AHCCCS Complete Care

Asthma Support

Individual care to help you or your child control asthma or COPD symptoms.

Do you or your child have trouble managing COPD or asthma symptoms? A nurse who specializes in breathing issues can really help. Benefits include a customized treatment plan and medicine to: 

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

Kev Tswj Xyuas Mob Nkeeg

Do you or a loved one have a serious health problem, a behavioral health issue, a substance abuse issue or a high-risk pregnancy? If so, our 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 with you on your medical journey. He or she will:

• Think beyond your medical and behavioral health needs.
• Make sure you have support at home.

So you can focus on getting better.

Kev Xaiv Tus Kws Kho Mob

Every member gets to choose 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.

Yog koj tsis muaj ib tus kws kho mob los yog hais tias koj tus kws kho mob tsis nyob hauv peb lub network, peb tuaj yeem pab tau koj nrhiav ib tus tshiab nyob ze koj.

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 100 in-network hospitals across Arizona. 

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.

Kho Hniav

We pay for cleanings, checkups and dental work for members through age 20. 

Exams and cleanings every six months help teeth and gums stay strong and healthy. If there is a dental problem that needs to be fixed, that’s covered as well.

Members 21 and older have $1,000/year for emergency dental services*.

*This benefit has limitations. Please refer to your Member Handbook for details.

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.

Peb daim phiaj (plan) them rau cov cuab yeej kho mob uas xaj rau koj los ntawm koj tus kws kho mob. Qhov no muaj xam nrog rau cov khoom siv xws li:

• Hospital beds.
• Oxygen tanks.
• Walkers or wheelchairs.

Hearing Care

Trouble hearing can affect everyday life in many ways. Our plan includes services and support to help protect the hearing of members up to age 21.

Peb them rau:

• Exams, therapy and tests.
• Hearing aids.

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

Daim phiaj no them rau tas nrho cov nqi pw hauv tsev kho mob.

Peb daim phiaj them rau:

• Nursing care.
• Supplies and equipment
• Treatments.
• Diagnostic tests and exams.

And after leaving the hospital, we make sure each member gets follow-up care, if needed, 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. We can arrange for a medical interpreter to be at your appointment.

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

KidsCare Premiums

If your child is enrolled in the KidsCare program, they will have a monthly premium to pay. It is crucial to make this payment every month to ensure that your child continues to have their KidsCare health insurance coverage.

If you have any questions about premiums, please call the AHCCCS Premium Billing Center:

• Maricopa County: 1-866-771-2722
• Statewide:  1-844-846-7633

Kev Pab Txhais Lus

You can get information in your preferred language. Tsuav yog koj thov txog xwb. Then anything we write to you will only be in that language. This service is provided at no cost to you.  

Cov Tshuaj

Our plan includes prescription drugs and refills.

We also cover over-the-counter medicines with a written order from your doctor.

And we make getting your medicine easy. You can fill your prescriptions at:

• Local network pharmacies.
• Services that deliver right to your door.

Cov Kev Pab Tswv Cuab

Health insurance is complex. 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

We are concerned about how you feel. Behavioral health services can help you with personal problems that may affect you and/or your family. These problems may be stress, depression, anxiety or using drugs or alcohol.

AHCCCS Complete Care members assigned to UnitedHealthcare Community Plan will receive all of their health care from UnitedHealthcare Community Plan with the exception of the first 23 hours of crisis care. If you are experiencing a behavioral health crisis call one of the phone numbers below that matches the county you live in.

Crisis Hotlines by County:

Maricopa County: 602-222-9444 or 1800-631-1314

Cochise, Graham, Greenlee, La Paz, Pima, Pinal, Santa Cruz and Yuma Counties: 1-866-495-6735

Apache, Coconino, Gila, Mohave, Navajo and Yavapai Counties: 1-877-756-4090

Gila River and Ak-Chin Indian Communities: 1-800-259-3449

You may self-refer to a behavioral health provider.

Nurse Line

Call the Nurse Line at 1-877-440-0255, TTY/TDD  711 anytime, 24 hours a day, 7 days a week.

Prenatal Visits

A pregnancy is an incredible journey. It’s a journey you want to make 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 you and your baby are healthy.
• Explain what to expect at each stage of your pregnancy.
• Answer your questions.

Respite Care

Members accessing behavioral health services can receive up to 600 hours per benefit year (October 1st through September 30th).

Social Services

Sometimes a person’s health and safety requires help from community programs.

We help members connect to community services. Here they can get information about a variety of programs, like:  

• Food and housing assistance.
• Community child care.

They can help members get much needed relief in many ways.

Tsheb Thauj Mus Los

If you need a ride to an appointment, ask a friend, a family member or neighbor first. If you cannot get a ride UnitedHealthcare Community Plan will help you. AHCCCS Complete Care members may receive non-emergency transportation services through UnitedHealthcare Community Plan for a physical or behavioral health AHCCCS covered service.

Kev Saib Xyuas Kho Mob Ntsig Txog Qhov Muag

Children in the plan receive vision coverage up to age 21. This coverage includes:

• Regular exams.
• Frames and lenses.

This benefit is offered by Nationwide Vision.

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 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.