 p.m. CT
  • Tulong iti Lengguahe. Connect to a language or ASL interpreter through Member Services. We provide aids and services to people with disabilities at no cost to you to help you communicate with us. Such as, letters in other languages or large print, audio, accessible electronic formats, other formats. Or you can ask for an interpreter if English is not your primary language. Qualified American sign language interpreters are also available at no cost. To ask for help, please call the toll-free member phone number listed on your health 1-866-292-0359, TTY 711, Monday through Friday, 8:00 a.m. to 5:00 p.m.

YMCA Benefit:  Members up to age 17 years of age can receive a Youth Membership to their local YMCA.  Just go into your local Y and bring your member ID card to get signed up. Learn more here.

One Pass Benefit:  Members 18 and older will have access to this membership which gets them into over 300 gyms across Missouri including the YMCAs, Planet Fitness, Anytime Fitness, and many small local gyms. Information can be found at One Pass UHCMO | Rally Health or learn more here

Transportation: Unlimited trips to doctors appointments, dental appointments, WIC, and pharmacy. In addition, members can get rides to grocery stores and food pantries, weight management classes or programs such as their YMCA or local gym, job and vocational training, and substance abuse services for pregnant members. Learn more here.

UHC Doctor Chat: As a UnitedHealthcare member, you can skip the waiting room and connect to doctors in seconds with the UHC Doctor Chat app. Doctors are available 24 hours a day, 7 days a week to answer any questions.  Learn more here.

Breast Pump Benefit: Members now call Aeroflow at 1-844-867-9890 and their dedicated mom and baby specialists will be able to assist you or visit aeroflowbreastpumps.com/united-qualify.

Asthma Care

Do you or a family member have trouble managing asthma symptoms?
You will get a customized treatment plan and medicine to:

  • Manage flare-ups.
  • Reduce symptoms.
  • Help you stay active.

Babyscripts

Earn great rewards:

  • The Babyscripts program rewards you for going to your prenatal and postpartum visits
  • Earn up to 3 rewards in all
  • Get a gift card just for signing up

To sign up, visit the Apple App Store® or Google Play™ store on your smartphone. Download the Babyscripts myJourney app. Or call 1-800-599-5985, 8 AM–5 PM, Monday–Friday. It’s that simple.

Behavioral Health and Substance Use Services

Inpatient, residential and outpatient services for behavioral health and substance use are covered. The type, amount and length of services provided will be based on the level of your needs. These services are part of your MO HealthNet Managed Care benefits.

Learn more about the Sanvello app in EnglishEspañol

Panangimaton iti taripato

When a member has complex health care needs, a care manager can really help. He or she will:

  • Work with you and family members and friends on a plan of care.
  • Explain medical terms in plain language.
  • Coordinate your doctor appointments.
  • Provide your care team with your medical records. 
  • Make a referral to community social service programs.

Panagpili ti Paganakan

Nu sadino ti paganakam ket napateg a pangngeddeng. That's why you can pick from our large network of hospitals or Birthing Center.

We also encourage you to tour the hospital's birthing center. This way you will be familiar with it and be better informed when you have your baby.

Ti Panagpili ti Doktor

Tunggal miembro ket mabalin a mangpili iti mangipaay ti kangrunaan a pannakataripato (PCP). Usaren ti Panagbirok iti Doktor a tool tapno makitam no ti doktormo ket adda iti networkmi.

The PCP is the main doctor for:

  • Manglapped a panangaywan.
  • Panagagas no sika ket agsakit wenno nadunor.
  • Care coordination with specialists.

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

Panangimaton ti Sakit

Nu addaan ka ti nakaro wenno nangato a peggad ti saksakit, dagiti serbisyo ti panangimaton ti saksakit ket naaramid a mangsuporta kenka.

Doctor Chat

As a UnitedHealthcare member, you can skip the waiting room and connect to doctors in seconds with the UHC Doctor Chat app. Doctors are available 24 hours a day, 7 days a week to answer any questions.  Learn more here.

Makinarya ken dagiti Suplay

Our member's health and safety at home are important.

MO HealthNet Managed Care covers medical equipment ordered by the doctor or care manager. Mabalin a mairaman ditoy dagiti suplay kas koma iti:

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

Home Care

After surgery or a serious illness, you may need  in-home medical visit(s) to check on how well you are healing.

MO HealthNet Managed Care covers:

  • In-home medical visit(s).
  • Medikal a ramit kas koma dagiti katre ti ospital, walker wenno wheelchair.
  • Dagiti disposable a medikal a suplay.

Pannakaospital

MO HealthNet Managed Care covers expenses related to a hospital stay, so our members can rest and heal.

Mairaman iti masakupan ti seguro para iti pannaka-ospital ti:

  • Nursing care.
  • Kuarto ken makan.
  • Dagiti suplay ken makinarya.
  • Panagagas ken dagiti therapy.
  • Dagiti eksamen a diagnostic.

And after leaving hospital, we can provide transitional care services. MO HealthNet Managed Care makes sure you get follow-up care to continue healing at home.

Dagiti mangipatarus ti pagsasao

Masapul nga agkinnaawatankayo iti doktormo. We have interpreters for you if your provider does not speak your language. We also have qualified American Sign Language interpreters available. This is provided at no cost to you when you speak to us, your provider, or Nurse Hotline.SM

We provide aids and services to people with disabilities at no cost to you to help you communicate with us. Such as, letters in other languages or large print, audio, accessible electronic formats, other formats. Or, you can ask for an interpreter if English is not your primary language. Qualified American sign language interpreters are also available at no cost. To ask for help, please call the toll-free member phone number listed on your health 1-866-292-0359, TTY 711, Monday through Friday, 8:00 AM to 5:00 PM

Lab ken X-rays

Ti panagammmo nu ania iti parikut ken panagduktal iti daytoy ti nasapa ket nalabit a makaaramid ti dakkel a pagdumaan. MO HealthNet Managed Care covers:

  • 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

Members can get printed information in their preferred language. You will get member materials in English and Spanish. We can give you member materials in a language or format that is easier for you to understand. We also have qualified American sign language interpreters available. Agdamag ka laeng.

We provide aids and services to people with disabilities at no cost to you to help you communicate with us. Such as, letters in other languages or large print, audio, accessible electronic formats, other formats. Or, you can ask for an interpreter if English is not your primary language. Qualified American sign language interpreters are also available at no cost. To ask for help, please call the toll-free member phone number listed on your health 1-866-292-0359, TTY 711, Monday through Friday, 8:00 AM to 5:00 PM

Dagiti Serbisyo para ti Kameng

No dadduma mabalin a masapulmo ti bassit a tulong tapno maawatam dagiti pagpilian para iti pannakataripato ti salun-atmo. Tawagandakami. Masungbatanmi dagiti saludsodmo iti simple ken kumpleto a wagas.

We help you find:

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

No Copays

You will not have a copayment for care and services covered by MO HealthNet Managed Care.

This includes in network services:

  • Visits to doctors
  • Treatments at hospitals and clinics.
  • Behavioral Health and Substance Use.
  • Home medical equipment and supplies to help you be at your best.

Hotline dagiti Nars

Dagiti medikal a saludsod ken sitwasion ket mabalin a sumangbay kadagiti tiempo a saanmo a namnamaen. No adda saludsodmo maipapanggep iti salun-atmo, mabalinmo ti tumawag iti nars 24 nga oras kada aldaw, 7 nga aldaw kada lawas.

Dagiti narsmi ket:

  • Dumngeg kadagiti sintomas
  • Tumulong iti panangtaripato iti bukod a bagi.
  • 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.

Parmasia wenno botika

All pharmacy benefits are covered by MO HealthNet Fee-for-Service. For more information:

Please contact 1-800-392-2161 or visit the MO HealthNet website at www.dss.mo.gov.

Panagbisita Sakbay ti Panaganak.

Your pregnancy is a journey you'll want to make with the help of friends, family and a pregnancy doctor.

Amin dagiti nairekomendar a klinikal a panagbisita ti masikog ken eksamen ket sakupen ti planomi.

Kadagitoy a panagbisita, ti klinika ket:

  • Make sure both you and your baby are healthy.
  • Ipalawag nu ania ti namnamaem kada lebel ti panagsikog mo.
  • Sungbatan dagiti saludsod mo.

Panangisardeng ti Panagsigarilyo

Ammo ti kaaduan a tattao dagiti saan a nasayaat nga epekto ti panagsigarilyo iti salun-at. Ken ammoda a kayatda ti agsardeng. That's why we encourage members to talk to their doctor about getting smoking cessation support. UnitedHealthcare Community Plan covers counseling when you enroll with Quit for Life. Medication for smoking cessation is available. Tawagan ti 1-800-784-8669.

Indieksion ken Bakuna

Routine shots help protect members and their family from illness. MO HealthNet Managed Care covers:

  • Pneumonia, influenza and shingles shots.
  • Vaccines and Immunizations. Routine shots to help keep your child healthy.
  • Other recommended shots and vaccines.

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.

For children under age 21 and for pregnant women, MO HealthNet Managed Care provides:

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

Transplant Services

Covered when ordered by a network physician.

Pagluganan

Members get unlimited trips to the following:

  • Doctors and providers
  • Dagiti dentista
  • Parmasia
  • WIC
  • Grocery stores
  • Dagiti pagalaan ti makan
  • Weight management classes or programs
  • YMCA or local gym
  • Job and career training
  • If you’re pregnant, substance abuse services
  • Learn more here
    Members and Member’s family and friends (if helping the member with a ride) can submit a form for gas mileage reimbursement. You can find the form here. Laglagipen: The form must be signed off by the correct medical personnel to receive reimbursement.
     

Unlimited Primary Care Provider Visits

There may be times when a member's health requires repeated doctor visits. Our plan does not limit the number the number of visits to a primary care provider (PCP). This way the members get the care they need. And the doctor can see how their health is progressing.

Taripato ti Panagkita

You'll get the care, eyeglasses and treatment that help you see better. Iraman ti masakupan iti:

  • One eye exam every 24 months for members 21 and over.
  • One eye exam every 12 months for children under 21 and pregnant women.
  • One pair of frames and lenses ever 24 months.

This benefit is offered by MARCH Vision Care.

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.

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