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.

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.
• Tretman si w malad oswa blese
• Rekòmandasyon kay espesyalis pou sèten pwoblèm medikal.
• Denture and denture repair 

Cologuard®

Coverage begins at age 45 and the frequency of coverage is the same as Medicare.

Cytogenomic Constitutional Microarray

• Covered for women who undergo prenatal diagnostic procedures, and products of conception resulting from recurrent miscarriage.
• Exceptions to the one-per-lifetime limitation may be made with documentation of medical necessity (e.g., subsequent pregnancies).
   

Swen Dantè

Checkups, routine and emergency care are covered.

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
• Kabann lopital yo

Flexible Benefits, Rewards, and Incentives

Read about all the extras you could get as a UnitedHealthcare Connected member in the community: English | Spanish 

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.  Our plan includes services and support to help protect hearing.

Nou kouvri:

• Egzamen, terapi ak tès.
• Hearing aids and accessories.
• Gen lòt founisè egzamen odisyon disponib nan rezo UnitedHealthcare lan. Plan an kouvri sèlman aparèy pou tande kay yon founisè rezo UnitedHealthcare Hearing.

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. We help make sure you get follow-up care to continue healing at home.

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
• Medikaman yo

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.

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.
• Nurse Advice Line not for use in emergencies, for informational purposes only.

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
• Terapi nan kay

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.

It can be easy to use your ride benefit:

• As a member of UnitedHealthcare Community Plan, your health plan coverage includes non-emergency transportation to health care services. This includes rides for covered trips to a doctor, a dentist, a drug store, and other places you get Medicaid services.
• Our Transportation Services will work with you to meet your unique transportation needs. They provide dependable rides and excellent personal service. There is no extra cost to you.

Scheduling a ride can be easy.

Call 1-866-427-6607,
8 AM–5 PM CT (7 AM–4 PM MT)
Monday–Friday

Swen pou vizyon

Eye Exams are covered once every 24 months for members.