Do you or a family member have trouble managing asthma or COPD symptoms?
You will get a customized treatment plan and medicine to:
Help you stay active.
Build a health future for you and your baby — and earn great rewards — through Baby Blocks. This program helps keep you and your baby healthy during your pregnancy and your baby’s first 15 months of life.
Baby Blocks includes:
Email appointment reminders.
Fun program to keep track of appointments.
Reward gift cards for clothing and more.
Once you sign up, you can choose a $20 Old Navy gift card or a stylish diaper bag. The choice is yours.
When a member has complex health care needs, a care manager can really help. He or she will:
Work with you and family members and friends on a plan of care.
Explain medical terms in plain language.
Coordinate your doctor appointments.
Provide your care team with your medical records.
Make a referral to community social service programs.
Offer rewards like a gift card for chronic care checkups or well care visits.
Rewards program for well-child visits. KidsHealth® website provides information by topic, health quizzes, games and videos.
4-H and Sesame Street programs include information on asthma, food nutrition and healthy habits.
Dr. Health E. Hound® provides nutritional education and promotes fitness and healthy habits.
Our plan includes limited visits for chiropractic care when ordered by a network physician.
Choice of Birth Center
Where you have your baby is an important choice. That’s why you can pick from our large network of hospitals or Birthing Center.
We also encourage you to tour the hospital’s birthing center. This way you will be familiar with it and be better informed when you have your baby.
If you have diabetes, we'll help make life a little easier for you. You'll get medicine, supplies and education to help you reach and stay your best. Our diabetes program also includes self-care training and classes focused on:
Living a healthy lifestyle.
Wellness Rewards for getting needed exams.
If you have chronic or high-risk illnesses, our disease management services may help you. We provide support for:
Congestive heart failure.
Chronic obstructive pulmonary disease (COPD).
Coronary artery disease.
Equipment and Supplies
Our member’s health and safety at home are important.
Our plan covers medical equipment ordered by the doctor or care manager. This can include supplies like:
Wheelchairs or walkers.
We provide the exams you need to help keep your feet in great shape. And if you have 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.
Information about nerve damage warning signs.
Healthy First Steps®
Our Healthy First Steps® program makes sure that both mom and baby get good medical attention.
We will help:
Find a doctor for both mother and baby.
Get good advice on nutrition, fitness and safety.
Get supplies, including breast pumps for nursing moms.
Trouble hearing can affect your everyday life in many ways. Our plan includes services and support to help protect your hearing.
Exams, aids and tests.
Hearing aids and batteries.
After surgery or a serious illness, you may need in-home medical visit(s) to check on how well you are healing.
With approval, our plan covers:
In-home medical visit(s).
Medical equipment like hospital beds, walkers or wheelchairs.
Disposable medical supplies.
This plan pays for expenses related to a hospital stay, so our members can rest and heal.
Hospitalization coverage includes:
Room and board.
Supplies and equipment.
Treatment and therapies.
Diagnostic tests and exams.
And after leaving hospital, we can provide transitional care services. We make sure you get follow-up care to continue healing at home.
Hospice services are covered when they are ordered by a physician.
Lab and X-rays
Knowing what’s wrong and finding it early can make all the difference. Our plan covers:
Labs and testing.
X-rays, scans and other imaging.
We’ll help you get the information needed to improve your health or be at your best.
Your doctor and you need to understand each other. Not speaking English well makes this difficult. We can arrange for a medical interpreter to be available for you over the telephone at your appointments. We also have people in member services who speak more than one language. Chances are, we have someone who speaks your language.
Members can get information in their preferred language. You will get member materials in English and Spanish. We can give you member materials in a language or format that is easier for you to understand. Just ask.
Sometimes you might need a little help understanding your health care options. Call us. We’ll answer your questions simply and completely.
We help you find:
Hospitals or other health facilities.
Mental Health and Substance Use Services
Inpatient, residential and outpatient services for mental health and substance use disorders are covered by UnitedHealthcare. The type, amount and length of services provided will be based on the level of your needs. Visit www.liveandworkwell.com.
myMoneyConnect™. A rewards program that includes a reloadable prepaid debit card designed to help with financial independence.
UnitedHealthcare myMoney Connect is designed to promote health, well-being and financial independence for Heritage Health members. The program provides a reloadable prepaid debit Mastercard® with wellness rewards to enable you to earn reward dollars just for doing healthy activities.
Medical questions and situations can come at inconvenient times. When you have questions about your health, you can call a nurse 24 hours a day, 7 days a week.
Our nurses will:
Listen to symptoms.
Help with self-care.
Advise you about getting care at a doctor visit or an urgent care center.
Help you know when to go to the emergency room.
Covered 100% with your doctor’s prescription.
Your health care costs may include non-prescription medicines and supplies like aspirin, cough medicine or a cane. Covered 100% with your doctor’s prescription.
Our plan includes prescription drugs and refills, with no copays, and we make getting your medicine easy. You can fill your prescriptions at:
Services that deliver right to your door.sure both you and your baby are healthy.
When you have a prescription filled, be sure to check that:
It’s included on the Preferred Drug List (PDL).
It’s written by a network provider.
It’s filled at a network pharmacy.
You show your member ID card when you have it filled.
Your pregnancy is a journey you’ll want to make with the help of friends, family and a pregnancy doctor.
All recommended prenatal clinical visits and tests are covered by our plan.
At these visits, the clinic will:
Make sure both you and your baby are healthy.
Explain what to expect at each stage of your pregnancy.
Answer your questions.
Most people know the bad health effects of smoking. And they know they need to quit. That’s why we encourage members to talk to their doctor about getting smoking cessation support. Counseling is covered when you enroll with the Nebraska Tobacco-Free Quit Line. Medication for smoking cessation are available through Nebraska Medicaid. Call 1-800-784-8669.
After a serious illness, surgery or injury, you may need extra nursing and therapy. If needed, our plan covers short stays in a skilled facility where you can heal.
Nursing home services.
24-hour nursing care.
Help with activities of daily living.
Physical, occupational and speech therapy.
Shots and Vaccines
Routine shots help protect members and their family from illness. Our plan covers:
Pneumonia, influenza and shingles shots.
Vaccines and Immunizations. Routine shots to help keep your child healthy.
Other recommended shots and vaccines.
Text4baby can help new and expecting mothers keep themselves and their babies healthy.
You’ll get text messages throughout your pregnancy and your baby’s first year. Each text contains health and safety tips for topics like:
Labor and delivery.
Car seat safety.
So you and your baby can make a great start on life.
Physical, occupational and speech therapy can help you recover from a serious injury or illness, or simply reach your full potential.
Our plan provides:
Your transportation services are provided by the state of Nebraska Medicaid. Non-Emergency Transportation to Medicaid-Coverable services may be available. Contact IntelliRide to find out if you qualify for the transportation benefit.
How to schedule a ride.
Call toll-free 1-844-531-3783 or local in Omaha 1-402-401-6999, at least 3 days (72 hours) before your appointment.
There may be times when a member’s health requires repeated doctor visits. Our plan does not limit the number the number of visits to a primary care provider (PCP). This way the members get the care they need. And the doctor can see how their health is progressing.
You'll get the care, eyeglasses and treatment that let you see life more clearly. Coverage includes:
· Annual eye exams.
· Prescription lenses.
This benefit is offered by Superior Vision.
Wandering and Elopement
We will provide members and families with door and window alarms (up to six per household) to help reduce wandering without caregiver awareness.