UnitedHealthcare Community Plan of Virginia FAMIS

Medicaid

With UnitedHealthcare Community Plan (FAMIS), your child gets extras that other plans don’t offer. View the list of benefits below to see all that our plan covers. It’s for children and young adults up to age 19 whose families meet income requirements.

Accomack, Albemarle, Alexandria City, Alleghany, Amelia, Amherst, Appomattox, Arlington, Augusta, Bath, Bedford, Bedford City, Bland, Botetourt, Bristol, Bristol City, Brunswick, Buchanan, Buckingham, Buena Vista City, Campbell, Caroline, Carroll, Charles City, Charlotte, Charlottesville City, Chesapeake City, Chesterfield, Clarke, Colonial Heights City, Covington City, Craig, Culpeper, Cumberland, Danville City, Dickenson, Dinwiddie, Emporia City, Essex, Fairfax, Fairfax City, Falls Church City, Fauquier, Floyd, Fluvanna, Franklin, Franklin City, Frederick, Fredericksburg City, Galax City, Giles, Gloucester, Goochland, Grayson, Greene, Greensville, Halifax, Hampton City, Hanover, Harrisonburg City, Henrico, Henry, Highland, Hopewell City, Isle of Wight, James City, King And Queen, King George, King William, Lancaster, Lee, Lexington City, Loudoun, Louisa, Lunenburg, Lynchburg City, Madison, Manassas City, Manassas Park City, Martinsville City, Mathews, Mecklenburg, Middlesex, Montgomery, Nelson, New Kent, Newport News City, Norfolk City, Northampton, Northumberland, Norton City, Nottoway, Orange, Panid, Patrick, Petersburg City, Pittsylvania, Poquoson City, Portsmouth City, Powhatan, Prince Edward, Prince George, Prince William, Pulaski, Radford City, Rappahannock, Richmond, Richmond City, Roanoke, Roanoke City, Rockbridge, Rockingham, Russell, Salem, Scott, Shenandoah, Smyth, Southampton, Spotsylvania, Stafford, Staunton City, Suffolk City, Surry, Sussex, Tazewell, Virginia Beach City, Warren, Washington, Waynesboro City, Westmoreland, Williamsburg City, Winchester City, Wise, Wythe, and York.

Dagiti Benepisio ken Paset ti Plano

Taripato para ti Nakaradkad ken Agsakit

Get the care your children need to stay healthy – or to be at their best. Nga agraman ti:
  • Choice of Doctor. Find a doctor for your child from our broad network.
  • Hospitalization. Hospital care is covered.
  • Lab and X-rays. Lab tests, x-rays and diagnostic imaging are covered.
  • Medicines. Fill prescriptions at local pharmacies.
  • NurseLine℠. Speak with a registered nurse 24/7.
  • Therapies. Physical or other therapy to help your child recover.
  • Shots and Vaccines. Routine shots to help protect against illness.
  • Vision Care. Covers eye exams and glasses.
  • Well Visits. All routine well-baby or child exams are covered.
  • Urgent Care. Convenient care for a sudden illness or injury.
  • Copayments. Doctor or emergency room visits require copayments.
  • Speech. Screenings and needed therapies are provided.
  • Unlimited Doctor Visits. Your child can see the doctor as often as needed.
  • Transportation. We pay for rides to and from medical visits and the pharmacy.
Nothing is more important than the health and well-being of a mother and her baby. That's why member benefits include:
  • Choice of Doctors. Find a doctor or OB/GYN you trust in our network.
  • Healthy First Steps®. Get extra support and rewards to keep you and your baby healthy.
  • Prenatal Visits. Care for you before your baby is born.
  • Text4baby. Receive text messages with helpful tips and reminders.

If your child has special health care needs, you can count on us. Our plan will provide the extra care and services he or she needs. Dagiti benepisyo ket kairamanan ti:

  • Asthma and Allergies Care. Exams, testing and supplies are covered.
  • Care Management. If you qualify, get personal help managing health conditions.
  • Diabetic Support. Medicine, needles and wipes for managing diabetes.
  • Kidney Disease Care. Dialysis, medicine and treatments are covered.
  • Behavioral/Mental Health Disorders. Counseling and other treatments are covered.
  • Obesity Care. We cover screenings and counseling for obesity
  • Special Needs Unit. Services for children with special health care needs.

Make sure your sight, smile and hearing are at their best. Dagiti benepisyo ket kairamanan ti:

  • Dental. We cover cleanings, checkups and dental work. Dental care is managed by Smiles for Children/DentalQuest, 1-888-912-3456 or www.dentaquest.com
  • Hearing. Tests, checkups and hearing aids, if needed, are provided.
  • Vision. Covers exams and glasses. Call Member Services for more information or to make an appointment.

Sometimes you might need a little extra help using your child's health plan. Kadagidiay a tiempo, mabalin a mangnamnama ka kadakami:

  • Healthy Rewards. Earn great gifts for your healthy habits.
  • Health Education. Free classes to help improve your health.
  • Interpreters. Have an interpreter with you at your child’s doctor visits.
  • Language Help. Connect to a translator through Member Services.
  • Member Services. Your benefit questions are answered Monday through Friday 8 a.m. - 8 p.m. ET.
  • Member Advocate. Someone to get you information, services and care.
  • NurseLine℠. Speak with a registered nurse 24/7.
  • Nutrition Coaching. Helpful advice to improve your child's diet.
  • Transportation. We pay for rides to and from medical visits or the pharmacy.
  • Special Needs Unit. Help getting care and services for those with challenges.
  • Weight Control. Support and treatment to reach a healthy weight.

Assistance for Asthmatics

Receive mattress covers and pillowcases that help eliminate dust mites for people with asthma.

Boys and Girls Club

Free registration fee at a participating Boys and Girls Club of America.

  • For all school-aged members between the ages of 5 and 18
  • Present your United ID card at the time of registration

Call Member Services for participating clubs.

Chiropractic Services

We cover up to $500 in chiropractic services per year. A small copayment may apply.

Ti Panagpili ti Doktor

You can choose your child’s primary care provider (PCP). Usaren ti Panagbirok iti Doktor a tool tapno makitam no ti doktormo ket adda iti networkmi.

Ti PCPim ket iti kangrunaam nga doktor para:

  • Managlapped a taripato.
  • Panagagas no sika ket agsakit wenno nadunor.
  • Dagiti reperal kadagiti espesialista iti partikular a kondision.

Para kadagiti miembro nga awanan iti doktor wenno ti doktorda ket saan a paset ti networkmi, matulongandaka nga agbirok iti baro nga asideg kenka.

Copayments

Our members pay nothing for preventive care or annual checkups covered by our plan.

There is a small copayment for other types of care. The copayment amount is based on a member’s ability to pay.

Suporta iti Diabetic

If you have diabetes, we'll help make life a little easier for you. Makaalakanto iti agas, suplay ken edukasion a tumulong tapno maragpat ken agtalinaedka iti kasayaatan a kasasaad.

Our diabetes program also includes self-care training and classes focused on:

  • Planning healthy meals.
  • Managing stress.
  • Living a healthy lifestyle.

Panangimaton ti Sakit

Nu addaan ka ti nakaro wenno nangato a peggad ti saksakit, dagiti serbisyo ti panangimaton ti saksakit ket naaramid a mangsuporta kenka.

Adda dagiti naisangsangayan a programa para ti:

  • Congestive heart failure
  • Angkit.
  • Chronic obstructive pulmonary disease (COPD).
  • Coronary artery disease.
  • Cancer.

Natibker ken manayon a ramit-medikal

Mabalin a masapul ti sumagmamano a miembro ti ekstra a suporta tapno makapagnaedda a natalged iti pagtaengan.

Sakupen ti planomi dagiti medikal a ramit nga ibilin ti doktor ti anakmo wenno ti mangimatmaton iti kasom. Mabalin a mairaman ditoy dagiti suplay kas koma iti:

  • Orthotics.
  • Crutches.
  • Wheelchairs.

Edukasyon para ti Salun-at

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

Our plan also offers classes on nutrition, parenting and more. You and your child can even get a free ride, if needed, to and from the class.

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. Ti programami ket tumulong kena a mangaramid kadagiti umiso nga addang tapno mapagtalinaedka ken ti babym 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)

Dagiti Gunggona iti Salun-at

Ti maysa nga onsa ti panangliklik ket kas kapateg ti maysa a libra ti panagagas. Adda pay kaibatoganna a napipintas a gunggona.

You can earn great gifts for your child by doing things like:

  • Panangkompleto kadagiti eksaminasion ti nasalun-at nga ubing.
  • Getting lab tests.
  • Recording your family’s health activities.

Taripato ti Panagdengngeg

Trouble hearing can affect your child's everyday life in many ways. Our plan includes services and support to help protect your child's hearing.

Sakupen mi:

  • Eksaminasion, terapi ken pannakaeksamen.
  • Hearing aid ken dagiti baterya.

Pannakaospital

Some members have a small copay.

Ti plano mi ket sakupen na:

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

And after leaving the hospital, a member is not alone. We make sure the follow-up care is available to continue healing at home.

Pannakataripato iti Uneg ti Pagtaengan

After surgery or a serious illness, your child may need extra care and services to recover. This may include an in-home medical visit to check on how well your child is healing. No maaprubaran, sakupen ti planomi ti:

  • Medikal a ramit kas koma dagiti katre ti ospital, walker wenno wheelchair.
  • Disposable medical supplies
  • Medikal a panagbisita iti uneg ti pagtaengan.
  • Tulong iti personal a pannakataripato wenno panagtagibalay.

Dagiti mangipatarus ti pagsasao

Your child's doctor and you need to understand each other. Speaking English as a second language can make this difficult. We can arrange for a medical interpreter to be at your child's appointments.

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

Pannakataripato ti Sakit iti Kidney

Ti sakit iti kidney ket serioso a medikal a kondision. Kalpasan nga agsardeng nga agtrabaho dagiti kidney, kasapulan ti regular a panagagas (maaw-awagan kas renal dialysis) wenno pannakai-transplant ti organ. Ti dialysis ket agusar iti makina a mangdalus iti dara, kas ti aramiden dagiti nasalun-at a kidney.

Ti planomi iramanna dagiti:

  • Dialysis.
  • Ag-agas.
  • Edukasion iti salun-at ken suporta.
  • Pannakai-transplant ti organ no kasapulan.

Lab ken X-rays

Knowing what’s wrong and finding it early can make all the difference for your child. Ti plano mi ket sakupen na:

  • Dagiti Lab ken eksamen.
  • Dagiti X-rays, scans ken dadduma nga imaging.

We’ll help you get the information needed for your child’s health.

Tulong ti Lenggwahe

Makaalaka ti impormasion iti sabali a lengguahe. Agdamag ka laeng. Then anything we write to you will only be in that language. Maipaay daytoy nga awan bayadna.

Dagiti Agas

Our plan includes prescription drugs and refills, including family planning drugs, supplies and devices.

Masakupan mi pay dagiti agas a magatang nga awan reseta na ngem addaan nakasurat nga ballakad ti doktor mo.

And we make getting your medicine easy. You can fill your prescriptions at local pharmacies.

Dagiti Mangitandudo iti Miembro

Bantayandaka. Makatulong dagiti mangitandudo iti miembro a mangsolbar kadagiti problema, mangted iti panagsanay ken edukasion, ken mangtaming kadagiti isyu a pakaseknan dagiti miembro. Our member advocates can be reached at 1-844-445-8316 and are available M-F 8 a.m. - 8 p.m. ET.

Mabalinda ti:

  • Mangted ti impormasion maipapan iti planom.
  • Mangisuro kenka a mangala iti kasapulam a taripato.
  • Tumulong kadagiti isyu wenno reklamo iti doktor.

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 at 1-844-752-9434, M-F 8 a.m. - 8 p.m ET. We’ll answer your questions simply and completely.

Mabalindaka pay a tulongan a mangsapulka iti/kadagiti:

  • Mangipapaay panaripato iti pagtaengan.
  • Dentists and vision providers.

Salun-at ti Panagpampanunot

Ti salun-at ti panunot ket kas kapateg ti salun-at a pisikal. Isu a sakupenmi dagitoy a dua.

Mairaman ditoy ti:

  • Therapy ti Tig-tignay.
  • Substance use treatment.
  • Ag-agas.

Mobile Lab

Now your child can get any kind of blood test needed at home.

Our mobile lab brings the lab to your home. In addition to convenience, the mobile lab offers:

  • Accurate test results.
  • Comfortable setting for members.

No Copays

There are no copayments for:

  • Preventative care.
  • Immunizations.

There is a small copayment for other medical services including prescription drugs, or vision care. Please call Member Services for more information.

While your child's health care is low-cost or free, the care quality is high. Your child gets:

  • Visits to doctors in our network.
  • Treatments at hospitals and clinics.
  • Prescription drugs and over-the-counter medicines.

NurseLine℠

Dagiti medikal a saludsod ken sitwasion ket mabalin a sumangbay kadagiti tiempo a saanmo a namnamaen. When you have questions about your child's care, you can call a nurse 24 hours a day, 7 days a week at 1-800-842-3014.

Dagiti narsmi ket:

  • Agdengngeg kadagiti sintomas.
  • Help with care questions.
  • Advise you about getting care for your child at a doctor visit or an urgent care center.
  • Help you know when to take your child to the emergency room

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:

  • Mangipaay ti medikal a pannakataripato.
  • Sungbatan ti aniaman a saludsod wenno pakaseknan.

Dagiti Serbisio iti Outpatient

Knowing what's wrong and finding it early can make all the difference for your child.

Ti plano mi ket sakupen na:

  • Dagiti Lab ken eksamen.
  • Dagiti X-rays, scans ken dadduma nga imaging.

We'll help you get the information needed to help improve your child's health or be at his or her best.

Personal a Pannakataripato

Sometimes you need extra help to manage your child’s recovery after an illness or injury. No kasapulam, mangipaay kami iti maysa a tao a tumulong iti:

  • Panagsukat ti bago.
  • Panagdigos.
  • Pannangan.

Physical, Speech or Occupational Therapy

Physical, occupational and speech therapy can help your child recover from a serious injury or illness, or simply reach his or her full potential.  Depending upon your plan, you may have a copay for therapy visits.

Therapies include:

  • Okupasyonal a therapy.
  • Pisikal a therapy.
  • Therapy ti panagbalikas.
  • Therapy ti pagnaedan.

Panagbisita Sakbay ti Panaganak.

A pregnancy is a journey 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:

  • Siguraduen a nasalun-at ti ina ken ti maladaga.
  • Ipalawag nu ania ti namnamaem kada lebel ti panagsikog mo.
  • Sungbatan dagiti saludsod mo.

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. Suportaranmi dagiti miembromi bayat ti panagsardengda, babaen kadagiti mangisuro ken suplay. Ti laeng saanda a maala manipud kadakami ket maysa a lektyur. Call Member services for information on our phone-based program to help you quit tobacco.

Pannakataripato a Rehabilitasion

After a serious illness, surgery or injury your child may need extra nursing and therapy. If needed, our plan covers short stays in a rehabilitation center where your child can heal. 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.

Indieksion ken Bakuna

Routine shots help protect your child from illness.

Isu a sakupen ti planomi:

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

Social Services

Your Community Department of Social Services (DSS) offers additional information and resources for:

  • Energy and Food assistance
  • Child care or Child support
  • Protective Services
  • Other resources

Visit the main Virginia website to see all what is offered, how to apply, and how to find your local agency. Visit www.dss.virginia.gov or call the main state number at 804-726-7000 for more information.

Sports Physical

We encourage kids to take part in healthy activities like team or individual sports. We cover a sports physical each year for all school-aged members.

Text4baby

Makatulong ti Text4baby kadagiti kalkalpas ken dandanin agpasngay tapno mapagtalinaedda ti salun-atda ken ti salun-at ti maladagada.

You’ll get text messages throughout your pregnancy and your baby’s first year. Tunggal text ket aglaon kadagiti makatulong nga impormasion ti salun-at ken kinatalged para kadagiti topiko a kas koma ti:

  • Pannakataripato sakbay ti panaganak.
  • Panagpasikal ken panaganak.
  • Panagpasuso.
  • Natalged a pannaturog.
  • Nutrision.
  • Kinatalged iti tugaw ti lugan.

Tapno mairugiyo ken ti maladagam ti napintas a panagbiag.

Pagluganan

We pay for rides to and from:

  • Medical visits and the pharmacy
  • Food resources, including WIC and food banks
  • Department of Social Services
  • Weight Watchers

Awan Limitasionna a Panagbisita iti Doktor

There may be times when your child's health requires repeated doctor visits. Our plan does not limit the number the number of times your child can see a primary care provider. This way your child gets care when it's needed. And your doctor can see how your child's health is progressing.

Maganat a Pannakataripato

Your child may have an injury or sudden illness that is not life-threatening but needs immediate attention. Isu a sakupen ti plano ti pannakataripato kadagiti:

  • Dagiti sentro iti naganat a taripato.
  • Medical aid unit.
  • Sabali pay a walk-in clinic.

Panagkita

Covers eye exams and glasses or contacts.

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.
  • Weight Watchers Vouchers

Dagiti Panagbisita ti Nakaradkad

Importante dagiti panagbisita iti doktormo uray no nasalun-atka para iti pagsayaatan ti salun-atmo. Makatulong dagitoy a panagbisita tapno matakuatan a nasapa dagiti problema iti salun-at, tapno maagasan dagitoy. Dagiti serbisyo ti panagsakbay ket kairamanan ti:

  • Annual checkups for children.
  • Pannakataripato ti nasalun-at a maladaga.
  • Kadawyan a bakuna ken pannakaeksamen.

Awan ti copayment para iti pannaripato tapno maliklikan ti sakit.

Dagiti Pamuspusan ti Kameng

Kitaen dagiti Mabalin a Mausar a Pamuspusan

Ammuen ti Ad-adu pay

UnitedHealthcare Community Plan of Virginia FAMIS

Kitaen ti Pannakaikari

Dagiti Saludsod

Nakasaganakan a mangrugi?

The UnitedHealthcare Community Plan of Virginia FAMIS plan specialists can answer questions and help you enroll.

Tawagandakami. 
Lunes - Biernes manipud 8 a.m. agingga 8 p.m. lokal nga oras

1-844-752-9434
TTY: 711

Ammuen dagiti addang tapno agpalista.

Alaen dagiti detalye.

Visit the Cover Virginia site for more information on eligibility and enrollment.

Cover Virginia

Impormasyon para iti Kameng

Maysakan a kameng?

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

 

Dagiti Serbisyo para iti Kameng: 
Lunes - Biernes manipud 8 a.m. agingga 8 p.m. lokal nga oras

1-844-752-9434
TTY: 711

Libreta ti Kameng

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