Mapan iti kangrunaan a linaon
Kangrunaan a Linaon

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.

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Dagiti Benepisio ken Paset ti Plano

Taripato para ti Nakaradkad ken Agsakit

If you just need a checkup or if you are injured or sick, you will have access to the care you may need. Nga agraman ti:

  • Unlimited PCP Visits. See your doctor as often as needed.
  • Nurse Hotline. Speak with a registered nurse 24/7. Tawagan ti 1-800-542-8630.
  • Lab and X-rays. Lab tests, x-rays and diagnostic imaging are covered.
  • Therapy Services. Physical and other needed therapies are covered.
  • Urgent Care. Convenient care for a sudden illness or injury.

A healthy mom is more likely to have a healthy baby. Pregnancy is an important time for women to take good care of themselves and their unborn baby. We have a special program for pregnant members.

If you have asthma, diabetes or another chronic condition, you can depend on us. Our plan helps you get the care, support and services you may need. Dagiti benepisyo ket kairamanan ti:

  • Mental Health and Substance Abuse Services. Counseling and other treatments are covered.
  • Care Management. Personal support from an experienced professional.
  • Asthma and COPD Care. Exams, testing and supplies are covered for asthma and other lung diseases.
  • Kidney Disease Care. Dialysis, medicine and treatments are covered.

We help members keep their vision, smile and hearing in the best shape possible. Dagiti benepisyo ket kairamanan ti:

  • Vision. Eye exams are covered every year for members age 21-59.
  • Dental. We pay for an exam every six months for members over the age of 21.
  • Hearing. Tests, checkups and hearing aids, if needed, are provided.

You get the medical care and equipment you may need to live safely at home. Dagiti benepisyo ket kairamanan ti:

  • Equipment and Supplies. In-home medical and safety equipment are covered.
  • Care Coordinator. Someone to get you the services after surgery or illness.
  • Home Health Care. Medical and personal care in your home, if needed.

Sometimes members need a little extra help using their health plan. For those times, they can rely on:

  • Transportation. We provide non-emergency transportation to covered health care services.
  • Dagiti Serbisyo para ti Kameng. Someone to help you get the most from your plan. Member Services has access to Aunt Bertha database to help members connect to community services.
  • Tulong iti Lengguahe. Kumonektar iti tagaipatarus babaen kadagiti Serbisio iti Miembro.

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.

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