Guide See-Thru Tex & His X-Ray Specs

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Table of contents

Lab tests, x-rays and diagnostic imaging are covered. Hospital Care. You pay nothing for care in a hospital. Care for Conditions If you have asthma, diabetes or other long-term conditions, you can depend on us. Benefits include: Service Coordination. Support from an experienced professional. Disease Management.

Mental Health Support. Counseling and other treatments are available. Vision, Dental and Hearing Care Help protect your sight, hearing and smile with these benefits: Vision. Tests, checkups and hearing services are provided. Checkups are covered as part of a value added service, and emergency care is covered.

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Long Term Support Services Get the medical equipment, assistance and supplies you need to live safely at home. Benefits include: Personal Care. Someone to help with personal care tasks for individuals that qualify based on your primary care physician determination of a functional need and an assessment process. Day Activity Health Services.


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Supervised care in a group setting with nursing support during the day. Equipment and Supplies. In-home medical and safety equipment are covered as medically necessary. Rides and Other Help Sometimes you might need a little extra help using your health plan. For those times, you can rely on: Transportation. Rides to and from medical visits or the pharmacy. NurseLine SM. As needed for medical appointment or assessments. Member Services.

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Earn rewards for completing important preventive services. Weight Control. Get 13 vouchers toward local Weight Watchers programs. Waiver Programs If you're elderly, disabled or living with an illness, your health needs are unique. Your PCP is your main doctor for: Preventive care. Treatment if you are sick or injured. Referrals to specialists for certain conditions. Healthy Rewards - Value added services beyond your medicaid benefits. An ounce of prevention can be worth a pound of cure. It can also be worth great rewards.

You can earn great gifts for things like: Getting your yearly wellness exam.

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Getting lab tests. Completing a program for weight management or diabetes. Hospitalization This plan pays for all expenses related to a medically necessary hospital stay. 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.

Interpreters Your doctor and you need to understand each other.


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Language Help You can ask to receive information in another language. Medicines We make getting your medicine easy. There are no copays for covered drugs. You can fill your prescriptions at: Local pharmacies.

Services that deliver routinely right to your door. Mail order services. Member Services Sometimes you might need a little help understanding your health care options. Mental Health Mental health is as important as physical health. That's why we have the same coverage for both. This includes: Behavioral therapy. Substance use treatment. No Copays You pay nothing for covered services.

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While your health care is low-cost or free, the care quality is high. Treatments at respected hospitals and clinics. Prescription drugs coverage. Guide you on self-care. Advise you about getting care at a doctor visit or an urgent care center.

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Suggest you go right to the emergency department. Quitting Tobacco You know the bad health effects of smoking. Coordinate your doctor appointments and other services or treatments you may need. Connect you with community resources. Your case manager will stay with you on your medical journey. He or she will: Think beyond just your medical needs. Make sure you have support at home as needed.

Transportation Whether you live in the city or in the country, rides are available. Vision Care You'll get the care, eyeglasses and treatment that let you see life more clearly. This benefit is offered by certain stores and retailers. Weight Control Get 10 vouchers toward local Weight Watchers programs. Member Resources Member Resources Close. Member Resources. Toll Free Numbers Member Services Pharmacy Benefits What to Do in a Behavioral Health Emergency You should call if you are having a life-threatening behavioral health emergency. Optum Behavioral Health Available 24 hours, 7 days a week.

Interpreter services avavilable. Member Handbook Addendum English Opens in a new tab pdf Prior Authorization Prior Authorizations With respect to a member who is hospitalized at the time of the request UHC will issue a coverage determination within 1 business day. For members who are not hospitalized at the time of a routine prior authorization request, within 3 business days or up to 72 hours for expedited authorization requests.