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Ha lumin macaashyadaada
Your health plan renewal date may be coming soon. If you haven’t already, you may need to recertify to keep getting UnitedHealthcare coverage.
Need help finding a provider or setting up a visit?
Call Member Services at 1-888-887-9003, TTY 7-1-1, Monday-Friday 8 sn.-8 gn. or email memberservices_uhccp@uhc.com to get help finding a provider or setting up a visit.
MCO’s have received communication from HHSC that as of January 2023 some types of assessments will require a face-to-face visit. This means a United Healthcare staff member will need to visit with you in your place of residency.
Please be advised that missing your assessment could impact your services or eligibility. If you have questions, please contact your Service Coordinator or Member Services.
STAR
Medicaid
Not all STAR plans are alike. UnitedHealthcare Community Plan provides standard benefits under the STAR program for children, families, pregnant women and single adults who qualify based on income. We also offer additional services called Value Added Services (VAS). View the list below to see what STAR includes.
Language and Interpreter Services
UnitedHealthcare Community Plan has staff that speaks Ingiriisi and Spanish. If you speak another language or are hearing impaired and need help, call Member Services at 1-888-887-9003 or TTY 711 for hearing impaired.
If you need materials in audio, Braille, larger print and in other languages at your request. Please call 1-888-887-9003 for help.
Qorshahan waxaa laga heli karaa gobolada soo socda:
Aransas, Austin, Bee, Brazoria, Brooks, Calhoun, Cameron, Chambers, Duval, Fort Bend, Galveston, Goliad, Hardin, Harris, Hidalgo, Jasper, Jefferson, Jim Hogg, Jim Wells, Karnes, Kenedy, Kleberg, Liberty, Live Oak, Matagorda, Maverick, McMullen, Montgomery, Newton, Nueces, Orange, Polk, Refugio, San Jacinto, San Patricio, Starr, Tyler, Victoria, Walker, Waller, Webb, Wharton, Willacy, and Zapata.
- STAR
Hel bixiyeyaasha iyo caymiska loogu talagalay qorshahan.
Search for doctors, hospitals and specialists.
Hel daawooyinka lagu daboolo caymiskan.
Hel farmashiye kuu dhow.
Need help finding a provider or setting up a visit?
Ka wac Adeegyada Xubinta (Member Services) lambarka 1-888-887-9003, TTY 7-1-1, Isniinta-Jimcaha 8 sn.-8 gn. ama iimayl u dir memberservices_uhccp@uhc.com si ay kaaga caawiyaan inaad hesho daryeel bixiye ama aad uga qabsato ballan booqasho.
Macaashyada & Sifooyinka
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 can really help. You’ll get a customized treatment plan and medicine to:
- Manage flare-ups.
- Reduce symptoms.
- Help you stay active.
Maareynta Kiiska
Do you or a loved one have a serious health problem or a high-risk pregnancy? If so, our case managers are in your corner. They will:
- Explain medical terms in plain language.
- Coordinate your doctor appointments.
- Provide your care team with your medical records.
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.
Dooqa dhakhtarka
You or your child gets 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.
Choose a Birth Center
Where to deliver your child is an important choice. That's why you can pick from hundreds of hospitals across Texas.
We encourage you to tour the hospital's birthing center. This way you will be familiar with it. And you’ll be more relaxed when you deliver your baby.
Daryeelka ilkaha
Checkups, routine and emergency care are covered.
Exams and cleanings every six months help keep teeth and gums 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
Our plan covers medical equipment ordered by your doctor or case manager. Tani waxaa ka mid ah:
- Hospital bed.
- Oxygen tank.
- Walker or wheelchair.
Extra Benefits
Sports and school physicals at no cost to you.
Our plan covers up to two free physicals each year so your child can:
- Go to camp.
- Join a team.
- Play a school sport.
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 $20 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).
Isbitaal Dhigista
This plan pays for all expenses related to a hospital stay, so you can rest and heal.
Tani waxaa ka mid ah:
- 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. We can arrange for a medical interpreter to be at your appointment.
We have people at our phone centers that speak more than one language. A service lets us connects with others that speak hundreds of languages.
Ka caawin Luqad
You can ask to receive information in another language. Then anything we write to you will only be in that language. This is provided at no cost to you.
Daawooyinka
We make getting your medicine easy.
There are no copays for covered drugs. You can fill your prescriptions at:
- Local pharmacies.
- Services that deliver routinely right to your door.
We also cover over-the-counter medicines with a written order from your doctor.
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
Mental health is as important as physical health. Taasi waa sababta aan u leenahay caymis isku mid ah labadaba.
Daryeelka loo baahan yahay waxaa la daboolay 100% iyadoo la isla bixinayn. Tani waxaa ka mid ah:
- Behavioral therapy.
- Substance abuse treatment.
- Daawooyinka.
No Copays
You pay nothing for covered services.
While your health care is low-cost or free, the care quality is high. You get:
- Care from highly skilled and compassionate doctors.
- Treatments at respected hospitals and clinics.
- Home medical equipment and supplies to help you be at your best.
Khadka Taleefanka Kalkaaliyaha
Medical questions and situations come at inconvenient times. When you have questions about your health or your child's health, you can call a trained 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.
Suggest you go right to the emergency department.
Prenatal Visits
Your pregnancy is a journey you'll want to make with the help of friends, family and a pregnancy doctor, or OB-GYN.
All recommended prenatal clinical visits and tests are covered by our plan.
At these visits, the clinic will:
- Make sure both you and your baby are healthy.
- Explain what to expect at each stage of your pregnancy.
- Answer your questions.
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.
Vaccines and Immunizations
All of the immunizations your child needs are covered.
Daryeelka Aragga
You'll get the care, eyeglasses and treatment that let you see life more clearly. Coverage includes $105 every two years toward frames or contact lenses.
This benefit is offered by certain stores and retailers.
Wellhop for Mom & Baby
Connect with other expectant moms. Get support and information during your pregnancy and after you deliver. This program is part of your health plan and there is no extra cost to you.
Here’s how it works:
- Join video conversations every other week with women who have similar due dates and a group leader.
- Chat and share experiences with moms from your group on the Wellhop app or website.
- Visit the Wellhop library. You’ll find articles, videos and more.
Wax Badan Ogow
Texas STAR
Qoraalka Fiidiyoowga
At UnitedHealthcare we want to make sure you can access all the benefits your plan provides.
If you’ve had a change in your health status and your doctor determines you need a wheelchair, your plan is here for you.
To make sure you get the equipment you need with the coverage you have, follow these simple steps.
You may need a wheelchair evaluation referral from a healthcare provider in your plan’s network for wheelchairs with special features.
Next a Durable Medical Equipment or DME vendor in your health plan network is located.
In many cases, your healthcare provider can help locate an in-network provider and send the referral.
If the health care provider does not complete this step we can help you find an in-network provider and schedule an appointment.
It is important to understand what your insurance does and does not cover, so that you don’t have unexpected expenses.
And we can help you with that.
Once the referral has been sent to the identified provider the evaluation will be performed by a physical therapist, an occupational therapist or a physiatrist who specializes in determining proper seating and positioning.
This evaluation may take place in your home or in the DME provider’s office.
If the assessment takes place at the provider office, be sure to bring your wheelchair with you if you have one.
During the visit you may be asked to provide additional information including your health status and risk factors, transportation needs, and information on your home environment (if the assessment does not take place in your home).
Wheelchairs may take anywhere from 60 to 90 calendar days to be delivered.
Factors such as supply chain issues and availability of parts may cause additional delay.
Your DME provider can assist you with a loaner chair during the waiting period if needed.
When your new wheelchair is delivered be sure to sit in it to ensure proper fit and adjustments.
And even if you have experience with wheelchairs do take the time for the vendor to provide instructions on the use of the chair and its features, care and maintenance.
If any equipment you are requesting is not a covered benefit you may be asked to pay out of pocket for the equipment.
The vendor should provide you with a clear explanation of why it is not part of your benefits.
Generally, a wheelchair should last at least five years, although growing children may need a new chair more often.
If you already use a wheelchair and it’s damaged and unable to be repaired you may also be eligible for a new wheelchair.
Over time your insurance and DME providers may change.
So, be sure and keep all the information about the chair, the DME provider, the coverage and any documentation on any repairs or changes made.
Remember, if you have any questions or need more information visit myuhc.com/CommunityPlan or call member services at the number on the back of your member ID card.
Ha lumin macaashyadaada
Your health plan renewal date may be coming soon. If you haven’t already, you may need to recertify to keep getting UnitedHealthcare coverage.