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UnitedHealthcare Community Plan - MO HealthNet Managed Care

Medicaid

The UnitedHealthcare Community Plan – MO HealthNet Managed Care offers a range of benefits. Li se pou timoun, fanmi, fanm ansent ak granmoun ki ranpli kondisyon revni. Nou ofri sipò tou pou granmoun ki gen bezwen swen sante espesyal. View the benefits below to see all that our health plan offers.

  • UnitedHealthcare Community Plan - MO HealthNet Managed Care Etap pou Enskri
  • Verifye Kalifikasyon (louvri yon fenèt modal)

If you have a change in address please report this change with MO Healthnet. It is important so they can contact you with information about your coverage. 

To make a change go here: Welcome to myDSS | mydss.mo.gov and click the “Report a Change” icon.

Avantaj & Karakteristik

Swen pou moun ki ansante ak Moun ki malad

Get the care you and your children need to stay healthy — or to be at your best. Li gen ladann:

  • Unlimited PCP Visits. See your primary care provider (PCP) as needed.
  • Piki ak Vaksen. Routine shots help protect against illness.
  • Laboratwa ak Radyografi. Tès laboratwa, radyografi, ak imajri dyagnostik kouvri.
  • Ospitalizasyon. Ou pa peye anyen pou swen nan yon lopital.
  • Lead Screening. Can be done in the doctor's office or local health department.

Pa gen anyen ki pi enpòtan pase sante ak byennèt oumenm ak tibebe w. That's why your MO HealthNet Managed Care benefit includes:

  • Choice of Birth Centers. Pick from our large network of hospitals or birthing centers.
  • Choice of Doctors. Find a doctor you trust for your pregnancy care.
  • Vizit Prenatal. Swen pou oumenm anvan tibebe w fèt.

If you or a family member has special health care needs, you can count on us. Our health plan will provide the extra care and services you need. Avantaj yo gen ladan yo:

  • Asthma Care. Exams and supplies are covered.
  • Jesyon Swen. Get personal help managing health conditions.
  • Disease Management. Focused care for those with critical health needs.
  • Behavioral Health and Substance Use Services. Get caring help to meet your recovery goals.

Make sure your sight and smile are at their best. Your MO HealthNet Managed Care benefits include:

  • Vizyon. Routine eye exams, plus frames and prescription lenses are covered.
  • Dantè. Cleanings, check-ups and dental work.

If you are recovering from a serious illness or surgery, you may need extra support. Our plan includes the care and equipment needed to recover safely at home. Avantaj yo gen ladan yo:

  • Ekipman ak Founiti. In-home medical and safety equipment are covered.
  • Home Health Care. Medical care in your home, if needed.

Gendèfwa, ou ka bezwen yon ti èd anplis pou w itilize plan sante w la. Lè sa yo, ou ka konte sou:

  • Electronic breast pumps: Enrolled pregnant members are eligible for an electronic breast pump (limit one).
  • Asthma support: Special supplies are available, including a hypoallergenic mattress cover and pillow case.
  • Peer support specialists: Coaches can provide support for substance use disorder (SUD) recovery.
  • Repa Manman yo: Post-delivery moms can receive 30 meals (2 meals per day for 15 days) delivered to their home. These requests can be made through your case manager or by calling member services.
  • YMCA Memberships: Members up to age 17 years of age can receive a Youth Membership to their local YMCA.  Just go into your local Y and bring your member ID card to get signed up. Learn more here.
  • One Pass: Members 18 and older will have access to this membership which gets them into over 300 gyms across Missouri including the YMCAs, Planet Fitness, Anytime Fitness, and many small local gyms. Information can be found at One Pass UHCMO | Rally Health or learn more here
  • Transportation: Unlimited trips to doctors appointments, dental appointments, WIC, and pharmacy. In addition, members can get rides to grocery stores and food pantries, weight management classes or programs such as their YMCA or local gym, job and vocational training, and substance abuse services for pregnant members. Learn more here. Members and Members family and friends (when assisting the member with a ride) are eligible to submit for gas mileage reimbursement by filling out MTM’s GMR form.  You can find the form here. Remember, the form must be signed off by the correct medical personnel to receive reimbursement.
  • Sanvello Application: an app that offers clinical solutions to dial down symptoms of stress, anxiety, and depression. Members can download the app, create an account and choose “upgrade through insurance”, and search for and select United Healthcare and enter the information on your insurance card.

Gendèfwa, ou ka bezwen yon ti èd anplis pou w itilize plan sante w la. For those times, you can rely on us for assistance:

  • Nurse HotlineSM.S peak with a registered nurse 24/7.
  • Sèvis pou Manm. Your benefit questions are answered Monday - Friday, 7:00 a.m. - 7:00 p.m. CT
  • Èd nan domèn Lang. Connect to a language or ASL interpreter through Member Services. We provide aids and services to people with disabilities at no cost to you to help you communicate with us. Such as, letters in other languages or large print, audio, accessible electronic formats, other formats. Or you can ask for an interpreter if English is not your primary language. Qualified American sign language interpreters are also available at no cost. To ask for help, please call the toll-free member phone number listed on your health 1-866-292-0359, TTY 711, Monday through Friday, 8:00 a.m. to 5:00 p.m.

YMCA Benefit:  Members up to age 17 years of age can receive a Youth Membership to their local YMCA.  Just go into your local Y and bring your member ID card to get signed up. Learn more here.

One Pass Benefit:  Members 18 and older will have access to this membership which gets them into over 300 gyms across Missouri including the YMCAs, Planet Fitness, Anytime Fitness, and many small local gyms. Information can be found at One Pass UHCMO | Rally Health or learn more here

Transportation: Unlimited trips to doctors appointments, dental appointments, WIC, and pharmacy. In addition, members can get rides to grocery stores and food pantries, weight management classes or programs such as their YMCA or local gym, job and vocational training, and substance abuse services for pregnant members. Learn more here.

UHC Doctor Chat: As a UnitedHealthcare member, you can skip the waiting room and connect to doctors in seconds with the UHC Doctor Chat app. Doctors are available 24 hours a day, 7 days a week to answer any questions.  Learn more here.

Breast Pump Benefit: Members now call Aeroflow at 1-844-867-9890 and their dedicated mom and baby specialists will be able to assist you or visit aeroflowbreastpumps.com/united-qualify.

Asthma Care

Do you or a family member have trouble managing asthma symptoms?
You will get a customized treatment plan and medicine to:

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

Babyscripts

Earn great rewards:

  • The Babyscripts program rewards you for going to your prenatal and postpartum visits
  • Earn up to 3 rewards in all
  • Get a gift card just for signing up

To sign up, visit the Apple App Store® or Google Play™ store on your smartphone. Download the Babyscripts myJourney app. Or call 1-800-599-5985, 8 AM–5 PM, Monday–Friday. It’s that simple.

Behavioral Health and Substance Use Services

Inpatient, residential and outpatient services for behavioral health and substance use are covered. The type, amount and length of services provided will be based on the level of your needs. These services are part of your MO HealthNet Managed Care benefits.

Learn more about the Sanvello app in EnglishEspañol

Jesyon Swen

When a member has complex health care needs, a care manager can really help. Li pral:

  • Work with you and family members and friends on a plan of care.
  • Esplike tèm medikal yo nan yon langaj ki senp.
  • Coordinate your doctor appointments.
  • Provide your care team with your medical records. 
  • Make a referral to community social service programs.

Chwa Sant Nesans

Kote ou fè tibebe w lan se yon chwa ki enpòtan. That's why you can pick from our large network of hospitals or Birthing Center.

We also encourage you to tour the hospital's birthing center. This way you will be familiar with it and be better informed when you have your baby.

Chwazi Doktè

Each member can choose a primary care provider (PCP). Itilize zouti pou chèche Doktè a, pou wè si doktè ou nan rezo nou a.

The PCP is the main doctor for:

  • Swen prevantif.
  • Tretman si w malad oswa blese.
  • Care coordination with specialists.

For members who don’t have a doctor or whose doctor is not in our network, member services can help find a new one close by.

Jesyon maladi

If you have chronic or high-risk illnesses, our disease management services are designed to support you.

Doctor Chat

As a UnitedHealthcare member, you can skip the waiting room and connect to doctors in seconds with the UHC Doctor Chat app. Doctors are available 24 hours a day, 7 days a week to answer any questions.  Learn more here.

Ekipman ak Founiti

Our member's health and safety at home are important.

MO HealthNet Managed Care covers medical equipment ordered by the doctor or care manager. Sa ka gen ladan founiti tankou:

  • Tank oksijèn.
  • Kabann lopital.
  • Chèz woulant oswa wòkè.

Home Care

After surgery or a serious illness, you may need  in-home medical visit(s) to check on how well you are healing.

MO HealthNet Managed Care covers:

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

Ospitalizasyon

MO HealthNet Managed Care covers expenses related to a hospital stay, so our members can rest and heal.

Hospitalization coverage includes:

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

And after leaving hospital, we can provide transitional care services. MO HealthNet Managed Care makes sure you get follow-up care to continue healing at home.

Entèprèt

Oumenm ak doktè w, youn dwe konprann lòt. We have interpreters for you if your provider does not speak your language. We also have qualified American Sign Language interpreters available. This is provided at no cost to you when you speak to us, your provider, or Nurse Hotline.SM

We provide aids and services to people with disabilities at no cost to you to help you communicate with us. Such as, letters in other languages or large print, audio, accessible electronic formats, other formats. Or, you can ask for an interpreter if English is not your primary language. Qualified American sign language interpreters are also available at no cost. To ask for help, please call the toll-free member phone number listed on your health 1-866-292-0359, TTY 711, Monday through Friday, 8:00 AM to 5:00 PM

Laboratwa ak Radyografi

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

Members can get printed information in their preferred language. You will get member materials in English and Spanish. We can give you member materials in a language or format that is easier for you to understand. We also have qualified American sign language interpreters available. Mande tousenpleman.

We provide aids and services to people with disabilities at no cost to you to help you communicate with us. Such as, letters in other languages or large print, audio, accessible electronic formats, other formats. Or, you can ask for an interpreter if English is not your primary language. Qualified American sign language interpreters are also available at no cost. To ask for help, please call the toll-free member phone number listed on your health 1-866-292-0359, TTY 711, Monday through Friday, 8:00 AM to 5:00 PM

Sèvis pou Manm

Gen dèfwa ou ka bezwen èd pou konprann opsyon swen sante w yo. Rele nou. N ap reponn kesyon w yo konplètman e avèk yon langaj ki senp.

We help you find:

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

Kopeman

You will not have a copayment for care and services covered by MO HealthNet Managed Care.

This includes in network services:

  • Visits to doctors
  • Treatments at hospitals and clinics.
  • Behavioral Health and Substance Use.
  • Home medical equipment and supplies to help you be at your best.

Liy Dirèk pou Enfimyè

Medical questions and situations can come at inconvenient times. When you have questions about your health, you can call a nurse 24 hours a day, 7 days a week.

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.

Famasi

All pharmacy benefits are covered by MO HealthNet Fee-for-Service. For more information:

Please contact 1-800-392-2161 or visit the MO HealthNet website at www.dss.mo.gov.

Prenatal Visits

Your pregnancy is a journey you'll want to make with the help of friends, family and a pregnancy doctor.

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.

Sispann itilize tabak

Most people know the bad health effects of smoking. And they know they need to quit. That's why we encourage members to talk to their doctor about getting smoking cessation support. UnitedHealthcare Community Plan covers counseling when you enroll with Quit for Life. Medication for smoking cessation is available. Rele 1-800-784-8669.

Piki ak Vaksen

Routine shots help protect members and their family from illness. MO HealthNet Managed Care covers:

  • Vaksen kont nemoni, grip ak zona.
  • Vaccines and Immunizations. Routine shots to help keep your child healthy.
  • Lòt piki ak vaksen ki rekòmande yo.

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.

For children under age 21 and for pregnant women, MO HealthNet Managed Care provides:

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

Transplant Services

Covered when ordered by a network physician.

Sèvis Transpò

Members get unlimited trips to the following:

  • Doctors and providers
  • Dantis yo
  • Famasi yo
  • WIC
  • Grocery stores
  • Distribisyon manje yo
  • Weight management classes or programs
  • YMCA or local gym
  • Job and career training
  • If you’re pregnant, substance abuse services
  • Learn more here
    Members and Member’s family and friends (if helping the member with a ride) can submit a form for gas mileage reimbursement. You can find the form here. Remak: The form must be signed off by the correct medical personnel to receive reimbursement.
     

Unlimited Primary Care Provider Visits

There may be times when a member's health requires repeated doctor visits. Our plan does not limit the number the number of visits to a primary care provider (PCP). This way the members get the care they need. And the doctor can see how their health is progressing.

Swen pou vizyon

You'll get the care, eyeglasses and treatment that help you see better. Plan an kouvri:

  • One eye exam every 24 months for members 21 and over.
  • One eye exam every 12 months for children under 21 and pregnant women.
  • One pair of frames and lenses ever 24 months.

This benefit is offered by MARCH Vision Care.

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.

Pa gen okenn kopeman pou swen prevantif yo.

NCQA Accredited Commendable Health Plan

Resous pou Manm

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