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Verify your mailing address today!
It is important to keep your mailing address up to date to make sure you get important messages about your health care coverage. To update your mailing address:
- Call the New York State of Health Exchange at 1-855-355-5777
- Log on to your New York State of Health account at nystateofhealth.ny.gov/apply
New York Pharmacy Program Changes Effective 04/01
UnitedHealthcare Wellness4Me
Medicaid
The Wellness4me Plan is offered through UnitedHealthcare Community Plan, a Health and Recovery Plan, or HARP, approved by New York State. HARPs are a new kind of plan that provide Medicaid members with their health care, plus care for behavioral health, including Serious Mental Illness and Substance Use Disorders.
This plan is for New York residents age 21 and who qualify for Medicaid coverage.
UnitedHealthcare Community Plan is a special health care plan with providers who have a lot of experience treating people who may need mental health and/or substance use care to stay healthy. We also provide care management services to help you and your health care team to work together to keep you as healthy as possible.
Qhov phiaj xwm kho mob no yog muaj muab kev pab nyob rau hauv cov nroog nram qab no:
Albany, Bronx, Broome, Cayuga, Chautauqua, Chemung, Chenango, Clinton, Columbia, Dutchess, Erie, Essex, Franklin, Fulton, Genesee, Greene, Herkimer, Jefferson, Kings, Lewis, Livingston, Madison, Monroe, Nassau, New York, Niagara, Oneida, Onondaga, Ontario, Orange, Orleans, Oswego, Queens, Rensselaer, Richmond, Rockland, Schenectady, Seneca, St. Lawrence, Suffolk, Tioga, Ulster, Warren, Wayne, Westchester, Wyoming, and Yates.
- UnitedHealthcare Wellness4Me
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.
Nrhiav ib tus kws khoo hniav uas nyob ze koj.
Cov Kev Pab thiab Cov Yam Ntxwv
Adult Day Care
Companionship is important. If your Primary Care Provider (PCP) recommends it, you may be able to participate in adult day health care. Adult day health care provides care and companionship for seniors who need extra help during the day.
Caregivers also benefit, knowing their loved one is safe when they can’t provide care.
Adult day care can provide:
- Social connections and friendship.
- Bathing and personal care.
- Meals.
Asthma and COPD Care
Do you need help trouble managing asthma, allergies or COPD symptoms? You’ll get a customized treatment plan and medicine to help:
- Manage flare-ups.
- Reduce symptoms.
- Live an active life.
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. Our behavioral health care includes mental health and substance use treatment services.
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:
- Intensive psychiatric rehab treatment (IPRT).
- Inpatient mental health treatment.
- Continuing day treatment.
- Personalized Recovery Oriented Services (PROS).
- Assertive Community Treatment Services (ACT).
- Individual and group counseling.
- Crisis intervention services.
You can also get help with alcohol or other substance use issues.
Kev Tswj Xyuas Mob Nkeeg
A serious health problem requires extra care and support. We use Health Homes to coordinate services for our members.
Health Home Care Managers 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 manager will stay close by throughout the medical journey. He or she will:
- Think beyond immediate medical needs.
- Help manage ongoing medical issues like diabetes, asthma and high blood pressure
- 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 142 hospitals across New York.
We also encourage you to tour the hospital's birthing center. This way you will be familiar with it. And you'll be more relaxed when you have your baby.
Kev Xaiv Tus Kws Kho Mob
When you join UnitedHealthcare Community Plan, one of our providers will take care of you. Most of the time that person will be your Primary Care Provider (PCP). You may want to choose a PCP from your mental health or substance use clinic. If you need to have a test, see another specialist, or go into the hospital, your Primary Care Provider will arrange it.
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
Dental checkups and cleanings can help keep teeth and gums healthy. Covered services include:
- Regular checkups.
- Cleanings.
- X-rays.
- Treatments, including fillings and other services.
You do not need a referral from your PCP to see a dentist.
Diabetic Supplies
If you have diabetes, you may need insulin, needles, wipes and glucose strips. We cover all that and more.
Our plan also steps up with services to help you manage your diabetes, including:
- Diabetes counseling and self-management training.
cov khoom siv kho mob uas siv tau mus ntev
Our plan covers medical equipment ordered by your doctor or case manager. Qhov no muaj xam nrog rau cov khoom siv xws li:
- Hearing aids.
- Prosthetics.
- Orthotics.
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 and tests.
- Hearing aids and batteries.
Kev saib xyuas kho mob rau fab kev noj qab haus huv nyob rau tom vaj tom tsev
Sometimes our members are living with a long-term health condition or disability. Others are coming out of the hospital after surgery or a serious illness. These members can receive extra support from our plan.
With approval, our plan covers:
- An in-home medical visit.
- Medical equipment like hospital beds, walkers or wheelchairs.
- In-home medical visit
- Help with day-to-day tasks like cleaning, cooking or dressing.
- Disposable medical supplies.
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:
- Inpatient care.
- Outpatient care.
- Lab, X-ray, other tests.
Your Health Home Care Manager can:
- Help you safely return home after a hospital stay.
Cov Tshuaj
Our plan covers prescription drugs and refills with a small copayment. Your copay is:
| Prescription Item | Wellness4me Plan | |
|---|---|---|
| Co-Payment Amount | Co-Payment Details | |
| Brand name prescription drugs | $3.00/$1.00 | 1 co-pay charge for each new prescription and each refill |
| Generic prescription drugs | $1.00 | Refer to the Preferred Drug List |
| Over-the-counter drugs, such as for smoking cessation and diabetes | $0.50 | Refer to the Preferred Drug List |
Over-the-counter medicines with a written order from your doctor are available for a copayment of $0.50 for each medicine.And we make getting your medicine easy. You can fill your prescriptions at:
- Local pharmacies.
- Services that deliver right to your door.
Cov Kev Pab Tswv Cuab
You can call Member Services to get help any time you have a question.
You may call us to choose or change your Primary Care Provider (PCP for short), to ask about benefits and services, to get help with referrals, to replace a lost ID card, to report that you are pregnant, the birth of a new baby or ask about any change that might affect your benefits.
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.
If you are in need of long-term placement in a nursing home, your local department of social services must determine if you meet certain Medicaid income requirements.
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.
- Short-Term Respite — gives you a safe place to go when you need to leave a stressful situation.
- Intensive Respite — helps you stay out of the hospital when you are having a crisis by providing a safe place to stay that can offer you treatment.
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.
Kev Saib Xyuas Kho Mob Ntsig Txog Qhov Muag
You'll get the care, eyeglasses and treatment that help you see better.
Coverage includes:
- Eye exams every two years, or as medically needed.
- Prescription lenses, including contact lenses.
- Glasses and frames.
- Specialist care when needed.
Cov Kev Mus Ntsib Kws Kho Mob Kom Noj Qab Nyob Zoo
Cov kev mus ntsib kws kho mob kom noj qab nyob zoo yuav pab tau koj nyob tsis muaj mob. 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.
UnitedHealth Group is 100% owner of UnitedHealthcare of New York, Inc