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
Make sure you do not miss information about your Medicaid coverage. Update your address by going online at kancare.ks.gov and using the new Chatbot KIERA, by clicking the red speech bubble in the bottom left corner, or you can call us at 1-877-542-9238. Your renewal date may be coming soon. To keep your benefits, you may need to take action. Aprann plis.
UnitedHealthcare Community Plan KanCare
Medicaid
This plan offers a range of benefits along with extras that other KanCare plans don't offer. We also offer extra support and care to adults and children who need help with daily activities. You qualify based on income and health needs. Gade avantaj ki anba yo pou w wè tout sa li ofri.
Plan sa a disponib nan konte swivan yo:
Allen, Anderson, Atchison, Barber, Barton, Bourbon, Brown, Butler, Chase, Chautauqua, Cherokee, Cheyenne, Clark, Clay, Cloud, Coffey, Comanche, Cowley, Crawford, Decatur, Dickinson, Doniphan, Douglas, Edwards, Elk, Ellis, Ellsworth, Finney, Ford, Franklin, Geary, Gove, Graham, Grant, Gray, Greeley, Greenwood, Hamilton, Harper, Harvey, Haskell, Hodgeman, Jackson, Jefferson, Jewell, Johnson, Kearny, Kingman, Kiowa, Labette, Lane, Leavenworth, Lincoln, Linn, Logan, Lyon, Marion, Marshall, McPherson, Meade, Miami, Mitchell, Montgomery, Morris, Morton, Nemaha, Neosho, Ness, Norton, Osage, Osborne, Ottawa, Pawnee, Phillips, Pottawatomie, Pratt, Rawlins, Reno, Republic, Rice, Riley, Rooks, Rush, Russell, Saline, Scott, Sedgwick, Seward, Shawnee, Sheridan, Sherman, Smith, Stafford, Stanton, Stevens, Sumner, Thomas, Trego, Wabaunsee, Wallace, Washington, Wichita, Wilson, Woodson, and Wyandotte.
More information on eligibility and enrollment can be found on the KanCare website.
- UnitedHealthcare Community Plan KanCare
Jwenn founisè yo ak pwoteksyon asirans pou plan sa a.
Chèche doktè, lopital, ak espesyalis.
Chèche yon famasi ki toupre w.
Chèche founisè, klinik ak sant tretman yo.
Chèche medikaman plan sa a kouvri.
Chèche yon dantis ki toupre w.
Avantaj & Karakteristik
Adult Day Care
Companionship is important. Adult day care provides care and companionship for frail elderly waiver members 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.
Sipò pou Opresyon ak COPD
Do you or a family member have trouble managing asthma or COPD symptoms? Yon enfimye(è) ki espesyalize nan pwoblèm respirasyon ka ede w reyèlman. You will get a customized treatment plan and medicine to:
- Jere rechit yo.
- Diminye sentòm.
- Help you stay active.
Attendant Care Services
If you live with a disability or chronic health condition, you may need extra help to stay in your own home. Our plan gives members who qualify the services needed to be safe and comfortable. An attendant can provide:
- Companionship.
- Homemaking services.
- Personal care.
You and your caregiver can decide which chores you want your care attendant to do in your home.
Sante konpòtmantal
Sante konpòtmantal enpòtan menm jan ak sante fizik. Se poutèt sa nou gen asirans ki kouvri toulède.
Swen obligatwa kouvri a 100% san kopeman. Sa gen ladann:
- Terapi konpòtmantal.
- Substance abuse treatment.
- Medikaman.
- Peer Coaching program.
Kowòdonatè swen
The daily care and safety of our members is important. That’s why we conduct home visits for eligible waiver members who need extra help staying at home.
During this visit we:
- Understand your personal needs.
- See if your home needs minor modifications, such as ramps and bathroom safety devices.
- Set up emergency monitoring.
- Arrange for personal care attendants.
Jesyon Swen
Do you have a disability or a serious health problem? If your health needs qualify then our care coordinators are in your corner. Yo pral:
- Esplike tèm medikal yo nan yon langaj ki senp.
- Coordinate your doctor appointments.
- Provide your care team with your medical records.
Your care coordinator will stay with you throughout the medical journey. Li pral:
- Think beyond your immediate medical needs.
- Make sure you have support at home.
Chwa Sant Nesans
Kote ou fè tibebe w lan se yon chwa ki enpòtan. That's why you can pick from hospitals across Kansas and surrounding states.
We also encourage you to tour the hospital's birthing center. Nan fason sa a, ou pral abitye avèk li. Ak pou w pi rilaks lè w ap akouche tibebe w la.
Cell Phone Program
Contact Member Services for help applying for a cell phone plan.
Choice of Doctors
Ou gen yon doktè swen jeneral (PCP) ki se 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
Child members up to age 20 receive Preventative exams and cleaning 2 times a year. This helps keep teeth and gums strong and healthy.
Adults over 20 can visit participating dental provider for exams, x-rays, cleanings and fillings. Covers up to $500 per year*.
*The $500 coverage that includes fillings begins in 2019
Sipò pou Dyabetik
Si w gen dyabèt, n ap ede rann lavi a yon jan pi fasil pou ou. W ap jwenn medikaman, founiti ak edikasyon pou ede w rive ak rete nan pi bon eta w.
Pwogram dyabèt nou an gen ladan tou fòmasyon pou pran swen pwòp tèt ou ak klas ki konsantre sou:
- Planifikasyon repa nitritif.
- Jesyon estrès.
- Viv yon mòd devi ki sen.
- Wellness Rewards for getting needed exams.
Jesyon maladi
If you have chronic or high-risk illnesses, our disease management services may help you. We provide support for:
- Congestive heart failure.
- Asthma.
- HIV.
- Chronic obstructive pulmonary disease (COPD).
- Coronary artery disease.
Emergency Response System
If you are on one of the waiver programs and 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.
Ekipman ak Founiti Medikal
Sante ak sekirite lakay ou enpòtan.
Plan nou an garanti ekipman medikal doktè w preskri. This might include supplies like:
- Tank oksijèn.
- Kabann lopital.
- Chèz woulant oswa wòkè.
Swen pou Pye
Children can get the exams needed to help keep your feet in great shape. And if you have 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.
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).
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).
Nou kouvri:
- Egzamen, terapi ak tès.
- Hearing aids when ordered by your doctor.
Livrezon Manje nan Kay
If you are on the PD or TBI waiver and live with a disability or chronic health condition, we may be able to arrange home meal deliver. You will not be eligible if you are getting home meals through different program.
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.
In-Home Care / Skilled Home Health Care Services
If you have health or mobility challenges, you may need extra help with day-to-day tasks. You may even need an in-home medical visit to check on how well you are healing. If ordered by a doctor for medical reasons, our Plan covers:
- In-home medical visits.
- Medical equipment like hospital beds, walkers or wheelchairs.
- Disposable medical supplies.
- Help with personal care or housekeeping.
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 be available for you over the telephone at your appointments.
Nou gen moun tou nan depatman sèvis pou manm yo ki pale pliske yon lang. Gen anpil chans ke nou gen youn moun ki pale menm lang avèk 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 necessary. Dialysis uses a machine to clean the blood, just like healthy kidneys do. 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. Plan nou an kouvri:
- 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.
Medikaman
Pa gen okenn kopeman pou medikaman ki garanti yo. You can fill your prescriptions at local pharmacies.
The medical card will cover many services and items. In order for a service to be covered, you must use a Kansas Medicaid provider. The type of coverage you have will determine how you receive coverage.
Specific limits and guidelines apply to all services, and these change often. Before getting any service or item, contact KMAP/MCO Customer Service. A general list of KMAP/MCO covered services is included on our website at https://www.kmap-state-ks.us/Public/Beneficiary/default.asp.
Medicaid requires some services to be approved before you get them. Your provider knows which services need prior authorization and is responsible for obtaining it for you. Medicaid will send you and your provider a letter approving or denying the prior authorization request.
Defansè Manm yo
We're looking out for you. Member advocates can help solve problems, provide training and education, and work on issues that concern members.
They can:
- Provide information about your plan.
- Teach you how to get the care you need.
- Help with doctor issues or complaints.
- Call Member Services and ask for a Member Advocate to help you.
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 at 1-877-542-9238. N ap reponn kesyon w yo konplètman e avèk yon langaj ki senp.
Nou ka ede w tou pou jwenn:
- Doctors.
- Pharmacies.
- Hospitals or other health facilities.
- Local resources.
NurseLine
Pafwa, kesyon ak sitiyasyon medikal prezante a dè moman ki pa apwopriye. When you have questions about your health, you can call a nurse 24 hours a day, 7 days a week. Call 1-855-575-0136.
Enfimye/enfimyè nou yo pral:
- Koute sentòm yo.
- Ede pou swen pèsonèl.
- 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.
Prenatal Visits
Your pregnancy is a journey and you will need help along the way. You can visit a family doctor or pregnancy doctor (OB-GYN) to get the care you need.
All recommended prenatal clinical visits and tests are covered by our plan.
Nan vizit sa yo, klinik la ap:
- Make sure both you and your baby are healthy.
- Eksplike kisa pou w atann nan chak etap gwosès ou.
- Reponn kesyon w yo.
Programs for Kids and Teens
Positive role models can make a big difference in a child's life. That's why we provide one free activity each year at local youth organizations, like:
- YMCA.
- Boys & Girls Clubs.
- 4-H.
- Select Kansas Park and Recreation Departments.
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 akonpayatè ak founiti. Sèl bagay ou p ap jwenn nan men nou, sèke nou pa pral fè moral ou.
You can also call the KanQuit smoking line at 1-800-784-8669 for support.
Respite Care
Are you a waiver member who has family members or friends who care for you in your 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. Some members can get extra respite care. Ask your Care Coordinator if you qualify.
Piki ak Vaksen
Piki woutin pou ede pwoteje ou kont maladi. Kidonk, plan nou an kouvri:
- Vaksen kont nemoni, grip ak zona.
- Tetanus, diphtheria, pertussis.
- HPV.
Sèvis Terapi
Terapi fizik, okipasyonèl ak terapi lapawòl ka ede ou refè apre yon blesi oswa maladi grav, oswa tou senpleman reyalize tout sa ou kapab fè.
When approved by a doctor, covered therapies include:
- Terapi okipasyonèl.
- Terapi fizik.
- Terapi lapawòl.
Sèvis Transpò
Our plan provides needed rides to and from health care locations for medical appointments. That includes trips to:
- Vizit ka doktè oswa nan terapi.
- Depatman sante yo.
- Klinik pou vizyon.
- Rides to job activities for members who qualify.
Call 1-877-524-9238.
Non-emergency Medical Transportation (NEMT) benefits name change notice.
Swen pou vizyon
You'll get the care, eyeglasses and treatment that let you see life more clearly. Plan an kouvri:
- Annual eye exams.
- Vè preskripsyon.
This benefit is offered by OptiCare.
Vizit pou moun ansante
Vizit konsiltasyon kay doktè pou moun an sante ka ede kenbe ou an sante. 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.
- Piki ak tès woutin.
- Mamogram.
There are no copayments for preventive care. Earn Community Rewards points for getting exams.