UnitedHealthcare Community Plan

Children's Special Health Care Services

The Children Special Health Care Services program is for children and young adults with special health or developmental challenges. Our plan provides extra services and support to help manage your child's care needs. If you are enrolled in Medicaid, you may qualify for this additional coverage.

Download more information about the CSHCS program here: Children's Special Health Care Services (CSHCS) Program.

Asthma and COPD Care

Do you 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.
• Help you or your child stay active.

Asthma Care

Èske pitit ou gen las (opresyon) oswa alèji respiratwa? A nurse who specializes in breathing issues can really help childhood breathing problems. Your child's nurse will

• Get to know your child
• Aprann konnen ki aktivite ak kisa ki deklanche las oswa alèji respiratwa l la.
• Devlope yon plan tretman endividyèl.

Jesyon Swen

Do you or a family member have a serious health problem or a high-risk pregnancy? If so, our care managers 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 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.

Choice of Doctors

You or your child gets a primary care provider (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.

Chwa Sant Nesans

Kote ou fè tibebe w lan se yon chwa ki enpòtan. Se poutèt sa ou ka chwazi nan pami prèske 100 lopital toupatou nan Michigan.

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.

Customer Services

Understanding your health care options can be confusing. Now you have someone you can call. We can answer your questions simply and completely.

We help you find:

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

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

Sipò pou Dyabetik

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:

• Coordinating doctor care.
• Dedicated team to help you understand your condition and manage it.

Ekipman ak Founiti

Sante ak sekirite lakay ou enpòtan.

Plan nou an garanti ekipman medikal doktè w preskri. This can include items like:

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

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).

Sèvis Odisyon

Pwoblèm pou tande ka afekte lavi toulejou ou nan anpil sans. Our plan includes services and support to determine whether a hearing problem exists.

Nou kouvri:

• Egzamen, terapi ak tès.
• Hearing aids are covered for Members under age 21.

Ospitalizasyon

This plan pays for medical expenses related to a hospital stay.

Plan nou an kouvri:

• 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. We make sure you get follow-up care to continue healing.

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.

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

Èd nan domèn lang

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

Medikaman

Plan nou an gen medikaman preskripsyon ladan ak renouvèlman medikaman.

We also cover many medically needed, over-the-counter medicines with a written order from your doctor. There is no copay for these medicines.

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

• Network pharmacies.

Sante mantal

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

Short-term required care is covered with no co-pay. Sa gen ladann:

• Terapi konpòtmantal.
• Medikaman.

Kopeman

You will not have a copayment for most care and services covered by our plan. That means you will pay nothing for covered services, including:

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

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.

Swen pandan gwosès

Pa gen anyen ki pi enpòtan pase sante ak byennèt oumenm ak tibebe w. That's why our benefits include:

• Prenatal Visit.
• Healthy First Steps®.
• Transpò.
• Wellhop for Mom & Baby. 
• Dental Services.

Prenatal Visits

Your 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.
• Get dental coverage as a pregnant member, during and for a full year after delivery. 

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.

Piki ak Vaksen

Routine shots help protect against illness. Kidonk, plan nou an kouvri:

• Piki ak vaksen yo rekòmande.
• Piki kont lagrip.

Social Services

Many communities offer additional benefits for children with special care needs. Social Services helps members connect to local programs and services, such as:

• WIC and financial support.
• School services.
• Swen repi.

Download more information about social services benefits here.

Terapi Lapawòl

Speech therapy visits and exercises can help those who have difficulty speaking. At your doctor's request we will cover short-term, medically needed physical, occupational, speech and other therapy visits each year.

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.

Our plan provides:

• Terapi okipasyonèl.
• Terapi fizik.
• Terapi lapawòl.

With a doctor's request your coverage includes short term physical, occupational, speech and/or other therapy visits each year.

Sèvis Transpò

Our plan provides a ride for you to and from health care locations. Sa gen ladan trajè pou:

• Vizit ka doktè oswa nan terapi.
• Depatman sante yo.
• Klinik pou vizyon.

You can also be reimbursed for gas for driving to and from health care visits:

ModivCare Member Gas Reimbursement Instructions
ModivCare Mileage Reimbursement App
ModivCare Member Gas Reimbursement Form
ModivCare Standing Order Form

To learn more visit https://www.mymodivcare.com

Unlimited Primary Care Provider/PCP Visits

There may be times when your health requires repeated doctor visits. Our plan does not limit the number of times you can see your primary care provider. This way you get the care you need when you need it. And your doctor can see how your health is progressing.

Swen pou vizyon

Regular eye exams and glasses, if needed, can help you see more clearly. We also include:

• Vè preskripsyon.
• Designer-style frames.

Call Member Services at 1-800-903-5253 for vision services and providers.

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.
• Mammograms and Pap Smears.
• Swen pou tibebe ki ansante.
• Colorectal Screenings.

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.