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UnitedHealthcare Connected® for MyCare Ohio
Medicare
H2531-001
This plan is for adults who need extra support and care. You may qualify based on income and health needs. The plan offers members a customized care plan and a single point of contact for all Medicare and Medicaid services. The plan also offers extra support and care to adults and children with a disability, long-term illness or special health care needs. You get many services to help with daily activities that other MyCare Ohio plans don’t offer. View the benefits below to see all that it offers.
More information on eligibility and enrollment can be found on www.ohiomh.com, or by calling the Medicaid Hotline at 1-800-324-8680, TTY 1-800-292-3572. The Hotline operates from 7 AM to 8 PMm local time, Monday through Friday and 8 AM to 5 PM, local time, on Saturday.
- UnitedHealthcare Connected® for MyCare Ohio
Agbirok kadagiti mangipapaay ken masakupan ti seguro para iti daytoy a plano.
Agbirok kadagiti doktor, ospital ken espesialista.
Agsapul iti dentista nga asideg kenka.
Agsapul kadagiti medikasyon a masakupan daytoy a plano.
Agsapul iti parmasia 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 who qualify for extra help during the day.
Caregivers also benefit, knowing their loved one is well cared for and safe during the day.
If your need for long‑term care has been determined by Ohio Medicaid, Adult day care can provide:
- Social connections and friendship.
- Meals.
Asthma and COPD Care
Individual care to help control asthma and other lung diseases.
Some members may have trouble managing asthma or COPD symptoms. For them, a nurse who specializes in breathing issues can really help. They get a customized treatment plan and medicine to help you:
- Manage flare-ups.
- Reduce symptoms.
- Help you stay active.
Panangimaton iti taripato
Members get a get a Personal Care Manager. The care manager is there for you throughout your medical journey. He or she will:
- Work with you to develop a plan of care that meets your individual needs.
- Coordinate with family members, caregivers and health care providers.
- Help get additional services or support you may need.
Chiropractor Services
Our plan includes visits for chiropractic care. Whether chiropractor services are your primary or alternative treatment method, you're covered.
Members of all ages can get up to 15 visits per year. Members under 21 may get additional visits with prior authorization.
Ti Panagpili ti Doktor
From regular checkups to preventive health screenings, we want to make sure you get access to the right care at the right time.
You get a primary care physician (PCP), who is your main doctor. 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
Regular exams help keep teeth and gums strong and healthy. Oral exams are covered once per year for members over age 21.
Makinarya ken dagiti Suplay
Our plan covers some medical equipment ordered by a member's doctor or case manager. Mabalin a mairaman ditoy dagiti suplay kas koma iti:
- Walkers
- Wheelchairs
- Dagiti pagiddaan ti ospital
Taripato ti Saka
We provide the exams and treatments needed to help keep your feet in great shape. And for those with 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.
- Therapeutic shoes and inserts for members with diabetes.
Taripato ti Panagdengngeg
Trouble hearing can affect a person's everyday life in many ways. 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.
- Hearing aids, batteries, and accessories.
Panangtaripato ti Salun-at iti Pagtaengan
If you are living with a long-term health condition, disability or leaving the hospital after surgery or a serious illness, you may need extra support. This can include 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.
With approval, our plan may cover:
- Medikal a panagbisita iti uneg ti pagtaengan.
- Medikal a ramit kas koma dagiti katre ti ospital, walker wenno wheelchair.
- A home health aide, nursing services or a private nurse.
- Physical, occupational, and speech therapy.
- Tulong iti personal a pannakataripato wenno panagtagibalay.
- Home infusion therapy.
Pannakaospital
This plan pays for most expenses related to a hospital stay, so you can rest and heal.
Our plan covers these services and more:
- 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.
Language and Interpretation
Masapul nga agkinnaawatankayo iti doktormo. We can explain information in English or in your primary language. If you are visually or hearing impaired, special help can be provided.
Pannakataripato ti Sakit iti Kidney
Ti sakit iti kidney ket serioso a medikal a kondision. After the kidneys stop working regular treatments, called renal dialysis, or an organ transplant are needed to live. Agusar ti dialysis iti makina a mangdalus iti dara a kas iti aramiden dagiti nasalun-at a bekkel.
Our services may include:
- Dialysis.
- Needed equipment and supplies.
- Home support services.
- Health education and training.
Dagiti Agas
Our plan includes prescription drugs and refills for prescriptions written by your doctor or specialist. Thousands of drugs are covered.
You pay a co-pay amount, if needed, and you can get your prescription drugs at any in-network pharmacy.
Member Services Representative
Every member of the health plan gets a personal Members Services representative. This person can help you get the most of your benefits. Mabalinda ti:
- Welcome you to the plan and help you understand your benefits.
- Arrange for extra support services.
- Complete a health risk assessment.
- Help you access community services.
Mental Health and Substance Use Disorder Treatment Services
Get help with personal problems that may affect your mental or physical health. These may include stress, depression, anxiety or drugs and alcohol abuse. Our services also include:
- Therapy
- Counseling
- Dagiti agas
Nurse Advice
Dagiti medikal a saludsod ken sitwasyon ket sumangbay kadagiti tiempo a saan mo 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.
Obesity Care
Obesity is common and serious. It can also lead to other health problems. To help our members be their best, our plan includes:
- Screening for obesity.
- Counseling for obesity.
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. We support our members with coaching while they quit.
Dagiti Serbisio a Terapiya
Therapy can help you recover from a serious injury or illness, or simply reach your full potential. Members receive needed:
- Okupasyonal a therapy.
- Pisikal a therapy.
- Respiratory therapy.
- Therapy ti panagbalikas.
Maganat a Pannakataripato
Mabalin a nadangranka wenno kellaat a nagsakitka a saan a pagpeggadan ti biag ngem masapul ti dagdagus nga atension. Isu a sakupen ti plano ti pannakataripato kadagiti:
- Dagiti sentro iti naganat a taripato.
- Federally qualified health centers.
- Sabali pay a walk-in clinic.
Taripato ti Panagkita
Eye exams are covered every year for members age 21-59.
UnitedHealthcare Connected® for MyCare Ohio
Ammuen ti Ad-adu pay
UnitedHealthcare Connected® for MyCare Ohio H2531-001-000