Companionship is important. If your Primary Care Provider (PCP) recommends it, you may be able to participate in adult day health care. Adult day health care provides care and companionship for seniors who need extra help during the day. Caregivers also benefit, knowing their loved one is safe when they can’t provide care.
Adult day care can provide:
Social connections and friendship.
Bathing and personal care.
Asthma and COPD Care
Do you need help trouble managing asthma, allergies or COPD symptoms? You’ll get a customized treatment plan and medicine to help:
Live an active life.
Behavioral health is as important as physical health. Our behavioral health care includes mental health and substance use treatment services...
Required care is 100% covered with no copay. This includes:
Intensive psychiatric rehab treatment (IPRT).
Inpatient mental health treatment.
Continuing day treatment.
Personalized Recovery Oriented Services (PROS).
Assertive Community Treatment Services (ACT).
Individual and group counseling.
Crisis intervention services.
You can also get help with alcohol or other substance use issues.
A serious health problem requires extra care and support. We use Health Homes to coordinate services for our members. Health Home Care Managers are in your corner. They will:
Explain medical terms in plain language.
Coordinate your doctor appointments.
Provide your care team with your medical records.
Your care manager will stay close by throughout the medical journey. He or she will:
Think beyond immediate medical needs.
Help manage ongoing medical issues like diabetes, asthma and high blood pressure
Make sure you have support at home.
Choice of Birth Center
Where you have your baby is an important choice. That’s why you can pick from 142 hospitals across New York.
We also encourage you to tour the hospital’s birthing center. This way you will be familiar with it. And be more relaxed when you have your baby.
If you have diabetes, you may need insulin, needles, wipes and glucose strips. We cover all that and more.
Our plan also steps up with services to help you manage your diabetes, including:
Diabetes counseling and self-management training.
Durable Medical Equipment
Our plan covers medical equipment ordered by your doctor or case manager. This can include supplies like:
Trouble hearing can affect your everyday life in many ways. Our plan includes services and support to help protect your hearing.
Our plan covers:
Exams and tests.
Hearing aids and batteries.
Home Health Care
Sometimes our members are living with a long-term health condition or disability. Others are coming out of the hospital after surgery or a serious illness. These members can receive extra support from our plan.
With approval, our plan covers:
An in-home medical visit.
Medical equipment like hospital beds, walkers or wheelchairs.
In-home medical visit
Help with day-to-day tasks like cleaning, cooking or dressing.
Disposable medical supplies.
This plan pays for all expenses related to a hospital stay, so you can rest and heal.
Hospitalization coverage includes:
Lab, X-ray, other tests.
Your Health Home Care Manager can:
Help you safely return home after a hospital stay.
Our plan covers prescription drugs and refills with a small copayment.
Certain drugs may require that your doctor get prior authorization before writing your prescription. Your doctor can work with UnitedHealthcare Community Plan to make sure you get the medications that you need.
You have a choice in where you fill your prescriptions. You can go to any pharmacy that participates with our plan.
You can call Member Services to get help any time you have a question. You may call us to choose or change your Primary Care Provider (PCP for short), to ask about benefits and services, to get help with referrals, to replace a lost ID card, to report that you are pregnant, the birth of a new baby or ask about any change that might affect your benefits.
After a serious illness, surgery or injury, you may extra nursing and therapy. If needed, our plan covers short stays in a rehabilitation center where you can heal. Included are:
Nursing home services.
24-hour nursing care.
Help with activities of daily living.
Physical, occupational and speech therapy.
If you are in need of long-term placement in a nursing home, your local department of social services must determine if you meet certain Medicaid income requirements.
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.
Short-Term Respite — gives you a safe place to go when you need to leave a stressful situation.
Intensive Respite — helps you stay out of the hospital when you are having a crisis by providing a safe place to stay that can offer you treatment. >/li>
Shots and Vaccines
Routine shots help protect you from illness. So, our plan covers: