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

UnitedHealthcare Community Plan (Medicaid (MMA) and LTC) Glossary

A

  • Kev Qhia Ua Ntej

    A decision about your health care that you make ahead of time in case you are ever unable to speak for yourself. This will let your family and your doctors know what decisions you would make if you were able to.

  • Kev thov kev ncaj ncees

    You can file an appeal if you are not happy with a decision we made ("denial"). A denial is when we say no to a service you or your doctor asked us to give you. It could also be when we don't give you as much of a service you wanted. For example, you can file an appeal if your doctor wanted a drug we do not allow. You can also file if we didn't approve a hospital stay. If you are not happy but it is not because we said no to what you asked for, you can file a grievance.

  • ASC/SPU

    Ambulatory surgical center/short procedure unit.

  • Authorization

    An approval for a service.

B

  • Cov Kev Pab

    Services, procedures and medications that UnitedHealthcare will cover for you.

C

  • Clinical Care Management

    One-on-one help by a nurse providing education and coordination of UnitedHealthcare benefits, tailored to your needs.

D

  • Disenrollment

    To stop your membership in UnitedHealthcare.

E

  • Kev kub ntxhov

    When you reasonably believe that your health is in serious danger.

F

  • Kev dag

    An untruthful act (example: if someone other than you uses your member ID card and pretends to be you).

G

  • Kev tsis txaus siab

    You can file a grievance when you are not happy. This can be when you are not happy with our plan, or our providers, or anything other than an "action". For example, you may file a grievance if you have a problem making an appointment with a provider or have trouble finding a provider. You can file if you think you are not getting good care. You can also file if a doctor is sending you bills for services you get with our Plan. You can file an appeal If you are not happy with a decision we made (an 'action') (see Appeal).

H

  • Home Health Agency

    A company contracted by UnitedHealthcare to provide care for you in your home.

I

  • ID Card

    Identification card – a card that says you are a UnitedHealthcare member. You should have this card with you at all times.

  • Informed Consent

    Doctors give you information about a particular treatment or test in order for you to decide whether or not you wish to have the treatment or test.

  • Neeg Mob Pw Hauv Tsev Kho Mob

    When you are admitted into a hospital for a length of time.

M

  • Medical Necessity

    Your health care provider decides if a treatment, admission, procedure, medical supply, equipment, service or supply is medically necessary.

  • Tswv cuab

    A person who is eligible for UnitedHealthcare.

O

  • Tus Neeg Mob Tsis Pw Kho Hauv Tsev Kho Mob

    When you have a procedure done that does not require a hospital stay overnight. In some cases, you may stay overnight in the hospital but not be admitted as an inpatient.

P

  • Tus Kws Kho Mob Xub Thawj (PCP)

    A doctor you choose to be your family physician. They have their own private practices.

  • Prior Authorization

    The process for any service that needs an approval from UnitedHealthcare before it can take place.

  • Kws Pab Kho Mob

    Any medical professional that UnitedHealthcare has contracted with to take care of you.

  • Daim Ntawv Teev Npe Cov Kws Muab Kev Kho Mob

    A list of providers who participate with UnitedHealthcare Community Plan to help take care of your healthcare needs.

R

  • Kev Xa Mus

    When you and your primary care doctor agree you need to see another doctor, your primary care doctor will send you to a UnitedHealthcare specialist.

S

  • Self-Referred Services

    Services for which you do not need to see your primary care provider for a referral.

  • Kws Kho Mob Tshwj Xeeb

    A doctor that has specific, detailed training in one certain medical field.

U

  • Kev Kho Mob Sai

    When you need care, treatment or medical advice within a 24-hour time period.

W

  • WIC

    Supplemental Food Program for Women, Infants and Children which provides nutrition counseling, nutrition education, and nutritious foods to pregnant and postpartum women, infants and children up to the age of 2. Children deemed nutritionally deficient are covered up to age 5 if they are low income and are determined to be at nutritional risk.

Rov qab mus rau sab saum toj ntawm nplooj ntawv

For more information on Florida Medicaid, download the Florida Medicaid Reference Guide.

Kawm ntxiv

UnitedHealthcare Community Plan (Medicaid (MMA) and LTC)

Cov Ntaub Ntawv Qhia Kev Tso Npe

Npaj txhij pib tau?

The Medicaid MMA & LTC plan specialists can answer questions about this plan.

Hu Rau Peb:

MMA: 1-888-716-8787 / TTY: 711

LTC: 1-800-791-9233 / TTY: 711

24 xuaj moos hauv ib hnub, 7 hnub hauv ib lim piam

If you’re ready to join, or just want to know more call and speak to a Medicaid Choice Counselor toll free at 1-877-711-3662. TTY/TDD users please call 1-866-467-4970. You can also enroll online at flmedicaidmanagedcare.com.

Cov ntaub ntawv tswv cuab

Koj yog ib tug tswv cuab lawm los? Koj tuaj yeem nkag mus rau peb lub vev xaib uas yog cov tswv cuab nkaus xwb. Print ID cards, chat with a nurse online, and more.

Lub website tswv cuab

Phau Ntawv Qhia Ua Tswv Cuab

Powered by Translations.com GlobalLink OneLink SoftwarePowered By OneLink