Hla mus rau cov ntsiab lus xub thawj
Cov Ntsiab Lus Xub Thawj

UnitedHealthcare Community Plan KanCare

Medicaid

This plan offers a range of benefits along with extras that other KanCare plans don't offer. We also offer extra support and care to adults and children who need help with daily activities. You qualify based on income and health needs. View the benefits below to see all that it offers.

Cov Kev Pab thiab Cov Yam Ntxwv

Kev Saib Xyuas Kho Mob Tus Zoo thiab Tus Muaj Mob

Get the care needed to stay healthy — or to be at your best. Qhov ntawd muaj xws li:

  • Choice of Doctors. Find a doctor you know and trust in our network.
  • Medicines. Fill your prescriptions at local pharmacies.
  • Lab and X-rays. Lab tests, x-rays and diagnostic imaging are covered.
  • Therapy Services. Physical or other therapy to help be your best.
  • Shots and Vaccines. Routine shots help protect against illness.
  • Hospitalization. You pay nothing for care in a hospital.
  • Tus Xov Tooj Hu Rau Tus Kws Tu Neeg Mob. Nrog tus kws tu neeg mob uas muaj ntaub ntawv raug cai tham 24/7.
  • Foot Care. We provide more visits to keep your feet healthy.
  • Community Rewards. You can earn rewards for going to important wellness exams.

Tsis muaj ib yam dab tsi uas tseem ceeb dua txoj kev noj qab haus huv thiab noj qab nyob zoo ntawm koj thiab koj tus me nyuam mos liab. Vim li ntawd peb daim phiaj cov kev pab thiaj muaj xws li:

  • Choice of Birth Center. You can choose a licensed community birth center or pick from 100s of hospitals across Kansas.
  • Choice of Doctors. Find a certified nurse midwife, licensed midwife, doctor or OB/GYN you trust in our network.
  • Healthy First Steps®. Get extra support and rewards to keep you and your baby healthy.
  • Kev Mus Ntsib Kws Kho Mob Thaum Lub Caij Cev Xeeb Tub. Kev saib xyuas koj ua ntej koj tus me nyuam mos liab yug los. Earn reward for completing first prenatal visit in the first trimester.

If you or a family member has special health care needs, you can count on us. Our plan will provide the needed extra care and services. Cov kev pab muaj xws li:

  • Behavioral Health. Counseling and other treatments are covered.
  • Diabetic Support. Medicine needles and wipes for managing diabetes.
  • Asthma and COPD Support. Exams, testing and supplies are covered.
  • Care Management. If you qualify, get personal help managing health conditions.
  • Kidney Disease Care. Dialysis, medicine and treatments are covered.
  • Health Rewards Program. Earn debit card rewards for well care visits and immunizations.

Make sure your sight, smile and hearing are at their best. Cov kev pab muaj xws li:

  • Vision Care. Yearly eye exams and eyeglasses as needed.
  • Dental Care. Exams, x-rays and cleaning for kids and adults.
  • Hearing Care. Tests, checkups and hearing aids, if needed.

If you are recovering from a serious illness or surgery, you may need extra support. Our plan includes the care and equipment needed to recover safely at home. Cov kev pab muaj xws li:

  • Equipment and Supplies. In-home medical and safety equipment are covered.

Sometimes you might need a little extra help using your health plan. For those times, you can rely on:

  • Transportation. We provide rides to and from medical visits.
  • Community Rewards. Your can earn rewards for going to important wellness exams.
  • Programs for Kids and Teens. Free activities at local youth organizations.
  • Member Services. Your benefit questions are answered Monday – Friday 8 am – 6 pm 1-877-542-9238.
  • Quitting Tobacco. Coaches and supplies to help you quit using tobacco.
  • Interpreters. Interpreters are available over the phone for you at your doctor visits.

If you're elderly or living with a disability or illness, your health needs are unique. Our job is to make it as easy as possible for you to meet those needs and more. Benefits may include:

  • Care Coordinator. Someone to get you the services to be at your best.
  • Disease Management. Focused care for those with critical health needs.
  • In-Home Care. Medical and personal care at home, if needed.
  • Equipment and Supplies. In-home medical and safety equipment are covered.
  • Emergency Response System. Sends an urgent request for someone to help you.
  • Adult Day Care. Friendship and social activities in a safe setting.
  • Home Meal Delivery. If you cannot safely make meals, we'll provide them.
  • Respite Care. In-home help to give your caregivers a rest.

Adult Day Care

Companionship is important. Adult day care provides care and companionship for frail elderly waiver members who need extra help during the day. Caregivers also benefit, knowing their loved one is well cared for and safe during the day.

Adult day care can provide:

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

Kev Pab Txhawb Nqa Rau Tus Mob Hawb Pob thiab COPD

Do you or a family member have trouble managing asthma or COPD symptoms? A nurse who specializes in breathing issues can really help. You will get a customized treatment plan and medicine to:

  • Manage flare-ups.
  • Reduce symptoms.
  • Help you stay active.

Attendant Care Services

If you live with a disability or chronic health condition, you may need extra help to stay in your own home. Our plan gives members who qualify the services needed to be safe and comfortable. An attendant can provide:

  • Companionship.
  • Homemaking services.
  • Personal care.

You and your caregiver can decide which chores you want your care attendant to do in your home.

Kev Noj Qab Haus Huv Ntawm Tus Cwj Pwm

Kev noj qab haus huv ntawm tus cwj pwm tseem ceeb ib yam li kev noj qab haus huv ntawm lub cev. That's why we have coverage for both.

Kev kho mob uas yuav tsum tau ua yog 100% them rau yam tsis muaj feem yus nrog them (copay). Qhov no muaj xws li:

  • Behavioral therapy.
  • Substance abuse treatment.
  • Cov tshuaj.
  • Peer Coaching program.

Tus Neeg Khiav Hauj Lwm Saib Xyuas Kev Kho Mob

The daily care and safety of our members is important. That’s why we conduct home visits for eligible waiver members who need extra help staying at home. 

During this visit we:

  • Understand your personal needs.
  • See if your home needs minor modifications, such as ramps and bathroom safety devices.
  • Set up emergency monitoring.
  • Arrange for personal care attendants.

Kev Tswj Xyuas Mob Nkeeg

Do you have a disability or a serious health problem? If your health needs qualify then our care coordinators are in your corner. They will:

  • Explain medical terms in plain language.
  • Coordinate your doctor appointments.
  • Provide your care team with your medical records.

Your care coordinator will stay with you throughout the medical journey. He or she will:

  • Think beyond your immediate medical needs.
  • Make sure you have support at home.

Choice of Birth Center

Where you have your baby is an important choice. That's why you can pick from hospitals across Kansas and surrounding states.

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.

Cell Phone Program

Contact Member Services for help applying for a cell phone plan.

Choice of Doctors

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.

Kho Hniav

Child members up to age 20 receive Preventative exams and cleaning 2 times a year. This helps keep teeth and gums strong and healthy.

Adults over 20 can visit participating dental provider for exams, x-rays, cleanings and fillings. Covers up to $500 per year*.

*The $500 coverage that includes fillings begins in 2019

Diabetic Support

Yog koj muaj mob ntshav qab zib, peb yuav pab ua kom lub neej yooj yim me ntsis rau koj. 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.
  • Wellness Rewards for getting needed exams.

Kev tswj hwm kab mob

If you have chronic or high-risk illnesses, our disease management services may help you. We provide support for:

  • Congestive heart failure.
  • Asthma.
  • HIV.
  • Chronic obstructive pulmonary disease (COPD).
  • Coronary artery disease.

Emergency Response System

If you are on one of the waiver programs and at risk for a fall or sudden illness, an emergency call system can really help. It sends an urgent request for someone to check on you and help you.

Cuab Yeej thiab Cov Khoom Siv Kho Mob

Koj txoj kev noj qab haus huv thiab kev nyab xeeb nyob tom tsev yog qhov tseem ceeb.

Peb daim phiaj (plan) them rau cov cuab yeej kho mob uas xaj rau koj los ntawm koj tus kws kho mob. This might include supplies like:

  • Oxygen tanks.
  • Hospital beds.
  • Wheelchairs or walkers.

Kev Kho Mob Ko Taw

Children can get the exams needed to help keep your feet in great shape. And if you have diabetes, good foot care can help prevent much more serious problems.

Our podiatry coverage includes:

  • Routine foot exams.
  • Tips about foot care and choosing the right shoes.
  • Information about nerve damage warning signs.

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 $20 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).

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 when ordered by your doctor.

Home Meal Delivery

If you are on the PD or TBI waiver and live with a disability or chronic health condition, we may be able to arrange home meal deliver. You will not be eligible if you are getting home meals through different program.

Kev kho mob hauv tsev kho mob

This plan pays for all expenses related to a hospital stay, so you can rest and heal.

Hospitalization coverage includes:

  • 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.

In-Home Care / Skilled Home Health Care Services

If you have health or mobility challenges, you may need extra help with day-to-day tasks. You may even need an in-home medical visit to check on how well you are healing. If ordered by a doctor for medical reasons, our Plan covers: 

  • In-home medical visits.
  • Medical equipment like hospital beds, walkers or wheelchairs.
  • Disposable medical supplies.
  • Help with personal care or housekeeping.

Interpreters

Your doctor and you need to understand each other. Hais lus tsis tau Lus Askiv zoo ua rau qhov no nyuaj tuaj. We can arrange for a medical interpreter to be available for you over the telephone at your appointments.

We also have people in member services who speak more than one language. Chances are, we have someone who speaks your language.

Kev Kho Tus Mob Raum

Mob raum yog ib qho teeb meem mob loj heev. After the kidneys stop working, regular treatments (called renal dialysis) or an organ transplant are necessary. Dialysis uses a machine to clean the blood, just like healthy kidneys do. Peb daim phiaj muaj xws li:

  • Kev lim ntshav.
  • Cov tshuaj.
  • Kev kawm txog kev noj qab haus huv thiab kev pab txhawb.
  • Hloov qhov khoom nrog cev tshiab yog hais tias yuav tau ua.

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.

Peb yuav pab koj kom tau txais tej ntaub ntawv qhia paub uas yuav tsum tau kho koj txoj kev noj qab haus huv zoo dua qub los yog nyob rau ntawm qhov koj ua tau zoo tshaj plaws.

Cov Tshuaj

There are no copays for covered drugs. You can fill your prescriptions at local pharmacies. 

The medical card will cover many services and items. In order for a service to be covered, you must use a Kansas Medicaid provider. The type of coverage you have will determine how you receive coverage.

Specific limits and guidelines apply to all services, and these change often. Before getting any service or item, contact KMAP/MCO Customer Service. A general list of KMAP/MCO covered services is included on our website at https://www.kmap-state-ks.us/Public/Beneficiary/default.asp.

Medicaid requires some services to be approved before you get them. Your provider knows which services need prior authorization and is responsible for obtaining it for you. Medicaid will send you and your provider a letter approving or denying the prior authorization request.

Cov Pab Tswv Yim Rau Cov Tswv Cuab

We're looking out for you. Member advocates can help solve problems, provide training and education, and work on issues that concern members.

They can:

  • Provide information about your plan.
  • Teach you how to get the care you need.
  • Help with doctor issues or complaints.
  • Call Member Services and ask for a Member Advocate to help you.

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 Monday-Friday 8 AM - 6 PM at 1-877-542-9238. We'll answer your questions simply and completely.

We can also help you find:

  • Doctors.
  • Pharmacies.
  • Hospitals or other health facilities.
  • Local resources.

NurseLine (Tus Xov Tooj Pab Kho Mob)

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, you can call a nurse 24 hours a day, 7 days a week. Call 1-855-575-0136.

Peb cov kws tu neeg mob yuav:

  • Mloog txhua cov tsos mob.
  • Pab rau kev saib xyuas tus kheej.
  • 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.

Prenatal Visits

Your pregnancy is a journey and you will need help along the way. You can visit a family doctor or pregnancy doctor (OB-GYN) to get the care you need.  

All recommended prenatal clinical visits and tests are covered by our plan.

At these visits, the clinic will:

  • Make sure both you and your baby are healthy.
  • Explain what to expect at each stage of your pregnancy.
  • Answer your questions.

Programs for Kids and Teens

Positive role models can make a big difference in a child's life. That's why we provide one free activity each year at local youth organizations, like:

  • YMCA.
  • Boys & Girls Clubs.
  • 4-H.
  • Select Kansas Park and Recreation Departments.

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 coaches and supplies. The only thing you won't get from us is a lecture.

You can also call the KanQuit smoking line at 1-800-784-8669 for support. 

Respite Care

Are you a waiver member who has family members or friends who care for you in your home? If so, we want to support their hard work too. That's why we provide respite care to give your caregivers a rest. Respite care offers caregivers time away from their loved one who is ill or has special care needs. Some members can get extra respite care. Ask your Care Coordinator if you qualify.

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.
  • Tetanus, diphtheria, pertussis.
  • HPV.

Cov Kev Pab Cuam Kho Mob

Kev kho mob rau lub cev, ua taus hauj lwm thiab hais tau lus yuav pab tau koj kom zoo los ntawm ib qho raug mob los yog ib tus mob loj, kom mus txog rau qhov koj muaj peev xwm ua tau.

When approved by a doctor, covered therapies include:

  • Occupational therapy.
  • Physical therapy.
  • Speech therapy.

Tsheb Thauj Mus Los

Our plan provides needed rides to and from health care locations for medical appointments. That includes trips to:

  • Doctor or therapy visits.
  • Health departments.
  • Vision clinics.
  • Rides to job activities for members who qualify.

Call 1-877-524-9238.

Non-emergency Medical Transportation (NEMT) benefits name change notice.

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:

  • Annual eye exams.
  • Prescription lenses.

This benefit is offered by OptiCare.

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.

There are no copayments for preventive care. Earn Community Rewards points for getting exams.

Cov Ntaub Ntawv Qhia Txog Tswv Cuab

Saib Cov Ntaub Ntawv Uas Muaj (qhib qhov modal window)
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