Special Needs BasicCare (SNBC) Medicaid Only Plan - Cov Cuab Yeej Sim Nrhiav

TUS KWS KHO MOB XUB THAWJ

Thaum koj yog ib tus tswv cuab los sis dhau los ua ib tus tswv cuab ntawm UnitedHealthcare lawm koj tuaj yeem xaiv los sis raug xa mus rau ib tus kws kho mob xub thawj (primary care provider, PCP). Koj tus kws kho mob xub thawj (primary care provider, PCP) muaj peev xwm muab tau cov kev pab cuam rau kev saib xyuas kho mob fab kev noj qab haus huv feem ntau uas koj xav tau rau koj thiab yuav pab lis koj li kev saib xyuas kho mob kom dhia sib haum. Koj tuaj yeem hloov koj tus kws kho mob xub thawj (primary care provider, PCP) tau. Tiv tauj rau Member Services txhawm rau hloov koj tus kws muab kev saib xyuas kho mob.

Koj tsis tas yuav tsum tau muaj ib daim ntawv xa tauj (referral) mus rau ntawm ib tus kws kho mob txawj tshwj xeeb uas nyob rau hauv pab pawg nev vawj ntawm qhov Plan. Li cas los xij, koj lub chaw kuaj mob uas muaj kev saib xyuas kho mob xub thawj muaj peev xwm muab tau cov kev pab cuam rau kev saib xyuas kho mob fab kev noj qab haus huv feem ntau uas koj xav tau rau koj thiab yuav pab lis koj li kev saib xyuas kho mob kom dhia sib haum.

Tiv tauj rau koj lub chaw kuaj mob uas muaj kev saib xyuas kho mob xub thawj rau lus qhia paub hais txog cov xuab moos ua hauj lwm ntawm lub chaw kuaj mob ntsig txog cov kev tso cai ua ntej, thiab txhawm rau teem ib lub sij hawm mus ntsib kws kho mob. Yog hais tias koj tsis muaj peev xwm mus tau raws li koj qhov kev teem caij sib ntsib, hu rau koj lub chaw kuaj mob kiag tam sim ntawd.

Koj tuaj yeem hloov koj Tus Kws Kho Mob Xub Thawj (Primary Care Provider) los sis lub chaw kuaj mob tau. Txhawm rau tshawb nrhiav txog kev yuav ua qhov no tau li cas, hu rau Member Services ntawm 1-888-269-5410, TTY 711.

Tshawb Nrhiav ib Tus Kws Muab Kev Pab Kho Mob 

Yog yuav nrhiav ib tus PCP los yog ib tus Kws Kho Mob Tshwj Xeeb hauv peb lub network, thov siv qhov Provider Search (Nrhiav Kws Kho Mob) los yog thaum muaj, qhov Provider Directory (Daim Ntawv Teev Cov Kws Kho Mob). Koj yuav nrhiav tau cov ntaub ntawv muaj txhij txhua, xws li cov npe, cov chaw nyob, cov kev txawj tshwj xeeb, txais yuav neeg mob tshiab thiab hom lus hais.

Yog tias koj xav kom peb muab cov ntawv luam tawm rau koj yam tsis tau them nqi, thov hu rau Tus Kws Pab Tswv Yim Muab Kev Pab Tswv Cuab. Tiv Tauj nrog Tus Kws Pab Tswv Yim Muab Kev Pab Tswv Cuab ntawm 1-888-269-5410 TTY 711. Peb yuav zoo siab los pab koj nrhiav lossis hloov koj tus PCP.

Kev Kho Mob Xwm Txheej Kub Ntxhov Ceev thiab Mob Sai Sai

Daim Ntawv Teev Kev Kho Mob Xwm Ceev thiab Saib Xyuas Ceev yuav qhia koj tias qhov xwm txheej ceev tiag tiag yog dab tsi thiab muab cov npe ntawm ntau lub chaw saib xyuas ceev uas koj siv tau. Koj tuaj yeem siv cov chaw muab kev pab no thaum nws tsis muaj teeb meem rau lub neej, tab sis koj muaj mob los sis xav tau kev kho mob tam sim ntawd thiab koj tus PCP tsis muaj. Cov chaw kho mob ceev feem ntau yog qhib thaum yav tsaus ntuj thiab hnub so.

Cov Chav Kho Mob Xwm Txheej Kub Ceev (Emergency rooms (ERs)) yog rau kev raug mob loj los sis mob sai sai uas yuav ua rau muaj kev phom sij rau lub neej thiab xav tau kev kho mob tam sim ntawd. Thaum muaj xwm txheej ceev, koj yuav tsum hu 911 los yog mus rau ER tam sim ntawd. Koj phau ntawv koom nrog muaj cov ntsiab lus hais txog yuav ua li cas thiaj li tau txais kev pom zoo mus ntsib ER.

Tshawb nrhiav tus Kws Kho Mob Kho Kev Coj Tus Cwj Pwm

Yog tias koj muaj lus nug txog cov tshuaj uas tau txais kev pab them los sis qhov chaw ntawm lub khw muag tshuaj, thov hu rau UnitedHealthcare Feem Pab Cuam Tswv Cuab tau ntawm 1-888-269-5410, TTY 711. 

Daim Ntawv Teev Cov Tshuaj Muab Txaus Noj 90 Hnub (mn.gov)

Cov Npe Tshuaj Uas Tau Txais Kev Pab Them (List of Covered Drugs (LOCD)) ntawm UnitedHealthcare Community yog ib daim ntawv teev cov npe tshuaj raws li daim ntawv sau yuav tshuaj, thiab cov tshuaj uas yuav tsum tau txais kev pom zoo ua ntej. Kev pom zoo ua ntej yog thaum koj tus kws kho mob yuav tsum hu rau peb ua ntej muab tshuaj rau koj kom pom tias peb yuav them rau nws.

Nrhiav peb Daim Ntawv Teev Cov Tshuaj Kho Mob Uas Them Rau (LOCD)

Tshawb nrhiav ib lub khw muag tshuaj uas nyob ze koj. 

Saib peb daim ntawv teev npe ntawm cov khw muag tshuaj hauv network.

Yog tias koj muaj lus nug txog cov tshuaj uas tau txais kev pab them los sis qhov chaw ntawm lub khw muag tshuaj, thov hu rau UnitedHealthcare Feem Pab Cuam Tswv Cuab tau ntawm 1-888-269-5410, TTY 711. 

Tshawb nrhiav Lub Chaw Kho Qhov Muag uas nyob ze koj.