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H2531-001
This plan is for adults who need extra support and care. You may qualify based on income and health needs. The plan offers members a customized care plan and a single point of contact for all Medicare and Medicaid services. The plan also offers extra support and care to adults and children with a disability, long-term illness or special health care needs. You get many services to help with daily activities that other MyCare Ohio plans don’t offer. View the benefits below to see all that it offers.
More information on eligibility and enrollment can be found on www.ohiomh.com, or by calling the Medicaid Hotline at 1-800-324-8680, TTY users should call Ohio Relay at 7-1-1. The Hotline operates from 7 a.m. to 8 p.m. ET Monday through Friday and 8 a.m. to 5 p.m. ET on Saturday.
Columbiana, Cuyahoga, Geauga, Lake, Lorain, Mahoning, Medina, Portage, Stark, Summit, Trumbull, and Wayne.
Ohio members who have questions about coronavirus or who want to access the most current information about the outbreak, please visit https://coronavirus.ohio.gov.
Companionship is important. Adult day care provides care and companionship for seniors who who qualify for extra help during the day.
Caregivers also benefit, knowing their loved one is well cared for and safe during the day.
If your need for long‑term care has been determined by Ohio Medicaid, Adult day care can provide:
Individual care to help control asthma and other lung diseases.
Some members may have trouble managing asthma or COPD symptoms. For them, a nurse who specializes in breathing issues can really help. They get a customized treatment plan and medicine to help you:
Members get a get a Personal Care Manager. The care manager is there for you throughout your medical journey. He or she will:
Our plan includes visits for chiropractic care. Whether chiropractor services are your primary or alternative treatment method, you're covered.
Members of all ages can get up to 15 visits per year. Members under 21 may get additional visits with prior authorization.
From regular checkups to preventive health screenings, we want to make sure you get access to the right care at the right time.
You get a primary care physician (PCP), who is your main doctor. 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:
Regular exams help keep teeth and gums strong and healthy. Beginning April 30, 2015, oral exams are covered once per year for members over age 21.
Our plan covers some medical equipment ordered by a member's doctor or case manager. This can include supplies like:
We provide the exams and treatments needed to help keep your feet in great shape. And for those with diabetes, good foot care can help prevent much more serious problems.
Our podiatry coverage includes:
Trouble hearing can affect a person's everyday life in many ways. Our plan includes services and support to help protect your hearing.
Our plan covers:
Sometimes a person's health and safety needs require the assistance from community support programs.
Here's where UnitedHealthcare's Healthify program can easily help. By calling 1-844-445-8328 our members can learn about and sign up for money-saving programs like: food, legal assistance, housing, utility discounts, free cell phone service; adult and child day care; and other social service programs.
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:
If you are living with a long-term health condition, disability or leaving the hospital after surgery or a serious illness, you may need extra support. This can include help with day-to-day tasks like cleaning, cooking or dressing. You may even need an in-home medical visit to check on how well you are healing.
With approval, our plan may cover:
This plan pays for most expenses related to a hospital stay, so you can rest and heal.
Our plan covers these services and more:
And after you leave the hospital, you are not alone. We make sure you get follow-up care to continue healing at home.
You and your doctor need to understand each other. We can explain information in English or in your primary language. If you are visually or hearing impaired, special help can be provided.
Kidney disease is a serious medical condition. After the kidneys stop working regular treatments, called renal dialysis, or an organ transplant are needed to live. Dialysis uses a machine to clean the blood just like healthy kidneys do.
Our services may include:
Our plan includes prescription drugs and refills for prescriptions written by your doctor or specialist. Thousands of drugs are covered.
You pay a co-pay amount, if needed, and you can get your prescription drugs at any in-network pharmacy.
Every member of the health plan gets a personal Members Services representative. This person can help you get the most of your benefits. They can:
Get help with personal problems that may affect your mental or physical health. These may include stress, depression, anxiety or drugs and alcohol abuse. Our services also include:
Medical questions and situations 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:
Obesity is common and serious. It can also lead to other health problems. To help our members be their best, our plan includes:
Most people know the bad health effects of smoking. And they know they need to quit. We support our members with coaching while they quit.
Therapy can help you recover from a serious injury or illness, or simply reach your full potential. Members receive needed:
You may have an injury or sudden illness that is not life-threatening but needs immediate attention. So our plan covers care at:
Eye exams are covered once every two years.
Beginning April 30, 2015, eye exams are covered once every two years for members age 21-59. No extra allowance for contact lenses. Contact lenses are covered only if medically necessary.
UnitedHealthcare Connected® for MyCare Ohio
UnitedHealthcare Connected® for MyCare Ohio H2531-001-000
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