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UnitedHealthcare Connected® (Medicare-Medicaid Plan)
Medicare
H7833-001
Our UnitedHealthcare Connected® is for adults ages 21 and older who are eligible for both Medicare and Medicaid. The plan offers members a customized care plan and a single point of contact for all Medicare and Medicaid services.
- UnitedHealthcare Connected® (Medicare-Medicaid Plan)
Hel bixiyeyaasha iyo caymiska loogu talagalay qorshahan.
Raadi dhakhaatiir, isbitaallo, iyo khabiiro.
Hel daawooyinka lagu daboolo caymiskan.
Hel farmashiye kuu dhow.
Hel Dhartarka Ilkaha oo kuu dhow.
Macaashyada & Sifooyinka
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.
Taageerada neefta iyo Neefsasha oo adkaato (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:
- Manage flare-ups.
- Reduce symptoms.
- Stay active.
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:
- Preventive care.
- Daawaynta haddii aad jiran tahay ama aad dhaawacantay
- Referrals to specialists for certain conditions.
- 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).
Daryeelka ilkaha
Checkups, routine and emergency care are covered.
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.
- Bixiyeyaasha kale ee baaritaanka maqalka ayaa laga heli karaa shabakadda UnitedHealthcare. Qorshuhu wuxuu daboolayaa keliya qalabka gargaarka maqalka ee bixiyaha shabakadda UnitedHealthcare Hearing.
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 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 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 Services
Sometimes you might need a little help understanding your health care options. With us, you have someone you can call 24/7. We’ll answer your questions simply and completely.
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.
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.
Kalkaaliyeyaasheena way:
- Dhageysan doonaan astaamaha.
- Kaa caawin doonaan 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.
- Nurse Advice Line not for use in emergencies, for informational purposes only.
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.
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.
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. 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 sn.–5 gn. CT (7 sn.–4 gn. MT)
Monday–Friday
Daryeelka Aragga
Eye Exams are covered once every 24 months for members.
UnitedHealthcare Connected® (Medicare-Medicaid Plan)
Wax Badan Ogow
UnitedHealthcare Connected® (Medicare-Medicaid Plan) H7833-001-000