UnitedHealthcare Community Plan

Makinarya ken dagiti Suplay

The health and safety of our members at home are important.

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:

• Katre ti ospital.
• Tangke ti oxygen.
• Dagiti sarrukod wenno wheelchairs.

Edukasyon para ti Salun-at

Free classes to help improve your health or address a condition.

Our plan includes classes on diabetes, nutrition and more. You can even get a ride, if needed, to and from the class at no cost to you.

Umuna nga Addang wenno Healthy First Steps®

Mangibangon iti nasalun-at a masakbayan para kenka ken para iti maladagam ken makaala kadagiti nagmamayat a gunggona iti ’s Healthy First Steps. Tulongannakayo ti programami a mangaramid kadagiti umno nga addang tapno agtalinaedkayo ken ti maladagayo a nasalun-at. Ken mabalinka a makaurnong iti $20 uray no agpalistaka laeng. 

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.
• Agurnong kadagiti gunguna bayat ti panagsikogmo ken kadagiti umuna 15 a bulbulan ti maladagam babaen ti papan panagbisita
• 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)

Pannakaospital

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

Mairaman ditoy 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.

Internet

Do you know about the Affordable Connectivity Program? It’s a new program that helps pay for high-speed internet.  You can use the internet for work, school, healthcare, and more. What do you get with this program?  You may get up to $30 per month off your internet bills.  There is also a one-time $100 discount off a laptop, tablet, or computer. Who can get this program?  Any household that has at least one person enrolled in Medicaid.  How do you get this program?  You must enroll to get it.  Go online to getinternet.gov and enroll today.

Ammuen ti ad-adu pay

Dagiti mangipatarus ti pagsasao

Masapul nga agkinnaawatankayo iti doktormo. Narigat daytoy no saanka a makasao ti Ingles a nalaing. Mabalinmi nga urnosen ti medikal a mangipatarus ti pagsasao a kaduam kadagiti appointmentmo.

Adda pay empleadomi kadagiti serbisio para iti miembro a makasao iti nasurok ngem maysa a lengguahe. Nalabit adda maalami a makasao iti lengguahem.

Lab ken X-rays

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.

Tulungandaka nga mangala iti impormasyon a kasapulam tapno maparang-ay ti salun-at wenno tapno addaka ti nasayaat a kasasaad.

Tulong ti Lenggwahe

You can receive information in your preferred language. Agdamag ka laeng. We also have people at our member service centers who speak more than one language. Nalabit adda maalami a makasao iti lengguahem.

Dagiti Serbisyo para ti Kameng

Understanding your health care options can be confusing. Masungbatan mi dagiti saludsod mo iti simple a wagas ken kumpleto.

We help you find:

• Dodoktor
• Parmasia.
• Ospital wenno dadduma a pasilidad iti salun-at.
• Lokal a paggapuan ti tulong wenno mausar.

Salun-at ti Panagpampanunot

Ti salun-at ti panunot ket kas kapateg ti salun-at a pisikal. That’s why we have the same coverage for both.

Ti kasapulan a taripato ket 100% a masakupan nga awan ti copay. Mairaman ditoy ti:

• Mental health therapy.
• Panagagas iti panagabuso ti droga.
• Ag-agas.

No Copays

Members have no copayments for:

• Manglapped a panangaywan.
• Tinawen a tsek-ap.

Dagiti Panagbisita ti Nars

No dadduma masapul ti agtultuloy a pannakataripato kalpasan iruruar iti ospital wenno lugar ti maganat a pannakataripato. Kas pangarigan, kalpasan ti panagsakit iti nakaro, operasion wenno pannakadangran. Kadagitoy a kaso, bumisita ti nars iti pagtaengan tapno:

• Provide medical care for you.
• Answer your questions and concerns.
• Home health. Home nursing care limited to 125 visits per calendar year.

Hotline dagiti Nars

Medical questions and situations can sometimes come at inconvenient times. When you have questions about your health or your child’s health, you can call a trained nurse 24/7.

Our Nurse Hotline nurses will: 

• Agdengngeg kadagiti sintomas.
• Igiya naka para ti bukod mo a taripato.
• 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.

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.

Mangipapaay ti Kangrunaan a Panangtaripato

You can have one main person for your health care. He or she can be a doctor, a nurse practitioner, or a physician’s assistant. This person is called your Primary Care Provider (PCP). 

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.

To change your PCP:

1. Find a new PCP in the UnitedHealthcare Community Plan network. To find a new PCP you can look in our Provider Directory, you can go online at
   myuhc.com/CommunityPlan, or call 1-800-690-1606.
2. Then call the new PCP to make sure that he or she is in the UnitedHealthcare Community Plan provider network. Be sure to ask if he or she is taking new patients.
3. If the new PCP is in our network and taking new patients, fill out the PCP Change Request in Part 8 of your Member Handbook and mail it back to us. Or you can call us at
   1-800-690-1606 to tell us the name of your new PCP.

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.

Indieksion ken Bakuna

Routine shots help keep you healthy. Isu a sakupen ti planomi:

• Dagiti mairekrekomendar nga indieksion ken bakuna.
• Dagiti bakuna iti trangkaso.

Pagluganan

In case of emergency call 911

Important tips for setting up a ride- Please review Tennessee Carriers website- Rider Information Riders | Tennessee Carriers (tenncarriers.com)

• Tawagan ti 1-866-405-0238, TTY 711 tapno maiyurnos ti pagluganam 
• Call at least seventy-two (72) hours in advance of your appointment whenever possible
• If the time for your return trip home was not already scheduled, you are responsible for calling to tell the transporter that you are ready to be picked up for your trip home
• If you cancel your appointment/visit, call 1-866-405-0238 to cancel your ride 
• Isaganam ti ID kardmo iti Medicaid 
• If you have more than one appointment on the same day, you can get a ride to all covered services. Please give Tennessee Carriers information for each appointment
• Ammoem ti adres ti tagaipaaymo iti taripato ti salun-at ken ti petsa ken oras ti appointment-mo 
• Isalumina iti lugar a kasapulam iti pagluganan 
• Nu ikkannaka ti doktormo iti reseta, mabalinmo ti agsardeng iti parmasia tapno maalam daytoy 
• Ipakaammom kadakami nu addaanka kadagiti naisingsingayan a kasapulan kas iti wheelchair 
• Any minor requesting transportation without an accompanying adult will be handled on a case-by-case basis 
• If you wish to bring someone with you to your appointment, you can have someone ride with you. This is sometimes called an escort. An escort is someone over the age of 12. Please let Tennessee Carriers know you’ll have an escort riding with you
• If you’re going to an appointment and need to take your child with you, he or she won’t count as your escort

Weight Control

Our plan encourages a healthy approach to eating and living. To help our members be their best, we cover:

• Screening for obesity.
• Support for healthy diet and exercise choices.
• Health coaching.

Dagiti Panagbisita ti Nakaradkad

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

You will not have a copayment for preventive care.

Wellhop for Mom & Baby

Connect with other expectant moms. Get support and information during your pregnancy and after you deliver. This program is part of your health plan and there is no extra cost to you.
Here’s how it works:

• Join video conversations every other week with women who have similar due dates and a group leader.
• Chat and share experiences with moms from your group on the Wellhop app or website.
• Visit the Wellhop library. You’ll find articles, videos and more.