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Our Medicaid family plan is for children, pregnant women, families and adults who meet income and health need requirements. We also cover children and young adults with special health or developmental needs.
Alcona, Allegan, Alpena, Antrim, Arenac, Barry, Bay, Benzie, Berrien, Branch, Calhoun, Cass, Charlevoix, Cheboygan, Clare, Crawford, Emmet, Genesee, Gladwin, Grand Traverse, Gratiot, Hillsdale, Huron, Ionia, Iosco, Isabella, Jackson, Kalamazoo, Kalkaska, Kent, Lake, Lapeer, Leelanau, Lenawee, Livingston, Macomb, Manistee, Mason, Mecosta, Midland, Missaukee, Monroe, Montcalm, Montmorency, Muskegon, Newaygo, Oakland, Oceana, Ogemaw, Osceola, Oscoda, Otsego, Ottawa, Presque Isle, Roscommon, Saginaw, Sanilac, Shiawassee, St. Clair, St. Joseph, Tuscola, Van Buren, Washtenaw, Wayne, and Wexford.
UnitedHealthcare will work with and follow all guidance and protocols provided by the U.S. Centers for Disease Control and Prevention (CDC), and state and local public health departments that are appropriate for our members. Please review the UnitedHealthcare Coronavirus (COVID-19) FAQ. To learn more about COVID-19, go to CDC.gov.
Do you have trouble managing asthma, allergies or COPD symptoms? A nurse who specializes in breathing issues can really help. You'll get a customized treatment plan and medicine to:
Does your child have asthma or respiratory allergies? A nurse who specializes in breathing issues can really help childhood breathing problems. Your child's nurse will
Do you or a family member have a serious health problem or a high-risk pregnancy? If so, our care managers are in your corner. They will:
Your care manager will stay with you on your medical journey. He or she will:
So you can focus on getting better.
You or your child gets a primary care provider (PCP) who is your main doctor. Use the Doctor Lookup tool to see if your doctor is in our network.
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.
Your PCP is your main doctor for:
Referrals to specialists for certain conditions.
Where you have your baby is an important choice. That's why you can pick from nearly 100 hospitals across Michigan.
We encourage you to tour the hospital's birthing center. This way you will be familiar with it. And you’ll be more relaxed when you have your baby.
Understanding your health care options can be confusing. Now you have someone you can call. We can answer your questions simply and completely.
We help you find:
We also have people who speak more than one language. Chances are, we have someone who speaks your language.
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:
Your health and safety at home are important.
Our plan covers medical equipment ordered by your doctor. This can include items like:
Build a healthy future for you and your baby and earn great rewards with Healthy First Steps. Our program will help you take the right steps to keep you and your baby healthy. Plus you can earn $20 just for signing up.
We will help you:
Trouble hearing can affect your everyday life in many ways. Our plan includes services and support to determine whether a hearing problem exists.
This plan pays for medical expenses related to a hospital stay.
Our plan covers:
And after you leave the hospital, you are not alone. We make sure you get follow-up care to continue healing.
Knowing what's wrong and finding it early can make all the difference. Our plan covers:
We'll help get the information needed to improve your health or be your best.
We have people at our member services who speak more than one language. Chances are, we have someone who speaks your language.
Our plan includes prescription drugs and refills.
We also cover many medically needed, over-the-counter medicines with a written order from your doctor. There is no copay for these medicines.
And we make getting your medicine easy. You can fill your prescriptions at:
Mental health is as important as physical health. That's why we cover both.
Short-term required care is covered with no co-pay. This includes:
You will not have a copayment for most care and services covered by our plan. That means you will pay nothing for covered services, including:
Sometimes you may need continued care after you leave the hospital or urgent care. If your health is at risk after a serious illness, surgery or injury, a nurse will visit you at home to:
Nothing is more important than the health and well-being of you and your baby. That's why our benefits include:
Your pregnancy is a journey you'll want to make with the help of friends, family and a pregnancy doctor, or OB-GYN.
All of your recommended prenatal clinical visits and tests are covered.
At these visits, the clinic will:
You know the bad health effects of smoking. You know you need to quit. We support you while you quit with coaches and supplies. The only thing you won't get from us is a lecture.
Routine shots help protect against illness. So, our plan covers:
Many communities offer additional benefits for children with special care needs. Social Services helps members connect to local programs and services, such as:
Download more information about social services benefits here.
Speech therapy visits and exercises can help those who have difficulty speaking. At your doctor's request we will cover short-term, medically needed physical, occupational, speech and other therapy visits each year.
Physical, occupational and speech therapy can help you recover from a serious injury or illness, or simply reach your full potential.
Our plan provides:
With a doctor's request your coverage includes short term physical, occupational, speech and/or other therapy visits each year.
Our plan provides a ride for you to and from health care locations. That includes rides to:
There may be times when your health requires repeated doctor visits. Our plan does not limit the number of times you can see your primary care provider. This way you get the care you need when you need it. And your doctor can see how your health is progressing.
Regular eye exams and glasses, if needed, can help you see more clearly. We also include:
Call Member Services at 1-800-903-5253 for vision services and providers.
Well visits with your doctor can help keep you healthy. These visits can catch health problems early, so they can be treated. Preventive services include:
There are no copayments for preventive care.
UnitedHealthcare Community Plan
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