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

UnitedHealthcare Indiana PathWays for Aging - Cov Cuab Yeej Tshawb Nrhiav

UnitedHealthcare has an open network. This means that you may see any provider that serves Indiana Medicaid members. You also may continue seeing providers who are covered under your current Medicare program.

Cov Ntawv Teev Cov Kws Muab Kev Kho Mob Npe

Nws muaj ntau txoj kev los mus xaiv koj tus kws kho mob. Nws yog ib qho tseem ceeb txhawm rau nrhiav kom tau cov kws kho mob uas haum zoo rau koj. Cov tswv yim muaj xws li:

  • Tham nrog ib tus phooj ywg los yog tsev neeg seb lawv mus ntsib leej twg.
  • Hu rau tus kws kho mob lub chaw ua hauj lwm thiab nug tej lus uas koj xav nug.
  • Xaiv raws li lub chaw ua hauj lwm nyob.
  • Saib cov npe kws kho mob uas txais yuav koj daim phiaj kho mob (health plan) ntawm no.
  • Peb xav kom koj txaus siab txog txoj hauj lwm ua tau zoo ntawm cov kws kho mob uas koj xaiv. Cov kws kho mob muaj xws li:
  • Cov Kws Kho Mob Xub Thawj (Primary Medical Providers (PMPs))
  • Cov kws kho mob tshwj xeeb
  • Cov kws kho kev nyuaj siab mob hlwb
  • Cov kws kho hniav
  • Cov kws kho qhov muag
  • Cov tsev kho mob
  • Cov chaw kho mob tau sai (urgent care clinics)
  • Cov chaw kuaj kab mob
  • Cov tuam txhab tsim cuab yeej siv kho mob

Koj kuj tseem tuaj yeem tau ntaub ntawv hais txog kev ua hauj lwm tau zoo ntawm cov kws kho mob los ntawm qhov siv cov kab ntawv txuas (links) hauv qab no:

Medicaid:

Cov tsev kho mob:

Cov kws kho mob:

Tsis tas li no xwb, koj kuj tseem hu tau rau Lub Chaw Pab Tswv Cuab ntawm 1-855-767-2533. Peb yuav pab koj xaiv qhov uas yog qhov zoo rau koj. 

Kev Kho Mob Xwm Txheej Kub Ntxhov Ceev thiab Mob Sai Sai

Qhov Cuab Yeej Nrhiav Kws Kho Mob (Provider Search Tool) muab cov npe ntawm cov chaw kho mob tau sai (urgent care centers) uas koj siv tau. Koj tuaj yeem siv cov chaw no thaum nws tsis yog ib qho mob txov tau lub neej txoj sia, tab sis koj nrhiav los yog xav tau kev kho tus mob tam sim ntawd thiab koj tus PMP tsis khoom. Cov chaw kho mob ceev feem ntau yog qhib thaum yav tsaus ntuj thiab hnub so.

Cov Chav Kho Mob Xwm Txheej Kub Ceev (Emergency rooms (ERs)) yog rau kev raug mob loj los sis mob sai sai uas yuav ua rau muaj kev phom sij rau lub neej thiab xav tau kev kho mob tam sim ntawd. Thaum muaj xwm txheej ceev, koj yuav tsum hu 911 los yog mus rau ER tam sim ntawd. Yog hais tias koj siv chav kho mob ER uas tsis yog ib qho mob kub ceev, tej zaum koj yuav tau them $3.00 feem yus nrog them (copay). Koj phau ntawv koom nrog muaj cov ntsiab lus hais txog yuav ua li cas thiaj li tau txais kev pom zoo mus ntsib ER.

Kev noj qab haus huv ntawm tus cwj pwm yog hais txog qhov kev uas koj xav thiab kev coj ua. Nws kuj tseem hu ua tias kev mob puas siab puas ntsws. Koj qhov kev mob puas siab puas ntsws yog ib qho tseem ceeb heev. Txhua tus Indiana PathWays for Aging tswv cuab tuaj yeem tau txais cov kev pab kho nyuaj siab mob hlwb thiab quav dej cawv yeeb tshuaj yam tsis tas muaj ib daim ntawv xa mus. Qhov no muaj xam nrog:

  • cov kev mus ntsib kws kho mob
  • cov kev pab cuam neeg mob pw kho hauv tsev kho mob thiab neeg mob tsis pw kho hauv tsev kho mob.
    • Mus saib phau ntawv qhia tswv cuab kom paub meej.

Thaum koj muaj peev xwm tau txais cov kev pab rau tus mob ntawm kev coj tus cwj pwm yam tsis tas muaj ntawv xa mus los ntawm koj tus PMP. Qee lub sij hawm, koj yuav tsum tau tham nrog koj tus PMP txog txhua yam teeb meem mob ntawm kev coj tus cwj pwm uas tej zaum koj muaj. Los ntawm txoj hau kev ntawd, koj tus PMP thiaj tuaj yeem pab ua ntawv xa koj mus rau ib tus kws kho mob kev coj tus cwj pwm uas ua hauj lwm nrog peb. Yog tias koj xav nrhiav ib tus kws kho mob paub txog kev noj qab haus huv ntawm kev coj tus cwj pwm los ntawm koj tus kheej, koj tuaj yeem tshawb nrhiav tus kws kho mob tau txhua lub sij hawm thiab ua kev teem caij.

Koj kuj tseem tuaj yeem hu mus rau Lub Chaw Muab Kev Pab Tswv Cuab tau ntawm 1-888-604-2575, TTY 711, kom pab.

Cov Kev Pab Fab Kev Siv Tshuaj Tsis Haum 

Cov tswv cuab yuav tau txais kev kho rau kev quav dej cawv los sis yeeb tshuaj yog tias lawv tau txais kev pab rau qhov no. Qhov no suav nrog cov kev mus pw kho hauv ib qhov chaw tu mob. Tus tswv cuab tus Neeg Khiav Hauj Lwm Saib Xyuas Kev Pab Tu yuav teb tau cov lus nug los sis piav seb puas muaj cov kev txwv los yog puas yuav tsum tau kev tso cai ua ntej.

Tshawb nrhiav ib tus kws kho mob txawj tshaj lij uas paub txog kev noj qab haus huv ntawm kev coj tus cwj pwm

Daim Ntawv Teev Npe Tshuaj Uas Xav Tau (Preferred Drug List, PDL) yog ib daim ntawv teev cov npe tshuaj raws li daim ntawv sau yuav tshuaj thiab cov tshuaj uas yuav tsum tau kev pom zoo ua ntej. Kev pom zoo ua ntej yog thaum koj tus kws muab kev pab kho mob yuav tsum hu rau peb ua ntej muab qhov tshuaj rau koj txhawm rau saib seb peb puas yuav them rau qhov tshuaj ntawd.

Yog tias koj muaj lus nug txog cov tshuaj los sis cov chaw muag tshuaj seb nyob qhov twg, thov hu rau Chaw Pab Cuam Tswv Cuab.

Daim Foos Ntxiv Nyiaj Ncaj Qha Rau Tus Tswv Cuab (Direct Member Reimbursement Form)

Yog tias koj muaj lus nug txog cov tshuaj los sis cov chaw muag tshuaj seb nyob qhov twg, thov hu rau Chaw Pab Cuam Tswv Cuab.

Tshawb nrhiav ib tus kws kho hniav. https://www.myuhcdental.com

Powered by Translations.com GlobalLink OneLink SoftwarePowered By OneLink