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Child Health Plus

CHIP

The New York State Child Health Plus program offered through UnitedHealthcare is simply great health care coverage. It's for children and young adults up to age 19 who are residents of the State of New York and are not eligible for Medicaid or enrollment in or access to NYSHIP. View the list of benefits below to see all that our plan covers.

Albany, Bronx, Broome, Cayuga, Chautauqua, Chemung, Chenango, Clinton, Columbia, Dutchess, Erie, Essex, Fulton, Genesee, Herkimer, Jefferson, Kings, Lewis, Madison, Monroe, Nassau, New York, Niagara, Oneida, Onondaga, Ontario, Orange, Oswego, Queens, Rensselaer, Richmond, Rockland, Seneca, St. Lawrence, Suffolk, Tioga, Ulster, Warren, Wayne, ken Westchester.

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

COVID-19 NY State PPE Fee Guidance

The New York State Department of Financial Services (DFS) recently issued guidance stating that care providers should not charge members additional fees for items such as personal protective equipment (PPE). DFS expects New York care providers to refund any of these charges paid by the member that were more than the member’s financial responsibility on a claim. If you have questions, you may contact your provider or call the number on the back of your card for assistance with filing a complaint.

Dagiti Benepisio ken Paset ti Plano

Taripato para ti Nakaradkad ken Agsakit

Get the care your child needs to grow up healthy – or to get better if he or she is injured or sick. Nga agraman ti:

  • Choice of Doctors. Find a doctor for your child from our broad network.
  • Hospitalization. You pay nothing for hospital care.
  • Medicines. There are no copays for covered drugs.
  • No Copays. You pay nothing for your child’s covered services.
  • Shots and Immunizations. Routine shots to help keep your child healthy.
  • Well Visits. We cover routine well-baby or child exams.
  • Outpatient Services. Lab tests, x-rays and other imaging are covered.

Make sure your child's sight, teeth and hearing are at their best. Dagiti benepisyo ket kairamanan ti:

  • Vision. Covers eye exams and glasses.
  • Dental. We cover cleanings, checkups and dental work.
  • Hearing. Screenings and therapies, if needed, are provided.

Get the medical equipment and diabetic supplies needed to manage your child's health. Dagiti benepisyo ket kairamanan ti:

  • Durable Medical Equipment. Your child's in-home safety equipment is covered.
  • Nurse Visits. Care after surgery or illness to recover at home.
  • Diabetic Supplies. Insulin, needles and wipes ordered by your doctor.

Sometimes you might need a little extra help using your child's health plan. Kadagidiay a tiempo, mabalin a mangnamnama ka kadakami:

  • Member Services. Call 24/7 for answers about your child's benefits.
  • Nutrition Coaching. Helpful advice to improve your child's diet.
  • Grief Support. Have someone your child can talk to in difficult times.

Asthma and COPD Care

Does your child have asthma or respiratory allergies? If so, you are on watch for a breathing emergency.

Your child can be assigned a nurse with special knowledge of 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.

So your child may have:

  • Reduced symptoms.
  • Less need for emergency care.

Panangimaton iti Kaso

Does your child have a serious health problem? If so, and your child qualifies, we offer case managers that can:

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

Your case manager will stay with your child throughout the medical journey. He or she will:

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

So your child can focus on getting better.

Ti Panagpili ti Doktor

Your child gets a primary care physician (PCP), who is his or her main doctor. Use the Doctor Lookup tool to see if your child's doctor is in our network.

If your child doesn't have a doctor or if this doctor is not in our network, we can help you find a new one close to you.

Ti PCPim ket iti kangrunaam nga doktor para:

  • Managlapped a taripato.
  • Panagagas no sika ket agsakit wenno nadunor.
  • Dagiti reperal kadagiti espesialista iti partikular a kondision.

Your child can see a specialist without a referral.

Pannakaaywan ti Ngipen

Checkups and emergency care are covered.

Exams and cleanings every six months help your child develop strong and healthy teeth and gums. If there is a dental problem that needs to be fixed, that's covered as well.

Diabetic Supplies

If your child has diabetes, you may need insulin, needles, wipes and glucose strips.

Our plan also steps up with services to help you manage your child's diabetes, including:

  • Classes on keeping diabetes in control.
  • Panangikoordinar ti taripato ti doktor.
  • Nutrition and diet.

Natibker ken manayon a ramit-medikal

Your child's health and safety at home are important.

Our plan covers medical equipment ordered by your doctor or case manager for your child. Mabalin a mairaman ditoy dagiti suplay kas koma iti:

  • Diabetic supplies.
  • Katre ti ospital.
  • Wheelchair wenno walker. 

Grief Support

A loss can take many different forms. And you may get lots of suggestions on how to help your child. Grieving is part of the healing process.

If a recent loss has made your child sad or unhappy, help is available. Our plan offers counseling and support to your child during the grieving process. Our team will work with you to find a counselor or program to help your child adjust to the loss.

Taripato ti Panagdengngeg

Trouble hearing can affect your child's everyday life in many ways. Our plan includes services and support to help protect your child's hearing.

Ti plano mi ket sakupen na:

  • Eksaminasion, terapi ken pannakaeksamen.
  • Dagiti hearing aid.

Pannakaospital

This plan pays for all your child's expenses related to a hospital stay.

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 your child leaves the hospital, we watch over his or her care. We make sure your child gets follow-up care to continue healing at home.

In Home Care

After surgery or a serious illness your child may need extra care and services to recover. This may include an in-home medical visit to check on how well your child is healing.

No maaprubaran, sakupen ti planomi ti:

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

Dagiti Agas

There are no copays for covered drugs.

We also cover over-the-counter medicines with a written order from your child's doctor.

And we make getting your child's medicine easy. You can fill his or her 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. We’ll answer your questions simply and completely.

Mabalindaka pay a tulongan a mangsapulka iti/kadagiti:

  • Mangipapaay panaripato iti pagtaengan.
  • Dentists and vision providers.
  • Adult day health centers.

Salun-at ti Panagpampanunot

Ti salun-at ti panunot ket kas kapateg ti salun-at a pisikal. Isu a sakupenmi dagitoy nga agpada.

Required care is 100% covered with no copay. Mairaman ditoy ti:

  • Therapy ti Tig-tignay.
  • Panagagas iti panagabuso ti droga.
  • Ag-agas.

No Copays

You will not have a copayment for your child's care and services covered by our plan.

Kayat na saoen nga awan pulos bayadam para kadagiti masakupan a serbisyo, kairamanan ti:

  • Managlapped a taripato.
  • Tinawen a tsek-ap.
  • Dagiti naireseta nga agas a masakupan ti plano.
  • Routine dental or vision care.

Nurse Visit

Your child may need continued care after leaving the hospital or urgent care.

If your child's health is at risk after a serious illness, surgery or injury, a nurse will visit your child to:

  • Provide medical care for your child.
  • Answer your questions and concerns.

Panangisuro mainaig iti Nutrision

Healthy eating goes a long way to helping your child grow and stay at his or her best. A nutritionist can meet with you to review your child's eating habits and food choices.

You'll come away with new ideas to:

  • Panagpili kadagiti kasayaatan para kadagiti nadaras a lutuen a makan ken merienda.
  • Panangisagana kadagiti nasustansia a makan uray no naka-badyetka.

Dagiti Serbisio iti Outpatient

Knowing what's wrong and finding it early can make all the difference for your child.

Ti plano mi ket sakupen na:

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

We'll help you get the information needed to help improve your child be his or her best.

Taripato iti Temporaryo nga Institusyon (Respite Care).

Caring for a child with special health needs is an act of love.

It can also be physically and emotionally exhausting. We can provide respite care to give you a rest.

Shots and Immunizations

Routine shots help keep your child healthy.

Isu a sakupen ti planomi:

  • Dagiti mairekrekomendar nga indieksion ken bakuna.
  • Dagiti eksamen a diagnostic.

Taripato ti Panagkita

See life more clearly with routine eye exams and glasses, if needed.

We also include:

  • Dagiti naireseta a lente.
  • Medicaid approved frames.
  • New eyeglasses every two years.

This benefit is offered by March Vision Care.

Well Child Visits

Well visits with your doctor can help your child stay healthy. Makatulong dagitoy a panagbisita tapno matakuatan a nasapa dagiti problema iti salun-at, tapno maagasan dagitoy.

Dagiti serbisyo ti panagsakbay ket kairamanan ti:

  • Annual checkups for children.
  • Pannakataripato ti nasalun-at a maladaga.
  • Kadawyan a bakuna ken pannakaeksamen.

Awan ti copayment para iti pannaripato tapno maliklikan ti sakit.

Dagiti Pamuspusan ti Kameng

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