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It is important to keep your mailing address up to date to make sure you get important messages about your health care coverage. To update your mailing address:
- Call the New York State of Health Exchange at 1-855-355-5777
- Log on to your New York State of Health account at nystateofhealth.ny.gov/apply
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UnitedHealthcare Community Plan
Medicaid
The New York State Medicaid Managed Care Plan is offered through UnitedHealthcare Community Plan. It’s for New York State residents who meet the income or disability requirements.
To find out if UnitedHealthcare Community Plan is offered in your county, please call 1-888-617-8979. A representative will contact you to schedule an appointment to help you apply.
More information on eligibility and enrollment can be found on the New York State of Health website.
For more information about Child Health Plus or Medicaid, call New York Health Options at 1-800-541-2831.
To learn more about applying for health insurance through NY State of Health, The Official Health Plan Marketplace, visit www.nystateofhealth.ny.gov or call 1-855-355-5777.
Daytoy a plano ket sidadaan para kadagiti sumaganad a county:
Albany, Bronx, Broome, Cayuga, Chautauqua, Chemung, Chenango, Clinton, Columbia, Dutchess, Erie, Essex, Franklin, Fulton, Genesee, Greene, Herkimer, Jefferson, Kings, Lewis, Livingston, Madison, Monroe, Nassau, New York, Niagara, Oneida, Onondaga, Ontario, Orange, Orleans, Oswego, Queens, Rensselaer, Richmond, Rockland, Schenectady, Seneca, St. Lawrence, Suffolk, Tioga, Ulster, Warren, Wayne, Westchester, Wyoming, and Yates.
- UnitedHealthcare Community Plan
Agbirok kadagiti mangipapaay ken masakupan ti seguro para iti daytoy a plano.
Agbirok kadagiti doktor, ospital ken espesialista.
Agsapul kadagiti medikasyon a masakupan daytoy a plano.
Agsapul iti parmasia nga asideg kenka.
Agsapul iti dentista nga asideg kenka.
Dagiti Benepisio ken Paset ti Plano
Adult Day Care
Companionship is important. Adult day care provides care and companionship for seniors who need extra help during the day.
Caregivers also benefit, knowing their loved one is well cared for and safe during the day.
Adult day care can provide:
- Social connections and friendship.
- Bathing and personal care.
- Meals.
Asthma and COPD Care
Individual care to help control asthma, allergies or COPD symptoms.
Do you or your child 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.
- Let you or your child stay active.
Panangimaton iti Kaso
Do you or your child have a serious health problem or a high-risk pregnancy? If so, and you or your child qualifies, we offer case managers that can:
- Explain medical terms in plain language.
- Coordinate your doctor appointments.
- Provide your care team with your medical records.
Your case manager will stay with you or your child throughout the medical journey. He or she will:
- Think beyond your medical needs.
- Make sure you have support at home.
So you or your child can focus on getting better.
Panagpili ti Paganakan
Nu sadino ti paganakam ket napateg a pangngeddeng. That's why you can pick from hundreds of hospitals across New York.
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.
Ti Panagpili ti Doktor
You get a primary care physician (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.
Pannakaaywan ti Ngipen
Checkups and emergency care are covered.
Exams and cleanings every six months help keep teeth and gums strong and healthy. If there is a dental problem that needs to be fixed, that’s covered as well.
Diabetic Supplies
If you have diabetes, you may need insulin, needles, wipes and glucose strips. Masakupan mi dagita ken dadduma pay.
Ti plano mi ket sakupen na pay dagiti serbisyo a mangtulong kenka a mangimaton ti diabetes mo, kairamanan ti:
- Classes on keeping diabetes in control.
- Panangikoordinar ti taripato ti doktor.
- Nutrition and diet.
Natibker ken manayon a ramit-medikal
Ti salun-at mo ken kinatalged mo iti pagtaengan ket napateg.
Sakupen ti planomi dagiti medikal nga instrumento nga ibilin ti doktormo wenno ti mangimatmaton iti kasom. Mabalin a mairaman ditoy dagiti suplay kas koma iti:
- Diabetic supplies.
- Katre ti ospital.
- Wheelchair wenno walker.
Emergency Response System
If you are at risk for a fall or sudden illness, an emergency call system can really help. It sends an urgent request for someone to check on you and help you.
Grief Support
A loss can take many different forms. And you may get lots of suggestions on what to do. Grieving is part of the healing process.
If a recent loss has made you sad or unhappy, help is available. Our plan offers counseling and support during the grieving process. Our team will work with you to find a counselor or program to help you adjust to your loss.
Umuna nga Addang wenno Healthy First Steps®
The Healthy First Steps team is here for you. Tulongannakayo ti programami a mangaramid kadagiti umno nga addang tapno agtalinaedkayo ken ti maladagayo a nasalun-at.
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.
- 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)
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.
Ti plano mi ket sakupen na:
- Eksaminasion, terapi ken pannakaeksamen.
- Dagiti hearing aid.
Home Meal Delivery
Taking care of the basics, like cooking, can be hard to do yourself after an illness or sickness.
If you are receiving personal care services, you may need extra help to get through the tough times. We'll step in to bring nutritious meals to you. You can get up to 10 meals delivered each year.
Pannakataripato iti Uneg ti 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 ramit kas koma dagiti katre ti ospital, walker wenno wheelchair.
- Dagiti disposable a medikal a suplay.
- In-home medical visit.
Pannakaospital
Bayadan daytoy a plano ti amin a gastos mainaig iti pannakayospital, tapno makainana ken umimbag ka.
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.
Ken kalpasan a rumuarka ti ospital, saaka nga agmaymaysa. Siguradoen mi nga adda ti follow-up a taripato tapno agtultuloy ka nga agimbag iti pagtaengam.
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 Monday – Friday 8 AM – 6 PM EST. Masungbatanmi dagiti saludsodmo iti simple ken kumpleto a wagas.
Mabalindaka pay a tulongan a mangsapulka iti/kadagiti:
- Mangipapaay panaripato iti pagtaengan.
- Dentists and vision providers.
- Adult day health centers.
Mental Health/Substance Use Disorder
Addiction can happen to anyone, any family, at any time according to the New York State Office of Alcoholism and Substance Abuse Services (OASAS).
UnitedHealthcare is here to assist you in all your healthcare needs. We have trained professionals who are experienced in understanding Substance Use Disorder and able to help you get treatment or give you information that will help you make decisions about your healthcare. You or your provider can call Optum Behavioral Health anytime for help at 1-844-206-1399.
Covered services include:
- All inpatient mental health and substance use disorder services (including alcohol and substance use disorder).
- Most outpatient mental health services (contact plan for specifics).
- Medicaid recipients who receive SSI or who are certified blind or disabled get mental health and substance use disorder services from any Medicaid provider by using their Medicaid Benefit Card.
- Detoxification services are covered by UnitedHealthcare Community Plan as a benefit.
No Copays
You will not have a copayment for care and services covered by our plan, other than for prescription drugs.
Kayat na saoen nga awan pulos bayadam para kadagiti masakupan a serbisyo, kairamanan ti:
- Manglapped a panangaywan.
- Tinawen a tsek-ap.
- Routine dental or vision care.
You pay nothing for your child's care and services covered by our plan.
Nurse Visit
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.
Panangisuro mainaig iti Nutrision
Adu ti maitulong ti pannangan a makapasayaat ti salun-at tapno agtalinaedka iti kasayaatan a kasasaad.
Mabalin a makisinnarak kenka ti maysa a nutritionist tapno adalenna dagiti kaugaliam iti pannangan ken dagiti pilpiliem a kanem.
Adu ti maadalmonto a baro a kapanunotan mainaigi iti:
- 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
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.
Tulungandakanto a mangala iti impormasion a kasapulam tapno mapasayaat ti salun-atmo wenno tapno magun-odmo ti kasayaatan a kasasaad.
Palliative Care Services
Our plan offers the following palliative care services:
- Panangmanehar iti nasakit
- Bereavement
- Massage Therapy
- Expressive Therapy
Personal a Pannakataripato
No maminsan narigat nga aramiden dagiti kangrunaan para iti bukodmo a bagi kalpasan ti panagsakit wenno pannakadangran.
No kasapulam, mangipaay kami iti maysa a tao a tumulong iti:
- Panagsukat ti bago.
- Panagdigos.
- Pannangan.
Panagbisita Sakbay ti Panaganak.
A 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.
Panangisardeng ti Panagsigarilyo
You know the bad health effects of smoking.
You know you need to quit. We support you while you quit with the help of coaches and supplies. The only thing you won't get from us is a lecture.
Residential Care
After a serious illness, surgery or injury, you may need extra nursing and therapy.
No kasapulan, sakupen ti planomi dagiti apagbiit a panagtalinaed iti sentro ti rehabilitasion no sadino a makapaimbagka. Mairaman dagiti sumaganad:
- Serbisio a pannaripato iti pagtaengan.
- 24-nga-oras a pannaripato ti nars.
- Tulong kadagiti aktibidad ti inaldaw a panagbiag.
- Speech, physical ken occupational therapy.
Taripato iti Temporaryo nga Institusyon (Respite Care).
Adda kadi kameng ti pamilyam wenno gagayyem a mangaywan kenka nu addaka iti pagtaengan? Nu adda, kayat mi a suportaran ti trabaho da met a tumulong kenka. Isu nga mangipapaay kami ti temporary nga institusyon ti taripato (respite care) tapno makainana met dagiti mangay-aywan kenka. Ti respite care ket mangidiaya kadagiti mangay-aywan ti waya a makabakasyon wenno makainana manipud kadagiti ay-ayaten da ti biag nga agsaksakit wenno addaan naisangsangayan a kasapulan a taripato.
Shots and Immunizations
Routine shots help keep you 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.
Dagiti Panagbisita ti Nakaradkad
Ti panagbisita ti kinakaradkad iti doktor ket makatulong kenka nga agtalinaed 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.
- Pannakataripato ti nasalun-at a maladaga.
- Pannaripato para kadagiti babbai a masikog.
- Kadawyan a bakuna ken pannakaeksamen.
- Dagiti Mammogram.
Awan ti copayment para iti pannaripato tapno maliklikan ti sakit.