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UnitedHealthcare Community Plan Medicaid (MMA)

Medicaid

This Florida Medicaid Plan offers a range of benefits. Children, families, pregnant women and single adults may qualify based on income. View the benefits below to see all that it offers.

We want to help you to get the most from your health plan. If you have not completed a health risk assessment, please call 1-888-716-8787 to talk with a representative Monday-Friday from 8 sn.-5 gn..

  • UnitedHealthcare Community Plan Medicaid (MMA) Steps to Enroll
  • Hubi u-qalmida (ku furma bogga xiran)

To Learn More About UnitedHealthcare Community Plan. Call Us.

24 hours a day, 7 days a week.
MMA: 1-844-446-2151
LTC: 1-844-445-7229
TTY: 711

Are you elgible for Florida Medicaid, but not a member yet?

  • Text ENROLL to FLSMMC (357662). You will need the Medicaid ID number of each member and the account PIN number. 
  • Go online at at www.flmedicaidmanagedcare.com to create a Member Portal account or chat with our Enrollment Virtual Assistant.
  • Call the Helpline to speak to a Choice Counselor toll free at 1-877-711-3662, Monday–Thursday, 8 a.m.–8 p.m., and Friday, 8 a.m.–7 p.m.. TTY/TDD users please call 1-866-467-4970

Need to apply for Medicaid?

You can apply for Medicaid through the Florida Department of Children and Families You can also visit the SMMC website at https://www.myflfamilies.com/medicaid

UnitedHealthcare Community Plan of Florida is a Managed Care Plan with a Florida Medicaid contract. The benefit information provided is a brief summary, not a complete description of benefits. For more information contact the Managed Care Plan. Limitations, copayments, and restrictions may apply Benefits, formulary, pharmacy network, premium and/or copayments/coinsurance may change.

 

 

Macaashyada & Sifooyinka

Daryeelka Dadka Caafimaadka Qaba iyo Dadka Jirran

Get the care you need to stay healthy, or to get better if you are injured or sick. Tani waxaa ka mid ah:

  • Doorashada dhakhtarka. Find a doctor you trust in our network.
  • Shots and Vaccines. Routine shots to help keep you healthy.
  • Khadka Taleefanka Tooska ah ee Kalkaaliyaha. La hadal kalkaaliso diiwaan-gashan 24/7.
  • Adeegyada Daawaynta. We cover physical, respiratory and other therapies.
  • Lab and X-rays. Lab tests, x-rays and diagnostic imaging are covered.

We want to help you to get the most from your health plan. If you have not completed a pregnancy health risk assessment, please call 1-888-716-8787 to talk with a representative from 8-5 gn. M-F.

Ma jiro wax ka muhiimsan caafimaadka iyo fayoobaanta adiga iyo ilmahaaga. Taasi waa sababta faa'iidooyinka qorshaheenna ay uga mid yihiin:

  • Prenatal Visits. Care for you before your baby is born.
  • Healthy First Steps®. Get extra support and rewards to keep you and your baby healthy.
  • Choice of Birth Center. Pick from hundreds of hospitals across Florida.
  • In-Home Care. Home visits and medical support if ordered by your doctor.
  • Text4baby. Text messages with helpful tips and reminders.

If you have asthma, diabetes or another long-term condition, you can depend on us. Our plan makes sure you get the care and services you need. Dheefooyinka waxaa ka mdi ah:

  • Mental Health. Counseling and other treatments are covered.
  • Care Management. Personal support from an experienced professional.
  • Asthma and Allergy Care. Exams, testing and supplies are covered.
  • Taageerada sonkorowga. Needles, supplies, plus classes on managing diabetes.
  • Residential Care. Brief stay at a care facility while you recover from sickness or injury.

Make sure your sight and hearing are at their best. Dheefooyinka waxaa ka mdi ah:

  • Vision. Eye exams and up to two pairs of eyeglasses each year.
  • Hearing. Tests, checkups and hearing aids, if needed, are provided every three years.

    Attention Diabetic Members – As of March 2015, referrals from your Primary Care Physician are no longer needed for your annual Diabetic Retinal Eye Exams with an Optometrist. Referrals are still required to see an Ophthalmologist.

Get the medical care and equipment you need to live safely at home. For example, your care provider might recommend:

  • Nurse Visits. Medical care to help you safely recover at home.
  • Equipment and Supplies. In-home medical and safety equipment is covered.

Sometimes you might need a little extra help using your health plan. For those times, you can rely on:

  • Nurse HotlineSM. La hadal kalkaaliso diiwaan-gashan 24/7.
  • Interpreters. An interpreter can go with you to your medical visits.
  • Member Services. Your benefit questions are answered 24/7.
  • Transportation. We cover unlimited rides to and from provider offices.
  • Joojinta tubaakada. Coaches and supplies to help you quit tobacco.
  • Over-the-Counter Supplies. Get up to $25 back on approved over-the-counter purchases.

Taageerada neefta iyo Neefsasha oo adkaato (COPD)

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

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

Maaraynta Daryeelka

A serious health problem requires extra care and support. We use Health Homes to coordinate services for our members.

Do you or your child have a serious health problem? Then our case managers are in your corner. They will:

  • Explain medical terms in plain language.
  • Coordinate doctor appointments.
  • Provide the care team with medical records.

Your case manager will stay with you or your child throughout the medical journey. He or she will:

  • Think beyond immediate medical needs.
  • Make sure there is support at home.

Dooqa dhakhtarka

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

If you don't have a doctor or if your doctor is not in our network, we can help you find a new one close to you. 

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.

Choice of Birth Center

Where you have your baby is an important choice. That's why you can pick from nearly 80 hospitals across Florida.

We also encourage you to tour the hospital’s birthing center. This way you will be familiar with it. And be more relaxed when you have your baby.

Diabetic Support

If you have diabetes, we'll make life a little easier for you. Waxaad heli doontaa daawo, sahay iyo waxbarasho kaa caawiya inaad gaadho oo aad sida ugu fiican u ahaato.

Our diabetes program also includes self-care training and classes focused on:

  • Planning healthy meals.
  • Managing stress.
  • Living a healthy lifestyle.

Qalabka iyo Saadka

Caafimaadkaaga iyo badbaadadaada guriga waa muhiim

Our plan covers medical equipment ordered by your doctor or case manager. Tan waxaa ka mid noqon kara agabka sida:

  • Hospital beds.
  • Oxygen tanks.
  • Wheelchairs or walkers.

Hearing Care

Trouble hearing can affect your everyday life in many ways. Our plan includes services and support to help protect your hearing.

Waxaan daboolnaa:

  • Exams, therapy and tests.
  • Hearing aids every three years.

Healthy Behavior Programs

Do you smoke? If so, do you want to try and quit? We have a smoking cessation program that is available at no cost.

Do you want to work on weight loss or healthier eating habits? These types of lifestyle changes can help with many chronic conditions. We have a program to help you with this.

If you have noticed changes in your mood, habits or the way you feel, you may need to talk to someone about these feelings.

Behavioral health services are available as part of your benefits. We also offer a reward program if you would like help with a drug abuse problem.

All of these programs are available at no cost to you. If you would like to join any of these programs, please call us at 1-844-446-2151. We are here Monday through Friday from 8:00 sn. to 7:00 gn. If you are hard of hearing, please dial 711.

Healthy First Steps™

Build a healthy future for you and your baby and earn great rewards with Healthy First Steps. Our program will help you take the right steps to keep you and your baby healthy. Plus you can earn $10 just for signing up. 

Waan ku caawin doonaa:

  • Choose a pregnancy provider and a pediatrician (child’s doctor).
  • Schedule visits and exams and arrange rides to your visits.
  • Earn rewards for going to visits throughout your pregnancy and baby’s first 15 months of life.
  • Get supplies, including breast pumps for nursing moms.
  • Ku xirirannashaha dhigaalada bulshada sida adeegyada Haweenka, Dhallaanka iyo Carruurta (WIC).

Home Meal Delivery

Taking care of the basics, like cooking, can be difficult after an illness or sickness. That’s why we’ll bring nutritious meals to you to help you through tough times. You can get up to 10 meals delivered each year after being discharged by the hospital.

Isbitaal Dhigista

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

Qorshahayagu waxa uu daboolaa:

  • Nursing care.
  • Room and board.
  • 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 to continue healing at home.

Interpreters

Your doctor and you need to understand each other. In aan si fiican loo hadlin Ingiriisi ayaa tan ka dhigaysa mid adag. Waxaan kuu diyaarin karnaa turjumaan inuu joogo ballamahaaga.

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

Lab and X-rays

Ogaanshaha waxa khaldan iyo in la helo goor hore ayaa wax walba samayn karta. Qorshahayagu waxa uu daboolaa:

  • Shaybaarada iyo tijaabada.
  • Raajooyinka, iskaangaraynta iyo sawir-qaadista kale.

We’ll help you get the information needed to improve your health or be at your best.

Ka caawin Luqad

You can receive information in your preferred language. Adigu un weydii. We also have people at our customer service who speak more than one language. Chances are, we have someone who speaks your language.

Daawooyinka

Our plan includes prescription drugs and refills.

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

  • In Network Local pharmacies.
  • Services that deliver right to your door.

Member Services

Sometimes you might need a little help understanding your health care options. With us, you have someone you can call. We’ll answer your questions simply and completely.

We can also help you find:

  • Primary Care Physicians and Specialists.
  • Dentists and vision providers.
  • Local pharmacies.

Caafimaadka Maskaxda

Mental health is as important as physical health. That's why we have coverage for both.

Required care is 100% covered. with no copay. Tani waxaa ka mid ah:

  • Behavioral therapy.
  • Daawooyinka.

No Copays

You will not have a copayment for care and services covered by our plan.

Khadka Taleefanka Kalkaaliyaha

Su'aalaha iyo xaaladaha caafimaad waxay mararka qaarkood ku soo aadaan waqtiyo aan habboonayn. When you have questions about your health or your child’s health, you can call a nurse 24 hours a day, 7 days a week.

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.

Nurse Visit

Sometimes you may need continued care after you leave the hospital or urgent care.

If your health is at risk after a serious illness, surgery or injury, a nurse will visit you at home to:

  • Provide medical care for you or your child.
  • Answer your questions and concerns.

Over-the-Counter Supplies

Your health care costs may include non-prescription medicines and supplies like aspirin, cough medicine or bandages. Our plan will cover you up to $25 each month for medically necessary over-the-counter medicine or medical supplies you purchase.

Daryeelka uurka

A pregnancy is a journey you’ll want to make with the help of friends, family and a pregnancy doctor, or OB-GYN.

All of your recommended prenatal clinical visits and tests are covered.

At these visits, the clinic will:

  • Make sure you and your baby are healthy.
  • Explain what to expect at each stage of your pregnancy.
  • Answer your questions.

Residential Care

After a serious illness, surgery or injury, you may need extra nursing and therapy.

If needed, our plan covers short stays in a rehabilitation center where you can heal. Included are:

  • Nursing home services.
  • 24-hour nursing care.
  • Help with activities of daily living.
  • Physical, occupational and speech therapy.

Joojinta Tubaakada iwm

You know the bad health effects of smoking.

You know you need to quit. We support you while you quit with the help of coaches and supplies. The only thing you won't get from us is a lecture.

Xabado iyo Tallaal

Tallaabooyinka caadiga ah waxay kaa caawinayaan inay jirro kaa difaacdo.

So, our plan covers:

  • Pneumonia, influenza and shingles shots.
  • Other recommended shots and vaccines.

Telehealth

Everyday care at no cost to you! Talk to a doctor 24/7 by phone or video—day or night from wherever you are.
We can diagnose, treat, and prescribe medicine if needed for:

  • Flu
  • Fever
  • Cough
  • Headache
  • Stomachache
  • Rashes
  • Allergies
  • Upper respiratory infection
  • Iyo in ka badan

Call 1-888-716-8787 for more information.
 

Text4baby

Text4baby can help new and expecting mothers keep themselves and their babies healthy.

You’ll get three text messages each week throughout your pregnancy and your baby’s first year. Each text contains health and safety tips for topics like:

  • Prenatal care.
  • Labor and delivery.
  • Breastfeeding.
  • Safe sleep.
  • Nutrition.
  • Car seat safety.

So you and your baby can make a healthy start.

Adeegyada Daawaynta.

Therapy can help you recover from a serious injury or illness, or simply reach your full potential. Members receive needed:

  • Occupational therapy.
  • Physical therapy.
  • Respiratory therapy.
  • Daaweynta hadalka
Members needing help obtaining pediatric services, or providers experiencing issues, can contact our plan coordinator Adrianna Genaro at 612-428-6681, or by email at adrianna.genaro@optum.com.

Gaadiid-raaca

Our plan provides unlimited round trips to and from health care locations. That includes rides to:

  • Doctor or therapy visits.
  • Health departments.
  • Vision clinics.
  • Urgent care centers.

Daryeelka Aragga

You’ll get the care, eyeglasses and treatment that let you see life more clearly. Coverage includes:

  • Regular exams.
  • Up to two pairs of frames each year.
  • Prescription lenses.

This benefit is offered by Vision Service Plan.

Booqashooyinka Wanaagsan

Well visits with your doctor can help keep you healthy. Booqashooyinkani waxay ku dhici karaan dhibaatooyin caafimaad goor hore, si loo daweeyo. Adeegyada ka hortagga waxaa ka mid ah:

  • Baaritaannada ku aaddan dadka waaweyn iyo carruurta.
  • Tallaalada joogtada ah iyo tijaabooyinka.
  • Raajada naaska.

Ma jirto wax lacagta caymiska ee go'an ah oo laga bixiyo daryeelka ka hortagga ah.

Dhigaalada Xubinta

Ilaha Xubinta (fur daaqada modeelka)

Learn more about UnitedHealthcare Community Plan Medicaid (MMA)

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