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UnitedHealthcare Rhody Health Partners ACA Adult Expansion

Medicaid

The Affordable Care Act (ACA) expanded health coverage to certain adults age 19 or older and under 65.  The UnitedHealthcare Rhody Health Partners ACA Adult Expansion plan is for certain Adults aged 19-64 with no dependent children with an income at or below 133 percent Federal Poverty Level - You have to earn less than $15,654 per year or earn less than $1,305 per month and are a United States citizen or a legal permanent resident under 65 meeting income eligibility guidelines.

You are able to enjoy the many benefits and services that we have to offer, call us today to learn about all these benefits.  We will work with your doctors to give to you the quality of care you deserve.

  • UnitedHealthcare Rhody Health Partners ACA Adult Expansion Steps to Enroll
  • Hubi u-qalmida (ku furma bogga xiran)

Macaashyada & Sifooyinka

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Annual Notice of Change in Benefits

2018

Benefits Summary

Macaashyada

Listed below is a comprehensive list of professional health care services. Please review these services to find out which ones are covered by this health plan.

  • Daryeelka Isbitaal ee Bukaan-jiifka
  • Adeegyada Isbitaal ee Bukaan-Socodka
  • Daaweynta jireed
  • Language Therapy
  • Daaweynta hadalka
  • Hearing Therapy
  • Respiratory Therapy
  • Adeegyada dhakhtarka
  • Adeegyada qorsheynta qoyska
  • Daawooyinka dhakhtarku qoro
  • Non-Prescription Drugs
  • Laboratory Services
  • Radiology Services
  • Diagnostic Services
  • Mental Health and Substance Abuse Outpatient
  • Mental Health and Substance Abuse Inpatient

* For further details, see the Rhody Health Partners Benefits Summary

In addition to the services listed above, all Rhody Health Partners Members will receive the following mental health and substance abuse services Out-of-Plan:

Caafimaadka Maskaxda

  • Psychiatric Rehabilitation Day Programs
  • Community Psychiatric Supportive Treatment
  • Crisis Intervention for individuals with SMPI enrolled in Community Psychiatric Supportive Services
  • Clinician's services delivered at a Community Mental Health Center for individuals with SPMI enrolled in CPST - CSP
  • RI-Assertive Community Treatment I and II

Substance Abuse

  • Community-based narcotic treatment
  • Community based detoxification
  • Ku Daaweynta Guriga

The following services are not covered by the Health Plan or Medicaid Fee for Service

  • Experimental Procedures
  • Abortion Services except to preserve the life of the women, or in cases of rape or incest
  • Private rooms in hospitals (unless medically necessary)
  • Cosmetic surgery
  • Infertility Treatment Services
  • Sexual and erectile dysfunction medications
  • Medical Assistance Program Fee Schedule

Waiver Services
If you are enrolled in a Medicaid Waiver you may have additional benefits available to you through Medicaid Fee for Service. UnitedHealthcare Care Managers at 1-800-672-2156 or Hard of Hearing 711 can help you access these services.

Other Member Programs

Optum Behavioral Health (OBH)
OptumHealth can help you find solutions that relieve the pressures and demands of everyday life. OptumHealth focuses on prevention and education to guard against problems before they start.

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