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One Care Consumer Advisory Council Notice
Join us at one of our meetings or community events throughout the year!
UnitedHealthcare Connected® for One Care (Medicare-Medicaid Plan)
Medicare
H9239-001
Our UnitedHealthcare Connected® for One Care (Medicare-Medicaid) Plan is for adults ages 21 - 64 with disabilities who are eligible for both Medicare and MassHealth. The plan offers members a customized care plan and a single point of contact for all Medicare and MassHealth services.
Qhov phiaj xwm kho mob no yog muaj muab kev pab nyob rau hauv cov nroog nram qab no:
Bristol, Essex, Franklin, Hampden, Hampshire, Middlesex, Norfolk, Plymouth, Suffolk, and Worcester.
Note that One Care is available in Essex county in the following zip codes: 01810, 01812, 01830, 01831, 01832, 01833, 01834, 01835, 01840, 01841, 01842, 01843, 01844, 01845, 01885, 01899, 01901, 01902, 01903, 01904, 01905, 01906, 01907, 01908, 01910, 01922, 01923, 01937, 01940, 01945, 01947, 01949, 01960, 01961, 01969, 01970, 01971, 01985, 05501, 05544
- UnitedHealthcare Connected® for One Care (Medicare-Medicaid Plan)
Nrhiav cov kws muab kev pab kho mob thiab kev pab them nqi kho mob rau qhov phiaj xwm kho mob no.
Tshawb nrhiav cov kws kho mob, cov tsev kho mob, thiab cov kws kho mob tshwj xeeb.
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
Kev Pab Txhawb Nqa Rau Tus Mob Hawb Pob thiab COPD
The plan covers pulmonary-rehabilitation programs for members who have moderate-to-very severe chronic obstructive pulmonary disease (COPD). The member must have an order for pulmonary rehabilitation from the doctor or provider treating the COPD.
Prior authorization may be needed. Please contact your Care Coordinator
Kev Xaiv Tus Kws Kho Mob
From regular checkups to preventive health screenings, we want to make sure you get access to the right care at the right time.
You get a primary care physician (PCP) who is your main doctor. 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:
- Kev pab tiv thaiv mob nkeeg
- Muab kev kho mob yog hais tias koj muaj mob los yog raug mob
- Ua ntawv xa koj mus rau cov kws kho mob tshwj xeeb rau qee yam mob
- Denture and denture repair
Kho Hniav
Our plan provides access to dental benefits that includes preventive, restorative, and emergency oral health care. Your coverage includes up to two cleanings per calendar year. You must go to a participating dental provider for all covered dental services. Some services may require a prior authorization by UnitedHealthcare Connected® for One Care. Your dentist will need to submit a prior authorization directly to UnitedHealthcare Dental, our dental benefit administrator.
Cov Cuab Yeej thiab Tej Khoom Siv
The health and safety of our members at home are important.
Our plan covers some medical equipment ordered by a member's doctor or case manager. This can include:
- Walkers
- Wheelchairs
- Tsev kho mob cov txaj pw
Kev Kho Mob Ko Taw
We provide the exams and treatments needed to help keep your feet in great shape. And for those with diabetes, good foot care can help prevent much more serious problems.
Our podiatry coverage includes:
- Routine foot exams
- Tips about foot care and choosing the right shoes
- Therapeutic shoes and inserts for members with diabetes
Hearing Care
Trouble hearing can affect a person’s everyday life in many ways. Our plan includes services and support to help protect hearing.
Peb them rau:
- Exams, therapy and tests
- Hearing aids and accessories
Kev kho mob hauv tsev kho mob
This plan pays for most expenses related to a hospital stay. This way you can rest and heal.
Our plan covers these services and more:
- Nursing care
- Room and board
- Supplies and equipment
- Treatment and therapies
- Diagnostic tests and exams
And after leaving the hospital, you are not alone. We make sure you get follow-up care to continue healing at home.
In-Home Care
Sometimes the basics are hard to do yourself after an illness or injury. If needed, we provide someone to help with:
- Dressing
- Bathing
- Feeding
Language and Interpretation
You and your doctor need to understand one another. We can explain information in Lus Askiv or in your native language. If you are visually or hearing impaired, special help can be provided.
Cov Tshuaj
Our plan includes prescription drugs and refills for prescriptions written by your doctor or specialist. Thousands of drugs are covered.
You pay only a co-pay amount, if needed, and you can get your prescription drugs at any in-network pharmacy.
Member Engagement Center
Sometimes you might need a little help understanding your health care options. We’ll answer your questions simply and completely. Contact the Member Engagement Center 1-866-633-4454, TTY 711, 8 AM – 8 PM local time, 7 days a week.
We can also help you find:
- Home care providers
- Dentists and vision providers
- Adult Day Health Centers
Kev Noj Qab Haus Huv Sab Siab Ntsws
Get help with personal problems that may affect your mental or physical health. These may include depression, anxiety or drugs and alcohol abuse. Our services also include:
- Therapy
- Counseling
- Tshuaj
Online mental health resources: Access to LiveandWorkWell.com, which provides access to article resources, and provider searches.
No Copays
While you pay nothing for covered services, you get:
- Treatments at hospitals and clinics
- Prescription drugs and over-the-counter medicines
Tus Xov Tooj Hu Rau Kws Tu Neeg Mob (Nurse Hotline)
Medical questions and situations come at inconvenient times. When you have questions about your health, you can call a nurse 24 hours a day, 7 days a week.
Peb cov kws tu neeg mob yuav:
- Mloog cov tsos mob
- Pab rau kev tu xyuas tus kheej
- Muab tswv yim qhia rau koj tias yuav ua li cas thiaj tau qhov kev kho tus mob thaum mus ntsib kws kho mob los sis chaw kho mob ceev
- Pab kom koj paub tias thaum twg yog thaum yuav tau mus rau tom chav kho mob xwm txheej kub ceev
Txiav Kev Haus Luam Yeeb
You know the bad health effects of smoking. You know you need to quit. We will support you while you quit with coaches and supplies. The only thing you won't get from us is a lecture.
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.
Long-term Supports (LTS) Coordinator
Long-term Supports Coordinator (LTS Coordinator) is a person who works with you and your Care Team to make sure you get the services and supports you need for independent living.
If you use or need long-term services and support in the community (such as day rehabilitation, adult foster care, or personal care assistance), you can choose a Long-Term Supports (LTS) Coordinator to meet with you and help evaluate your health and wellness needs. The LTS Coordinator will be part of your Care Team and will tell you about the different kinds of services available and help find the best long-term services and programs for you.
Cov Kev Pab Cuam Kho Mob
Physical, occupational and speech therapy can help members recover from a serious injury or illness, or simply reach their full potential.
Our plan covers visits for:
- Kev kho mob kom ua taus hauj lwm
- Kev kho mob rau lub cev
- Kev kho kom hais lus tau
- Kev kho mob hauv tsev
Tsheb Thauj Mus Los
Whether you live in the city or in the country, rides are available. Medical transportation is covered along with limited non-medical transportation.
Our plan provides round trips to and from plan locations. This includes trips to and from the pharmacy to fill your prescriptions.
Kev Saib Xyuas Kho Mob Ntsig Txog Qhov Muag
You'll get the care, eyeglasses and treatment that let you see life more clearly. Coverage includes:
- You are covered for one pair of contact lenses or eyeglasses (lenses and frames) every 2 years.
- You have zero ($0) copays and deductibles for vision coverage which covers routine eye exams, prescribed corrective lenses, or 1 pair of prescribed frames.
This benefit is offered by certain stores and retailers.
UnitedHealthcare Connected® (Medicare-Medicaid Plan)
Kawm ntxiv
UnitedHealthcare Connected® for One Care (Medicare-Medicaid Plan)