음.. 브라우저가 오래된 것 같습니다.
더 빠르고 안전한 사이트 경험을 즐길 수 있도록 브라우저를 업데이트해 보겠습니다.
Don't lose benefits
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 오전-8 오후 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
메디케이드
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 영어 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.
이 플랜의 이용 가능한 카운티:
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
의료 서비스 제공자와 이 보험의 보장 범위를 검색하십시오.
의사, 병원 및 전문가를 검색할 수 있습니다.
이 플랜이 적용되는 의약품을 찾아보십시오.
가까운 약국을 찾아보십시오.
Need help finding a provider or setting up a visit?
월요일~금요일 8 오전-8 오후, 1-888-887-9003, TTY 7-1-1번으로 회원 서비스에 전화하시거나 이메일 memberservices_uhccp@uhc.com 을(를) 통해 제공자를 찾거나 방문 일정을 잡으시기 바랍니다.
혜택 및 특징
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 can really help. You’ll get a customized treatment plan and medicine to:
- Manage flare-ups.
- Reduce symptoms.
- Help you stay active.
사례 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.
- Provide your care team with your medical records.
Your case manager will stay with you on your medical journey. 다음을 수행합니다.
- Think beyond your medical needs.
- Make sure you have support at home.
So you can focus on getting better.
의사 선택
You or your child gets a primary care physician (PCP) who is your main doctor. Doctor Lookup(의사 찾아보기) 도구를 사용하여 담당 의사가 당사 네트워크 소속인지 확인할 수 있습니다.
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.
귀하의 PCP는 다음을 주로 담당하는 주치의입니다.
- 예방적 건강 관리
- 질병 또는 상해에 대한 치료
- 특정 상태에 대한 전문가 소개
Choose a Birth Center
Where to deliver your child is an important choice. That's why you can pick from hundreds of hospitals across 텍사스.
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 deliver your baby.
치아 관리
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.
장비 및 소모품
자택에서 건강과 안전을 유지하는 것은 중요합니다.
당사의 플랜은 담당 의사 또는 사례 관리자가 주문하는 의료 장비를 보장해 드립니다. 다음이 포함됩니다.
- 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®
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.
입원
이 플랜은 입원과 관련된 모든 비용을 지급하므로, 비용 걱정 없이 휴식과 치료에 전념하실 수 있습니다.
다음이 포함됩니다.
- 간호
- 숙식
- 소모품 및 장비
- 치료 및 요법
- 진단 검사 및 검진
퇴원한 후에도 혼자가 아닙니다. 자택에서 후속 치료를 통해 계속 치료를 받을 수 있도록 보장해 줍니다.
통역자
담당 의사와 귀하는 서로를 이해해야 합니다. 영어로 말하지 못하면 진료가 어려워집니다. 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.
언어 지원
You can ask to receive information in another language. Then anything we write to you will only be in that language. 이 혜택은 무료로 제공됩니다.
의약품
We make getting your medicine easy.
There are no copays for covered drugs. You can fill your prescriptions at:
- 현지 약국
- Services that deliver routinely right to your door.
또한 주치의의 서면 지시서를 받은 일반 의약품도 보장합니다.
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.
- 가정 의료 서비스 제공자.
- Dentists and vision providers.
- Adult Day Health Centers.
정신 건강
정신 건강도 육체 건강 못지않게 중요합니다. That's why we have the same coverage for both.
필요한 진료가 본인 부담금 없이 100% 보장됩니다. 다음이 포함됩니다.
- 행동요법
- 약물 남용 치료
- 의약품
No Copays
보장되는 서비스에는 어떤 비용도 지급하지 않습니다.
While your health care is low-cost or free, the care quality is high. 제공되는 혜택은 다음과 같습니다.
- 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.
간호사 핫라인
곤란한 경우에 의학적 문제 및 상황이 발생하기도 합니다. 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:
- 증상을 경청합니다.
- 자기 관리를 안내합니다.
- 의사 방문 시 또는 응급 치료 센터에서 진료를 받는 방법에 관해 조언합니다.
Suggest you go right to the emergency department.
태아기 진료
Your pregnancy is a journey you'll want to make with the help of friends, family and a pregnancy doctor, or OB-GYN.
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.
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.
Vaccines and Immunizations
All of the immunizations your child needs are covered.
시력 관리
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.
자세히 알아보기
텍사스 STAR
동영상 대본
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.
Don't lose benefits
Your health plan renewal date may be coming soon. If you haven’t already, you may need to recertify to keep getting UnitedHealthcare coverage.