UnitedHealthcare Connected® for MyCare Ohio (Medicare-Medicaid Plan)

Adult Day Care

Companionship is important. Adult day care provides care and companionship for seniors who who qualify for extra help during the day.

Caregivers also benefit, knowing their loved one is well cared for and safe during the day.

If your need for long‑term care has been determined by Ohio Medicaid, Adult day care can provide:

• Social connections and friendship.
• Meals.

Asthma and COPD Care

Individual care to help control asthma and other lung diseases.

Some members may have trouble managing asthma or COPD symptoms. For them, a nurse who specializes in breathing issues can really help. They get a customized treatment plan and medicine to help you:

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

Kev Tswj Xyuas Mob Nkeeg

Members get a get a Personal Care Manager. The care manager is there for you throughout your medical journey. He or she will:

• Work with you to develop a plan of care that meets your individual needs.
• Coordinate with family members, caregivers and health care providers.
• Help get additional services or support you may need.

Chiropractor Services

Our plan includes visits for chiropractic care. Whether chiropractor services are your primary or alternative treatment method, you're covered.

Members of all ages can get up to 15 visits per year. Members under 21 may get additional visits with prior authorization.

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. If you don't have a doctor or if your doctor is not in our network, we can help you find a new one close to you.

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.

Kho Hniav

Regular exams help keep teeth and gums strong and healthy. Oral exams are covered once per year for members over age 21.

Cov Cuab Yeej thiab Tej Khoom Siv

Our plan covers some medical equipment ordered by a member's doctor or case manager. Qhov no muaj xam nrog rau cov khoom siv xws li:

• 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 your hearing.

Peb daim phiaj them rau:

• Exams, therapy and tests.
• Hearing aids, batteries, and accessories.

Kev saib xyuas kho mob rau fab kev noj qab haus huv nyob rau tom vaj tom tsev

If you are living with a long-term health condition, disability or leaving the hospital after surgery or a serious illness, you may need extra support. This can include help with day-to-day tasks like cleaning, cooking or dressing. You may even need an in-home medical visit to check on how well you are healing.

With approval, our plan may cover:

• An in-home medical visit.
• Medical equipment like hospital beds, walkers or wheelchairs.
• A home health aide, nursing services or a private nurse.
• Physical, occupational, and speech therapy.
• Help with personal care or housekeeping.
• Home infusion therapy.

Kev kho mob hauv tsev kho mob

This plan pays for most expenses related to a hospital stay, so 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.

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.

Language and Interpretation

Koj thiab koj tus kws kho mob yuav tau sib nkag siab. We can explain information in Lus Askiv or in your primary language. If you are visually or hearing impaired, special help can be provided.

Kev Kho Tus Mob Raum

Mob raum yog ib qho teeb meem mob loj heev. After the kidneys stop working regular treatments, called renal dialysis, or an organ transplant are needed to live. Kev lim ntshav yog siv ib lub tshuab los tu cov ntshav kom huv li thaum lub raum tsis tau muaj mob ua.

Our services may include:

• Kev lim ntshav.
• Needed equipment and supplies.
• Home support services.
• Health education and training.

Cov Tshuaj

Our plan includes prescription drugs and refills for prescriptions written by your doctor or specialist. Thousands of drugs are covered.

You pay a co-pay amount, if needed, and you can get your prescription drugs at any in-network pharmacy.

Member Services Representative

Every member of the health plan gets a personal Members Services representative. This person can help you get the most of your benefits. They can:

• Welcome you to the plan and help you understand your benefits.
• Arrange for extra support services.
• Complete a health risk assessment.
• Help you access community services.

Mental Health and Substance Use Disorder Treatment Services

Get help with personal problems that may affect your mental or physical health. These may include stress, depression, anxiety or drugs and alcohol abuse. Our services also include:

• Therapy
• Counseling
• Tshuaj

Nurse Advice

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 txhua cov tsos mob.
• Pab rau kev saib xyuas tus kheej.
• 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.

Obesity Care

Obesity is common and serious. It can also lead to other health problems. To help our members be their best, our plan includes:

• Screening for obesity.
• Counseling for obesity.

Txiav Kev Haus Luam Yeeb

Most people know the bad health effects of smoking. And they know they need to quit. We support our members with coaching while they quit.

Cov Kev Pab Cuam Kho Mob

Therapy can help you recover from a serious injury or illness, or simply reach your full potential. Members receive needed:

• Occupational therapy.
• Physical therapy.
• Respiratory therapy.
• Speech therapy.

Kev Kho Mob Sai

You may have an injury or sudden illness that is not life-threatening but needs immediate attention. So our plan covers care at:

• Urgent care centers.
• Federally qualified health centers.
• Other walk-in clinics.

Kev Saib Xyuas Kho Mob Ntsig Txog Qhov Muag

Eye exams are covered every year for members age 21-59.