UnitedHealthcare Community Plan Medicaid

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:

• Counseling
• Substance use treatment.
• Cov tshuaj.

Call the Behavioral Health Crisis Line at 1-877-334-1141, at any time, 24 hours a day, 7 days a week. If you are in danger or need immediate medical attention call 911.

Breastfeeding Support

SimpliFed provides free virtual breastfeeding and baby feeding support to UnitedHealthcare Community Plan of North Carolina members, starting in pregnancy. Members have access to up to six visits with baby feeding experts who provide judgment-free care, no matter how you feed your baby.

For more information or to book an appointment, text UHCNC4MILK to 888-458-1364, visit www.simplifed.com/united-nc, or call 844-799-0538. 

Kev Xaiv Tus Kws Kho Mob

Each member can choose a primary care provider (PCP). 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.

The PCP is the main doctor for:

• Preventive care.
• Treatment if you are sick or injured.
• Referrals to specialists for certain conditions.

For members who don’t have a doctor or whose doctor is not in our network, we can help find a new one close by.  

Copays

Copays If You Have Medicaid

There are No Medicaid copays for the following people or services:

• Members under age 21
• Members who are pregnant
• Members receiving hospice care
• Federally recognized tribal members
• North Carolina Breast and Cervical Cancer Control Program (NC BCCCP) beneficiaries
• People living in an institution who get coverage for cost of care
• Cov me nyuam nyob hauv kev tu xyuas ntawm niam qhuav txiv qhuav (foster care)
• People living in an institution who are receiving coverage for cost of care
  
• Cov kev pab cuam fab kev noj qab haus huv ntawm kev coj tus cwj pwm
• Intellectual/developmental disability (I/DD) services
• Traumatic brain injury (TBI) services

A provider cannot refuse to provide services if you cannot pay your copay at the time of service. If you have any questions about Medicaid copays, call Member Services at 1-800-349-1855, TTY 711..

Diabetic Support

If you have diabetes, we’ll help make life a little easier for you. You’ll get medicine, supplies and education to help you reach and stay your best. 

Our diabetes program also includes self-care training and classes focused on:

• Planning healthy meals.
• Managing stress.
• Living a healthy lifestyle. 

Kev tswj hwm kab mob

If you have chronic or high-risk illnesses, our disease management services are designed to support you.

We have special programs for:

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

cov khoom siv kho mob uas siv tau mus ntev

Some members may need extra support to live safely at home.

Our plan covers medical equipment ordered by your doctor or case manager. Qhov no muaj xam nrog rau cov khoom siv xws li:

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

Kev Kawm Txog Kev Noj Qab Haus Huv

Take free classes to help improve your health or to address a condition.

Our plan includes classes on diabetes, nutrition and more. You can even get a ride, if needed, to and from the class at no cost to you. 

BabyScripts

Build a healthy future for you and your baby and earn great rewards with BabyScripts. 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).

Healthy Rewards

An ounce of prevention can be worth a pound of cure. It can also be worth great rewards.

You can earn great gifts for your child by doing things like:

• Completing well-child exams.
• Getting lab tests.
• Recording your family’s health activities. 

Hearing Care

Trouble hearing can affect your everyday life in many ways.  Our plan includes services and support to help protect your hearing.

Peb daim phiaj them rau:

• Exams, therapy and tests.
• Hearing aids and batteries.

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

After surgery or a serious illness, you may need extra help with day-to-day tasks like cleaning, cooking or dressing. You may even need an in-home medical visit to check on how well you are healing. With approval, our plan covers:

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

Lab and X-ray Services

Knowing what’s wrong and finding it early can make all the difference.  Our plan covers:

• 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

Koj tuaj yeem tau cov ntaub ntawv ua lwm hom lus. Tsuav yog koj thov txog xwb. Then anything we write to you will only be in that language. This is provided at no cost to you.  

Cov Tshuaj

And we make getting your child's medicine easy. We'll provide a list of covered drugs if you have questions about what prescriptions are covered.

You can fill the prescriptions at local pharmacies in the UnitedHealthcare Community Plan network.

Cov Kev Pab Tswv Cuab

Sometimes you might need a little help understanding your health care options. We’ll answer your questions simply and completely.

We can also help you find:

• Home care providers.
• Specialists.
• Doctors.
• Pharmacies.
• Hospitals or other health facilities.
• Local resources.

Nurse Visit

Sometimes continued care is needed after leaving the hospital or urgent care. For example, after a serious illness, surgery or injury. In these cases, a nurse will make home visits to:

• Provide medical care.
• Answer any questions and concerns.

Tus Xov Tooj Hu Rau Kws Tu Neeg Mob (Nurse Hotline)

Medical questions and situations can come at inconvenient times. When you have questions about your health, you can call a nurse 24 hours a day, 7 days a week.

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.

Nutrition Coaching

Healthy eating goes a long way to helping you stay at your best. A nutritionist can meet with you to review your eating habits and food choices. 

You’ll come away with new ideas for:

• Making good choices for quick meals and snacks.
• Preparing healthy meals on a budget.

Obesity Care

Obesity is common and serious.  It can also lead to other health problems. To help our members be their best, our plan includes:

• Screening for obesity.
• Counseling for obesity.

Outpatient Services

Knowing what’s wrong and finding it early can make all the difference.  Our plan covers:

• 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 saib xyuas tus kheej

Sometimes the basics are hard to do yourself after an illness or injury. If needed, we provide someone to help with:

• Dressing.
• Bathing.
• Feeding. 

Prenatal Visits

A pregnancy is a journey that’s better with the help of friends, family and a pregnancy doctor, or OB/GYN.

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

At these visits, the clinic will:

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

Txiav Kev Haus Luam Yeeb

Most people know the bad health effects of smoking. And they know they need to quit. We support our members while they quit, with coaches and supplies. The only thing they won’t get from us is a lecture.

Rehabilitation 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.

Respite Care

Do you have family members or friends who care for you at 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.  

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:

• Recommended shots and vaccines.
• Influenza shots. 

Social Services

Many communities offer additional benefits for children in this plan. Social Services helps members connect to these local programs and services, such as:

• WIC and financial support.
• School services.
• Respite care.
• Training and family phone line.

Kev kho kom hais lus tau

Speech therapy visits and exercises can help those who have difficulty speaking. At your doctor’s requests, we will cover up to 60 combined physical, occupational, speech and other therapy visits each year

Text4baby

Text4baby can help new and expecting mothers keep themselves and their babies healthy.

You’ll get text messages 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 great start on life.

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. 

Our plan provides:

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

Unlimited Doctor Visits

There may be times when your or a family member’s health requires repeated visits to a primary care provider (PCP). Our plan does not limit the number the number of times you can see your PCP.  This way you get care need when you need it. And your doctor can see how your health is progressing.   

Kev Kho Mob Sai

You may have an injury or sudden illness that is not life-threatening but needs immediate attention. So our plan covers care at:

• Urgent care centers.
• Medical aid units.
• Other walk-in clinics.

Weight Control

Our plan encourages a healthy approach to eating and living. To help our members be their best, we cover:

• Screening for obesity.
• Support for healthy diet and exercise choices.

Wellhop for Mom & Baby

An online meeting and resource community for pregnant members. Wellhop brings pregnant women together and matches them with clinically trained facilitators in group video conversations for education and support. 

Cov Kev Mus Ntsib Kws Kho Mob Kom Noj Qab Nyob Zoo

Well visits with your doctor are important for good health. 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.
• Kev tu xyuas rau cov me nyuam mos liab kom noj qab nyob zoo.
• Kev tu xyuas rau cov poj niam cev xeeb tub.
• 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.