UnitedHealthcare Community Plan Medicaid

Sante konpòtmantal

Sante konpòtmantal enpòtan menm jan ak sante fizik. Se poutèt sa nou gen pwoteksyon asirans pou toude. Swen obligatwa kouvri a 100% san kopeman. Sa gen ladann:

• Counseling
• Substance use treatment.
• Medikaman.

Call the Behavioral Health Crisis Line at 1-877-334-1141, at any time, 24 hours a day, 7 days a week. If you are in danger or need immediate medical attention call 911.

Breastfeeding Support

SimpliFed provides free virtual breastfeeding and baby feeding support to UnitedHealthcare Community Plan of North Carolina members, starting in pregnancy. Members have access to up to six visits with baby feeding experts who provide judgment-free care, no matter how you feed your baby.

For more information or to book an appointment, text UHCNC4MILK to 888-458-1364, visit www.simplifed.com/united-nc, or call 844-799-0538. 

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.
• Rekòmandasyon kay espesyalis pou sèten pwoblèm medikal.

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

Copays

Copays If You Have Medicaid

There are No Medicaid copays for the following people or services:

• Members under age 21
• Members who are pregnant
• Members receiving hospice care
• Federally recognized tribal members
• North Carolina Breast and Cervical Cancer Control Program (NC BCCCP) beneficiaries
• People living in an institution who get coverage for cost of care
• Timoun ki nan fanmi plasman
• People living in an institution who are receiving coverage for cost of care
  
• Sèvis sante konpòtmantal
• Intellectual/developmental disability (I/DD) services
• Traumatic brain injury (TBI) services

A provider cannot refuse to provide services if you cannot pay your copay at the time of service. If you have any questions about Medicaid copays, call Member Services at 1-800-349-1855, TTY 711..

Sipò pou Dyabetik

If you have diabetes, we’ll help make life a little easier for you. You’ll get medicine, supplies and education to help you reach and stay your best. 

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. 

Jesyon maladi

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

We have special programs for:

• Congestive heart failure.
• Asthma.
• HIV.
• Chronic obstructive pulmonary disease (COPD).
• Coronary artery disease.

Durable Medical Equipment

Some members may need extra support to live safely at home.

Plan nou an garanti ekipman medikal doktè w oswa manadjè dosye w mande. Sa ka gen ladan founiti tankou:

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

Edikasyon Lasante

Take free classes to help improve your health or to address a condition.

Our plan includes classes on diabetes, nutrition and more. You can even get a ride, if needed, to and from the class at no cost to you. 

BabyScripts

Build a healthy future for you and your baby and earn great rewards with BabyScripts. 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.

You can earn great gifts for your child by doing things like:

• Completing well-child exams.
• Getting lab tests.
• Recording your family’s health activities. 

Swen oditif

Trouble hearing can affect your everyday life in many ways.  Our plan includes services and support to help protect your hearing.

Plan nou an kouvri:

• Egzamen, terapi ak tès.
• Hearing aids and batteries.

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

After surgery or a serious illness, you may need extra 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.

Lab and X-ray Services

Knowing what’s wrong and finding it early can make all the difference.  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 jwenn enfòmasyon nan yon lòt lang. Mande tousenpleman. Then anything we write to you will only be in that language. This is provided at no cost to you.  

Medikaman

And we make getting your child's medicine easy. We'll provide a list of covered drugs if you have questions about what prescriptions are covered.

You can fill the prescriptions at local pharmacies in the UnitedHealthcare Community Plan network.

Sèvis pou Manm

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

Nou ka ede w tou pou jwenn:

• Home care providers.
• Specialists.
• Doctors.
• Pharmacies.
• Hospitals or other health facilities.
• Local resources.

Vizit Enfimye(è)

Sometimes continued care is needed after leaving the hospital or urgent care. For example, after a serious illness, surgery or injury. In these cases, a nurse will make home visits to:

• Provide medical care.
• Answer any questions and concerns.

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.

Ankadreman pou Nitrisyon

Healthy eating goes a long way to helping you stay at your best. A nutritionist can meet with you to review your eating habits and food choices. 

You’ll come away with new ideas for:

• Making good choices for quick meals and snacks.
• Preparing healthy meals on a budget.

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.

Outpatient Services

Knowing what’s wrong and finding it early can make all the difference.  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. 

Swen pèsonèl

Sometimes the basics are hard to do yourself after an illness or injury. If needed, we provide someone to help with:

• Dressing.
• Bathing.
• Feeding. 

Prenatal Visits

A pregnancy is a journey that’s better 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 mom and baby are healthy.
• Explain what to expect at each stage of pregnancy.
• Answer questions.

Sispann itilize tabak

Most people know the bad health effects of smoking. And they know they need to quit. We support our members while they quit, with coaches and supplies. The only thing they won’t get from us is a lecture.

Rehabilitation Care

After a serious illness, surgery or injury you may need extra nursing and therapy.  If needed, our plan covers short stays in a rehabilitation center where you can heal.  Included are:

• Sèvis mezon retrèt.
• Swen enfimye 24-èdtan.
• Èd avèk aktivite lavi toulejou.

Terapi fizik, okipasyonèl, ak pou lapawòl.

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.  

Piki ak Vaksen

Piki woutin pou ede pwoteje ou kont maladi. Kidonk, plan nou an kouvri:

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

Social Services

Many communities offer additional benefits for children in this plan. Social Services helps members connect to these local programs and services, such as:

• WIC and financial support.
• School services.
• Swen repi.
• Training and family phone line.

Terapi Lapawòl

Speech therapy visits and exercises can help those who have difficulty speaking. At your doctor’s requests, we will cover up to 60 combined physical, occupational, speech and other therapy visits each year

Text4baby

Text4baby ka ede nouvo manman ak fiti manman yo kenbe tèt pa yo ak tibebe yo ansante.

You’ll get text messages throughout your pregnancy and your baby’s first year. Chak tèks gen ladan konsèy sou sante ak sekirite pou sijè tankou:

• Swen prenatal.
• Tranche ak akouchman.
• Alètman matènèl.
• Dòmi san danje.
• Nitrisyon.
• Sekirite chèz machin.

So you and your baby can make a great start on life.

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.

Vizit kay doktè san limit

There may be times when your or a family member’s health requires repeated visits to a primary care provider (PCP). Our plan does not limit the number the number of times you can see your PCP.  This way you get care need when you need it. And your doctor can see how your health is progressing.   

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.
• Medical aid units.
• Other walk-in clinics.

Weight Control

Our plan encourages a healthy approach to eating and living. To help our members be their best, we cover:

• Screening for obesity.
• Support for healthy diet and exercise choices.

Wellhop for Mom & Baby

An online meeting and resource community for pregnant members. Wellhop brings pregnant women together and matches them with clinically trained facilitators in group video conversations for education and support. 

Vizit pou moun ansante

Well visits with your doctor are important for good health. 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.