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UnitedHealthcare Connected® for MyCare Ohio
Medicare
H2531-001
This plan is for adults who need extra support and care. You may qualify based on income and health needs. The plan offers members a customized care plan and a single point of contact for all Medicare and Medicaid services. The plan also offers extra support and care to adults and children with a disability, long-term illness or special health care needs. You get many services to help with daily activities that other MyCare Ohio plans don’t offer. Gade avantaj ki anba yo pou w wè tout sa li ofri.
More information on eligibility and enrollment can be found on www.ohiomh.com, or by calling the Medicaid Hotline at 1-800-324-8680, TTY 1-800-292-3572. The Hotline operates from 7 AM to 8 PMm local time, Monday through Friday and 8 AM to 5 PM, local time, on Saturday.
- UnitedHealthcare Connected® for MyCare Ohio
Jwenn founisè yo ak pwoteksyon asirans pou plan sa a.
Chèche doktè, lopital, ak espesyalis.
Chèche yon dantis ki toupre w.
Chèche medikaman plan sa a kouvri.
Chèche yon famasi ki toupre w.
Avantaj & Karakteristik
Adult Day Care
Companionship is important. Adult day care provides care and companionship for seniors who who qualify for extra help during the day.
Caregivers also benefit, knowing their loved one is well cared for and safe during the day.
If your need for long‑term care has been determined by Ohio Medicaid, Adult day care can provide:
- Social connections and friendship.
- Meals.
Asthma and COPD Care
Individual care to help control asthma and other lung diseases.
Some members may have trouble managing asthma or COPD symptoms. For them, a nurse who specializes in breathing issues can really help. They get a customized treatment plan and medicine to help you:
- Jere rechit yo.
- Diminye sentòm.
- Help you stay active.
Jesyon Swen
Members get a get a Personal Care Manager. The care manager is there for you throughout your medical journey. Li pral:
- Work with you to develop a plan of care that meets your individual needs.
- Coordinate with family members, caregivers and health care providers.
- Help get additional services or support you may need.
Chiropractor Services
Our plan includes visits for chiropractic care. Whether chiropractor services are your primary or alternative treatment method, you're covered.
Members of all ages can get up to 15 visits per year. Members under 21 may get additional visits with prior authorization.
Chwazi Doktè
From regular checkups to preventive health screenings, we want to make sure you get access to the right care at the right time.
Ou gen yon doktè swen jeneral (PCP) ki doktè prensipal ou. 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
Regular exams help keep teeth and gums strong and healthy. Oral exams are covered once per year for members over age 21.
Ekipman ak Founiti
Our plan covers some medical equipment ordered by a member's doctor or case manager. Sa ka gen ladan founiti tankou:
- Walkers
- Wheelchairs
- Kabann lopital yo
Swen pou Pye
We provide the exams and treatments needed to help keep your feet in great shape. And for those with 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.
- Therapeutic shoes and inserts for members with diabetes.
Swen oditif
Trouble hearing can affect a person's everyday life in many ways. Plan nou an gen ladan sèvis ak sipò pou ede pwoteje kapasite pou w tande (odisyon).
Plan nou an kouvri:
- Egzamen, terapi ak tès.
- Hearing aids, batteries, and accessories.
Swen sante adomisil
If you are living with a long-term health condition, disability or leaving the hospital after surgery or a serious illness, you may need extra support. This can include 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 may cover:
- An in-home medical visit.
- Medical equipment like hospital beds, walkers or wheelchairs.
- A home health aide, nursing services or a private nurse.
- Physical, occupational, and speech therapy.
- Help with personal care or housekeeping.
- Home infusion therapy.
Ospitalizasyon
This plan pays for most expenses related to a hospital stay, so you can rest and heal.
Our plan covers these services and more:
- 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.
Language and Interpretation
Oumenm ak doktè w, youn dwe konprann lòt. We can explain information in English or in your primary language. If you are visually or hearing impaired, special help can be provided.
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 needed to live. Dyaliz la itilize yon machin pou netwaye san an menm jan ak ren ki an sante yo fè li.
Our services may include:
- Dyaliz.
- Needed equipment and supplies.
- Home support services.
- Health education and training.
Medikaman
Our plan includes prescription drugs and refills for prescriptions written by your doctor or specialist. Thousands of drugs are covered.
You pay a co-pay amount, if needed, and you can get your prescription drugs at any in-network pharmacy.
Member Services Representative
Every member of the health plan gets a personal Members Services representative. This person can help you get the most of your benefits. They can:
- Welcome you to the plan and help you understand your benefits.
- Arrange for extra support services.
- Complete a health risk assessment.
- Help you access community services.
Mental Health and Substance Use Disorder Treatment Services
Get help with personal problems that may affect your mental or physical health. These may include stress, depression, anxiety or drugs and alcohol abuse. Our services also include:
- Therapy
- Counseling
- Medikaman yo
Nurse Advice
Medical questions and situations 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.
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.
Sispann itilize tabak
Most people know the bad health effects of smoking. And they know they need to quit. We support our members with coaching while they quit.
Sèvis Terapi
Terapi ka ede ou refè apre yon chòk oswa maladi grav, oswa tou senpleman reyalize tout sa ou kapa fè. Manm yo resevwa sa yo bezwen kòm:
- Terapi okipasyonèl.
- Terapi fizik.
- Terapi respiratwa.
- Terapi lapawòl.
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.
- Federally qualified health centers.
- Other walk-in clinics.
Swen pou vizyon
Eye exams are covered every year for members age 21-59.
UnitedHealthcare Connected® for MyCare Ohio
Konnen Plis
UnitedHealthcare Connected® for MyCare Ohio H2531-001-000