UnitedHealthcare Community Plan - Heritage Health

Medicaid

UnitedHealthcare Community Plan offers a range of benefits. It’s for pregnant women, children, families and adults who meet income requirements. There are no costs to you for Medicaid benefits and services. View the benefits below to see all that our plan offers.

This is a current summary of health services and drug coverage provided by UnitedHealthcare Community Plan of Nebraska. A detailed description of the benefits can be found in the Member Handbook.

Daytoy a plano ket sidadaan a mausar iti amin a county.

Taking Action to Support People Affected by Flooding in Nebraska 

  • Help Finding a Network Care Provider, Early Refills: Plan participants who need help finding a care provider in the UnitedHealthcare network or obtaining early prescription refills can call Member Services at 1-844-445-7226, TTY 711  

  • Misplaced Medical ID cards, call 866-633-2446, 8 a.m.- 8 p.m. (in the local time zone), Monday through Friday. If you have a smartphone, download the free Health4Me app, which provides instant access to your ID card, network care providers, personal health benefits and more.  

  • Free Help Line: Optum, a leading health and behavioral health services company, is offering a free emotional-support help line. Call the toll-free number at 866-342-6892, available 24 hours a day, seven days a week. The service is free of charge and open to anyone.   

  • Searching for Community Resources: Call Member Services at 1-844-445-7226, TTY 711.

Dagiti Benepisyo 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. That includes:

  • Unlimited PCP Visits. See your primary care provider (PCP) as needed.
  • Shots and Vaccines. Routine shots help protect against illness.
  • NurseLine℠. Speak with a registered nurse 24/7.
  • Lab and X-rays. Lab tests, x-rays and diagnostic imaging are covered.
  • Therapy Services. Physical or other therapy to help you be your best.
  • Foot Care. We provide special care to keep your feet healthy.
  • Hospitalization. You pay nothing for care in a hospital.
  • Chiropractor Services. Limited chiropractic visits are covered
  • Lead Screening. Can be done in the doctor’s office or local health department.
  • Prescriptions. No copayment.

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 large network of hospitals or Birthing Center.
  • Choice of Doctors. Find a doctor you trust for your pregnancy care.
  • Healthy First Steps®. Extra support to help you and your baby stay healthy.
  • Prenatal Visits. Care for you before your baby is born.
  • Text4baby. Text messages with helpful tips and reminders for you and your baby.. 
  • Baby Blocks™. Earn rewards for taking steps to keep you and your baby healthy.
  • Community Baby Showers. Education on prenatal and postpartum care.
  • Electric Breast Pumps covered.

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

  • Asthma, Allergy, Heart Failure, CAD, Depression, Diabetes and COPD Care. Exams, testing and supplies are covered.
  • Care Management. Get personal help managing health conditions.
  • Mental Health and Substance Use Services. Get caring help to meet your recovery goals.

Siguradoen nga iti panagkitam ken panagdengngeg mo ket nasayaat da. Dagiti benepisyo ket kairamanan ti:

  • Hearing. Tests, checkups and hearing aids, if needed.
  • Vision. Routine eye exams, plus frames and prescription lenses are covered. 

Vision Provider Lookup

 

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:

  • Equipment and Supplies. In-home medical and safety equipment are covered.
  • Home Health Care. Medical care in your home, if needed.
  • Skilled Nursing Facility. Brief stay at a skilled nursing facility while you recover from sickness or injury.

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: 

  • NurseLine℠. Speak with a registered nurse 24/7.
  • Member Services. Your benefit questions are answered Monday - Friday, 7:00 a.m. - 7:00 p.m. CT or 6:00 a.m. – 6:00 p.m. MT
  • Language Help. Connect to an interpreter through Member Services.
  • Panangisardeng ti Panagsigarilyo. Enroll with the Nebraska Tobacco - Free Quit Line and ask your doctor about support to help you quit.
  • myConnections™. Helping you and your family with employment, housing, and financial needs.

Asthma, Allergy and COPD Care

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

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

Baby Blocks™

Build a health future for you and your baby — and earn great rewards — through Baby Blocks. This program helps keep you and your baby healthy during your pregnancy and your baby’s first 15 months of life.

Baby Blocks includes:

  • Email appointment reminders.
  • Fun program to keep track of appointments.
  • Reward gift cards for clothing and more.

Once you sign up, you can choose a $20 Old Navy gift card or a stylish diaper bag. The choice is yours.

Care Management

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.
  • Offer rewards like a gift card for chronic care checkups or well care visits.

Cell Phone Program

Learn more about MyHealthLine (www.uhcmyhealthline.com), a no cost mobile phone service. This is a federal Lifeline Assistance program. 

Children's Health Support

  • Rewards program for well-child visits. KidsHealth® website provides information by topic, health quizzes, games and videos.
  • 4-H and Sesame Street programs include information on asthma, food nutrition and healthy habits.
  • Dr. Health E. Hound® provides nutritional education and promotes fitness and healthy habits.

Chiropractor Services

Our plan includes limited visits for chiropractic care when ordered by a network physician.

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

Each member can choose a primary care provider (PCP). Use the Doctor Lookup tool to see if your doctor is in our network.

Iti PCPim ket iti kangrunaam nga doktor para:

  • Managlapped a taripato.
  • Panagagas nu 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.

Pannakaaywan ti Ngipen

This service is provided by Medicaid and Long-Term Care. Contact ACCESSNebraska toll-free at 1-855-632-7633.

Diabetic Support

If you have diabetes, we'll help make life a little easier for you. You'll get medicine, supplies and education to help you reach and stay your best. Our diabetes program also includes self-care training and classes focused on:

  • Managing stress.
  • Living a healthy lifestyle.
  • Wellness Rewards for getting needed exams.

Panangimaton ti Sakit

If you have chronic or high-risk illnesses, our disease management services may help you. We provide support for:

  • Congestive heart failure.
  • Angkit.
  • HIV.
  • Chronic obstructive pulmonary disease (COPD).
  • Coronary artery disease.

Makinarya ken dagiti Suplay

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

Our plan covers medical equipment ordered by the doctor or care manager. This can include supplies like:

  • Oxygen tanks.
  • Katre ti ospital.
  • Wheelchairs or walkers. 

Taripato ti Saka

Ipaaymi dagiti suot nga kasapulam tapno pagtalinaeden nga nasalun-at dagiti sakam. And if you have diabetes, good foot care can help prevent much more serious problems.

Iti masakupan ti podiary a serbisyo iramanna iti:

  • Routine foot exams.
  • Singasing panggep iti panagtaripato ti saka ken panagpili iti umno a sapatos.
  • Impormasyon panggep kadagiti patigmaan nga senyales ti panagdadael iti urat.

Umuna nga Addang wenno Healthy First Steps®

Our Healthy First Steps® program makes sure that both mom and baby get good medical attention.

We will help:

  • Find a doctor for both mother and baby.
  • Get good advice on nutrition, fitness and safety.
  • Get supplies, including breast pumps for nursing moms.

Taripato ti Panagdengngeg

Ti parikut ti panagdengngeg ket apektaran na ti inaldaw a biag mo iti nadum-duma a wagas.  Ti plano mi ket kairamanan dagiti serbisyo ken suporta a makatulong a mangprotekta ti panagdengngeg. 

Sakupen mi:

  • Exams, aids and tests.
  • Hearing aids and batteries.

Home Care

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

With approval, our plan covers:

  • In-home medical visit(s).
  • Medical equipment like hospital beds, walkers or wheelchairs.
  • Disposable medical supplies.

Pannakaospital

This plan pays for expenses related to a hospital stay, so our members can rest and heal.

Hospitalization coverage includes:

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

And after leaving hospital, we can provide transitional care services. Siguradoen mi nga adda ti follow-up a taripato tapno agtultuloy ka nga agimbag iti pagtaengam.

serbisyoiti hospisio

Hospice services are covered when they are ordered by a physician.

Lab ken X-rays

Iti pannakaammo nu ania iti kamali ken panagduktal daytoy iti nasapa ket maaramidna amin iti pagbaliwan.  Ti plano mi ket sakupen na:

  • 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

Your doctor and you need to understand each other. Not speaking English well makes this difficult. We can arrange for a medical interpreter to be available for you over the telephone at your appointments. We also have people in member services who speak more than one language. Chances are, we have someone who speaks your language.

Members can get 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. Agdamag ka laeng.

Dagiti Serbisyo para ti Kameng

Sometimes you might need a little help understanding your health care options. Awagan dakami. We’ll answer your questions simply and completely.

We help you find:

  • Kadagiti doktor.
  • Dagiti parmasya.
  • Dagiti ospital wenno dadduma a pasilidad ti salun-at.
  • Dagiti lokal a materyales wenno paggapuan ti tulong.

Mental Health and Substance Use Services

Inpatient, residential and outpatient services for mental health and substance use disorders are covered by UnitedHealthcare. The type, amount and length of services provided will be based on the level of your needs. Visit www.liveandworkwell.com.

myMoneyConnect™

myMoneyConnect™. A rewards program that includes a reloadable prepaid debit card designed to help with financial independence.

UnitedHealthcare myMoney Connect is designed to promote health, well-being and financial independence for Heritage Health members. The program provides a reloadable prepaid debit Mastercard® with wellness rewards to enable you to earn reward dollars just for doing healthy activities.

No Copays

You will not have a copayment for care and services covered by our plan.

This includes in network services:

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

NurseLine℠

Medical questions and situations can come at inconvenient times. When you have questions about your health, you can call a nurse 24 hours a day, 7 days a week.

Our nurses will: 

  • Listen to symptoms.
  • Help with self-care.
  • 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.

Over-The-Counter Drugs/Supplies

Covered 100% with your doctor’s prescription.  

Your health care costs may include non-prescription medicines and supplies like aspirin, cough medicine or a cane. Covered 100% with your doctor’s prescription.

Parmasia wenno botika

Our plan includes prescription drugs and refills, and we make getting your medicine easy. Medicare and other insurance copays may apply. You can fill your prescriptions at:

  • Local pharmacies.
  • Services that deliver right to your door.

When you have a prescription filled, be sure to check that:

  • It’s included on the Preferred Drug List (PDL). 
  • It’s written by a network provider. 
  • It’s filled at a network pharmacy. 
  • You show your member ID card when you have it filled. 

Panagbisita Sakbay ti Panaganak.

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

All recommended prenatal clinical visits and tests are covered by our plan.

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.

Quitting Tobacco

Most people know the bad health effects of smoking. And they know they need to quit. That’s why we encourage members to talk to their doctor about getting smoking cessation support. Counseling is covered when you enroll with the Nebraska Tobacco-Free Quit Line.  Medication for smoking cessation are available through Nebraska Medicaid. Call 1-800-784-8669

Residential Care

After a serious illness, surgery or injury, you may need extra nursing and therapy.  If needed, our plan covers short stays in a skilled facility where you can heal. 

Included are:

  • Nursing home services.
  • 24-hour nursing care.
  • Help with activities of daily living.
  • Physical, occupational and speech therapy.

Shots and Vaccines

Routine shots help protect members and their family from illness. Ti plano mi ket sakupen na:

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

Text4baby

Text4baby can help new and expecting mothers keep themselves and their babies healthy.

You’ll get text messages throughout your pregnancy and your baby’s first year. Each text contains health and safety tips for topics like:

  • Prenatal care.
  • Labor and delivery.
  • Breastfeeding.
  • Safe sleep.
  • Nutrition.
  • Car seat safety.

So you and your baby can make a great start on life.

Therapy Services

Physical, occupational and speech therapy can help you recover from a serious injury or illness, or simply reach your full potential. 

Our plan provides:

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

Pagluganan

Your transportation services are provided by the state of Nebraska Medicaid.  Non-Emergency Transportation to Medicaid-Coverable services may be available.  Contact IntelliRide to find out if you qualify for the transportation benefit.

How to schedule a ride.

  • Call toll-free 1-844-531-3783 or local in Omaha 1-402-401-6999, at least 3 days  (72 hours) before your appointment.
  • Urgent care and same-day rides are accepted.
  • Rides can be scheduled up to 30 days in advance.
  • You can also register to reserve your  trip online at www.iridenow.com

Transplant Services

Covered when ordered by a network physician.

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 let you see life more clearly. Iraman ti masakupan iti:

·  Annual eye exams.
·  Prescription lenses.

This benefit is offered by March Vision.

Wandering and Elopement

We will provide members and families with door and window alarms (up to six per household) to help reduce wandering without caregiver awareness.

Dagiti Panagbisita ti Nakaradkad

Ti panagbisita iti doktor para ti karadkad ket makatulong kenyam tapno agtalinaed ka a nasalun-at. These visits can catch health problems early, so they can be treated. Dagiti serbisyo ti panagsakbay ket kairamanan ti:

  • Checkups for adults and children.
  • Routine shots and tests.
  • Dagiti Mammogram.

There are no copayments for preventive care.

Mother and daughter

KidsHealth

The healthy advice you need from a source you trust. For parents, kids and teens.

Mother and baby

Health4Me

The Health4Me app makes it easy to find doctors, ER or urgent care centers near you, call Nurseline, view your ID card, contact member services.

Dagiti Pamuspusan ti Kameng

Kitaen dagiti Mabalin a Mausar a Pamuspusan

Ammoen ti Ad-adu pay

UnitedHealthcare Community Plan - Heritage Health

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