Taageerada neefta iyo Neefsasha oo adkaato (COPD)

Individual care to help you control asthma or COPD symptoms.

If you have trouble managing asthma or COPD symptoms, a case manager can really help. You’ll get a customized treatment plan and medicine to: 

• Manage flare-ups.
• Reduce symptoms. 
• Let you stay active.

Maareynta Kiiska

Do you or a loved one have a serious health problem? If so, our case managers are in your corner. They will:

• Explain medical terms in plain language.
• Coordinate your doctor appointments.

Your case manager will stay with you on your medical journey. He or she will:

• Think beyond your medical needs.
• Make sure you have support at home.

So you can focus on getting better.

Cell Phone

No Cost Smartphones and Service Plans

We want you to stay connected with easy and dependable access to health care services. If you qualify for the UnitedHealthcare MyHealthLine™ program, you can get a smartphone and a monthly service plan at no cost. (Or you can get a service plan for your current phone.)

Plus you get extras just for being a member of UnitedHealthcare Community Plan!

Dooqa dhakhtarka

You get to choose a primary care physician (PCP) who is your main doctor. Isticmaal Qalabka Raadinta Dhakhtarka si aad u aragto in dhakhtarkaagu ku jiro shabakadeena. 

Haddii aanad lahayn dhakhtar ama haddii dhakhtarkaagu aanu ku jirin shabakadayada, waxaanu kaa caawin karnaa inaad hesho mid cusub oo kuu dhow.  

PCP-gaaga ayaa ah dhakhtarkaaga ugu muhiimsan ee loogu tala galay:

• Preventive care.
• Treatment if you are sick or injured. 
• Referrals to specialists for certain conditions.

Daryeelka ilkaha

Checkups and dental care are covered for members up to age 21.

• Checkups and dental care are covered for members through age 20.
• Emergency (members 21 and older have a $1,000/year limit)
• Routine preventive and therapeutic services (ALTCS members 21 and older have a $1,000/year limit)

Exams and cleanings every six months help teeth and gums stay strong and healthy. If there is a dental problem that needs to be fixed, that’s covered as well.

Qalabka iyo Saadka

Caafimaadkaaga iyo badbaadadaada guriga waa muhiim

Qorshahayagu waxa uu cayminayaa qalabka caafimaad ee uu dalbado dhakhtarkaagu. Tan waxaa ka mid noqon kara agabka sida: 

• Hospital beds.
• Oxygen tanks.
• Walkers or wheelchairs.

Hearing Care

Trouble hearing can affect everyday life in many ways. Our plan includes services and support to help protect the hearing of members up to age 21.

Waxaan daboolnaa: 

• Exams, therapy and tests.
• Hearing aids.

Home Meal Delivery

Proper nutrition is essential to good health. Yet you may not be able to safely fix meals for yourself at home. If that’s you, we can arrange for additional meal services. 

Isbitaal Dhigista

This plan pays for all expenses related to a hospital stay. This way you can rest and heal.

Qorshahayagu waxa uu daboolaa: 

• Nursing care.
• Supplies and equipment.
• Treatment and therapies.
• Diagnostic tests and exams.

Ka dib markaad isbitaalka ka baxdo, keligaaga ma tihid. We make sure you get follow-up care, if needed, to continue healing at home.

In-Home Care

Support and personal care where you live, if needed.

Interpreters

Your doctor and you need to understand each other. In aan si fiican loo hadlin Ingiriisi ayaa tan ka dhigaysa mid adag. We can arrange for a medical interpreter to help with your appointment.

We also have people at member services who speak more than one language. Chances are, we have someone who speaks your language.

Ka caawin Luqad

You can get information translated into your preferred language. Adigu un weydii. This service is provided at no cost to you.

Daawooyinka

Our plan includes prescription drugs and refills.

We also cover over-the-counter medicines with a written order from your doctor. 

And we make getting your medicine easy. You can fill your prescriptions at:

• Local network pharmacies.

Member Services

Health insurance is complex. Now you have someone you can call. We can answer your questions simply and completely Monday - Friday from 8 sn. to 5 gn. local time.

We help you find:

• Doctors.
• Pharmacies.
• Hospitals or other health facilities.
• Local resources.

Caafimaadka Maskaxda

Mental health is as important as physical health. That’s why we cover both.

Daryeelka loo baahan yahay waxaa la daboolay 100% iyadoo la isla bixinayn. Tani waxaa ka mid ah:

• Behavioral therapy.
• Substance abuse treatment.
• Daawooyinka.

Khadka Taleefanka Kalkaaliyaha

Medical questions and situations come at inconvenient times. When you have questions about your health, you can call a trained nurse 24/7 at 1-877-440-0255.

Our Nurse Hotline nurses will:  

• Listen to the symptoms.
• Guide you on self-care.
• Kaala talin doonaan ku helida daryeel booqashada dhakhtarka ama xarunta daryeelka degdegga ah.
• Kaa caawin doonaan inaad ogaato goorta aad aadi doonto qolka gargaarka degdega ah.

Daryeelka gaarka ah

Your safety at home is our focus. That is why we conduct home visits for those needing extra help to stay at home.

During this visit we:

• Understand your personal needs.
• Provide minor home modifications, such as ramps and bathroom safety devices.
• Set up emergency monitoring, if needed.
• Arrange for personal care attendants.

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.  

Social Services

Sometimes a person’s health and safety requires help from community programs.

We help members connect to community services. Here they can get information about a variety of programs, like:  

• Food and housing assistance.
• Community child care.

They can help members get much needed relief in many ways. 

Gaadiid-raaca

Our plan provides trips to and from medical appointments. 

Daryeelka Aragga

Eye exams, frames and lenses including replacement and repair are covered for members under the age of 21. 

Booqashooyinka Wanaagsan

Well visits with your doctor can help keep you healthy. These visits can catch health problems early so they can be treated. Adeegyada ka hortagga waxaa ka mid ah: 

• Checkups for adults.
• Tallaalada joogtada ah iyo tijaabooyinka.
• Raajada naaska.

You will not have a copayment for preventive care.