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Kontni Prensipal

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 Steps to Enroll
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Avantaj & Karakteristik

Swen pou moun ki ansante ak Moun ki malad

If you just need a checkup or if you are injured or sick, you will have access to the care you may need. Li gen ladann:

  • Unlimited PCP Visits. See your doctor as often as needed.
  • Nurse Hotline. Speak with a registered nurse 24/7. Rele 1-800-542-8630.
  • Lab and X-rays. Lab tests, x-rays and diagnostic imaging are covered.
  • Therapy Services. Physical and other needed therapies are covered.
  • Urgent Care. Convenient care for a sudden illness or injury.

A healthy mom is more likely to have a healthy baby. Pregnancy is an important time for women to take good care of themselves and their unborn baby. We have a special program for pregnant members.

If you have asthma, diabetes or another chronic condition, you can depend on us. Our plan helps you get the care, support and services you may need. Avantaj yo gen ladan yo:

  • Mental Health and Substance Abuse Services. Counseling and other treatments are covered.
  • Care Management. Personal support from an experienced professional.
  • Asthma and COPD Care. Exams, testing and supplies are covered for asthma and other lung diseases.
  • Kidney Disease Care. Dialysis, medicine and treatments are covered.

We help members keep their vision, smile and hearing in the best shape possible. Avantaj yo gen ladan yo:

  • Vision. Eye exams are covered every year for members age 21-59.
  • Dental. We pay for an exam every six months for members over the age of 21.
  • Hearing. Tests, checkups and hearing aids, if needed, are provided.

You get the medical care and equipment you may need to live safely at home. Avantaj yo gen ladan yo:

  • Equipment and Supplies. In-home medical and safety equipment are covered.
  • Kowòdonatè swen. Someone to get you the services after surgery or illness.
  • Home Health Care. Medical and personal care in your home, if needed.

Sometimes members need a little extra help using their health plan. For those times, they can rely on:

  • Transportation. We provide non-emergency transportation to covered health care services.
  • Sèvis pou Manm. Someone to help you get the most from your plan. Member Services has access to Aunt Bertha database to help members connect to community services.
  • Èd nan domèn Lang. Konekte avèk yon tradiktè an pasan pa Sèvis Manm yo.

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

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