Ale nan kontni prensipal la
Kontni Prensipal

NJ FamilyCare

Medicaid

Our NJ FamilyCare plan is for children, parent or caretaker relatives, and adults without dependent children. It’s also for people who need extra support and care to live safely at home. You qualify based on income and health care needs. View the benefits below to see all that our plan offers.

Plan sa a disponib kèlkeswa kote w ap viv nan New Jersey.

More information on eligibility and enrollment can be found on the NJ FamilyCare website.

  • NJ FamilyCare Steps to Enroll
  • Verifye Kalifikasyon (louvri yon fenèt modal)

Jwenn founisè yo ak pwoteksyon asirans pou plan sa a.

Jwenn yon Founisè

Chèche doktè, lopital, ak espesyalis.

Jwenn yon Founisè Sante Konpòtmantal

Chèche pou founisè ak resous nan sante konpòtmantal.

Gade Lis Medikaman yo

Chèche medikaman plan sa a kouvri.

Chèche yon Dantis

Chèche yon dantis ki toupre w.

Lab Search

Find a lab near you.

Jwenn yon Famasi

Chèche yon famasi ki toupre w.

Avantaj & Karakteristik

Elaji Tout

Swen pou moun ki ansante ak Moun ki malad

Get the care you need to be at your best — or to get better if you are injured or sick. Li gen ladann:

  • Well Visits. Preventive checkups, shots and lab tests.
  • Therapy Services. Physical or other therapy to help you be your best.
  • Lab and X-rays. Lab tests, x-rays and diagnostic imaging are covered.
  • Shots and Vaccines. Routine shots to help keep you healthy.
  • Urgent Care. Immediate care for a sudden illness or injury.

Pa gen anyen ki pi enpòtan pase sante ak byennèt oumenm ak tibebe w. Se poutèt sa plan avantaj nou yo gen ladan:

  • Choice of Doctor. Find an OB-GYN you trust in our network.
  • Vizit Prenatal. Swen pou oumenm anvan tibebe w fèt.
  • Healthy First Steps®. Get extra support to help you and your baby stay healthy.
  • Choice of Birth Center. Pick from over 100 network hospitals across New Jersey.

Si ou gen opresyon, dyabèt oswa yon lòt pwoblèm alontèm, ou ka konte sou nou. Our plan makes sure you get the care, support and services you need. Avantaj yo gen ladan yo:

  • Case Management. Personal support from an experienced professional.
  • Diabetic Supplies. Insulin, needles and more ordered by your doctor.

Make sure your sight, teeth, speech and hearing are at their best. Avantaj yo gen ladan yo:

  • Vision. Routine exams and help paying for eyeglasses and contact lenses.
  • Dental. We cover cleanings, checkups and dental work.
  • Hearing. Tests, check-ups and hearing aids are covered (some limitations apply).

Understanding Dental Coverage - English Spanish

Get the medical care and equipment you need to recover safely at home. Benefits may include:

  • Equipment and Supplies. In-home medical and safety equipment are covered.
  • Nurse Visits. Medical care to help you safely recover at home.
  • Chore Services. Someone to do your errands, cleaning or laundry.
  • Personal Care. Someone to help with dressing, bathing and feeding if needed.

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

  • Interpreters. An interpreter can go with you to medical visits.
  • Member Services. Your benefit questions are answered 24/7

The MLTSS program is focused on serving frail, elderly, and disabled individuals. This program combines traditional health care benefits (doctor visits, hospital stays, labs) and long term services and supports (providing help in home or community with daily living activities) such as:

  • Care Management. Someone to get you the care and support needed.
  • Home and Vehicle Modifications. In-home medical and safety equipment are covered, plus needed modifications to a vehicle.
  • Home Meal Delivery. If you can't safely make meals, we'll provide them.
  • Mental Health & Addiction Services. Counseling and other treatments are covered.
  • Personal Emergency Response System. Sends an urgent request for someone to help you.
  • Adult Day Care. Friendship and social activities in a safe setting.
  • Respite Care. In-home help to give your caregiver a rest.
  • Personal Care. Someone to help with dressing, bathing and dining.

Learn more about the MLTSS program here

Adult Day Care

Companionship is important. Adult day care provides care and companionship for seniors who need extra help during the day.

Caregivers also benefit, knowing their loved one is well cared for and safe during the day.

Services will vary by the member's coverage type and may include:

  • Social connections and friendship.
  • Bathing and personal care.
  • Meals.

Caregiver Training*

For MLTSS members: Caring for a loved one or a friend is an act of love and devotion. It can also leave the caregiver emotionally and physically exhausted.

Our workshops teach:

  • Caregiving basics.
  • Healthy eating and help with eating.
  • Health insurance basics.
  • How to care for yourself while caring for a loved one.
  • Caring for a loved one with dementia or Alzheimer's disease.

Along with instruction, caregivers have an opportunity to socialize with others and build a network of support.

Care Management*

Do you or a loved one 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 close by throughout the medical journey. Li pral:

  • Think beyond your immediate medical needs.
  • Make sure you have support at home, so you can focus on getting better.

Chwazi Doktè

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.

If you don't have a doctor, or if your doctor is not in our network, we can help you find a new one close to you.

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. That's why you can pick from 100 network hospitals across New Jersey.

We also 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.

Community Transition Services*

For MLTSS members: We want to help you live in the place that is right for you. If needed, our plan will help cover the cost of moving from a nursing facility into your community.

Covered items can include:

  • Household goods.
  • Security deposit.
  • Utility deposit.
  • Your first week of food, as needed.

Chore Services

If you are having difficulty performing day-to-day household activities, chore services can step in. They can take on the routine tasks that may be hard for you to do on your own.

Services will vary by the member's coverage type and may include:

  • Running errands.
  • Cleaning the house.
  • Doing laundry.
  • Preparing meals.

Swen Dantè

Routine exams and cleanings every six months help keep teeth and gums strong and healthy. Si gen yon pwoblèm dantè ki dwe regle, li garanti tou. If approved, the plan covers:

  • Crowns and bridges.
  • Dentures.
  • Oral surgery and root canals.

Understanding Dental Coverage - English Spanish

Diabetic Supplies

If you have diabetes, you may need insulin, needles, wipes and glucose strips. If medically necessary, we cover all that and more.

Our plan also steps up with services to help you manage your diabetes, including:

  • Classes on keeping diabetes in control.
  • Coordinating doctor care.
  • Meal planning and food choices.

Ekipman ak Founiti

Sante ak sekirite lakay ou enpòtan.

Plan nou an garanti ekipman medikal doktè w oswa manadjè dosye w mande. This includes items like:

  • Kabann lopital.
  • Tank oksijèn.
  • Wheelchairs or wheelchairs.

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 and batteries.

Some limitations apply.

Healthy First Steps®

The Healthy First Steps team is here for you. Pwogram nou an pral ede ou pran bon mezi yo pou kenbe ou ak tibebe ou an ansante. 

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.
  • 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).

Home Meal Delivery*

For MLTSS members: Taking care of the basics, like cooking, can be hard to do yourself after an illness or sickness. That's why we'll bring nutritious meals to you to help you through tough times. You can get up to 1 meal delivered per day, if needed.

Ospitalizasyon

Our plan pays for all expenses related to a hospital stay, so you can rest and heal.

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. Nou asire ou jwenn swen swivi pou w kontinye geri lakay ou.

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 at your appointment.

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

Lab and X-ray Services

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

  • 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

Our plan includes medicines and refills for prescriptions written by your doctor or specialist. Thousands of drugs are covered.

We also cover some 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 pharmacies in our network.
  • Sèvis ki fè livrezon adomisil.

Sèvis pou Manm

Gen dèfwa ou ka bezwen èd pou konprann opsyon swen sante w yo. With us, you have someone you can call 24/7. 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.

Vizit enfimye(è)

Sometimes you may need continued care after you leave the hospital or urgent care center. 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 pèsonèl

Sometimes the basics are hard to do yourself after an illness or injury.

Services will vary by the member's coverage type and may include:

  • Dressing.
  • Bathing.
  • Feeding.

Prenatal Visits

A 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.

Respite Care*

For MLTSS members: 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

Vaksen woutin yo ede kenbe w ansante.

Plan nou an kouvri:

  • Piki ak vaksen yo rekòmande.
  • Tès dyagnostik ak egzamen.

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.

Swen Ijan

You may have an injury or sudden illness that is not life-threatening but needs immediate attention.

Our plan covers care at:

  • Sant swen ijan yo.
  • Medical aid units.
  • Other walk-in clinics.

Swen pou vizyon

You'll get the care, eyeglasses and treatment that let you see life more clearly.

Plan an kouvri:

  • Routine exams.
  • Help with paying for eyeglasses and contact lenses.

This benefit is offered by March Vision.

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.
  • 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.

NCQA Health Plan Accredited Seal
NCQA LTSS Distinction Seal
NCQA LTSS Distinction Seal

Resous pou Manm

Gade Resous ki Disponib yo (louvri yon fenèt modal)

Avètisman pou Plan Endividyèl ak Familyal Mache Asirans Sante ACA yo
(navige nan bwat sa a pou wè)

Yo gendwa pa ofri avantaj ki dekri yo nan tout plan oswa nan tout Eta yo. Kèk plan gendwa egzije kopeman, franchiz ak/oswa ko-asirans pou avantaj sa yo. Kontra asirans sa a gen esklizyon, limit, rediksyon avantaj, ak kondisyon kote kontra a gendwa kontinye anvigè oswa sispann. Pou konnen pri ak detay konplè sou kouvèti a, konsilte dokiman plan ou yo, rele oswa ekri ajan asirans ou an oswa konpayi an, selon sa ki aplikab la. Detay ak avantaj plan yo varye selon zòn kouvèti a ak kategori plan an. Tanpri repase detay plan an pou aprann plis.

Kouvèti plan medikal la nan plan Endividyèl ak Familyal UnitedHealthcare yo ofri pa: UnitedHealthcare of Arizona, Inc.; Rocky Mountain Health Maintenance Organization Incorporated nan CO; UnitedHealthcare of Eta Florid, Inc.; UnitedHealthcare of Georgia, Inc; UnitedHealthcare of Illinois, Inc.; UnitedHealthcare Insurance Company nan AL, KS, LA, MO, NJ, ak TN; Optimum Choice, Inc. nan MD ak VA; UnitedHealthcare Community Plan, Inc. nan MI; UnitedHealthcare of Mississippi, Inc.; UnitedHealthcare of New Mexico, Inc.; UnitedHealthcare of North Carolina, Inc.; UnitedHealthcare of Ohio, Inc.; UnitedHealthcare of Oklahoma, Inc.; UnitedHealthcare of South Carolina, Inc.; UnitedHealthcare of Texas, Inc.; UnitedHealthcare of Oregon, Inc. nan WA; ak UnitedHealthcare of Wisconsin, Inc.  Se United HealthCare Services, Inc. oswa afilye li yo ki ofri Sèvis administratif yo.

Kontra asirans sa a gen esklizyon, limit, rediksyoon avantaj, ak kondisyon kote kontra a ka kontinye anvigè oswa sispann. Pou konnen pri ak detay konplè sou kouvèti a, rele oswa ekri ajan asirans ou an oswa konpayi an, selon sa ki aplikab la. Lè ou reponn òf sa a, ou aksepte yon reprezantan gendwa kontakte ou.

1 Amwenske gen lòt obligasyon, avantaj yo disponib sèlman lè se yon founisè rezo vityèl deziyen ki founi sèvis yo. Vizit Vityèl yo pa la pou reponn a pwoblèm ijans ni pwoblèm medikal ki menase lavi epi ou pa dwe itilize yo nan sikonstans sa yo. Sèvis yo gendwa pa disponib toutan oswa nan tout kote, oswa pou tout manm yo. Tcheke plan avantaj ou pou detèmine si sèvis sa yo disponib. Ou kapab gen pou peye tarif pou done. Sèten preskripsyon gendwa pa disponib, epi lòt restriksyon ka aplike.

2 Preskripsyon Nivo 2 pou $5 oswa mwens pa disponib pou tout medikaman. Ranplisaj 3 mwa aplike pou sèten medikaman antretyen sèlman. Egzijans fòmilè aplikab yo tankou otorizasyon davans ak limit sou kantite ka aplike pou avantaj famasi ou yo. Rabè Walgreens valab jiska 12/31/2024. Rabè valab sèlman pou acha pwodui sante ak byennèt kalifye mak Walgreens manm aktyèl ki kalifye pou pwogram rabè UnitedHealthcare lan fè nan magazen. Rabè yo pa kapab itilize sou entènèt. Pou jwenn yon lis konplè pwodui sante ak byennèt mak Walgreens epi esklizyon yo, tanpri vizite www.walgreens.com/smartsavings.

Dat Dènye Chanjman yo Fèt 04.17.2024 a 11:35 PM CDT

Enfòmasyon sou avètisman
(navige nan bwat sa a pou wè)

W ap chèche sitwèb Medicaid gouvènman federal la? Gade la a nan Medicaid.gov.

Plan UnitedHealthcare Dual Complete yo

Plan yo asire nan konpayi asirans UnitedHealthcare oswa nan youn nan konpayi afilye li yo, yon òganizasyon Medicare Advantage ki gen yon kontra avèk Medicare e yon kontra avèk Pwogram Medicaid Eta a. Ou ka antre nan plan an si yo renouvle kontra plan an avèk Medicare. Plan sa a disponib pou nenpòt moun ki gen Èd Medikal nan Eta a ak Medicare. Avantaj yo, karakteristik yo ak/oswa aparèy yo varye selon plan an/zòn lan. Limit, esklizyon ak/oswa restriksyon pou rezo ka aplike. Avantaj yo, prim asirans lan ak/oswa kopeman/ko-asirans lan ka chanje nan dat 1ye janvye chak ane.

Avètisman konsènan prim

Plan Doub Bezwen Espesyal yo gen yon prim $0 pou manm ki gen Èd Siplemantè (sibvansyon pou revni ki ba).

Avètisman sou avantaj yo

Avantaj yo, karakteristik yo ak/oswa aparèy yo varye selon plan an/zòn lan. Limit, esklizyon ak/oswa restriksyon pou rezo ka aplike.

Avètisman pou Liy Dirèk Enfimyè

Pinga itilize sèvis sa a pou ka ijans oswa pou bezwen swen ijan. Nan yon ka ijans, rele 911 oswa ale nan sal ijans ki pi pre a. Enfòmasyon yo bay atravè sèvis sa a se pou rezon enfòmasyon sèlman. Enfimye/enfimyè yo pa kapab fè dyagnostik pwoblèm ni rekòmande tretman epi yo pa yon ranplasman pou swen founisè swen w lan. Enfòmasyon sou sante w rete konfidansyèl selon ekzijans lalwa. Sèvis la pa yon pwogram asirans, epitou li kapab sispann nenpòt ki lè. Liy asistans enfimyè a pa pou itilize nan ka ijans, se pou bay enfòmasyon sèlman li ye.

UnitedHealthcare Connected® pou MyCare Ohio (Plan Medicare-Medicaid)

UnitedHealthcare Connected® pou MyCare Ohio (Plan Medicare-Medicaid) se yon plan sante ki gen kontra avèk alafwa Medicare ak Medicaid Ohio pou founi avantaj toulède pwogram yo pou manm enskri yo. 

UnitedHealthcare Connected® (Plan Medicare-Medicaid)

UnitedHealthcare Connected® (Plan Medicare-Medicaid) se yon plan sante ki gen kontra avèk ni Medicare ni Medicaid Texas pou founi avantaj toude pwogram yo pou manm enskri yo.

UnitedHealthcare Connected® for One Care (Plan Medicare-Medicaid)

UnitedHealthcare Connected® for One Care (Plan Medicare-Medicaid) se yon plan sante ki gen kontra avèk alafwa Medicare ak MassHealth (Medicaid) pou founi avantaj toulède pwogram yo pou manm enskri yo. 

Avètisman jeneral sou avantaj UnitedHealthcare Connected®

Lis sa a pa yon lis konplè. Enfòmasyon nou bay sou avantaj yo se yon ti rezime, men se pa yon deskripsyon konplè avantaj yo. Pou jwenn plis enfòmasyon, kontakte plan an oswa li manyèl pou manm yo. Limit, kopeman, ak restriksyon ka aplike. Pou jwenn plis enfòmasyon, rele Sèvis Manm UnitedHealthcare Connected® oswa li Manyèl Manm UnitedHealthcare Connected® lan. 

Plan UnitedHealthcare Senior Care Options (HMO SNP)

UnitedHealthcare Senior Care Options (SCO) se yon plan Swen Kowòdone ki gen yon kontra ak Medicare e yon kontra ak pwogram Medicaid Commonwealth of Massachusetts. Ou ka antre nan plan an si yo renouvle kontra plan an avèk Medicare. Plan sa a se yon pwogram volontè ki disponib pou nenpòt moun ki gen laj 65 lane oswa plis epi ki kalifye pou MassHealth Standard ak Original Medicare epi ki pa gen okenn lòt Asirans sante konplè, alesepsyon Medicare. Si ou gen MassHealth Standard, men ou pa kalifye pou Original Medicare, ou ka gen posiblite kanmenm pou w kalifye pou enskri nan plan MassHealth Senior Care Option nou an epi resevwa tout avantaj MassHealth ou yo nan pwogram Senior Care Options (SCO) nou an.

Avètisman sou klasman etwal

Chak ane, Medicare evalye plan yo dapre yon sistèm klasman avèk 5-Etwal. Klasman 5-Etwal la aplike pou ane plan an 2024.

Enfòmasyon enpòtan sou founisè

Chwa a se pou ou

Nou pral ba ou enfòmasyon ki pral ede w fè chwa enfòme, tankou kalifikasyon doktè ak pwofesyonèl swen sante. Men, enfòmasyon sa a pa yon apwobasyon aptitid yon doktè oswa pwofesyonèl swen sante presizeman pou bezwen w.

Founisè yo ki disponib pa mwayen aplikasyon sa a ka pa nesesèman montre tout posiblite rezo founisè UnitedHealthcare ki gen kontra yo. Ka gen founisè oswa sèten espesyalite ki pa nan aplikasyon sa a, men ki fè pati rezo nou an. Si ou pa jwenn founisè w ap chèche a, ou ka kontakte founisè a direktèman pou verifye eta patisipasyon li nan rezo UnitedHealthcare, oswa kontakte Sèvis Kliyan nan nimewo gratis ki endike nan kat ID UnitedHealthcare ou an. Anvan ou wè nenpòt doktè, ankontan nenpòt espesyalis, nou rekòmande tou pou ou rele klinik doktè a pou verifye eta patisipasyon ak disponiblite li.

Nou te ajoute oswa retire sèten founisè rezo nan anyè nou an apre yo fin mete anyè sa a ajou. Nou pa garanti ke chak founisè ap aksepte nouvo manm toujou.

Founisè ki pa nan rezo a/ki pa gen kontra pa anba okenn obligasyon pou trete manm ki nan plan UnitedHealthcare, sof nan sitiyasyon ijans. Tanpri rele nimewo sèvis kliyan nou an oswa gade Prèv Pwoteksyon Asirans ou pou jwenn plis enfòmasyon, ki gen ladan kotizasyon nan frè ki aplike pou sèvis andeyò rezo a.

Avi sou Lwa Anfavè Ameriken Andikape

Annakò avèk egzijans Lwa 1990 Anfavè Ameriken Andikape ak Seksyon 504 nan Lwa 1973 sou Reyabilitasyon ("ADA"), Konpayi Asirans UnitedHealthcare bay aksè konplè ak egal pou sèvis kouvri yo e li pa baze sou andikap pou fè diskriminasyon nan sèvis li, pwogram, oswa aktivite li yo kont moun ki gen andikap ki kalifye.

Rekòmandasyon

Founisè rezo yo ap ede oumenm ak manm fanmi w ki kouvri yo jwenn swen ki nesesè. Doktè swen prensipal ou ka kowòdone aksè pou espesyalis yo.

Demann anyè nan fòma papye

Kopi papye anyè founisè rezo a disponib gratis pou manm yo lè yo rele nimewo telefòn sèvis kliyan ki nan do kat ID w la. Moun ki pa manm ka telechaje epi enprime rezilta rechèch yo apati anyè anliy nan.

Enfòmasyon ki pa kòrèk

Pou rapòte enfòmasyon ki pa kòrèk, voye yon imèl bay provider_directory_invalid_issues@uhc.com. Bwat imèl sa a se pou manm yo rapòte potansyèl enfòmasyon demografik ki pa kòrèk (adrès, nimewo telefòn, elatriye) sou anyè yo ki nan fòma papye oswa elektwonik. Lè w sèvi ak bwat imèl sa a pou rapòte pwoblèm, sa pral fè yo kontakte biwo founisè a pou verifye tout done demografik anyè a, sa ki ka pran apeprè 30 jou. Moun yo kapab rapòte posiblite enfòmasyon ki pa kòrèk nan telefòn tou. Manm UnitedHealthcare yo dwe rele nimewo ki nan do kat ID yo a, epi moun ki pa manm UnitedHealthcare ka rele nan 1-888-638-6613 / TTY 711, oswa itilize sèvis relè ou prefere a.

Deklarasyon pou katastwòf oswa ijans

Si ou afekte ak yon deklarasyon katastwòf oswa deklarasyon ijans Prezidan an oswa Gouvènè a bay, oswa yon anons ijans sante piblik Sekretè Sante ak Sèvis Sosyal la bay, ou gen sèten soutyen anplis aladispozisyon ou.

  • Yo dwe bay avantaj Pati A, Pati B, ak plan siplemantè Pati C nan etablisman ki pa sou kontra yo (konnen ou dwe jwenn avantaj Pati A ak Pati B yo nan etablisman sètifye Medicare yo);
  • Lè sa aplikab, egzijans referans ki limite aksè dirèk (gatekeeper) yo anile okonplè;
  • Pataj frè andeyò rezo plan an apwouve pou montan pataj frè rezo yo redwi tanporèman; epi
  • Egzijans notifikasyon 30 jou pou manm yo anile, toutotan tout chanjman yo (tankou rediksyon pataj frè ak dispans otorizasyon) benefisye manm lan.

Si CMS pa te bay yon dat finisman pou katastwòf la oswa ijans lan, plan yo ap reprann fonksyònman nòmal yo 30 jou apre premye deklarasyon an.

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