Healthy Louisiana Plan

메디케이드

Our Healthy Louisiana 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.

 

Be Ready. Be Safe.

UnitedHealthcare and the State of Louisiana 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 a.m. – 8 p.m. (in the local time zone), Monday through Friday. People enrolled in employer-sponsored and individual health plans who have a smartphone can download the free Health4Me app, which provides instant access to their ID card, network care providers, their personal health benefits and more. The Health4Me app is available as a free download at the Apple iTunes App Store and the Android Market on Google Play.

이 플랜은 모든 카운티에서 이용할 수 있습니다.

More information on eligibility and enrollment can be found on the Healthy Louisiana website.    

혜택 및 특징

건강 및 질병 관리

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.*
  • 건강 진료. Annual checkups to help keep your family healthy.
  • Chiropractor Services. Chiropractic visits for members who qualify.
  • 입원. 입원 치료에는 어떤 비용도 지급하지 않습니다.
  • 예방 주사 및 백신. Routine shots help protect against illness. Adults are covered too.*
  • 의약품. Fill your prescriptions at local pharmacies.

* Value added benefit offered by UnitedHealthcare Community Plan.

산모와 아이의 건강과 행복보다 중요한 것은 없습니다. That's why our plan benefits include:

  • Choice of Birth Centers. Pick from our partner hospitals across Louisiana.
  • Choice of Doctors. Find an OB-GYN you trust in our network.
  • Baby Blocks™. Earn rewards for keeping you and your baby healthy.*
  • Healthy First Steps®. 산모와 아이의 건강을 유지하기 위한 추가적인 지원입니다.
  • 태아기 진료. 아이가 태어나기 전의 관리를 의미합니다.

* Value added benefit offered by UnitedHealthcare Community Plan.

If you have asthma, diabetes or another long-term condition such as substance abuse 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. 검진, 검사 및 소모품이 보장됩니다.
  • 의료 관리. 자격 요건을 충족하는 경우 질병을 관리하는 데 개인적인 도움을 받으세요.
  • Diabetic Support. Medicine, needles and wipes for managing diabetes.
  • 정신 건강. 상담 및 기타 치료가 보장됩니다.
  • 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) for members under the age of 21. We also offer coverage for adults.
  • Vision. Exams and eyeglasses or an allowance for lenses are covered for members under the age of 21. We also offer coverage for adults.
  • Hearing. Tests, exams and hearing aids for members to age 21.

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

  • 장비 및 소모품. 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 to help you communicate with us or your doctor. Such as, letters in other languages or large print. Or, you can ask for an interpreter for any language.
  • 가입자 서비스. Get help with understanding your benefits and get your questions answered.
  • 교통편. We provide rides to and from medical visits.

Asthma and COPD Support

Do you have trouble managing asthma, allergies 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.

If referred by a doctor, some members may get an Asthma Home Assessment to help identify and resolve issues in their homes. This is an added benefit offered by UnitedHealthcare Community Plan.

Baby Blocks

Baby Blocks를 통해 귀하와 자녀의 건강한 미래를 보장하고 리워드 혜택도 받으세요. 이 프로그램은 임신 기간과 출산 후 첫 15개월 동안 귀하와 자녀의 건강을 지키는 데 도움을 줍니다.

Baby Blocks includes*:

  • 이메일 진료 시간 알림
  • 진료 시간을 재미 있게 관리할 수 있는 프로그램
  • 의류 등을 구입하는 데 사용할 수 있는 리워드 카드

Once you sign up, you can choose a $20 gift card or a stylish diaper bag. 선택권은 여러분에게 있습니다.

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

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.

Cell Phones

When your health is not at its best, it is important to know that help is just a phone call away. We make cell phones available to some members who have a high-risk health issue or high-risk pregnancy and do not have reliable access to a telephone. The program makes sure members have access to UnitedHealthcare, 911, the doctor's office and NurseLine.*

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

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 Louisiana.

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.

Chiropractor Services

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 Louisiana members under the age of 21 get:

  • 2 exams per year.
  • Cleanings and x-rays.
  • Fluoride treatments.

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

Members over the age of 21 get up to $500 in coverage for:*

  • Regular exams.
  • Cleanings and x-rays.
  • Fillings & extractions.

*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 over 21 who complete HbA1c labs and LDL-C screenings within 90 days of joining the plan may be eligible for a $50 voucher toward 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 case manager. 다음과 같은 소모품이 필요할 수 있습니다.

  • 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.

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

Healthy First Steps®

When you're pregnant, you receive help and advice from your mom, aunts, sisters and girlfriends. 그래도 모든 임신은 어렵습니다. 이 프로그램에서는 임신 기간 중 가입자 여러분을 지원해 줍니다.

We can:

  • Help you find a doctor.
  • Set up transportation to appointments.
  • Offer helpful information on caring for your baby.
  • Support you after your baby is born.

Home Health Care

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 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. 영어로 말하지 못하면 진료가 어려워집니다. We can arrange for a medical interpreter to be at medical appointments.

We also have people at member services who speak more than one language. 당사는 여러 언어의 통역자를 보유하고 있습니다.

검사실 및 X-레이

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

  • 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. 당사는 여러 언어의 통역자를 보유하고 있습니다.

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:

  • 현지 약국
  • 집까지 배달하는 서비스

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 Abuse

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

보험 적용 범위:

  • Behavioral health services.
  • 약물 남용 치료
  • Certain medications.

NurseLine℠

때로 곤란한 때에 의학적 문제 및 상황이 발생합니다. For questions about health, you can call a trained nurse 24/7.

NurseLine 간호사는 다음을 수행합니다.

  • 증상을 경청합니다.
  • 자기 관리를 안내합니다.
  • 의사 방문 시 또는 응급 치료 센터에서 진료를 받는 방법에 관해 조언합니다.
  • 응급실에 가야 할 때를 알려드립니다.

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.

필요한 경우 다음을 보조할 사람을 제공합니다.

  • 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.

예방 주사 및 백신

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

  • Pneumonia, influenza and shingles shots.
  • Tetanus, Diptheria and Whooping Cough vaccines.*
  • Other recommended shots and vaccines.
* Adult coverage is an added benefit offered by UnitedHealthcare Community Plan.

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.

* Unlimited doctor visits for adults is an added benefit offered by UnitedHealthcare Community Plan.

시력 관리

Regular eye exams and glasses, if needed, can help you see more clearly.

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

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

Members over the age of 21 can get:*

  • Additional vision services to complement Medicaid vision benefits.
  • One routine eye exam every two years.
  • $100 allowance for frames/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:

  • Checkups for children.
  • Screenings for adults.
  • 건강한 육아 진료
  • 출산 예정 여성을 위한 케어
  • 정기 예방 주사 및 검사
  • 유방 X선 사진

예방 치료에는 본인 부담금이 없습니다.

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 Weight Watchers and JOIN for ME.**

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

** Some limitations may apply.

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

Important Emergency Preparedness Tips

Important Emergency Preparedness Tips

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Healthy Louisiana Plan

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