Sipò pou Opresyon ak COPD

Individual care to help you control asthma or COPD symptoms.

If you have trouble managing asthma or COPD symptoms, a case manager can really help. W ap jwenn yon plan tretman adapte ak medikaman pou: 

• Jere rechit yo.
• Diminye sentòm. 
• Let you stay active.

Jesyon Dosye

Do you or a loved one have a serious health problem? If so, our case managers are in your corner. Yo pral:

• Esplike tèm medikal yo nan yon langaj ki senp.
• Coordinate your doctor appointments.

Your case manager will stay with you on your medical journey. Li pral:

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

So you can focus on getting better.

Cell Phone

No Cost Smartphones and Service Plans

We want you to stay connected with easy and dependable access to health care services. If you qualify for the UnitedHealthcare MyHealthLine™ program, you can get a smartphone and a monthly service plan at no cost. (Or you can get a service plan for your current phone.)

Plus you get extras just for being a member of UnitedHealthcare Community Plan!

Chwazi Doktè

You get to choose a primary care physician (PCP) who is your main doctor. 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

Checkups and dental care are covered for members up to age 21.

• Checkups and dental care are covered for members through age 20.
• Emergency (members 21 and older have a $1,000/year limit)
• Routine preventive and therapeutic services (ALTCS members 21 and older have a $1,000/year limit)

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

Ekipman ak Founiti

Sante ak sekirite lakay ou enpòtan.

Plan nou an garanti ekipman medikal doktè w preskri. Sa ka gen ladan founiti tankou: 

• Kabann lopital.
• Tank oksijèn.
• Wòkè oswa chèz woulant.

Swen oditif

Trouble hearing can affect everyday life in many ways. Our plan includes services and support to help protect the hearing of members up to age 21.

Nou kouvri: 

• Egzamen, terapi ak tès.
• Hearing aids.

Livrezon Manje nan Kay

Proper nutrition is essential to good health. Yet you may not be able to safely fix meals for yourself at home. If that’s you, we can arrange for additional meal services. 

Ospitalizasyon

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

Plan nou an kouvri: 

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

Apre ou fin kite lopital la, ou pa poukont ou. We make sure you get follow-up care, if needed, to continue healing at home.

In-Home Care

Support and personal care where you live, if needed.

Entèprèt

Doktè ou ansanm avèk oumenm, youn dwe konprann lòt. Lè w pa pale Anglè byen sa fè l pi difisil. We can arrange for a medical interpreter to help with your appointment.

We also have people at member services who speak more than one language. Gen anpil chans ke nou gen youn moun ki pale menm lang avèk ou.

Èd nan domèn lang

You can get information translated into your preferred language. Mande tousenpleman. This service is provided at no cost to you.

Medikaman

Plan nou an gen medikaman preskripsyon ladan ak renouvèlman medikaman.

We also cover over-the-counter medicines with a written order from your doctor. 

And we make getting your medicine easy. Ou ka egzekite preskripsyon ou nan:

• Local network pharmacies.

Sèvis pou Manm

Health insurance is complex. Now you have someone you can call. We can answer your questions simply and completely Monday - Friday from 8 AM to 5 PM local time.

We help you find:

• Doctors.
• Pharmacies.
• Hospitals or other health facilities.
• Local resources.

Sante mantal

Sante mantal toutosi enpòtan ke sante fizik. That’s why we cover both.

Swen obligatwa kouvri a 100% san kopeman. Sa gen ladann:

• Terapi konpòtmantal.
• Substance abuse treatment.
• Medikaman.

Liy Dirèk pou Enfimyè

Medical questions and situations come at inconvenient times. When you have questions about your health, you can call a trained nurse 24/7 at 1-877-440-0255.

Enfimyè nou yo ki nan Nurse Hotline la pral fè:  

• Tande ki sentòm ou di l ki prezante.
• Gide pou pran swen tèt ou.
• Ba w konsèy sou kijan pou jwenn swen kay yon doktè oswa nan yon sant swen dijans.
• Ede w konnen kilè pou w ale nan sal dijans.

Swen pèsonèl

Your safety at home is our focus. That is why we conduct home visits for those needing extra help to stay at home.

During this visit we:

• Understand your personal needs.
• Provide minor home modifications, such as ramps and bathroom safety devices.
• Set up emergency monitoring, if needed.
• Arrange for personal care attendants.

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.  

Social Services

Sometimes a person’s health and safety requires help from community programs.

We help members connect to community services. Here they can get information about a variety of programs, like:  

• Food and housing assistance.
• Community child care.

They can help members get much needed relief in many ways. 

Sèvis Transpò

Our plan provides trips to and from medical appointments. 

Swen pou vizyon

Eye exams, frames and lenses including replacement and repair are covered for members under the age of 21. 

Vizit pou moun ansante

Vizit konsiltasyon kay doktè pou moun an sante ka ede kenbe ou an sante. These visits can catch health problems early so they can be treated. Sèvis prevantif gen ladan yo: 

• Checkups for adults.
• Piki ak tès woutin.
• Mamogram.

You will not have a copayment for preventive care.