Hmm … sanble navigatè ou an demode.
Annou mete navigatè ou an ajou pou ou kapab pwofite yon eksperyans sit lan ki gen plis rapidite ak sekirite.
Don’t lose benefits
Your health plan renewal date may be coming soon. If you haven’t already, you may need to recertify to keep getting UnitedHealthcare coverage.
Change in dental providers effective May 1, 2024
Please note that there will be a change in dental providers effective mai 01, 2024. Affected members were notified by mail. If you received a letter or need to locate a dental provider before May 1st, 2024 please call Member Services at 1-800-895-2017 (TTY 711).
Is your address up to date?
Make sure your current address, phone, and email are on file so you'll get notices about changes to your coverage. Log in at Self Service Portal Home Page (ohio.gov).
UnitedHealthcare Community Plan
Medicaid
UnitedHealthcare Community Plan of Ohio
Our Ohio Medicaid plan covers eligible families, pregnant women of any age, infants, children and young adults. The plan also offers extra support and care to adults and children with a disability, long-term illness or special health care needs. Members can choose a primary care doctor from our network. Plus get access to a 24/7 nurse advice hotline, health education materials and extras that other plans don't offer. Gade avantaj ki anba yo pou w wè tout sa li ofri.
More information on eligibility and enrollment can be found on the Ohio Medicaid website, or by calling the Medicaid Hotline at 1-800-324-8680, TTY users should call Ohio Relay at 7-1-1.
OhioRISE
Ohio Resilience through Integrated Systems and Excellence (OhioRISE) program is a managed care program for youth with behavioral health needs. OhioRISE increases access to in-home and community-based services to ensure OhioRISE members and families have help with systems such as juvenile justice, child protection, developmental disabilities, mental health and addiction, education, and others.
An individual who is enrolled in the OhioRISE program will also keep their managed care enrollment for the physical health benefit. To be eligible for OhioRise, you must be: enrolled in Ohio Medicaid, under the age of 21 and meet a functional needs threshold for behavioral health care, as identified by the Child and Adolescent Needs and Strengths (CANS) assessment.
Plan sa a disponib nan konte swivan yo:
Adams, Allen, Ashland, Ashtabula, Athens, Auglaize, Belmont, Brown, Butler, Carroll, Champaign, Clark, Clermont, Clinton, Columbiana, Coshocton, Crawford, Cuyahoga, Darke, Defiance, Delaware, Erie, Fairfield, Fayette, Franklin, Fulton, Gallia, Geauga, Greene, Guernsey, Hamilton, Hancock, Hardin, Harrison, Henry, Highland, Hocking, Holmes, Huron, Jackson, Jefferson, Knox, Lake, Lawrence, Licking, Logan, Lorain, Lucas, Madison, Mahoning, Marion, Medina, Meigs, Mercer, Miami, Monroe, Montgomery, Morgan, Morrow, Muskingum, Noble, Ottawa, Paulding, Perry, Pickaway, Pike, Portage, Preble, Putnam, Richland, Ross, Sandusky, Scioto, Seneca, Shelby, Stark, Summit, Trumbull, Tuscarawas, Union, Van Wert, Vinton, Warren, Washington, Wayne, Williams, Wood, and Wyandot.
- UnitedHealthcare Community Plan
2024 Medicaid Managed Care Annual Open Enrollment
Beginning November 1, Ohio Medicaid managed care members will be able to select their plan by calling the Ohio Medicaid Consumer Hotline at 1-866-693-0898 or utilizing the Ohio Medicaid Consumer Hotline Member Portal at https://members.ohiomh.com/Login.aspx. You do not have to do anything if you want to keep your current Medicaid Managed Care Plan.
Visit the Ohio Medicaid Consumer Hotline website at www.ohiomh.com for information.
Renewing Your Medicaid Coverage
After you receive your renewal form from the Ohio Department of Medicaid (ODM) you will need to take a few steps to keep UnitedHealthcare as your health insurance company.
Click here to learn how to renew your Medicaid coverage.
Jwenn founisè yo ak pwoteksyon asirans pou plan sa a.
Chèche doktè, lopital, ak espesyalis.
Chèche founisè, klinik ak sant tretman yo.
Chèche medikaman plan sa a kouvri.
Chèche yon famasi ki toupre w.
Avantaj & Karakteristik
For OhioRISE, please refer to the OhioRISE handbook.
Asthma and COPD Care
Individual care to help control asthma or COPD symptoms.
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:
- Jere rechit yo.
- Diminye sentòm.
- Help you stay active.
Jesyon Swen
Members who need extra help get a Personal Care Manager. The care manager is there for you throughout your medical journey. Li pral:
- 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.
Sèvis kiwopratik
Our plan includes visits for chiropractic care.
- Members of all ages can get up to 15 visits per year.
- Members under 21 may get additional visits with prior authorization.
Chwazi Doktè
From regular checkups to preventive health screenings, we want to make sure you get access to the right care at the right time.
Ou gen yon doktè swen jeneral (PCP) ki doktè prensipal ou. 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.
Chwa Sant Nesans
Where a mother has her baby is an important choice. That's why pregnant moms can pick from hundreds of hospitals across Ohio.
We encourage mothers-to-be to tour the hospital's birthing center. This way they will be familiar with it. And be more relaxed when they have their baby.
Swen Dantè
Checkups and cleanings are covered.
Exams and cleanings every six months help keep teeth and gums strong and healthy. If you obtain prior approval for a dental problem that needs to be fixed, that's covered as well.
Employment Physicals
Some employers or training programs require a physical before a person can start work. Our plan covers pre-employment physical exams.
Ekipman ak Founiti
The health and safety of our members at home are important.
Our plan covers medical equipment ordered by a member's doctor or care manager. Sa ka gen ladan founiti tankou:
- Kabann lopital.
- Tank oksijèn.
- Chèz woulant oswa wòkè.
For some of these services prior approval is required. Please check your member handbook for these details.
Swen pou Pye
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.
Our podiatry coverage includes:
- Routine foot exams.
- Tips about foot care and choosing the right shoes.
- Information about nerve damage warning signs.
Swen oditif
Trouble hearing can affect a person's everyday life in many ways. Plan nou an gen ladan sèvis ak sipò pou ede pwoteje kapasite pou w tande (odisyon).
Nou kouvri:
- Egzamen, terapi ak tès.
- With prior approval, hearing aids and batteries.
Healthchek
Healthchek covers medical exams, immunizations (shots), health education, and laboratory tests for Medicaid eligible individuals under the age of 21. Healthchek also covers medical, vision, dental, hearing, nutritional, developmental, and behavioral health exams, in addition to other care to treat physical, behavioral or other problems or conditions found by an exam. Learn more information about Healthchek.
Healthy First Steps®
Bati yon lavni ki ansante pou ou ak tibebe ou an epi resevwa gwo rekonpans ak Healthy First Steps. Pwogram nou an pral ede ou pran bon mezi yo pou kenbe ou ak tibebe ou an ansante. Met sou sa ou ka resevwa $20 jis paske ou enskri.
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.
- Resevwa rekonpans dèske ou ale nan vizit yo pandan tout gwosès ou ak 15 premye mwa lavi tibebe a.
- 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).
Healthy Rewards
An ounce of prevention can be worth a pound of cure. It can also be worth great rewards.
Earn great gifts for you or your child by doing things like:
- Completing well-child exams.
- Getting lab tests.
- Recording the family's health activities.
Swen sante adomisil
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. You may even need an in-home medical visit to check on how well you are healing.
With approval, our plan covers:
- An in-home medical visit.
- Medical equipment like hospital beds, walkers or wheelchairs.
- Disposable medical supplies.
- Help with personal care or housekeeping.
Ospitalizasyon
This plan pays for all medically necessary expenses related to a hospital stay. This way you can rest and heal.
Plan nou an kouvri:
- Swen enfimyè.
- Chanm ak manje.
- Materyèl ak ekipman.
- Tretman ak terapi.
- Tès dyagnostik ak egzamen.
And after leaving the hospital, you are not alone. Nou asire ou jwenn swen swivi pou w kontinye geri lakay ou.
Swen pou Maladi Ren
Maladi ren se yon pwoblèm medikal grav. After the kidneys stop working regular treatments, called renal dialysis, or an organ transplant are needed to live. Dyaliz la itilize yon machin pou netwaye san an menm jan ak ren ki an sante yo fè li.
Plan nou an gen ladan:
- Dyaliz.
- Medikaman.
- Edikasyon ak sipò pou lasante.
- Grèf ògàn si sa nesesè.
Laboratwa ak Radyografi
Lè w konnen kisa pwoblèm lan ye e lè w detekte l bonè, sa ka fè tout yon diferans. With prior approval, our plan covers:
- Laboratwa ak tès.
- Radyografi, eskanografi, ak lòt tès imajri.
N ap ede w jwenn enfòmasyon ki nesesè pou amelyore sante w oswa pou w nan pi bon fòm ou.
Èd nan domèn lang
Ou ka resevwa enfòmasyon nan lang ou pi pito a. Mande tousenpleman. We also have people at our service centers who speak more than one language. Gen anpil chans ke nou gen youn moun ki pale menm lang avèk ou.
Medikaman
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
Meet your personal health plan assistant. Our job is to help you get the most of your benefits. Nou kapab ede ou:
- Schedule doctor, dental and vision appointments.
- Arrange for extra support services.
- Complete a health risk assessment.
- Stay in touch with you.
Mental Health and Substance Abuse 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
- Medikaman yo
For some of these services prior approval is required. Tanpri, kontakte Sèvis pou Manm yo pou jwenn plis enfòmasyon.
Kopeman
With our plan there are no copayments for covered services.
Members get:
- Care from highly skilled and compassionate doctors.
- Treatments at respected hospitals and clinics.
- Home medical equipment and supplies to help them be their best.
NurseLine
Medical questions and situations come at inconvenient times. For questions about health, call a nurse 24/7. Call: 1-866-801-4407, TTY 711.
Enfimyè nou yo ki nan NurseLine pral:
- Tande ki sentòm ou di l ki prezante.
- Provide guidance on self-care.
- Advise the member about getting care at a doctor visit or an urgent care center.
- Help know when to go to the 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.
Prenatal Visits
A pregnancy is an incredible journey. It's a journey the new mother wants to make with the help of friends, family and a pregnancy doctor, or OB-GYN.
All recommended prenatal clinical visits and tests are covered by our plan.
Nan vizit sa yo, klinik la ap:
- Make sure both mother and baby are healthy.
- Explain what to expect at each stage of the pregnancy.
- Answer any questions.
Swen Rezidansyèl
Apre yon maladi grav, operasyon oswa chòk ou ka bezwen swen enfimye ak terapi anplis.
With prior approval, our plan covers short stays in a rehabilitation center where you can heal. Sa ki genyen se:
- Sèvis mezon retrèt.
- Swen enfimye 24-èdtan.
- Èd avèk aktivite lavi toulejou.
- Terapi fizik, okipasyonèl, ak pou lapawòl.
Call Member Services for information on available providers.
Respite Care
Caring for a child recovering from an illness, surgery or with special health needs is an act of love. It can also be physically and emotionally exhausting. This service is for SSI members under 21 years of age.
Sispann itilize tabak
Most people know the bad health effects of smoking. And they know they need to quit. We support our members with coaching while they quit. We support our members while they quit, with coaches and supplies. Sèl sa yo pap jwenn nan men nou se repwòch.
Sèvis Terapi
Physical, occupational and speech therapy can help members recover from a serious injury or illness, or simply reach their full potential.
With prior approvals, our plan covers visits for:
- Terapi okipasyonèl.
- Terapi fizik.
- Terapi lapawòl.
- In-home therapy.
Sèvis Transpò
Our plan provides up to 30 one way or 15 round trip rides to medical appointments and other needed services. Call 1-800-895-2017 (TTY 711) to schedule a ride. You must call at least 48 hours ahead of time..
Rides are available to:
- Dental and vision appointments.
- Pharmacies.
- Women, infants and children (WIC) visits.
- Job and Family Services offices for benefits redetermination.
UnitedHealthcare OMW™
UnitedHealthcare On My Way™ is an engaging, interactive program that informs Ohio youth and helps prepare them for many real-world situations that lie ahead. UnitedHealthcare OMW™ teaches the practical skills of managing bank accounts, securing housing, creating a resume, finding job training and applying for college. It is a reliable, go-to resource they can use throughout their journey toward independent living.
Swen Ijan
You may have an injury or sudden illness that is not life-threatening but needs immediate attention. So our plan covers care at:
- Sant swen ijan yo.
- Federally qualified health centers.
- Other walk-in clinics.
Swen pou vizyon
You'll get the care, eyeglasses and treatment that let you see life more clearly.
Avantaj yo gen ladan yo:
- Annual eye exams.
- Glasses and $150 toward contact lenses.
You also can chose from an expanded selection of frames.
This benefit is offered by March Vision.
Vizit pou moun ansante
Well visits with your doctor can help keep you and your family healthy. 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.
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.
Konnen Plis
UnitedHealthcare Community Plan