UnitedHealthcare Connected® oo loogu tala galay One Care (Qorshaha Medicaid - Medicare)

Taageerada neefta iyo Neefsasha oo adkaato (COPD)

The plan covers pulmonary-rehabilitation programs for members who have moderate-to-very severe chronic obstructive pulmonary disease (COPD). The member must have an order for pulmonary rehabilitation from the doctor or provider treating the COPD.

Prior authorization may be needed. Please contact your Care Coordinator

Dooqa dhakhtarka

From regular checkups to preventive health screenings, we want to make sure you get access to the right care at the right time.

You get a primary care physician (PCP) who is your main doctor. 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:

• Daryeelka ka-hortagga
• Daawaynta haddii aad jiran tahay ama aad dhaawacantay
• U gudbinta dhakhaatiirta takhasuska leh ee xaaladaha qaarkood
• Denture and denture repair 

Daryeelka ilkaha

Our plan provides access to dental benefits that includes preventive, restorative, and emergency oral health care. Your coverage includes up to two cleanings per calendar year. You must go to a participating dental provider for all covered dental services. Some services may require a prior authorization by UnitedHealthcare Connected®  for One Care. Your dentist will need to submit a prior authorization directly to UnitedHealthcare Dental, our dental benefit administrator.

Qalabka iyo Saadka

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
• Sariiraha isbitaalka

Daryeelka cagaha

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

Hearing Care

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

Waxaan daboolnaa:

• Exams, therapy and tests
  
• Hearing aids and accessories

Isbitaal Dhigista

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:

• Nursing care
• Room and board
• Supplies and equipment
• Treatment and therapies
• Diagnostic tests and exams

And after leaving the hospital, you are not alone. We 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 Ingiriisi or in your native language. If you are visually or hearing impaired, special help can be provided.

Daawooyinka

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.

Member Engagement Center

Sometimes you might need a little help understanding your health care options.  We’ll answer your questions simply and completely. Contact the Member Engagement Center 1-866-633-4454, TTY 711, 8 sn. – 8 gn. local time, 7 days a week.

We can also help you find:

• Home care providers
• Dentists and vision providers
• Adult Day Health Centers

Caafimaadka Maskaxda

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
• Daawooyinka

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

No Copays

While you pay nothing for covered services, you get:  

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

Khadka Taleefanka Kalkaaliyaha

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.

Kalkaaliyeyaasheena way: 

• Dhageyso astaamaha
• Kaa caawinta is-daryeelka
• 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.

Joojinta Tubaakada iwm

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

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.

Long-term Supports (LTS) Coordinator

Long-term Supports Coordinator (LTS Coordinator) is a person who works with you and your Care Team to make sure you get the services and supports you need for independent living.

If you use or need long-term services and support in the community (such as day rehabilitation, adult foster care, or personal care assistance), you can choose a Long-Term Supports (LTS) Coordinator to meet with you and help evaluate your health and wellness needs. The LTS Coordinator will be part of your Care Team and will tell you about the different kinds of services available and help find the best long-term services and programs for you.

Adeegyada Daawaynta.

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:

• Daaweynta Shaqo ahaaneed
• Daaweynta jireed
• Daaweynta hadalka
• Daaweynta guriga dhexdiisa

Gaadiid-raaca

Whether you live in the city or in the country, rides are available. Medical transportation is covered along with limited non-medical transportation.

Our plan provides round trips to and from plan locations. This includes trips to and from the pharmacy to fill your prescriptions.

Daryeelka Aragga

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

• You are covered for one pair of contact lenses or eyeglasses (lenses and frames) every 2 years.
• You have zero ($0) copays and deductibles for vision coverage which covers routine eye exams, prescribed corrective lenses, or 1 pair of prescribed frames.

This benefit is offered by certain stores and retailers.