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.
Coming soon:
UnitedHealthcare STAR+PLUS is coming to new parts of 텍사스 on 9월 01, 2024. New coverage areas are Dallas, Fort Worth, San Antonio, Valley and surrounding areas. See below to view full list of counties.
STAR+PLUS
메디케이드
Our 텍사스 STAR+PLUS plan is for older adults (65 and older) and adults with disabilities (21 and older), who often need extra support and care. We also offer additional services called Value Added Services (VAS). You qualify based on income and health needs. View the list below to see what STAR+PLUS includes.
Important News for STAR+PLUS Members -- UnitedHealthcare’s coverage areas are changing
New Service Delivery Areas: UnitedHealthcare coverage begins on 9월 01, 2024
If you live in a new service delivery area (SDA), click on Steps to Enroll below for simple steps to join the STAR+PLUS plan. Your coverage will begin on 9월 01, 2024.
- Bexar (San Antonio area): Atascosa, Bandera, Bexar, Comal, Guadalupe, Kendall, Medina, and Wilson counties
- Dallas (Dallas area): Collin, Dallas, Ellis, Hunt, Kaufman, Navarro, and Rockwall counties
- Hidalgo (Valley area): Cameron, Duval, Hidalgo, Jim Hogg, Maverick, McMullen, Starr, Webb, Willacy, and Zapata Counties
- Tarrant (Fort Worth area): Denton, Hood, Johnson, Parker, Tarrant, and Wise counties
Current Service Delivery Areas: UnitedHealthcare coverage continues on 9월 01, 2024
UnitedHealthcare coverage is not changing in current SDAs, no action is required to continue coverage. UnitedHealthcare members in these areas can stay on their health plan and continue to see the health care providers they know and trust.
- Harris (Houston area): Austin, Brazoria, Fort Bend, Galveston, Harris, Matagorda, Montgomery, Waller, and Wharton counties
- Central 텍사스: Bell, Blanco, Bosque, Brazos, Burleson, 콜로라도, Comanche, Coryell, DeWitt, Erath, Falls, Freestone, Gillespie, Gonzales, Grimes, Hamilton, Hill, Jackson, Lampasas, Lavaca, Leon, Limestone, Llano, Madison, McLennan, Milam, Mills, Robertson, San Saba, Somervell, and Washington counties
- Northeast 텍사스: Anderson, Angelina, Bowie, Camp, Cass, Cherokee, Cooke, Delta, Fannin, Franklin, Grayson, Gregg, Harrison, Henderson, Hopkins, Houston, Lamar, Marion, Montague, Morris, Nacogdoches, Panola, Rains, Red River, Rusk, Sabine, San Augustine, Shelby, Smith, Titus, Trinity, Upshur, Van Zandt, and Wood counties
- Travis (Austin area): Bastrop, Burnet, Caldwell, Fayette, Hays, Lee, Travis, and Williamson counties
If you live in these SDAs and would like to change your STAR+PLUS coverage to UnitedHealthcare, click on Steps to Enroll below for simple steps to join our plan. Coverage will begin on 9월 01, 2024, or sooner.
Exiting Service Delivery Areas: UnitedHealthcare coverage will end on 8월 31, 2024
UnitedHealthcare members in these areas can stay in our health plan and continue seeing health care providers they know and trust through 8월 31, 2024.
- Jefferson (Beaumont area): Chambers, Hardin, Jasper, Jefferson, Liberty, Newton, Orange, Polk, San Jacinto, Tyler, and Walker counties
- Nueces (Corpus Christi area): Aransas, Bee, Brooks, Calhoun, Goliad, Jim Wells, Karnes, Kenedy, Kleberg, Live Oak, Nueces, Refugio, San Patricio, Victoria
In March and June 2024, the 텍사스 Health and Human Services (HHSC) will send letters to UnitedHealthcare members telling them about their new health plan options. If a member in an exiting SDA does not choose a new health plan by 7월 10, 2024, HHSC will select one for them. Coverage with the new health plan will begin on 9월 01, 2024.
이 플랜의 이용 가능한 카운티:
Anderson, Angelina, Aransas, Austin, Bastrop, Bee, Bell, Blanco, Bosque, Bowie, Brazoria, Brazos, Brooks, Burleson, Burnet, Caldwell, Calhoun, Camp, Cass, Chambers, Cherokee, 콜로라도, Comanche, Cooke, Coryell, DeWitt, Delta, Erath, Falls, Fannin, Fayette, Fort Bend, Franklin, Freestone, Galveston, Gillespie, Goliad, Gonzales, Grayson, Gregg, Grimes, Hamilton, Hardin, Harris, Harrison, Hays, Henderson, Hill, Hopkins, Houston, Jackson, Jasper, Jefferson, Jim Wells, Karnes, Kenedy, Kleberg, Lamar, Lampasas, Lee, Leon, Liberty, Limestone, Live Oak, Llano, Madison, Marion, Matagorda, McLennan, Milam, Mills, Montague, Montgomery, Morris, Nacogdoches, Newton, Nueces, Orange, Panola, Polk, Rains, Red River, Refugio, Robertson, Rusk, Sabine, San Augustine, San Jacinto, San Patricio, San Saba, Shelby, Smith, Somervell, Titus, Travis, Trinity, Tyler, Upshur, Van Zandt, Victoria, Walker, Waller, Washington, Wharton, Williamson, and Wood.
- STAR+PLUS
의료 서비스 제공자와 이 보험의 보장 범위를 검색하십시오.
의사, 병원 및 전문가를 검색할 수 있습니다.
이 플랜이 적용되는 의약품을 찾아보십시오.
가까운 약국을 찾아보십시오.
혜택 및 특징
의사 선택
귀하의 주치의가 되는 PCP(일차 진료 의사)를 배정받습니다. 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
입원
This plan pays for all expenses related to a medically necessary hospital stay.
After you leave the hospital, you are not alone. 자택에서 후속 치료를 통해 계속 치료를 받을 수 있도록 보장해 줍니다.
재가 치료
질환이나 부상 후에는 기본적인 활동을 스스로 하기가 힘들 수 있습니다. 필요한 경우 다음을 보조할 사람을 제공합니다.
- 옷입기
- 목욕
- 식사
통역자
담당 의사와 귀하는 서로를 이해해야 합니다. 영어로 말하지 못하면 진료가 어려워집니다. We can arrange for an interpreter for 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.
- Mail order services.
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.
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
- Substance use treatment.
- 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.
- Prescription drugs coverage.
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.
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.
Service Coordination - Cornerstone of the STAR+PLUS program
- 의학 용어를 쉬운 말로 설명합니다.
- Coordinate your doctor appointments and other services or treatments you may need.
- Connect you with community resources.
Your case manager will stay with you on your medical journey. 다음을 수행합니다.
- Think beyond just your medical needs.
- Make sure you have support at home as needed.
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.
시력 관리
You'll get the care, eyeglasses and treatment that let you see life more clearly. Coverage includes $105 each year toward frames or contact lenses.
This benefit is offered by certain stores and retailers.
자세히 알아보기
STAR+PLUS
UnitedHealthcare가 어떤 서비스를 제공하는지 동영상으로 확인하세요.
동영상 대본
여러분이 받을 의료 서비스는 여러분이 선택하세요.
여러분을 포함한 모든 사람이 저렴한 의료 서비스를 받을 자격이 있습니다.
Seniors and people with disabilities, who qualify for Medicaid’s STAR+PLUS Program, should check out UnitedHealthcare Community Plan of 텍사스
저희는 여러분의 삶에 실질적인 변화를 실현할 수 있는 Medicaid 혜택과 추가 혜택을 제공합니다. 모두 무료입니다.
- Find a Primary Care Physician you trust in our network to be your main doctor.
- Vision coverage.
- Transportation to and from doctor appointments.
- 24/7 Nurse Hotline to answer your health questions.
가끔은 추가 지원이 필요할 수도 있습니다. Medicaid로 보장되지 않는 추가 혜택을 받아보세요.
- Receive one fire and waterproof bag per fiscal year to safely store important documents, medications and personal items when experiencing a natural disaster.
- Receive an exercise kit to help you adopt an active lifestyle or to lose weight.
- Online mental health services.
- Help getting a ride when traditional Medicaid transportation is not available.
저희는 여러분이 플랜을 최대한 활용할 수 있는 자원도 제공합니다. 예를 들어,
- 가입자 지원 담당자
- Service Coordinators
- Health Education Tools
- 의료 관리
Visit yourtexasbenefits.com for more information.
여러분의 더 건강한 삶을 지원합니다. We are here for you, 텍사스
Remember to choose UnitedHealthcare Community Plan. And get the Plan that gives you more.
To learn more about UnitedHealthcare Community Plan, visit UHCCommunityPlan dot com forward slash TX.
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.