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UnitedHealthcare Community Plan Medicaid (MMA)
Medicaid
This Florida Medicaid Plan offers a range of benefits. Children, families, pregnant women and single adults may qualify based on income. View the benefits below to see all that it offers.
We want to help you to get the most from your health plan. If you have not completed a health risk assessment, please call 1-888-716-8787 to talk with a representative Monday-Friday from 8 AM-5 PM.
Qhov phiaj xwm kho mob no yog muaj muab kev pab nyob rau hauv cov nroog nram qab no:
Alachua, Baker, Bradford, Citrus, Clay, Columbia, Dixie, Duval, Flagler, Gilchrist, Hamilton, Hardee, Hernando, Highlands, Hillsborough, Lafayette, Lake, Levy, Manatee, Marion, Miami-Dade, Monroe, Nassau, Polk, Putnam, St. Johns, Sumter, Suwannee, Union, and Volusia.
This plan is available in the following counties:
- Region 3: Alachua, Bradford, Citrus, Columbia, Dixie, Gilchrist, Hamilton, Hernando, Lafayette, Lake, Levy, Marion, Putnam, Sumter, Suwannee, and Union Counties
- Region 4: Baker, Clay, Duval, Flagler, Nassau, St. Johns, and Volusia Counties
- Region 6: Hardee, Highlands, Hillsborough, Manatee and Polk Counties
- Region 11: Miami-Dade and Monroe Counties
- UnitedHealthcare Community Plan Medicaid (MMA)
Yuav Rau Npe Li Cas
To Learn More About UnitedHealthcare Community Plan. Call Us.
24 hours a day, 7 days a week.
MMA: 1-844-446-2151
LTC: 1-844-445-7229
TTY: 711
Are you elgible for Florida Medicaid, but not a member yet?
- Text ENROLL to FLSMMC (357662). You will need the Medicaid ID number of each member and the account PIN number.
- Go online at at www.flmedicaidmanagedcare.com to create a Member Portal account or chat with our Enrollment Virtual Assistant.
- Call the Helpline to speak to a Choice Counselor toll free at 1-877-711-3662, Monday–Thursday, 8 a.m.–8 p.m., and Friday, 8 a.m.–7 p.m.. TTY/TDD users please call 1-866-467-4970.
Need to apply for Medicaid?
You can apply for Medicaid through the Florida Department of Children and Families You can also visit the SMMC website at https://www.myflfamilies.com/medicaid
UnitedHealthcare Community Plan of Florida is a Managed Care Plan with a Florida Medicaid contract. The benefit information provided is a brief summary, not a complete description of benefits. For more information contact the Managed Care Plan. Limitations, copayments, and restrictions may apply Benefits, formulary, pharmacy network, premium and/or copayments/coinsurance may change.
Nrhiav cov kws muab kev pab kho mob thiab kev pab them nqi kho mob rau qhov phiaj xwm kho mob no.
Search for doctors, hospitals and specialists.
Nrhiav cov tshuaj uas raug pab them los ntawm qhov phiaj xwm kho mob no.
Nrhiav lub khw muag tshuaj nyob ze koj.
Cov Kev Pab thiab Cov Yam Ntxwv
Kev Pab Txhawb Nqa Rau Tus Mob Hawb Pob thiab COPD
Do you or your child have trouble managing COPD or asthma 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.
- Let you or your child stay active.
Kev Tswj Xyuas Mob Nkeeg
A serious health problem requires extra care and support. We use Health Homes to coordinate services for our members.
Do you or your child have a serious health problem? Then our case managers are in your corner. They will:
- Explain medical terms in plain language.
- Coordinate doctor appointments.
- Provide the care team with medical records.
Your case manager will stay with you or your child throughout the medical journey. He or she will:
- Think beyond immediate medical needs.
- Make sure there is support at home.
Kev Xaiv Tus Kws Kho Mob
You get a primary care physician (PCP), who is your main doctor. Siv peb Lub Cuab Yeej Nrhiav Kws Kho Mob txhawm rau los saib seb koj tus kws kho mob puas nyob hauv peb lub network.
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.
Koj tus PCP yog koj tus kws kho mob tseem ceeb rau:
- Preventive care.
- Treatment if you are sick or injured.
- Referrals to specialists for certain conditions.
Choice of Birth Center
Where you have your baby is an important choice. That's why you can pick from nearly 80 hospitals across Florida.
We also encourage you to tour the hospital’s birthing center. This way you will be familiar with it. And be more relaxed when you have your baby.
Diabetic Support
If you have diabetes, we'll make life a little easier for you. Koj yuav tau txais tshuaj, cov khoom siv thiab kev kawm los pab koj kom noj qab nyob zoo.
Our diabetes program also includes self-care training and classes focused on:
- Planning healthy meals.
- Managing stress.
- Living a healthy lifestyle.
Cov Cuab Yeej thiab Tej Khoom Siv
Koj txoj kev noj qab haus huv thiab kev nyab xeeb nyob tom tsev yog qhov tseem ceeb.
Our plan covers medical equipment ordered by your doctor or case manager. Qhov no muaj xam nrog rau cov khoom siv xws li:
- Hospital beds.
- Oxygen tanks.
- Wheelchairs or walkers.
Hearing Care
Trouble hearing can affect your everyday life in many ways. Our plan includes services and support to help protect your hearing.
Peb them rau:
- Exams, therapy and tests.
- Hearing aids every three years.
Healthy Behavior Programs
Do you smoke? If so, do you want to try and quit? We have a smoking cessation program that is available at no cost.
Do you want to work on weight loss or healthier eating habits? These types of lifestyle changes can help with many chronic conditions. We have a program to help you with this.
If you have noticed changes in your mood, habits or the way you feel, you may need to talk to someone about these feelings.
Behavioral health services are available as part of your benefits. We also offer a reward program if you would like help with a drug abuse problem.
All of these programs are available at no cost to you. If you would like to join any of these programs, please call us at 1-844-446-2151. We are here Monday through Friday from 8:00 AM to 7:00 PM If you are hard of hearing, please dial 711.
Noj qab nyob zoo yog ua ntej tshaj plaws®
Build a healthy future for you and your baby and earn great rewards with Healthy First Steps. Our program will help you take the right steps to keep you and your baby healthy. Plus you can earn $10 just for signing up.
Peb yuav pab koj:
- Choose a pregnancy provider and a pediatrician (child’s doctor).
- Schedule visits and exams and arrange rides to your visits.
- Earn rewards for going to visits throughout your pregnancy and baby’s first 15 months of life.
- Get supplies, including breast pumps for nursing moms.
- Txuas nrog cov peev txheej hauv zej zog xws li Cov Kev Pab cuam Poj Niam, me nyuam mos thiab me Nyuam (WIC).
Home Meal Delivery
Taking care of the basics, like cooking, can be difficult after an illness or sickness. That’s why we’ll bring nutritious meals to you to help you through tough times. You can get up to 10 meals delivered each year after being discharged by the hospital.
Kev kho mob hauv tsev kho mob
This plan pays for all expenses related to a hospital stay, so you can rest and heal.
Peb daim phiaj them rau:
- Nursing care.
- Room and board.
- Supplies and equipment.
- Treatment and therapies.
- Diagnostic tests and exams.
Thiab tom qab koj tawm hauv tsev kho mob mus lawm, koj tsis nyob ib leeg. We make sure you get follow-up care to continue healing at home.
Interpreters
Your doctor and you need to understand each other. Hais lus tsis tau Lus Askiv zoo ua rau qhov no nyuaj tuaj. Peb tuaj yeem npaj tau ib tus kws pab txhais lus rau fab kev kho mob tuaj rau thaum koj tuaj ntsib kws kho mob.
We also have people in member services who speak more than one language. Chances are, we have someone who speaks your language.
Lab and X-rays
Kev paub tias dab tsi tsis yog lawm thiab nrhiav pom qhov ntawd thaum ntxov yuas ua rau muaj kev pab tau. Peb daim phiaj them rau:
- Kuaj kab mob thiab kev kuaj.
- Xoos fais fab X-rays, yees duab thiab lwm yam kev yees duab.
We’ll help you get the information needed to improve your health or be at your best.
Kev Pab Txhais Lus
You can receive information in your preferred language. Tsuav yog koj thov txog xwb. We also have people at our customer service who speak more than one language. Chances are, we have someone who speaks your language.
Cov Tshuaj
Our plan includes prescription drugs and refills.
And we want to make getting your medicine easy. You can fill your prescriptions at:
- In Network Local pharmacies.
- Services that deliver right to your door.
Cov Kev Pab Tswv Cuab
Sometimes you might need a little help understanding your health care options. With us, you have someone you can call. We’ll answer your questions simply and completely.
We can also help you find:
- Primary Care Physicians and Specialists.
- Dentists and vision providers.
- Local pharmacies.
Kev Noj Qab Haus Huv Sab Siab Ntsws
Mental health is as important as physical health. That's why we have coverage for both.
Required care is 100% covered. with no copay. Qhov no muaj xws li:
- Behavioral therapy.
- Cov tshuaj.
No Copays
You will not have a copayment for care and services covered by our plan.
Tus Xov Tooj Hu Rau Kws Tu Neeg Mob (Nurse Hotline)
Cov lus nug thiab cov xwm txheej kev kho qee zaum tshwm sim thaum lub sij hawm tsis yooj yim. When you have questions about your health or your child’s health, you can call a nurse 24 hours a day, 7 days a week.
Our Nurse Hotline nurses will:
- Listen to the symptoms.
- Guide you on self-care.
- Qhia rau koj txog kev kho mob thaum mus ntsib kws kho mob los sis chaw kho mob ceev.
- Pab kom koj paub tias yuav tau mus rau tom chav kho mob xwm txheej kub ceev thaum twg.
Nurse Visit
Sometimes you may need continued care after you leave the hospital or urgent care.
If your health is at risk after a serious illness, surgery or injury, a nurse will visit you at home to:
- Provide medical care for you or your child.
- Answer your questions and concerns.
Over-the-Counter Supplies
Your health care costs may include non-prescription medicines and supplies like aspirin, cough medicine or bandages. Our plan will cover you up to $25 each month for medically necessary over-the-counter medicine or medical supplies you purchase.
Kev Saib Xyuas Cev Xeeb Me Nyuam
A pregnancy is a journey you’ll want to make with the help of friends, family and a pregnancy doctor, or OB-GYN.
All of your recommended prenatal clinical visits and tests are covered.
At these visits, the clinic will:
- Make sure you and your baby are healthy.
- Explain what to expect at each stage of your pregnancy.
- Answer your questions.
Residential Care
After a serious illness, surgery or injury, you may need extra nursing and therapy.
If needed, our plan covers short stays in a rehabilitation center where you can heal. Included are:
- Nursing home services.
- 24-hour nursing care.
- Help with activities of daily living.
- Physical, occupational and speech therapy.
Txiav Kev Haus Luam Yeeb
You know the bad health effects of smoking.
You know you need to quit. We support you while you quit with the help of coaches and supplies. The only thing you won't get from us is a lecture.
Cov Koob Tshuaj thiab Tshuaj Txhaj Tiv Thaiv Kab Mob
Kev txhaj tshuaj raws sij hawm yuav pab tau koj tiv thaiv kom txhob muaj mob.
So, our plan covers:
- Pneumonia, influenza and shingles shots.
- Other recommended shots and vaccines.
Telehealth
Everyday care at no cost to you! Talk to a doctor 24/7 by phone or video—day or night from wherever you are.
We can diagnose, treat, and prescribe medicine if needed for:
- Flu
- Fever
- Cough
- Headache
- Stomachache
- Rashes
- Allergies
- Upper respiratory infection
- Thiab ntau yam ntxiv
Call 1-888-716-8787 for more information.
Text4baby
Text4baby can help new and expecting mothers keep themselves and their babies healthy.
You’ll get three text messages each week throughout your pregnancy and your baby’s first year. Each text contains health and safety tips for topics like:
- Prenatal care.
- Labor and delivery.
- Breastfeeding.
- Safe sleep.
- Nutrition.
- Car seat safety.
So you and your baby can make a healthy start.
Cov Kev Pab Cuam Kho Mob
Therapy can help you recover from a serious injury or illness, or simply reach your full potential. Members receive needed:
- Occupational therapy.
- Physical therapy.
- Respiratory therapy.
- Kev kho kom hais lus tau
Tsheb Thauj Mus Los
Our plan provides unlimited round trips to and from health care locations. That includes rides to:
- Doctor or therapy visits.
- Health departments.
- Vision clinics.
- Urgent care centers.
Kev Saib Xyuas Kho Mob Ntsig Txog Qhov Muag
You’ll get the care, eyeglasses and treatment that let you see life more clearly. Coverage includes:
- Regular exams.
- Up to two pairs of frames each year.
- Prescription lenses.
This benefit is offered by Vision Service Plan.
Cov Kev Mus Ntsib Kws Kho Mob Kom Noj Qab Nyob Zoo
Well visits with your doctor can help keep you healthy. Cov kev mus ntsib kws kho mob no yuav txhom tau tej teeb meem mob thaum tseem ntxov, kom thiaj kho tau. Cov kev tiv thaiv kom txhob muaj mob muaj xws li:
- Cov kev kuaj ib ce rau cov muaj hnub nyoog thiab cov me nyuam.
- Cov kev txhaj tshuaj thiab kev kuaj mob li ib txwm ua.
- Cov kev kuaj mis.
Nws tsis muaj feem yus nrog them (co-payments) rau kev tiv thaiv kom txhob muaj mob.