UnitedHealthcare Connected® (Medicare-Medicaid Plan) H7833-001-000

Medicaid

H7833-001

Our UnitedHealthcare® Connected is for adults ages 21 and older who are eligible for both Medicare and Medicaid. The plan offers members a customized care plan and a single point of contact for all Medicare and Medicaid services.

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 that includes:

  • Unlimited PCP Visits. See your doctor as often as needed.
  • NurseLineSM. Pale avèk yon enfimyè otorize 24/7.
  • Laboratwa ak Radyografi. Tès laboratwa, radyografi, ak imajri dyagnostik kouvri.
  • Sèvis Terapi. Physical and other needed therapies are covered.

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.  Our Healthy First Steps program gives pregnant women information, education and support during pregnancy. 
Pregnant members can enroll in Healthy First Steps by calling 1-800-599-5985

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. Nou garanti konsèy ak lòt tretman.
  • Jesyon Swen. Sipò pèsonèl nan men yon pwofesyonèl ki gen eksperyans.
  • Asthma 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 good shape. Avantaj yo gen ladan yo:

  • Vision Care. Eye exams are covered once every 24 months for members.
  • Dantè. We pay for an exam once every 12 months for members over the age of 21.

You get 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:

  • Transpò. We pay for up to 8 one-way rides to and from medical visits or the pharmacy, if you qualify.
  • Members Matter. Someone to help you get the most from your plan.
  • Èd nan domèn Lang. Connect to a translator through Member Services.

Adult Day Care

Companionship is important. Adult day care provides care and companionship for members 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 Texas Medicaid, Adult Day Care can provide:

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

Sipò pou Opresyon ak COPD

Individual care to help you control asthma or COPD symptoms.

Do you have trouble managing asthma or COPD symptoms? A nurse who specializes in breathing issues could help. You’ll get a customized treatment plan and medicine to help:

  • Jere rechit yo.
  • Diminye sentòm.
  • Stay active.

Certain members can also get an allergy-free mattress cover and pillow cases each year.

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 se 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.
  • Treatment if you are sick or injured
  • Rekòmandasyon kay espesyalis pou sèten pwoblèm medikal.

Swen Dantè

Checkups, routine and emergency care are covered.

Exams and cleanings once every 12 months help keep teeth and gums strong and healthy. Si gen yon pwoblèm dantè ki dwe regle, li garanti tou.

Adult Dental Services (non-waiver Members) $1000 benefit to cover routine exam and cleaning once per year, full mouth x-ray, scaling and root planning if medically necessary.

Ekipman ak Founiti

The health and safety of our members at home are important.

Our plan covers some medical equipment ordered by a member's doctor or case manager. This can include:

  • Walkers
  • Wheelchairs
  • Hospital beds

Extra Help for Pregnant Women and New Moms

Get extra help during your pregnancy and after your baby has arrived. You can get:

  • Infant care book for pregnant Members.
  • Gifts for pregnant Members who attend baby showers.
  • Up to 6 gift certificates for disposable diapers for Members getting post-partum checkup.
  • Home health visit for new mothers.

Foot Care

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.

Gift Program

One welcome kit for Members each year upon admission to a network nursing home. At a minimum, each kit includes:

  • Hand sanitizer, Lotion or Lip Balm
  • Shower cap
  • Water bottle
  • Coffee cup
  • Night light
  • Lighted magnifier
  • Medication Box
  • Reusable bag

Other gift programs include:

  • After completion of Annual wellness visit, members are eligible for a $15 gift card from a variety of vendors

Swen oditif

Trouble hearing can affect a person’s everyday life in many ways.  Our plan includes services and support to help protect hearing.

Nou kouvri:

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

    This plan pays for most expenses related to a hospital stay. This way 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.

    And after leaving the hospital, you are not alone. Nou asire ou jwenn swen swivi pou w kontinye geri lakay ou.

    In-Home Care

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

    • Dressing
    • Bathing
    • Feeding

    Language and Interpretation

    You and your doctor need to understand one another. We can explain information in English or in your native language. If you are visually or hearing impaired, special help can be provided. 

    Medikaman

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

    You pay only a co-pay amount, if needed, and you can get your prescription drugs at any in-network pharmacy. 

    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:

    • Home care providers.
    • Dantis ak founisè pou vizyon.
    • Adult Day Health Centers.

    Sante mantal

    Get help with personal problems that may affect your mental or physical health. These may include depression, anxiety or drugs and alcohol abuse. Our services also include: 

    • Therapy
    • Counseling
    • Medications

    Online mental health resources: Access to LiveandWorkWell.com, which provides access to article resources, and provider searches. 

    Kopeman

    While you pay nothing for covered services, you get:  

    • Treatments at hospitals and clinics.
    • Prescription drugs and over-the-counter medicines. 

    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.

    Our nurses will: 

    • Koute sentòm yo.
    • Help with self-care.
    • 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.  

    Sispann itilize tabak

    Ou konnen move efè fimen gen sou sante w. Ou konnen fòk ou kite fimen. We will support you while you quit with coaches and supplies. Sèl bagay ou p ap jwenn nan men nou, sèke nou pa pral fè moral ou.

    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.

    Service Coordinator

    Our members' safety is our focus. For members who need extra care, like after a major illness, we'll visit them at home to make sure they're doing okay.

    During this visit we:

    • See if the residence needs minor modifications, such as ramps and bathroom safety devices.
    • Set up emergency monitoring.
    • Arrange for a personal care attendant, if needed.

    Sèvis Terapi

    Physical, occupational and speech therapy can help members recover from a serious injury or illness, or simply reach their full potential.

    Our plan covers visits for:

    • Ègoterapi
    • Terapi fizik
    • Terapi lapawòl
    • In-home therapy

    Sèvis Transpò

    Whether you live in the city or in the country, rides are available. Our plan provides round trips to and from plan locations. This includes trips to and from the pharmacy to fill your prescriptions.

    We pay for 8 one-way, or 4 round-trips per year to support services or support needed.

    Swen pou vizyon

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

    • One routine eye exam every two (2) years.
    • $70 credit for lenses and frames or $105 for contact lenses every two (2) years.

    This benefit is offered by certain stores and retailers.

    Weight Control

    Get 10 vouchers toward local Weight Watchers programs.

    Weight Watchers encourages a healthy approach for eating and living. The program helps you change your eating habits and become more active. Weekly meetings give you advice and support. So you can stay on track and meet your goal.

    • Up to $100 for Weight Watchers program each year.
    • $50 gift card for workout clothes for Members who complete Weight Watchers.
    • Enhanced Disease Management (prior authorization and referral required) providing specific observation and comprehensive educational activities.
    • Specific counseling services for comprehensive individual or group treatment sessions (prior authorization and referral required)

    UnitedHealthcare Connected® (Medicare-Medicaid Plan)

    2019 Downloadable Resources
    2020 Downloadable Resources

    Resous pou Manm

    Resous pou Manm
    Tcheke Kalifikasyon

    Enskripsyon

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    Monday - Friday
    8 a.m. to 8 p.m. Central Time

    1-800-256-6533
    TTY: 711

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