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UnitedHealthcare Community Plan - MO HealthNet Managed Care

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The UnitedHealthcare Community Plan – MO HealthNet Managed Care offers a range of benefits. It’s for children, families, pregnant women and adults who meet income requirements. We also offer support to adults with special health care needs. View the benefits below to see all that our health plan offers.

  • UnitedHealthcare Community Plan - MO HealthNet Managed Care 가입하기 위한 단계
  • 자격 확인(모달 창 열림)

If you have a change in address please report this change with MO Healthnet. It is important so they can contact you with information about your coverage. 

To make a change go here: Welcome to myDSS | mydss.mo.gov and click the “Report a Change” icon.

혜택 및 특징

건강 및 질병 관리

Get the care you and your children need to stay healthy — or to be at your best. 다음이 포함됩니다.

  • Unlimited PCP Visits. See your primary care provider (PCP) as needed.
  • 예방 주사 및 백신. Routine shots help protect against illness.
  • 검사실 및 X-레이. 검사실 검사, X-레이 및 진단 영상이 보장됩니다.
  • 입원. 가입자는 입원 진료에 대해 어떠한 비용도 지급하지 않습니다.
  • Lead Screening. Can be done in the doctor's office or local health department.

산모와 아이의 건강과 행복보다 중요한 것은 없습니다. That's why your MO HealthNet Managed Care benefit includes:

  • Choice of Birth Centers. Pick from our large network of hospitals or birthing centers.
  • Choice of Doctors. Find a doctor you trust for your pregnancy care.
  • 산전 진료 방문. 아이가 태어나기 전의 산모 진료 서비스.

If you or a family member has special health care needs, you can count on us. Our health plan will provide the extra care and services you need. 혜택에는 다음이 포함됩니다.

  • Asthma Care. Exams and supplies are covered.
  • 의료 관리. Get personal help managing health conditions.
  • Disease Management. Focused care for those with critical health needs.
  • Behavioral Health and Substance Use Services. Get caring help to meet your recovery goals.

Make sure your sight and smile are at their best. Your MO HealthNet Managed Care benefits include:

  • Vision. Routine eye exams, plus frames and prescription lenses are covered.
  • Dental. Cleanings, check-ups and dental work.

If you are recovering from a serious illness or surgery, you may need extra support. Our plan includes the care and equipment needed to recover safely at home. 혜택에는 다음이 포함됩니다.

  • 장비 및 소모품. 재가 의료 및 안전 장비가 보장됩니다.
  • Home Health Care. Medical care in your home, if needed.

때로 건강 보험을 이용하는 데 몇 가지 추가적인 도움이 필요할 수 있습니다. 그러한 경우에 다음과 같은 지원을 받을 수 있습니다.

  • Electronic breast pumps: Enrolled pregnant members are eligible for an electronic breast pump (limit one).
  • Asthma support: Special supplies are available, including a hypoallergenic mattress cover and pillow case.
  • Peer support specialists: Coaches can provide support for substance use disorder (SUD) recovery.
  • 가정식: Post-delivery moms can receive 30 meals (2 meals per day for 15 days) delivered to their home. These requests can be made through your case manager or by calling member services.
  • YMCA Memberships: Members up to age 17 years of age can receive a Youth Membership to their local YMCA.  Just go into your local Y and bring your member ID card to get signed up. Learn more here.
  • One Pass: Members 18 and older will have access to this membership which gets them into over 300 gyms across 미주리 including the YMCAs, Planet Fitness, Anytime Fitness, and many small local gyms. Information can be found at One Pass UHCMO | Rally Health or learn more here
  • Transportation: Unlimited trips to doctors appointments, dental appointments, WIC, and pharmacy. In addition, members can get rides to grocery stores and food pantries, weight management classes or programs such as their YMCA or local gym, job and vocational training, and substance abuse services for pregnant members. Learn more here. Members and Members family and friends (when assisting the member with a ride) are eligible to submit for gas mileage reimbursement by filling out MTM’s GMR form.  You can find the form here. Remember, the form must be signed off by the correct medical personnel to receive reimbursement.
  • Sanvello Application: an app that offers clinical solutions to dial down symptoms of stress, anxiety, and depression. Members can download the app, create an account and choose “upgrade through insurance”, and search for and select United Healthcare and enter the information on your insurance card.

때로 건강 보험을 이용하는 데 몇 가지 추가적인 도움이 필요할 수 있습니다. For those times, you can rely on us for assistance:

  • Nurse HotlineSM.S peak with a registered nurse 24/7.
  • 가입자 서비스. Your benefit questions are answered Monday - Friday, 7:00 a.m. - 7:00 p.m. CT
  • 언어 지원. Connect to a language or ASL interpreter through Member Services. We provide aids and services to people with disabilities at no cost to you to help you communicate with us. Such as, letters in other languages or large print, audio, accessible electronic formats, other formats. Or you can ask for an interpreter if 영어 is not your primary language. Qualified American sign language interpreters are also available at no cost. To ask for help, please call the toll-free member phone number listed on your health 1-866-292-0359, TTY 711, Monday through Friday, 8:00 a.m. to 5:00 p.m.

YMCA Benefit:  Members up to age 17 years of age can receive a Youth Membership to their local YMCA.  Just go into your local Y and bring your member ID card to get signed up. Learn more here.

One Pass Benefit:  Members 18 and older will have access to this membership which gets them into over 300 gyms across 미주리 including the YMCAs, Planet Fitness, Anytime Fitness, and many small local gyms. Information can be found at One Pass UHCMO | Rally Health or learn more here

Transportation: Unlimited trips to doctors appointments, dental appointments, WIC, and pharmacy. In addition, members can get rides to grocery stores and food pantries, weight management classes or programs such as their YMCA or local gym, job and vocational training, and substance abuse services for pregnant members. Learn more here.

UHC Doctor Chat: As a UnitedHealthcare member, you can skip the waiting room and connect to doctors in seconds with the UHC Doctor Chat app. Doctors are available 24 hours a day, 7 days a week to answer any questions.  Learn more here.

Breast Pump Benefit: Members now call Aeroflow at 1-844-867-9890 and their dedicated mom and baby specialists will be able to assist you or visit aeroflowbreastpumps.com/united-qualify.

Asthma Care

Do you or a family member have trouble managing asthma symptoms?
You will get a customized treatment plan and medicine to:

  • Manage flare-ups.
  • Reduce symptoms.
  • Help you stay active.

Babyscripts

Earn great rewards:

  • The Babyscripts program rewards you for going to your prenatal and postpartum visits
  • Earn up to 3 rewards in all
  • Get a gift card just for signing up

To sign up, visit the Apple App Store® or Google Play™ store on your smartphone. Download the Babyscripts myJourney app. Or call 1-800-599-5985, 8 오전–5 오후, Monday–Friday. It’s that simple.

Behavioral Health and Substance Use Services

Inpatient, residential and outpatient services for behavioral health and substance use are covered. The type, amount and length of services provided will be based on the level of your needs. These services are part of your MO HealthNet Managed Care benefits.

Learn more about the Sanvello app in 영어Español

의료 관리

When a member has complex health care needs, a care manager can really help. 다음을 수행합니다.

  • Work with you and family members and friends on a plan of care.
  • 의학 용어를 쉬운 말로 설명합니다.
  • Coordinate your doctor appointments.
  • Provide your care team with your medical records. 
  • Make a referral to community social service programs.

출산 센터의 선택

어디에서 아이를 출산할 것인가는 중요한 선택입니다. That's why you can pick from our large network of hospitals or Birthing Center.

We also encourage you to tour the hospital's birthing center. This way you will be familiar with it and be better informed when you have your baby.

의사 선택

각 가입자는 주치의(PCP)를 선택할 수 있습니다. Doctor Lookup(의사 찾아보기) 도구를 사용하여 담당 의사가 당사 네트워크 소속인지 확인할 수 있습니다.

The PCP is the main doctor for:

  • 예방적 건강 관리
  • 질병 또는 상해에 대한 치료
  • Care coordination with specialists.

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

질병 관리

당사 질병 관리 서비스는 만성 질병 또는 고위험 질병을 앓고 있는 가입자를 위해 설계되었습니다.

Doctor Chat

As a UnitedHealthcare member, you can skip the waiting room and connect to doctors in seconds with the UHC Doctor Chat app. Doctors are available 24 hours a day, 7 days a week to answer any questions.  Learn more here.

장비 및 소모품

Our member's health and safety at home are important.

MO HealthNet Managed Care covers medical equipment ordered by the doctor or care manager. 다음과 같은 소모품이 필요할 수 있습니다.

  • 산소 탱크
  • 병상
  • 휠체어 또는 보행보조기구

Home Care

After surgery or a serious illness, you may need  in-home medical visit(s) to check on how well you are healing.

MO HealthNet Managed Care covers:

  • In-home medical visit(s).
  • 병원 침대, 보행 보조기, 휠체어 등의 의료 장비
  • 일회용 의료 소모품

입원

MO HealthNet Managed Care covers expenses related to a hospital stay, so our members can rest and heal.

입원 보상 범위는 다음과 같습니다.

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

And after leaving hospital, we can provide transitional care services. MO HealthNet Managed Care makes sure you get follow-up care to continue healing at home.

통역자

담당 의사와 귀하는 서로를 이해해야 합니다. We have interpreters for you if your provider does not speak your language. We also have qualified American Sign Language interpreters available. This is provided at no cost to you when you speak to us, your provider, or Nurse Hotline.SM

We provide aids and services to people with disabilities at no cost to you to help you communicate with us. Such as, letters in other languages or large print, audio, accessible electronic formats, other formats. Or, you can ask for an interpreter if 영어 is not your primary language. Qualified American sign language interpreters are also available at no cost. To ask for help, please call the toll-free member phone number listed on your health 1-866-292-0359, TTY 711, Monday through Friday, 8:00 오전 to 5:00 오후

검사실 및 X-레이

문제가 무엇인지 알고 또 이를 일찍 발견할 수 있다면 그 차이는 큽니다. MO HealthNet Managed Care covers:

  • 검사실 및 검사
  • X-레이, 스캔 및 기타 영상 처리

건강을 개선하거나 최상의 상태를 유지하는 데 필요한 정보를 얻을 수 있도록 지원해 드립니다.

언어 지원

Members can get printed information in their preferred language. You will get member materials in 영어 and Spanish. We can give you member materials in a language or format that is easier for you to understand. We also have qualified American sign language interpreters available. 요청하기만 하면 됩니다.

We provide aids and services to people with disabilities at no cost to you to help you communicate with us. Such as, letters in other languages or large print, audio, accessible electronic formats, other formats. Or, you can ask for an interpreter if 영어 is not your primary language. Qualified American sign language interpreters are also available at no cost. To ask for help, please call the toll-free member phone number listed on your health 1-866-292-0359, TTY 711, Monday through Friday, 8:00 오전 to 5:00 오후

가입자 서비스

때로 의료 서비스 옵션을 이해하는 데 약간의 도움이 필요할 수 있습니다. 전화 문의 귀하의 질문에 이해하기 쉬운 방식으로 완벽하게 대답해 드립니다.

We help you find:

  • 의사
  • 약국
  • 병원 또는 기타 건강 시설
  • 지역 리소스

No Copays

You will not have a copayment for care and services covered by MO HealthNet Managed Care.

This includes in network services:

  • Visits to doctors
  • Treatments at hospitals and clinics.
  • Behavioral Health and Substance Use.
  • Home medical equipment and supplies to help you be at your best.

간호사 핫라인

곤란한 경우에 의학적 문제 및 상황이 발생하기도 합니다. 건강에 관해 궁금한 사항이 있는 경우 간호사에게 하루에 24시간, 일주일에 7일 전화할 수 있습니다.

당사 간호사는 다음을 도와드립니다.

  • 증상에 관한 내용 청취
  • 자기 관리 지원
  • 의사 방문 시 또는 응급 치료 센터에서 진료를 받는 방법에 관해 조언합니다.
  • 응급실에 가야 할 때를 알려드립니다.

약국

All pharmacy benefits are covered by MO HealthNet Fee-for-Service. For more information:

Please contact 1-800-392-2161 or visit the MO HealthNet website at www.dss.mo.gov.

태아기 진료

Your pregnancy is a journey you'll want to make with the help of friends, family and a pregnancy doctor.

당사 플랜에서는 권장되는 모든 태아기 임상 진료 및 검사가 보장됩니다.

이러한 진료 시 클리닉에서는 다음을 수행합니다.

  • Make sure both you and your baby are healthy.
  • 임신의 각 단계에서 예상되는 상황을 설명합니다.
  • 질문에 대답해 드립니다.

금연

대부분의 사람들은 흡연이 건강에 미치는 악영향을 알고 있습니다. 금연해야 한다는 사실도 압니다. That's why we encourage members to talk to their doctor about getting smoking cessation support. UnitedHealthcare Community Plan covers counseling when you enroll with Quit for Life. Medication for smoking cessation is available. 1-800-784-8669번으로 전화하십시오.

예방주사 및 백신

Routine shots help protect members and their family from illness. MO HealthNet Managed Care covers:

  • Pneumonia, influenza and shingles shots.
  • Vaccines and Immunizations. Routine shots to help keep your child healthy.
  • Other recommended shots and vaccines.

치료 서비스

물리, 작업 및 언어 치료는 심각한 부상 또는 질병에서 회복하거나 가능한 신체 기능을 완벽하게 활용하는 데 도움이 될 수 있습니다.

For children under age 21 and for pregnant women, MO HealthNet Managed Care provides:

  • 작업 치료
  • 물리 치료
  • 언어 치료

Transplant Services

Covered when ordered by a network physician.

교통편

Members get unlimited trips to the following:

  • Doctors and providers
  • 치과의사
  • 약국
  • WIC
  • Grocery stores
  • 푸드 뱅크
  • Weight management classes or programs
  • YMCA or local gym
  • Job and career training
  • If you’re pregnant, substance abuse services
  • Learn more here
    Members and Member’s family and friends (if helping the member with a ride) can submit a form for gas mileage reimbursement. You can find the form here. 참고: The form must be signed off by the correct medical personnel to receive reimbursement.
     

Unlimited Primary Care Provider Visits

There may be times when a member's health requires repeated doctor visits. Our plan does not limit the number the number of visits to a primary care provider (PCP). This way the members get the care they need. And the doctor can see how their health is progressing.

시력 관리

You'll get the care, eyeglasses and treatment that help you see better. 보험 적용 범위:

  • One eye exam every 24 months for members 21 and over.
  • One eye exam every 12 months for children under 21 and pregnant women.
  • One pair of frames and lenses ever 24 months.

This benefit is offered by MARCH Vision Care.

건강 진료

담당 의사에게 건강 진료를 받으면 건강을 유지할 수 있습니다. 이러한 방문으로 건강 문제를 조기에 발견하여 치료를 받을 수 있습니다. 예방 서비스에는 연간 건강검진이

  • 성인 및 어린이를 위한 검진
  • 정기 예방 주사 및 검사
  • 유방 X선 사진

예방 치료에는 본인 부담금이 없습니다.

NCQA Accredited Commendable Health Plan

가입자 자료

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