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

UnitedHealthcare Community Plan

Medicaid

Peb daim phiaj TennCare Medicaid muaj ntau yam kev pab. Cov me nyuam, cov poj niam cev xeeb tub, cov muaj hnub nyoog thiab cov uas laus lawm uas muaj ib tus mob xiam oob khab tej zaum yuav muaj cai tau txais raws li ntawm cov nyiaj khwv tau los. View the benefits below to see all that our Tennessee Medicaid plan offers.

Daim phiaj no muaj tsis hais qhov twg uas koj nyob hauv Tennessee.

More information on eligibility and enrollment can be found on the TennCare website.

View and manage health benefits online with TennCare Connect. For more information, visit tenncareconnect.tn.gov.

We obey federal and state civil rights laws.  We do not treat people in a different way because of their race, color, birth place, language, age, disability, religion, or sex.  Do you think we did not help you or you were treated differently because of your race, color, birth place, language, age, disability, religion, or sex?  You can file a complaint by mail, by email, or by phone. Download and print the information (PDF 30.64 KB) or see below:

UnitedHealthcare Community Plan
Attn: Appeals and Grievances
Chaws nyob P.O. Box 5220
Kingston, NY 12402-5220
Phone: 800-690-1606 TTY: 711

Health Care Finance and Administration
Office of Civil Rights Compliance
310 Great Circle Road, Floor 3W
Nashville, Tennessee 37243
Email: HCFA.Fairtreatment@tn.gov
Xov tooj: 855-857-1673 (TRS 711)

You can get a complaint form online at:
http://www.tn.gov/hcfa/article/civil-rights-compliance

You can get a complaint form online at:
http://www.hhs.gov/ocr/office/file/index.html

Or you can file a complaint online at:
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf

U.S. Department of Health & Human Services
Office for Civil Rights

200 Independence Ave SW, Rm 509F, HHH Bldg.
Washington, D.C. 20201
Phone: 800-868-1019 (TDD): 800-537-7697

Cov Kev Pab thiab Cov Yam Ntxwv

Kev Saib Xyuas Kho Mob Tus Zoo thiab Tus Muaj Mob

Get the care you need to stay healthy — or to get better if you are injured or sick. And pregnant moms get support to keep you and your baby healthy. Cov kev pab tswv cuab muaj xws li:

  • Well Visits. Preventive checkups, shots and lab tests.
  • Healthy First Steps®. A program to help you and your baby stay healthy.
  • Nurse Hotline. Speak with a registered nurse 24/7.
  • Shots and Vaccines. Routine shots help protect against illness.
  • Lab and X-rays. Lab tests and x-rays are covered.

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 TennCare Medicaid cov kev pab thiaj muaj xws li:

  • Choice of Doctor. Find an OB/GYN you trust in our network.
  • Prenatal Visits. Care for you before your baby is born.
  • Healthy First Steps®. Get extra support and rewards to keep you and your baby healthy.
  • Choice of Birth Centers. Pick from hospitals all across Tennessee.
  • Wellhop for Mom & Baby. Connect with a community of moms. Get support and information as you welcome your baby.

If you have asthma, diabetes or another long-term condition, you can depend on us. Our TennCare Medicaid plan makes sure you get the care and services you need. Cov kev pab muaj xws li:

  • Mental Health. Counseling and other treatments are available.
  • Care Management. Personal support from an experienced professional.
  • Population Health Services. Help to manage your ongoing health or chronic condition.

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

Kho qhov muag pom kev.

  • For adults age 21 and older- vision services are limited to medical evaluation and management of abnormal conditions and disorders of the eye. The first pair of cataract glasses or contact lens/lenses after cataract surgery are covered.
  • Children under 21 years old- can have their eyes checked and get eyeglass lenses and frames as medically necessary. If the eyeglass lenses or frames are broken or lost, we will replace them as medically necessary.
  • TennCare will pay for other vision care if it is medically necessary. Contacts are covered only if they are medically necessary.
  • Children do not have to see their PCP before seeing their eye doctor, the eye doctor must be in our Provider Directory.

Kho hniav.  

  • Dental care for adults age 21 and older is covered with limits. Dental care includes benefits like checkups, x-rays, oral treatments and more. See your Dental Benefits Manager (DBM) Handbook for limits. Your dental plan for your teeth is called DentaQuest.  They can help you if you have questions about dental care.  To find a DentaQuest dentist, go to http://www.dentaquest.com/state-plans/regions/tennessee/.  Then click Find a Dentist.  Or you can call them at 855-418-1622. It’s a free call.
  • Dental Care for Children (for teeth) You also have a dental plan for your teeth called DentaQuest.  Their phone number is 1-855-418-1622.  You can call DentaQuest to find a dentist.  Or, if you have questions about caring for your child’s teeth, you can call them.  It’s a free call.
  • Children’s teeth need special care.  Children under age 21 should have a checkup and cleaning every six months.  Children need to start seeing a dentist the time the first tooth comes in the mouth, or no later than the first birthday.
  • TennCare will pay for some other dental care if it is medically necessary.  Braces are covered only if they are medically necessary and only for children.
  • You do not need to see your PCP before you go to a dentist.  But, you will need to go to a DentaQuest dentist. 

Members who qualify can get the medically necessary equipment and help needed to live safety at home. Cov kev pab muaj xws li:

  • Equipment and Supplies. In-home medical safety materials are covered.
  • Nurse Visits. Short-term medical care while recovering at home.
  • Care Coordinator. Someone to get you the services to live safely at home.

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

  • Nurse Hotline℠. Speak with a registered nurse 24/7.
  • Language Help. Connect to a translator through Member Services.
  • Member Services. Someone to help you understand how to use your benefits.
  • Quitting Tobacco.  Coaches, supplies and medications to help you quit using tobacco.  
  • Weight Control. Support and treatment to reach a healthy weight.
  • Health Education. Free classes to help improve your health.

Do you or your child have a serious health problem? Then our care managers are in your corner. They will:

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

Your care 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.

Where you have your baby is an important choice. That’s why you can pick from hospitals all across Tennessee.

We 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.

Cov Cuab Yeej thiab Tej Khoom Siv

The health and safety of our members at home are important.

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.
  • Walkers or wheelchairs.

Kev Kawm Txog Kev Noj Qab Haus Huv

Free classes to help improve your health or 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.

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).

Kev kho mob hauv tsev kho mob

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

Qhov no muaj xws li:

  • 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.

Internet

Do you know about the Affordable Connectivity Program? It’s a new program that helps pay for high-speed internet.  You can use the internet for work, school, healthcare, and more. What do you get with this program?  You may get up to $30 per month off your internet bills.  There is also a one-time $100 discount off a laptop, tablet, or computer. Who can get this program?  Any household that has at least one person enrolled in Medicaid.  How do you get this program?  You must enroll to get it.  Go online to getinternet.gov and enroll today.

Kawm kom paub ntxiv

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 member service centers who speak more than one language. Chances are, we have someone who speaks your language.

Cov Kev Pab Tswv Cuab

Understanding your health care options can be confusing. We can answer your questions simply and completely.

We help you find:

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

Kev Noj Qab Haus Huv Sab Siab Ntsws

Mental health is as important as physical health. That’s why we have the same 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:

  • Mental health therapy.
  • Substance abuse treatment.
  • Cov tshuaj.

No Copays

Members have no copayments for:

  • Preventive care.
  • Annual checkups.

Nurse Visits

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 for you.
  • Answer your questions and concerns.
  • Home health. Home nursing care limited to 125 visits per calendar year.

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

Medical questions and situations can sometimes come at inconvenient times. When you have questions about your health or your child’s health, you can call a trained nurse 24/7.

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.

Prenatal Visits

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.

TUS KWS KHO MOB XUB THAWJ

You can have one main person for your health care. He or she can be a doctor, a nurse practitioner, or a physician’s assistant. This person is called your Primary Care Provider (PCP). 

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.

To change your PCP:

  1. Find a new PCP in the UnitedHealthcare Community Plan network. To find a new PCP you can look in our Provider Directory, you can go online at
    myuhc.com/CommunityPlan, or call 1-800-690-1606.
  2. Then call the new PCP to make sure that he or she is in the UnitedHealthcare Community Plan provider network. Be sure to ask if he or she is taking new patients.
  3. If the new PCP is in our network and taking new patients, fill out the PCP Change Request in Part 8 of your Member Handbook and mail it back to us. Or you can call us at
    1-800-690-1606 to tell us the name of your new PCP.

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

Routine shots help keep you healthy. So, our plan covers:

  • Recommended shots and vaccines.
  • Influenza shots.

Tsheb Thauj Mus Los

In case of emergency call 911

Important tips for setting up a ride- Please review Tennessee Carriers website- Rider Information Riders | Tennessee Carriers (tenncarriers.com)

  • Hu rau 1-866-405-0238, TTY 711 txhawm rau npaj kom txhij rau koj qhov kev caij tsheb 
  • Call at least seventy-two (72) hours in advance of your appointment whenever possible
  • If the time for your return trip home was not already scheduled, you are responsible for calling to tell the transporter that you are ready to be picked up for your trip home
  • If you cancel your appointment/visit, call 1-866-405-0238 to cancel your ride 
  • Npaj kom muaj koj daim npav ID ua tswv cuab 
  • If you have more than one appointment on the same day, you can get a ride to all covered services. Please give Tennessee Carriers information for each appointment
  • Paub txog qhov chaw nyob ntawm koj tus kws kho mob thiab hnub tim thiab lub sij hawm teem caij mus ntsib 
  • Qhia meej txog qhov chaw uas koj xav caij tsheb mus rau 
  • Yog tias koj tus kws kho mob muab ib daim ntawv sau yuav tshuaj rau koj, koj tuaj yeem mus nres tau ntawm lub tsev muag tshuaj kom tau qhov tshuaj 
  • Qhia rau peb paub yog hais tias koj muaj cov kev xav tau tshwj xeeb xws li ib lub laub zaum muaj log 
  • Any minor requesting transportation without an accompanying adult will be handled on a case-by-case basis 
  • If you wish to bring someone with you to your appointment, you can have someone ride with you. This is sometimes called an escort. An escort is someone over the age of 12. Please let Tennessee Carriers know you’ll have an escort riding with you
  • If you’re going to an appointment and need to take your child with you, he or she won’t count as your escort

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.
  • Health coaching.

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

Well visits with your doctor can help keep you healthy. These visits can help catch health problems early so they can be treated. 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.

You will not have a copayment for preventive care.

Wellhop for Mom & Baby

Connect with other expectant moms. Get support and information during your pregnancy and after you deliver. This program is part of your health plan and there is no extra cost to you.
Here’s how it works:

  • Join video conversations every other week with women who have similar due dates and a group leader.
  • Chat and share experiences with moms from your group on the Wellhop app or website.
  • Visit the Wellhop library. You’ll find articles, videos and more.

Cov Ntaub Ntawv Qhia Txog Tswv Cuab

Healthier Tennessee is a priority of the Governor’s Foundation for Health & Wellness, involving action promoting healthier behaviors in schools, workplaces and in places of worship. More information is available at www.healthiertn.com

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