Mapan iti kangrunaan a linaon
Kangrunaan a Linaon

UnitedHealthcare Connected® (Plano ti Medicare-Medicaid)

Medicare

H7833-001

Our UnitedHealthcare Connected®  is for adults ages 21 and older who are eligible for both Medicare and Medicaid. The plan offers members a customized care plan and a single point of contact for all Medicare and Medicaid services.

  • UnitedHealthcare Connected® (Medicare-Medicaid Plan) Steps to Enroll
  • Kitaen ti pannakakualipikar (aglukat iti modal a window)

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 that includes:

  • Unlimited PCP Visits. See your doctor as often as needed.
  • Nurse Advice Line. Speak with a registered nurse 24/7. Nurse Advice Line not for use in emergencies, for informational purposes only.
  • Lab and X-rays. Lab tests, x-rays and diagnostic imaging are covered.
  • Therapy Services. Physical and other needed therapies are covered.

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.  Our Healthy First Steps program gives pregnant women information, education and support during pregnancy. 
Pregnant members can enroll in Healthy First Steps by calling 1-800-599-5985

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 Care. Exams, testing and supplies are covered for asthma and other lung diseases.
  • Kidney Disease Care. Dialysis, medicine and treatments are covered.

As a member of UnitedHealthcare Community Plan, you can also receive flexible benefits, rewards, and incentives. These unique services are offered, in addition to your Medicare/Medicaid covered services, to benefit your health and everyday life. Including Vision Care and Dental.

  • Vision Care. Eye exams are covered once every 24 months for members.
  • Dental. We pay for an exam once every 12 months for members over the age of 21.

You get 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:

  • Members Matter. Someone to help you get the most from your plan.
  • Language Help. Connect to a translator through Member Services.
  • Transportation. Please contact the below telephone number to access nonemergency medical transportation services (NEMT) for rides to covered medical services or pharmacy locations.
    • 1-866-426-6607 8:00 am.-5:00 p.m. Monday - Friday (TTY: 1-866-288-3133 8:00 a.m. - 5:00 p.m., Monday - Friday)
    • Flexible Benefits, Rewards, and Incentives: The plan also offers additional rides to noncovered medical or pharmacy locations such as non-waiver dental visits, UHC member events, or to providers that do not have a TPI. Please use the same number to schedule rides.

Adult Day Care

Companionship is important. Adult day care provides care and companionship for members 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 Texas Medicaid, Adult Day Care can provide:

  • Social connections and friendship.
  • Bathing and personal care. 
  • Meals.

Suporta iti Angkit ken COPD

Individual care to help you control asthma or COPD symptoms.

Do you have trouble managing asthma or COPD symptoms? A nurse who specializes in breathing issues could help. You’ll get a customized treatment plan and medicine to help:

  • Manage flare-ups.
  • Reduce symptoms.
  • Stay active.

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.

Makaalaka iti primera nga pisisyanmo ti taripato wenno primary care physician (PCP) nga isu iti kangrunaan nga doktor mo. Nu awanan ka iti doktor wenno nu iti doktormo ket di kabilang iti network, matunlungandaka nga agsapol iti baro nga asideg kenyam.

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.
  • Denture and denture repair 

Cologuard®

Coverage begins at age 45 and the frequency of coverage is the same as Medicare.

Cytogenomic Constitutional Microarray

  • Covered for women who undergo prenatal diagnostic procedures, and products of conception resulting from recurrent miscarriage.
  • Exceptions to the one-per-lifetime limitation may be made with documentation of medical necessity (e.g., subsequent pregnancies).
     

Pannakaaywan ti Ngipen

Checkups, routine and emergency care are covered.

Makinarya ken dagiti Suplay

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

Our plan covers some medical equipment ordered by a member's doctor or case manager. This can include:

  • Walkers
  • Wheelchairs
  • Dagiti pagiddaan ti ospital

Flexible Benefits, Rewards, and Incentives

Read about all the extras you could get as a UnitedHealthcare Connected member in the community: English | Spanish 

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.  Our plan includes services and support to help protect hearing.

Sakupen mi:

  • Eksaminasion, terapi ken pannakaeksamen.
  • Hearing aids and accessories.
  • Dagiti dadduma a tagaipaay iti panageksamen iti panagdengngeg ket sidadaan iti network ti UnitedHealthcare. Sakupen laeng ti plano dagiti hearing aid manipud ti tagaipaay para Panagdengngeg ti network ti UnitedHeatlhcare.

Pannakaospital

This plan pays for most expenses related to a hospital stay. Iti daytoy a wagas ket makainana ka ken maagasan.

Our plan covers these services and more:

  • Nursing care.
  • Kuarto ken makan.
  • Dagiti suplay ken makinarya.
  • Panagagas ken dagiti therapy.
  • Dagiti eksamen a diagnostic.

And after leaving the hospital, you are not alone. We help make sure you get follow-up care to continue healing at home.

Pannakataripato iti Uneg ti Pagtaengan

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:

  • Dressing
  • Bathing
  • Feeding

Language and Interpretation

You and your doctor need to understand one another. We can explain information in English or in your native language. If you are visually or hearing impaired, special help can be provided.

Dagiti Agas

Our plan includes prescription drugs and refills for prescriptions written by your doctor or specialist. Thousands of drugs are covered.

You pay only a co-pay amount, if needed, and you can get your prescription drugs at any in-network pharmacy.

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

Get help with personal problems that may affect your mental or physical health. These may include depression, anxiety or drugs and alcohol abuse. Our services also include: 

  • Therapy
  • Counseling
  • Dagiti agas

Online mental health resources: Access to LiveandWorkWell.com, which provides access to article resources, and provider searches.

No Copays

While you pay nothing for covered services, you get:  

  • Treatments at hospitals and clinics.
  • Prescription drugs and over-the-counter medicines.

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.
  • Nurse Advice Line not for use in emergencies, for informational purposes only.

Panangisardeng ti Panagsigarilyo

You know the bad health effects of smoking. You know you need to quit. We will support you while you quit with coaches and supplies. The only thing you won't get from us is a lecture.

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 a mangipapaay kami ti respite care tapno makainana met dagiti manartaripato 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.

Koordinator ti Serbisio

Our members' safety is our focus. For members who need extra care, like after a major illness, we'll visit them at home to make sure they're doing okay.

During this visit we:

  • See if the residence needs minor modifications, such as ramps and bathroom safety devices.
  • Set up emergency monitoring.
  • Arrange for a personal care attendant, if needed.

Dagiti Serbisio a Terapiya

Physical, occupational and speech therapy can help members recover from a serious injury or illness, or simply reach their full potential.

Our plan covers visits for:

  • Okupasyonal therapy
  • Pisikal therapy
  • Terapia iti panagbalikas
  • Terapia iti pagtaengan

Pagluganan

Whether you live in the city or in the country, rides are available. Our plan provides round trips to and from plan locations. This includes trips to and from the pharmacy to fill your prescriptions.

It can be easy to use your ride benefit:

  • As a member of UnitedHealthcare Community Plan, your health plan coverage includes non-emergency transportation to health care services. This includes rides for covered trips to a doctor, a dentist, a drug store, and other places you get Medicaid services.
  • Our Transportation Services will work with you to meet your unique transportation needs. They provide dependable rides and excellent personal service. There is no extra cost to you.

Scheduling a ride can be easy.

Call 1-866-427-6607,
8 AM–5 PM CT (7 AM–4 PM MT)
Lunes - Biernes

Taripato ti Panagkita

Eye Exams are covered once every 24 months for members.

UnitedHealthcare Connected® (Plano ti Medicare-Medicaid)

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Dagiti Pammataudan ti Miembro

Dagiti Pammataudan ti Miembro (aglukat iti modal a window)

Impormasion ti Panagpalista

The UnitedHealthcare Connected®  (Medicare-Medicaid Plan) plan specialists can answer questions and help you enroll.

Tawagandakami:
1-844-972-4514 / TTY: 711

8 AM–8 PM local time, Monday–Friday (voicemail available 24 hours a day, 7 days a week)

Dagiti Addang tapno Agpalista

Impormasion ti Miembro

Maysakan a miembro? Makastrekka iti website a para laeng ti kameng. Iyimprenta dagiti ID kard, maki-chat iti nars online, ken dadduma pay.

Member information is available in paper form, at no cost, upon request, and sent by the health plan within five business days.

Website ti miembro

2024 Member Handbooks

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