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Healthy Louisiana Plan

메디케이드

Our Healthy 루이지애나 plan offers a range of benefits along with extras. View the benefits below to see all that our plan offers. It's for pregnant women, adults and children under the age of 21. 

The following UHC support includes:

  • Help Finding a Network Care Providers:  If you need help finding a care provider in the UHC network or obtaining early prescription can call Member Services at 1-866-675-1607 (TTY: 711).  The number for Member Services is always located on the back of your UHC ID member card.
  • UHC Mobile App:  UHC member app that provides instant access to your member ID card, network care providers, personal health benefits and more. app is available as a free download at the App Store or Google Play.

Remember, if you need assistance please contact UnitedHealthcare Member Services at 1-866-675-1607 (TTY: 711).

Be Ready. Be Safe.

UnitedHealthcare and the State of 루이지애나 want to ensure all residents are informed during emergencies, such as severe weather or flooding. Please visit www.GetAGamePlan.org for emergency preparedness guides and tips to keep you and your loved ones safe all year long.

For plan participants who may have misplaced their medical ID cards, call 866-633-2446, 8 오전 – 8 오후 (local time), Monday through Friday. If you have a smartphone, download the UnitedHealthcare Mobile app. It provides instant access to ID cards, network care providers, personal health benefits and more. The UnitedHealthcare Mobile app is available as a free download at the Apple iTunes App Store and the Android Market on Google Play.

UnitedHealthcare is helping members who may be affected by severe weather and flooding. If you need help please call member services at 1-866-675-1607, TTY 711.

Additional information can be found on our Hurricane Resource Page. Helpful Frequently Asked Questions can be viewed hereBehavioral Health Resources can be viewed here.

A free emotional-support help line is also available to everyone at 1-866-342-6892, TTY 711 and is open 24 hours a day, seven days a week. The service is free of charge and open to anyone. Trained Optum mental health specialists can help you manage stress and anxiety. Callers may also be referred to community resources to help with other concerns, including financial and legal matters.

세부 정보

혜택 및 특징

No-cost phone and cell service

Count on always having good, reliable phone service with a no-cost Android® smart phone, plus no-cost cell service with:

  • Unlimited minutes
  • Unlimited texts
  • Unlimited high-speed data
  • 10GB mobile hotspot data (up to 4G LTE speed)

Get the assistance you need to make life a little easier, or to get better if you are injured or sick. 다음이 포함됩니다.

  • Unlimited Doctor Visits for Children. Your child can see the doctor as often as needed.
  • Unlimited Doctor Visits for Adults. See your doctor as often as needed.
  • Well Visits. Annual checkups to help keep your family healthy.
  • Chiropractor Services. Chiropractic visits for members who qualify.
  • Shots and Vaccines. Routine shots help protect against illness. 
  • Medicines. Fill your prescriptions at local pharmacies.
  • 입원. Necessary expenses related to a hospital stay are covered.

 

산모와 아이의 건강과 행복보다 중요한 것은 없습니다. 그게 바로 당사의 플랜이 다음과 같은 혜택을 제공하는 이유입니다:

  • Choice of Birth Centers. Pick from our partner hospitals across 루이지애나.
  • Choice of Doctors. Find an OB-GYN you trust in our network.
  • Healthy First Steps®. Get extra support and rewards to keep you and your baby healthy.
  • Prenatal Visits. Care for you before your baby is born.
  • Wellhop for Mom & Baby. Connect with a community of moms. Get support and information as you welcome your baby.

If you have asthma, diabetes or another long-term condition such as substance use disorder, you can depend on us. 당사 플랜에서는 가입자에게 필요한 치료, 지원 및 서비스를 받을 수 있도록 보장합니다. 혜택에는 다음이 포함됩니다.

  • Asthma and COPD Care. Exams, testing and supplies are covered.
  • Care Management. If you qualify, get personal help managing health conditions.
  • Diabetic Support. Medicine, needles and wipes for managing diabetes.
  • Mental Health. Counseling and other treatments are covered.
  • Disease Management. Focused care for those with critical health needs.

We help you keep your smile, sight and hearing at their best. 혜택에는 다음이 포함됩니다.

  • Dental. Covered cleanings, checkups and dental work are provided by MCNA Dental (Managed Care of North America) or DentaQuest for members under the age of 21. We also offer coverage (up to $500 per year)  for adults 21 and over, including dental exams, cleanings, and x-rays through a value-added benefit offered by UnitedHealthcare Community Plan.
  • Vision. Routine exams and glasses and contacts are covered for members under the age of 21. 
  • Hearing. Tests, exams and hearing aids are covered for members to age 21.

* Value added benefit offered by UnitedHealthcare Community Plan.

Get the medical care and equipment you need to live safely at home. Benefits may include:

  • Equipment and Supplies. In-home medical and safety equipment are covered for medically necessary equipment.
  • Home Health Care. Medical and personal care at home, if necessary.

Sometimes you might need a little extra help using everything our health plan offers. 그러한 경우에 다음과 같은 지원을 받을 수 있습니다.

  • Language & Interpreter Help. We provide free services, such as information in other languages, large print, Braille and American Sign Language. You can also ask for an interpreter. Call member services for information. 
  • Member Services. Get help with understanding your benefits and get your questions answered.
  • Transportation. We provide rides to and from medical visits.

의료 관리

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. 다음을 수행합니다.

  • 의학 용어를 쉬운 말로 설명합니다.
  • Coordinate your doctor appointments.

The case manager will stay with you or your loved one throughout the medical journey. 다음을 수행합니다.

  • Think beyond your medical needs.
  • Assess home situation and help where possible.
  • Make sure you have support at home.

So you can focus on getting better.

의사 선택

Members can choose a primary care provider (PCP). Doctor Lookup(의사 찾아보기) 도구를 사용하여 담당 의사가 당사 네트워크 소속인지 확인할 수 있습니다.

The PCP is your main doctor for:

  • 예방적 건강 관리
  • 질병 또는 상해에 대한 치료

For members who don't have a doctor or whose doctor is not in our network, we can help find a new one close by.

출산 센터의 선택

어디에서 아이를 출산할 것인가는 중요한 선택입니다. That's why you can pick from partner hospitals across 루이지애나.

We encourage you to tour the hospital's birthing center. 이런 방식으로 출산 센터에 익숙해질 수 있습니다. And you'll be more relaxed when you have your baby.

카이로프랙틱 서비스

Whether chiropractor services are your primary or alternative treatment method, you're covered. This benefit is available for members under the age of 21. A referral from your primary care physician is required.

Members over the age of 21 who are managing pain can get up to six (6) visits per year with an in-network chiropractor.

치아 관리

Regular checkups help keep teeth and gums strong and healthy. Healthy 루이지애나 members under the age of 21 get:

  • 2 exams per year.
  • Cleanings and x-rays.
  • 불소 치료.

These services are offered through MCNA Dental (Managed Care of North America) and DentaQuest.

Members age of 21 and above get up to $500 in coverage for:*

  • Regular exams.
  • Cleanings and x-rays.

*This is an added benefit offered by UnitedHealthcare Community Plan.

당뇨병 지원

당뇨병을 앓고 있는 경우 삶을 더욱 편안하게 영위하도록 도와드립니다. 최상의 건강 상태를 유지하는 데 도움이 되는 의약품, 소모품 및 교육을 받게 됩니다.

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

  • 건강식 계획
  • Managing stress.
  • 건강한 라이프스타일 적용

Members age 21 and above who qualify as well as complete HbA1c labs and LDL-C screenings may be eligible for a yearly $50 voucher to use toward a purchase from a catalog of over the counter health products. This is an added benefit offered by UnitedHealthcare Community Plan.

질병 관리

If you have a chronic health condition like asthma or diabetes, UnitedHealthcare Community Plan has a program to help you live with your condition and improve the quality of your life. These programs are voluntary and available at no cost to you.

장비 및 소모품

가정에서 안전하게 생활하기 위해 추가적인 지원이 필요한 가입자도 있습니다.

Our plan covers medical equipment ordered by your doctor or provider. Some examples include:

  • 병상
  • 산소 탱크
  • 휠체어 또는 보행보조기구

발 관리

We provide the exams needed to help keep your feet in great shape. And for those with diabetes or a circulatory condition, good foot care can help prevent much more serious problems.

발치료 보험 적용 범위는 다음과 같습니다.

  • Office visits.
  • Certain radiology and lab procedures.
  • Other diagnostic procedures.

건강 교육

Take free classes to help improve your health or to address a condition. Our plan includes classes on diabetes, nutrition and more.

Healthy First Steps®

Healthy First Steps를 통해 귀하와 아기의 건강한 미래를 준비하고 많은 리워드까지 받으세요. 저희 프로그램은 귀하와 아기를 건강하게 유지하기 위한 올바른 조치를 취할 것입니다. 게다가 가입만 해도 20달러를 받을 수 있습니다. *

당사는 다음과 같은 경우에 가입자에게 도움을 드립니다.

  • 임신 진료 제공자 및 소아과 의사(소아 의사)를 선택하는 경우.
  • 진료 및 검진을 예약하고 병원 방문을 위한 교통편을 준비하는 경우.
  • 전체 임신 기간과 출산 후 첫 15개월 동안 방문할 때마다 리워드를 받는 경우.
  • 수유모를 위한 유축기 등 소모품을 받는 경우.
  • 여성, 영유아 및 어린이(WIC) 서비스와 같은 커뮤니티 리소스에 연결하는 경우.

* Value added benefit offered by UnitedHealthcare Community Plan

청력 관리

청각에 문제가 있는 경우 여러 방식으로 일상생활에 영향을 줄 수 있습니다. Our plan includes services and support to help protect the hearing of members under the age of 21.

당사 플랜은 다음을 보장합니다.

  • Exams and tests.
  • 보청기 및 배터리

가정간호

After surgery or a serious illness you may need extra help with day-to-day tasks like cleaning, cooking or dressing.

회복 상태를 확인하기 위한 가정 방문 진료가 필요할 수도 있습니다. 당사 플랜에서는 승인을 전제로 다음을 보장합니다.

  • 가정 방문 진료
  • 병원 침대, 보행 보조기, 휠체어 등의 의료 장비 
  • 일회용 의료 소모품

입원

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

당사 플랜은 다음을 보장합니다.

  • 간호
  • 숙식
  • 소모품 및 장비
  • 치료 및 요법
  • 진단 검사 및 검진

And after leaving the hospital, our members are not alone. We make sure they get follow-up care to continue healing at home.

통역자

Both doctor and patient need to understand one another. If needed, we can arrange for a medical interpreter to be at medical appointments.. Our member services team has interpreters who speak over 170 languages. We also offer American Sign Language (ASL).                                            

Lab and X-ray Services

문제가 무엇인지 알고 또 이를 일찍 발견할 수 있다면 그 차이는 큽니다. Our plan covers medically necessary:

  • 검사실 및 검사
  • X-레이, 스캔 및 기타 영상 처리

We make sure our members get the information needed to help improve their health.

언어 지원

원하는 언어로 정보를 받을 수 있습니다. 요청하기만 하면 됩니다. We also have people at our customer service centers who speak more than one language. Over 170 languages are supported. Call Member Services for help with interpreters and American Sign Language. They can also help if you need information in large print, Braille or audio files on a CD or flash drive. 

의약품

Our plan includes prescription drugs and refills. Some members may have a small copayment.

And we make getting your medicine easy. You can fill your prescriptions at the network pharmacy of your choice, including local pharmacies and mail order pharmacies. 

가입자 서비스

때로 의료 서비스 옵션을 이해하는 데 약간의 도움이 필요할 수 있습니다. With us, you have someone you can call 24/7. 귀하의 질문에 이해하기 쉬운 방식으로 완벽하게 대답해 드립니다.

또한, 다음을 찾는 데 도움을 드릴 수 있습니다.

  • Home health providers.
  • Dentists and vision providers.
  • Adult Health Services.

Mental Health/Substance Use Treatment

정신 건강도 육체 건강 못지않게 중요합니다. That's why we cover both.

보험 적용 범위:

  • 정신 건강 서비스.
  • Substance use treatment.
  • Certain medications.

간호사 핫라인

곤란한 경우에 의학적 문제 및 상황이 발생하기도 합니다. For questions about health, you can call a trained nurse 24/7. 

Our Nurse Hotline nurses will:

  • 증상을 경청합니다.
  • Provide guidance on self-care.
  • Advise the member about getting care at a doctor visit or an urgent care center.
  • Help know when to go to the emergency room.

간호사 방문

퇴원 후 또는 응급 진료를 받은 후에 지속적인 케어가 필요할 수 있습니다. 예를 들어 중증 질환, 수술 또는 부상 후에 그런 경우가 발생합니다. 이 경우 간호사가 가정에 방문하여 다음 서비스를 제공합니다.

  • 치료 제공
  • 질문 또는 우려 사항에 답변

개인 위생

The basics can be hard to do if you have a disability or you've had a serious illness or injury.

당사가 도와드리겠습니다. A few examples include: 

  • 옷입기
  • 목욕
  • 식사

Long-term personal care is available for members 21 or older with disabilities.

태아기 진료

A pregnancy is a journey that's better with the help of friends, family and a pregnancy doctor, or OB/GYN.

권장되는 모든 태아기 임상 진료 및 검사가 보장됩니다.

이러한 진료 시 클리닉에서는 다음을 수행합니다.

  • Make sure mom and baby are healthy.
  • Explain what to expect at each stage of pregnancy.
  • 질문에 대답해 드립니다.

예방주사 및 백신

Routine shots help keep you healthy. 당사 플랜은 다음을 보장합니다.

  • Pneumonia, influenza and shingles shots.
  • Tetanus, Diphtheria and Whooping Cough vaccines.
  • Other recommended shots and vaccines.

교통편

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

  • Doctor and therapy visits.  
  • Health departments.
  • Vision clinics.

무제한 의사 방문

There may be times when your health requires regular visits to a doctor or specialist). Our plan does not limit the number of times children or adults can see their doctors. This includes sick visits, well visits and specialists. For children, EPSDT screenings are also covered. This way you get care when you need it. And the doctor can see how your health is progressing.

시력 관리

With Healthy 루이지애나, members under the age of 21 receive:

  • Regular eye exams.
  • Eyeglass frames.
  • 처방 렌즈

Members over the age of 21 can get:*

  • One routine eye exam every two years with no copay.
  • $100 allowance for frames/lenses or $105 allowance for contact lenses every two years.

* This is an added benefit offered by UnitedHealthcare Community Plan.

건강 진료

Unlimited well visits with your doctor are important for good health. 이러한 방문으로 건강 문제를 조기에 발견하여 치료를 받을 수 있습니다.

Preventive services cover:

  • 성인 및 어린이를 위한 검진
  • 건강한 육아 진료
  • 출산 예정 여성을 위한 케어
  • 정기 예방 주사 및 검사
  • 유방 X선 사진

Weight Control

Our plan encourages a healthy approach to eating and living. To help our members be their best, we cover:

  • Screening for obesity.
  • Support for healthy diet and exercise choices.

Some members may also qualify for weight management classes, including (WW) Weight Watchers. *

* Some limitations may apply.

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.

Are You Prepared for Hurricane Season?

UnitedHealthcare Community Plan wants to help you make sure you are prepared for hurricane season and the resulting hazards such as storm surge, high winds, tornadoes, and flooding

가입자 자료

이용 가능한 자료 보기(모달 창 열림)

자세히 알아보기

Healthy Louisiana Plan

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