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 텍사스 Medicaid, Adult Day Care can provide:

• Social connections and friendship.
  
• Bathing and personal care. 
  
• Meals.

천식 및 COPD 보조 용품

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.

의사 선택

From regular checkups to preventive health screenings, we want to make sure you get access to the right care at the right time.

귀하의 주치의가 되는 PCP(일차 진료 의사)를 배정받습니다. 의사가 없거나 의사가 당사 네트워크에 속해 있지 않은 경우 귀하와 가까운 새 의사를 찾아 드릴 수 있습니다.

귀하의 PCP는 다음을 주로 담당하는 주치의입니다.

• 예방적 건강 관리
• 질병 또는 상해에 대한 치료
• 특정 상태에 대한 전문가 소개
• 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).
   

치아 관리

Checkups, routine and emergency care are covered.

장비 및 소모품

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
• 병상

Flexible Benefits, Rewards, and Incentives

Read about all the extras you could get as a UnitedHealthcare Connected member in the community: 영어 | Spanish 

발 관리

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.

발치료 보험 적용 범위는 다음과 같습니다.

• Routine foot exams.
• 발 관리 및 알맞은 신발 선택에 대한 팁
• Therapeutic shoes and inserts for members with diabetes.

청력 관리

Trouble hearing can affect a person’s everyday life in many ways.  Our plan includes services and support to help protect hearing.

보장 내용은 다음과 같습니다.

• 검사, 치료 및 테스트
• Hearing aids and accessories.
• United Healthcare 네트워크 내에서 다른 청력 검사 제공자를 이용할 수 있습니다. 이 플랜에는 United Healthcare Hearing 네트워크 제공자의 보청기만 포함됩니다.

입원

This plan pays for most expenses related to a hospital stay. 따라서 마음 편히 휴식을 취하고 치료를 받을 수 있습니다.

Our plan covers these services and more:

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

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

재가 치료

질환이나 부상 후에는 기본적인 활동을 스스로 하기가 힘들 수 있습니다. 필요한 경우 다음을 보조할 사람을 제공합니다.

• Dressing
• Bathing
• Feeding

Language and Interpretation

You and your doctor need to understand one another. We can explain information in 영어 or in your native language. If you are visually or hearing impaired, special help can be provided.

의약품

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.

가입자 서비스

때로 의료 서비스 옵션을 이해하는 데 약간의 도움이 필요할 수 있습니다. With us, you have someone you can call 24/7. We’ll answer your questions simply and completely.

또한, 다음을 찾는 데 도움을 드릴 수 있습니다.

• 가정 의료 서비스 제공자.
• Dentists and vision providers.
• Adult Day Health Centers.

정신 건강

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
• 의약품

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

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.
• Nurse Advice Line not for use in emergencies, for informational purposes only.

금연

귀하는 흡연이 건강에 미치는 악영향을 알고 있습니다. 금연해야 한다는 사실을 알고 있습니다. We will support you while you quit with coaches and supplies. The only thing you won't get from us is a lecture.

간병 휴식

자택에서 가입자를 간호해 주는 가족이나 친구가 있습니까? 그렇다면 당사에서 가족이나 친구의 고생을 덜어 드리겠습니다. 이것이 바로 간병인의 휴가를 위해 간병 휴식을 제공하는 이유입니다. 간병 휴식은 질병을 앓고 있거나 특별한 요구가 있는 가족을 돌보는 간병인에게 휴가를 제공해 줍니다.

서비스 코디네이터

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.

치료 서비스

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:

• 작업치료
• 물리치료
• 언어 치료
• 재가 치료

교통편

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 오전–5 오후 CT (7 오전–4 오후 MT)
월요일 - 금요일

시력 관리

Eye Exams are covered once every 24 months for members.