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

Washington Apple Health (Medicaid) Cov Cuab Yeej Sim Nrhiav

TUS KWS KHO MOB XUB THAWJ

Raws li ib tus tswv cuab ntawm UnitedHealthcare Community Plan, ib qho ntawm yam ua ntej tshaj plaws uas koj yuav tsum tau ua yog los xaiv ib tus Kws Kho Mob Xub Thawj (Primary Care Provider (PCP)). Koj tus PCP yuav muab thiab tswj xyuas tag nrho koj cov kev kho mob, suav nrog kev xa mus rau cov kws kho mob tshwj xeeb. Yog tias koj xav tau kev saib xyuas tshwj xeeb uas koj tus PCP muab tsis tau, nws yuav pab koj nrhiav tus kws kho mob tshwj xeeb. If you do not choose a PCP, we will select one for you, which you can change later.

In addition one of our behavioral health providers will take care of your mental health and drug and alcohol treatment needs. If you need counseling, testing or need to see a behavioral health specialist, we will coordinate your behavioral health care needs.

Search our provider directory

Please feel free to call our Member Services line, at 1-877-542-8997 (TTY: 711) and we will be happy to help you find or change your PCP.

To find a PCP or a Specialist in our network, please visit these online directories for complete information, including names, addresses, specialties, new patient’s availability and languages spoken. If you would like us to provide you with a printed version at no cost, please call us, at 1-877-542-8997 (TTY: 711).

Tshawb Nrhiav ib Tus Kws Muab Kev Pab Kho Mob

Yog xav tshaj tawm qhia cov ntaub ntawv uas tsis raug, kom xa email provider_directory_invalid_issues@uhc.com. Lub npov (box) sau email no yog muab rau cov tswv cuab qhia paub txog cov ntaub ntawv uas sau tsis yog lawm (xws li qhov chaw nyob, tus xov tooj, thiab lwm yam) cov ntaub ntawv qhia nyob hauv online los yog nyob hauv cov ntawv teev npe. Kev qhia cov teeb meem siv lub npov sau ntawv li no yuav ua rau xa mus txog tus kws kho mob qhov chaw ua hauj lwm kom xyuas cov ntaub ntawv uas muab tso rau hauv daim ntawv teev npe, uas tuaj yeem siv sij hawm kwv yees li 30 hnub. Sawv daws kuj tseem siv tau lub xov tooj hu qhia paub txog tej yam sau tsis yog li no thiab.

UHC Members should call the number on the back of their ID card, and non-UHC members can call 1-888-638-6613 (TTY 711).

Cov Ntawv Teev Cov Kws Muab Kev Kho Mob Npe

Clallam, Jefferson and Kitsap Counties
West King County
West Thurston and Mason Counties
West Southwest Counties - Clark, Skamania, Hood River, and Multnomah Counties
West Southwest of Pierce County - Cowlitz, Grays Harbor, Lewis, Pacific, Wahkiakum, Clatsop, and Columbia Counties
West Pierce County
West North of King County - Island, San Juan, Skagit, Snohomish, and Whatcom Counties

Eastern Washington Counties

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

Daim Ntawv Teev Kev Kho Mob Xwm Ceev thiab Saib Xyuas Ceev yuav qhia koj tias qhov xwm txheej ceev tiag tiag yog dab tsi thiab muab cov npe ntawm ntau lub chaw saib xyuas ceev uas koj siv tau. You can use these centers when you are sick or need medical care right away and your PCP is not available, but it's not a life-threatening situation. 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.

Vision Center

Search for a Vision Center near you.

Cov kev pab kho hniav

For more information on your covered dental benefits contact:
Health Care Authority/ProviderOne 1-800-562-3022

Cov Kev Pab Cuam Fab Kev Noj Qab Haus Huv Ntawm Kev Coj Tus Cwj Pwm

Kev noj qab haus huv ntawm tus cwj pwm tseem ceeb ib yam li kev noj qab haus huv ntawm lub cev. That's why we have coverage for both.  You have access to mental health and substance use disorder treatment services, known together as behavioral health services. Behavioral health services can help you with personal problems that may affect you and your family. These problems may be stress, depression, anxiety or using drugs or alcohol.

Talk to your PCP today about any health or behavioral health problems you have. Your PCP will refer you to a behavioral health provider with UnitedHealthcare Community Plan. They can refer you to specialists, and other facilities, such as hospitals and substance abuse and treatment services.

You don't need a referral from your PCP to see behavioral health specialists in your plan or to access drug and treatment services.

There are some treatments and services that need preapproval before you can get them. To learn more, talk to your doctor.

Search for a Medical and Behavioral Health Provider or Facility

Required care is 100% covered. If you need behavioral health care, your PCP and UnitedHealthcare Community Plan can help coordinate your care.

Peb them rau:

  • Evaluation and assessment
  • Medication management and monitoring
  • Individual and group counseling
  • Peer support
  • Family counseling
  • Education about mental health, treatments and medications
  • Rehab case management
  • Withdrawal management (detox)
  • Opiate replacement treatment
  • Kev tswj xyuas mob nkeeg
  • Thiab ntau yam ntxiv

View additional health resources. Nrhiav kom tau kev pab, kev txhawb thiab kev kho tus mob uas koj xav tau kom nyob ib lub neej noj qab haus huv zoo tshaj plaws li qhov ua tau.

You may also be eligible for additional grant funded services such as care coordination, family hardship services and recovery support services. These provide comprehensive community-based services that supplement your current benefits.

For more information on services available, please refer to your Member Handbook.

Nrhiav Tshuaj

Nrhiav cov tshuaj uas pab them nqi los ntawm UnitedHealthcare Community Plan

Preferred Drug List

The UnitedHealthcare Community Plan Preferred Drug List (PDL) is a list of covered prescription drugs, and drugs needing prior authorization for enrollees in Washington Apple Health (Medicaid). Prior authorization is when your doctor has to call us before giving you the prescription to see if we will cover it.

Direct Member Reimbursement (DMR) Form

How do members get care?

If you are eligible, you can go to any dental provider who accepts Apple Health (Medicaid) insurance and is taking new patients. DentistLink is a free referral service that can connect you with a local dental provider who accepts patients with Apple Health (Medicaid).

  • Click here to search online for a dental provider 24/7
    • Call or text DentistLink at (844) 888-5465 to talk to a Referral Specialist and receive a referral 8am-5pm Monday-Friday
  • For other questions, including questions about what is covered by your dental insurance, call the Health Care Authority (HCA) at (800) 562-3022.

DentistLink | Get Connected to Dental Care

Find a dentist that accepts Apple Health. Text or call 844-888-5465 to reach one of our Dentistlink referral specialists directly for dental.

Cov Ntaub Ntawv Qhia Kev Tso Npe

Visit Washington Healthplanfinder site for more information on eligibility and enrollment

Washington Healthplanfinder

Hu Rau Peb:
1-855-923-4633 / 1-855-627-9604 / TTY: 711

Cov Kauj Ruam los Tso Npe Nkag
Get the details

Apple Health (Medicaid) specialists can answer questions and help you enroll.

Hu Rau Peb:
1-877-553-0098TTY: 711

8:00 AM to 5:00 PM pacific time, Monday – Friday

Interpreter Services
Peb kuj tseem tuaj yeem pab txhais cov kev pabcuam, suav nrog Lus Asmesliskas. 

Hu Rau Peb:
1-877-553-0098 / TTY: 711

8:00 AM txog 5:00 PM sij hawm hauv cheeb tsam, hnub Monday – Friday

Cov ntaub ntawv tswv cuab

Koj tuaj yeem nkag mus rau peb lub vev xaib uas yog cov tswv cuab nkaus xwb. Luam koj daim npav ID thiab lwm yam. Saib peb phau ntawv qhia hauv qab no.

Lub website tswv cuab

Member Handbooks

Getting Started Guides

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