Ale nan kontni prensipal la
Kontni Prensipal

UnitedHealthcare Community Plan

Medicaid

The New York State Medicaid Managed Care Plan is offered through UnitedHealthcare Community Plan. It’s for New York State residents who meet the income or disability requirements.

To find out if UnitedHealthcare Community Plan is offered in your county, please call 1-888-617-8979.  A representative will contact you to schedule an appointment to help you apply.

More information on eligibility and enrollment can be found on the New York State of Health website.

For more information about Child Health Plus or Medicaid, call New York Health Options at 1-800-541-2831.  

To learn more about applying for health insurance through NY State of Health, The Official Health Plan Marketplace, visit www.nystateofhealth.ny.gov or call 1-855-355-5777.

Avantaj & Karakteristik

Swen pou moun ki ansante ak Moun ki malad

Get the care you need to stay healthy — or to get better if you are injured or sick. Li gen ladann:

  • Choice of Doctor. Use "Doctor Lookup" to see if your doctor is in our network or to find a new one.
  • Dental. We cover cleanings, checkups and dental work.
  • Well Visits. Annual checkups can help keep you healthy.

Make sure your sight, teeth, speech and hearing are at their best. Avantaj yo gen ladan yo:

  • Vision. Covers eye exams and glasses.
  • Dental. We cover cleanings, checkups and dental work.
  • Hearing. Screenings and therapies, if needed, are provided.

Get the medical care and equipment you need to live at home. Avantaj yo gen ladan yo:

  • Care Coordinator. Someone to get you the services you need to recover safely.
  • Personal Care. Services to help you heal after illness or injury.
  • Home Meal Delivery. If you can’t safely make meals, we'll provide them.
  • Equipment and Supplies. In-home medical and safety equipment are covered.
  • Nurse Visits. Care after surgery or illness to recover at home.

Pa gen anyen ki pi enpòtan pase sante ak byennèt oumenm ak tibebe w. Se poutèt sa plan avantaj nou yo gen ladan:

  • Choice of Doctor. Find an OB-GYN you trust in our network.
  • Prenatal Visits. Care for you before your baby is born.
  • Healthy First Steps®. Get extra support to help you and your baby stay healthy.
  • Choice of Birth Center. Pick from hospitals across New York.

If you have special health care needs, you can count on us. Our plan will provide the extra care and services needed. Avantaj yo gen ladan yo:

  • Mental Health. Counseling and other treatments are covered.
  • Case Management. If you qualify, get personal help managing health conditions.
  • Asthma and COPD Care. Exams, testing and supplies are covered.

Adult Day Care

Companionship is important. Adult day care provides care and companionship for seniors who need extra help during the day.

Caregivers also benefit, knowing their loved one is well cared for and safe during the day.

Adult day care can provide:

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

Asthma and COPD Care

Individual care to help control asthma, allergies or COPD symptoms.

Do you or your child have trouble managing asthma, allergies or COPD symptoms? Yon enfimye(è) ki espesyalize nan pwoblèm respirasyon ka ede w reyèlman. W ap jwenn yon plan tretman adapte ak medikaman pou:

  • Jere rechit yo.
  • Diminye sentòm.
  • Fè oumenm oswa timoun ou rete aktif.

Jesyon Dosye

Do you or your child have a serious health problem or a high-risk pregnancy? If so, and you or your child qualifies, we offer case managers that can:

  • Esplike tèm medikal yo nan yon langaj ki senp.
  • Coordinate your doctor appointments.
  • Provide your care team with your medical records.

Manadjè dosye w lan ap rete avèk oumenm oswa timoun ou an pandan tout peryòd medikal la. Li pral:

  • Think beyond your medical needs.
  • Make sure you have support at home.

So you or your child can focus on getting better.

Chwa Sant Nesans

Kote ou fè tibebe w lan se yon chwa ki enpòtan. That's why you can pick from hundreds of hospitals across New York.

We encourage you to tour the hospital's birthing center. Nan fason sa a, ou pral abitye avèk li. And you'll be more relaxed when you have your baby.

Chwazi Doktè

Ou gen yon doktè swen jeneral (PCP) ki doktè prensipal ou. Itilize zouti pou chèche Doktè a, pou wè si doktè ou nan rezo nou a.

Si ou pa gen yon doktè oswa si doktè w pa nan rezo nou an, nou ka ede w chèche yon nouvo doktè ki toupre w. 

PCP w la se doktè prensipal ou pou:

  • Swen prevantif.
  • Tretman si w malad oswa blese.
  • Rekòmandasyon kay espesyalis pou sèten pwoblèm medikal.

Swen Dantè

Nou garanti tchèkòp ak swen dijans.

Exams and cleanings every six months help keep teeth and gums strong and healthy. Si gen yon pwoblèm dantè ki dwe regle, li garanti tou.

Diabetic Supplies

If you have diabetes, you may need insulin, needles, wipes and glucose strips. We cover all that and more.

Our plan also steps up with services to help you manage your diabetes, including:

  • Classes on keeping diabetes in control.
  • Coordinating doctor care.
  • Nutrition and diet.

Durable Medical Equipment

Sante ak sekirite lakay ou enpòtan.

Plan nou an garanti ekipman medikal doktè w oswa manadjè dosye w mande. Sa ka gen ladan founiti tankou:

  • Diabetic supplies.
  • Kabann lopital.
  • Chèz woulant oswa wòkè.

Emergency Response System

If you are at risk for a fall or sudden illness, an emergency call system can really help. It sends an urgent request for someone to check on you and help you.

Grief Support

A loss can take many different forms. And you may get lots of suggestions on what to do. Grieving is part of the healing process.

If a recent loss has made you sad or unhappy, help is available. Our plan offers counseling and support during the grieving process. Our team will work with you to find a counselor or program to help you adjust to your loss.

Healthy First Steps®

The Healthy First Steps team is here for you. Pwogram nou an pral ede ou pran bon mezi yo pou kenbe ou ak tibebe ou an ansante. 

N ap ede ou:

  • Chwazi founisè swen pou gwosès ak yon pedyat (doktè timoun).
  • Planifye vizit ak egzamen yo ak òganize transpò pou vizit ou yo.
  • Jwenn materyèl, tankou ponp tete pou manman nouris yo.
  • Konekte avèk resous kominotè yo tankou sèvis pou Fanm, Tibebe ak Timoun (Women, Infants and Children, WIC).

Swen oditif

Pwoblèm pou tande ka afekte lavi toulejou ou nan anpil sans. Plan nou an gen ladan sèvis ak sipò pou ede pwoteje kapasite pou w tande (odisyon).

Plan nou an kouvri:

  • Egzamen, terapi ak tès.
  • Hearing aids.

Livrezon Manje nan Kay

Taking care of the basics, like cooking, can be hard to do yourself after an illness or sickness.

If you are receiving personal care services, you may need extra help to get through the tough times. We'll step in to bring nutritious meals to you. You can get up to 10 meals delivered each year.

In-Home Care

After surgery or a serious illness you may need extra help with day-to-day tasks like cleaning, cooking or dressing. You may even need an in-home medical visit to check on how well you are healing. With approval, our plan covers:

  • Medical equipment like hospital beds, walkers or wheelchairs.
  • Disposable medical supplies.
  • In-home medical visit.

Ospitalizasyon

Plan sa a peye pou tout depans ki gen rapò avèk yon sejou lopital, konsa ou ka repoze epi geri.

Hospitalization coverage includes:

  • Swen enfimyè.
  • Chanm ak manje.
  • Materyèl ak ekipman.
  • Tretman ak terapi.
  • Tès dyagnostik ak egzamen.

Apre ou fin kite lopital la, ou pa poukont ou. Nou asire ou jwenn swen swivi pou w kontinye geri lakay ou.

Sèvis pou Manm

Gen dèfwa ou ka bezwen èd pou konprann opsyon swen sante w yo. With us, you have someone you can call Monday – Friday 8 AM – 6 PM EST. N ap reponn kesyon w yo konplètman e avèk yon langaj ki senp.

Nou ka ede w tou pou jwenn:

  • Home care providers.
  • Dantis ak founisè pou vizyon.
  • Adult day health centers.

Mental Health/Substance Use Disorder

Addiction can happen to anyone, any family, at any time according to the New York State Office of Alcoholism and Substance Abuse Services (OASAS).

UnitedHealthcare is here to assist you in all your healthcare needs. We have trained professionals who are experienced in understanding Substance Use Disorder and able to help you get treatment or give you information that will help you make decisions about your healthcare. You or your provider can call Optum Behavioral Health anytime for help at 1-844-206-1399.

Covered services include:

  • All inpatient mental health and substance use disorder services (including alcohol and substance use disorder).
  • Most outpatient mental health services (contact plan for specifics).
  • Medicaid recipients who receive SSI or who are certified blind or disabled get mental health and substance use disorder services from any Medicaid provider by using their Medicaid Benefit Card.
  • Detoxification services are covered by UnitedHealthcare Community Plan as a benefit.

Kopeman

You will not have a copayment for care and services covered by our plan, other than for prescription drugs.

That means you will pay nothing for covered services, including:

  • Swen prevantif.
  • Annual checkups.
  • Routine dental or vision care.

You pay nothing for your child's care and services covered by our plan.

Vizit Enfimye(è)

Pafwa ou ka bezwen kontinye pran swen apre ou kite lopital, oswa swen ijan.

Si sante w an danje apre yon maladi grav, operasyon oswa chòk, yon enfimye(è) ap vizite ou lakay ou pou:

  • Provide medical care for you.
  • Reponn kesyon w ak enkyetid ou.

Ankadreman pou Nitrisyon

Healthy eating goes a long way to helping you stay at your best.

A nutritionist can meet with you to review your eating habits and food choices.

You'll come away with new ideas for:

  • Making good choices for quick meals and snacks.
  • Preparing healthy meals on a budget.

Outpatient Services

Lè w konnen kisa pwoblèm lan ye e lè w detekte l bonè, sa ka fè tout yon diferans.

Plan nou an kouvri:

  • Laboratwa ak tès.
  • Radyografi, eskanografi, ak lòt tès imajri.

We'll help you get the information needed to help improve your health or be your best.

Palliative Care Services

Our plan offers the following palliative care services:

  • Jesyon doulè
  • Bereavement
  • Terapi Masaj
  • Expressive Therapy

Swen pèsonèl

Sometimes the basics are hard to do yourself after an illness or injury.

If needed, we provide someone to help with:

  • Dressing.
  • Bathing.
  • Feeding.

Prenatal Visits

A pregnancy is a journey you'll want to make with the help of friends, family and a pregnancy doctor, or OB-GYN.

Nou garanti tout vizit nan klinik prenatal ak tès ou ki rekòmande yo.

Nan vizit sa yo, klinik la ap:

  • Asire oumenm ak tibebe w la ansante.
  • Eksplike kisa pou w atann nan chak etap gwosès ou.
  • Reponn kesyon w yo.

Sispann itilize tabak

Ou konnen move efè fimen gen sou sante w.

Ou konnen fòk ou kite fimen. Nou ba w sipò pandan w ap kite avèk èd akonpayatè ak founiti. Sèl bagay ou p ap jwenn nan men nou, sèke nou pa pral fè moral ou.

Swen Rezidansyèl

Apre yon maladi grav, operasyon oswa chòk ou ka bezwen swen enfimye ak terapi anplis.

Si sa nesesè, plan nou an garanti sejou kout nan yon sant reyabilitasyon kote ou kapab geri. Sa ki genyen se:

  • Sèvis mezon retrèt.
  • Swen enfimye 24-èdtan.
  • Èd avèk aktivite lavi toulejou.
  • Terapi fizik, okipasyonèl, ak pou lapawòl.

Respite Care

Do you have family members or friends who care for you at home? If so, we want to support their hard work too. That’s why we provide respite care to give your caregivers a rest. Respite care offers caregivers time away from their loved one who is ill or has special care needs.

Shots and Immunizations

Vaksen woutin yo ede kenbe w ansante.

Kidonk, plan nou an kouvri:

  • Piki ak vaksen yo rekòmande.
  • Tès dyagnostik ak egzamen.

Swen pou vizyon

See life more clearly with routine eye exams and glasses, if needed.

We also include:

  • Vè preskripsyon.
  • Medicaid approved frames.
  • New eyeglasses every two years.

This benefit is offered by March Vision Care.

Vizit pou moun ansante

Vizit konsiltasyon pou moun ansante kay doktè ka ede w rete ansante. Vizit konsiltasyon sa yo ka ede detekte pwoblèm sante bonè, pou yo sa trete yo.

Sèvis prevantif gen ladan yo:

  • Tchekòp pou granmoun ak timoun.
  • Swen pou tibebe ki ansante.
  • Swen pou fanm ki pral fè yon tibebe.
  • Piki ak tès woutin.
  • Mamogram.

Pa gen okenn kopeman pou swen prevantif yo.

Resous pou Manm

Gade Resous ki Disponib yo (louvri yon fenèt modal)
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