U gudub tusmada ugu weyn Tusmada Ugu Weyn

Florida, Waanu kaa daboolnay

We’re here for you and your family covered through all stages of life. Learn about Medicaid (FL HealthNet) and Long-Term Care plans offered through UnitedHealthcare Community Plan of Florida.

Caawinta dadka ayaa udub dhexaad u ah wax kasta oo aan samayno

It’s your health, it’s your choice.

All Floridians deserve affordable health care, including you. We offer many plans to help Floridians get healthy – and stay healthy. Our plans cover children, pregnant women, adults and people with disabilities.

Choose a plan that gives you more. UnitedHealthcare has a large provider network in Florida. That gives you more options to choose the right doctors and specialists for you and your family. We also offer more benefits and extras, which can make a real difference in your life.

See why Floridians choose UnitedHealthcare

Whatever plan you choose, we’ll help you get the care you need.

  • Bixiyeyaal badan oo shabakada oo kala duwan
  • No-cost virtual visits
  • Daawooyinka dhakhtarku qoro

UnitedHealthcare Community Plan of Florida is partnering with Unite Us to connect our members to vital community services. Things like food, clothing and financial support. Learn more about Unite Us. 

We want to hear from you!

Do you want to share your opinions about the care you received or the services you need from the Managed Medical Assistance (MMA) or Long-Term Care (LTC) Plans? Our 2023 MMA or LTC Consumer Advisory Committees may be for you. If you are interested in joining or have questions, please send an email to FLCAC@uhc.com. Spanish and Haitian-Creole translators will be available during committee meetings.

Members can earn $20 for joining the 1-hour call about UnitedHealthcare’s MMA or LTC products.Members can earn $20 for joining this 1-hour call about UnitedHealthcare’s Medicaid product.

GEDWorks™

The GEDWorks™ program is completely free for eligible members of UnitedHealthcare Community Plan of Florida and includes all the tools you need to pass the GED® test. Go to MyGED®: GEDWorks™ for more information.

No-cost Florida health plans

Florida Medicaid Plans:

  • No-cost
  • Carruurta
  • Haweenka uurka leh
  • Dadka qaba naafonimada

Florida Long Term Care Plan: 

  • No cost
  • Age 65 and over and eligible for Medicaid

ama

  • Age 18 and over and eligible for Medicaid due to a disability

Barnaamijyada Sifaysan

Medicaid: Wax badan oo adiga kuu yala 2023

Our Florida Medicaid (Managed Medical Assistance (MMA)) plan offers a range of benefits. It’s for children, families, pregnant women and adults who meet income requirements. We also offer support to adults with special health care needs.

As a UnitedHealthcare Medicaid member, you’ll get all covered services, plus many extras, all at no cost.

  • Unlimited doctor visits
  • Vision and hearing coverage
  • No-cost virtual visits
  • Behavioral, physical, occupational and speech therapy
  • Transportation to and from medical appointments
  • Caymiska Daawooyinka Dhakhtarka uu soo qoro:

Medicaid Long-Term Care in 2023

When you choose UnitedHealthcare Health and Home Connection as your Long-Term Care plan, you’ll get full Medicaid benefits. Plus, you’ll also get the extra help you need to live independently in your own home for as long as possible.

  • Personal care to help you bathe and dress
  • Incontinent supplies not covered by Medicare
  • Home modifications to help with mobility and safety
  • Meal preparation or delivery
  • Help with housekeeping
  • Taageerada daryeelaha
  • Iyo in ka badan

Alachua, Baker, Bradford, Citrus, Clay, Columbia, Dixie, Duval, Flagler, Gilchrist, Hamilton, Hardee, Hernando, Highlands, Hillsborough, Lafayette, Lake, Levy, Manatee, Marion, Miami-Dade, Monroe, Nassau, Polk, Putnam, St. Johns, Sumter, Suwannee, Union, and Volusia.

Booqashooyinka Onlaynka ah

Mar walba ma fududo inaad shakhsiyan u booqato dhakhtarka. Virtual visits (or telehealth) lets you talk to a doctor 24/7 using your computer, tablet or smartphone. Daryeelka caafimaadka ee fog (Telehealth) waa ikhtiyaar wanaagsan oo lagu daaweeyo xaaladaha caadiga ah ee u baahan daawaynta caadiga ah. Waa kuwaan tusaalayaal:

  • Riiraxyada, hargabka, iyo qandhada
  • Qufaca, jir xanuunka, iyo cune xanuunka
  • Xasaasiyada, firiirica, iyo cuncunka
  • Caabuqa kaadimareenka/kaadiheysta
  • Caabuqa dhegaha
  • Caabuqa sanka
  • Goonjabka/madax xanuunka
  • Iyo in ka badan

Call 1-888-716-8787 for more information.

Gaadiid-raaca

Our Florida Medicaid plan provides unlimited round trips to and from health care locations. That includes rides to:

  • Doctor or therapy visits
  • Health departments
  • Vision clinics
  • Xarumaha daryeelka degdegga ah
  • Pharmacies

 

A healthier life is in your future

Keeping a healthy weight. Stopping unhealthy habits. Doing what’s needed to keep you and your family healthy. It all may seem impossible at times. But we have programs that can help. Our UnitedHealthcare Healthy Behaviors program gives you access to a personal health coach and resources to help with things like:

  • Losing weight
  • Quitting smoking
  • Substance abuse
  • Pregnancy and newborn care (UnitedHealthcare Healthy First Steps®)

Our health coaches work with you and your doctor(s) to help you set goals and track progress. You’ll also have the chance to get rewards when you reach certain milestones.

Learn more about the programs available to you as our member.

Your mental health is Important to us

Millions of people in the U.S. are affected by mental health issues each year. If you struggle with stress, anxiety, depression or other issues, help is at hand. As a UnitedHealthcare member, you have access to the Sanvello app at no cost through your health plan.

The Sanvello app gives you access to:

  • Daily mood tracking Answer simple questions each day to capture your current mood, find patterns and review your progress.
  • Coping tools Reach for just the right tool to relax, be in the moment or manage stressful situations, like taking a test or morning dread.
  • Guided journeys Designed by experts for a range of needs, journeys use clinical solutions to help you feel more in control and build long-term life skills.
  • Personalized progress Through weekly check-ins, Sanvello creates a roadmap for improvement. Track where you are, set goals and make strides week by week.
  • Community support Connect with a large community of people and share advice, stories and insights — anytime, anywhere.

Learn more about the Sanvello App.

Reading-newsltter

Wargeyska Xubinta HealthTalk

Wargeyskeena HealthTalk hadda waa onlayn. Wargeysyadu waa hab fiican oo lagu ogaado qorshaheena caafimaadka iyo mawduucyada caafimaadka ee muhiimka ah.

Waad akhrin kartaa mar kasta, meel kasta oo aad aado. Dib u eeg saddexdii biloodba mar daabacaada cusub.

Medicaid Newsletter Ingiriisi | Español | Haitian/Creole

Wax ka baro noocyada qorshaha

Florida Medicaid Card

Qorshayaasha Medicaid

Florida Medicaid (FL HealthNet) is health insurance for people with low incomes. Waxaa laga yaabaa inaad ku heli karto Medicaid gudaha Florida haddii aad uur leedahay, carruur leedahay ama aad leedahay naafo. Xaaladaha qaarkood, dadka waaweyn ee kale ayaa sidoo kale laga yaabaa inay u qalmaan. Kharashyada kugu kacayaa waa yar yihiin waxayna ku salaysan yihiin awooddaada aad wax ku bixin karto. Waa muhiim in la ogaado in xeerarka Medicaid iyo caynsanaanta ay kala duwan yihiin gobol ilaa gobol.

Ka arag qorshayaasha gudaha Florida
  • To join UnitedHealthcare, call toll-free 1-877-711-3662, TTY/TDD 1-866-467-4970 to speak to a Medicaid Choice Counselor. You can also enroll online at flmedicaidmanagedcare.com.
  • UnitedHealthcare Community Plan is available in the following counties: Alachua, Baker, Bradford, Citrus, Clay, Columbia, Dixie, Duval, Flagler, Gilchrist, Hamilton, Hardee, Hernando, Highlands, Hillsborough, Lafayette, Lake, Levy, Manatee, Marion, Miami-Dade, Monroe, Nassau, Polk, Putnam, St. Johns, Sumter, Suwannee, Union, and Volusia.
  • UnitedHealthcare Community Plan of Florida is a Managed Care Plan with a Florida Medicaid contract. The benefit information provided is a brief summary, not a complete description of benefits. For more information contact the Managed Care Plan. Limitations, copayments, and restrictions may apply. Benefits, formulary, pharmacy network, premium and/or co-payments/coinsurance may change. UnitedHealthcare does not discriminate on the basis of race, color, national origin, sex, age or disability in health programs and activities.

 

UnitedHealthcareCommunityPlan

Macluumaadka Afeefta
(ku dhex wad bogoskan si aad u aragto)

Ma waxaad raadinaysaa mareegta dawladda dhexe ee Medicaid? Halkan ka eeg Medicaid.gov.

UnitedHealthcare Dual Complete Plans

Qorsheyaasha waxaa la doolaa iyadoo loo sii marayo Shirkadda Caymiska UnitedHealthcare ama mid ka mid ah shirkadaheeda xiriirka la leh, Hay'adda Medicare Advantage ee haysata qandaraaska Medicare iyo qandaraaska kula jirto Barnaamijka Medicaid ee Gobolka. Iska diiwaangelinta qorshaha waxay ku xiran tahay heshiiska cusboonaysiinta qorshaha ee Medicare. Qorshahan waxaa heli kara qof kasta oo haysta Medical Assistance ee laga helo Gobolka iyo Medicare. Dheefaha, qaybaha iyo/ama aaladuhu waxay ku kala duwan yihiin qorshe/aagga. Limitations, exclusions and/or network restrictions may apply. Macaashyada, khidmadaha iyo/ama kharashka la wada bixiyo/qaybsiga caymiska ayaa laga yaabaa inay isbeddelaan markay tahay 1-da Janaayo ee sannad kasta.

Premium Disclaimer

Dual Special Needs plans have a $0 premium for members with Extra Help (Low Income Subsidy).

Afeefta Khadka-furan ee Kalkaalisada

Adeegani waa inaan loo isticmaalin baahiyada gurmadka ama daryeelka ee degdegga ah. Marka ay jirto xaalad degdega ah, wac 911 ama tag qolka gurmadka ee kuugu dhow. Macluumaadka lagu bixiyay adeegan waxaa laga leeyahay ujeedooyin waxbixin oo keliya. Kalkaaliyeyaashu ma sheegi karaan dhibaatooyinka ama kuma talin karaan daaweyn mana u noqon karaan beddel daryeelka daryeel bixiyahaaga. Macluumaadkaaga caafimaad waxaa loo keydiyaa si qarsoodi ah oo waafaqsan sharciga. Adeeggu maaha barnaamij caymis waxaana laga yaabaa in la joojiyo wakhti kasta. Khadka Taleefanka ee Kalkaalisada looma isticmaalo xaaladaha degdegga ah, ujeeddooyin macluumaad oo keliya ayaa loo isticmaalaa.

UnitedHealthcare Connected® for MyCare Ohio (Medicare-Medicaid Plan)

UnitedHealthcare Connected® for MyCare Ohio (Medicare-Medicaid Plan) waa qorshe caafimaad oo qandaraas la leh Medicare iyo Medicaid Ohio labaduba si ay u siiyaan macaashyada labada barnaamij dadka ka diiwaangashan. 

UnitedHealthcare Connected® (Medicare-Medicaid Plan)

UnitedHealthcare Connected® (Medicare-Medicaid Plan) waa qorshe caafimaad oo qandraas la leh Medicare iyo Texas Medicaid Ohio labaduba si ay u siiyaan macaashyada labada barnaamij dadka ka diiwaangashan.

UnitedHealthcare Connected® oo loogu tala galay One Care (Qorshaha Medicaid - Medicare)

UnitedHealthcare Connected® for One Care (Medicare-Medicaid Plan) waa qorshe caafimaad oo qandraas la leh Medicare iyo MassHealth (Medicaid) labadaba si ay u siiyaan manaafacaadka labada barnaamij dadka ka diiwaangashan. 

Afeefta dheefaha guud UnitedHealthcare Connected®

Kani ma ahan liis dhammeystiran. Macluumaadka macaashka waa qoraal kooban, ma ahan sharraxaadda dhammeystiran ee macaashyada. Si aad u hesho macluumaad dheeraad ah la xiriira qorshaha ama akhri Buug-gacmeedka Xubinta. Xaddidaado, wada-bixinno, iyo xannibaado ayaa lagu dabaqi karaa. Wixii macluumad dheeraad ah, wac Adeegyada Xubnaha ee ku xiran UnitedHealthcare ama aqri Buugyaraha Xubnaha ee UnitedHealthcare Connected®. 

UnitedHealthcare Senior Care Options (HMO SNP) Plan

Dookhyada Daryeelka Waayeeladda ee UnitedHealthcare (SCO) waa qorshaha Daryeelka Isku Dubaridan ee la leh qandaraas Medicare iyo qandaraas kula jira barnaamijka Common Wealth Massachusetts of Medicaid. Iska diiwaangelinta qorshaha waxay ku xiran tahay heshiiska cusboonaysiinta qorshaha ee Medicare. Qorshahan waa barnaamij isxilqaan ah uu heli karo qof kasta oo jira 65 iyo ka weyn oo u-qalma MassHealth Standard iyo Original Medicare oo aan lahayn caymis caafimaad ee kale ee dhamaystiran, marka laga reebo Medicare. Haddii aad leedahay MassHealth Standard, balse aadan u-qalmin Original Medicare, waxaa laga yaabaa inaad weli u-qalanto inaad iska diiwaangeliso qorshaheena MassHealth Senior Care Option oo aad hesho macaashyadaada MassHealth oo dhan adoo u maraya barnaamijkeena Dookhyada Daryeelka Waayeeladda ee UnitedHealthcare (SCO).

Afeefta qiimeynta xidigeed

Sannad kasta, Medicare waxay qiimaysaa qorsheyaasha iyadoo ku salaysa nidaamka qiimeynta 5-Xiddig. Nidaamka qiimeynta 5 Xiddigta waxa uu khuseeyaa qorshaha sanadka 2023.

Macluumaadka bixiyaha ee muhiimka ah

Go'aanka Adigaa Leh.

Waxaan ku siin doonaa macluumaad kaa caawin doona inaad gaarto go'aano wargal ah, sida aqoonsashada dhakhaatiirta iyo xirfadleyaasha daryeelka caafimaadka. Macluumaadkan, si kastaba ha ahaatee, ma ahan mid ayidaya dhakhtar gaar ah ama xirfadlaha daryeelka caafimaadka ee ku habboon baahidaada.

Bixiyeyaasha la heli karo iyadoo loo marayo codsigan ma ahan inay xaqiiqdii uga turjumayaan si buuxda shabakada UnitedHealthcare ee bixiyeyaasha qandaraaska lagula jiro. Waxaa laga yaabaa inay jiraan bixiyeyaal ama takhasusleyaal gaar ah oo aan lagu darin codsigan oo qayb ka ah shabakadeena. Haddii aadan helin bixiyaha aad raadinayso, waxaad si toos ah ula xiriiri kartaa bixiyaha si aad u xaqiijiso xaaladda kaqaybgalka ee shabakadda UnitedHealthcare, ama kala xiriir Mamber Services lambarka bilaashka ah ee ku qoran kaarkaaga aqoonsiga UnitedHealthcare. Waxaan sidoo kale kugula talineynaa, kahor inta aadan la kulmin dhakhtar kasta, oo ay ku jiraan takhasusleyaal kasta, inaad wacdo xafiiska dhakhtarka si aad u xaqiijiso xaaladda kaqaybgalka iyo helitaanka.

Qaar kamid ah shabakadda bixiyeyaasha ayaa laga yaabaa in lagu daray ama laga saaray shabakadeena kadib markii diiwaankan la cusbooneysiiyay. Ma dammaanad qaadi karno in bixiye kasta weli aqbalayo xubno cusub.

Bixiyeyaasha shabakadda ka baxsan/qandaraaska haysan kuma qasbana inay daaweeyaan xubnaha ku jira qorshaha UnitedHealthcare, marka laga reebo xaaladaha gurmadka ah. Fadlan soo wac lambarkeena adeegga macmiilka ama ka eeg Caddayntaada Caymis wixii macluumaad dheeraad ah, oo ay ku jiraan kharash wadaagga khuseeya adeegyada shabakadda ka baxsan.

Ogeysiiska Xeerka Naafada Mareykanka

Sida waafaqsan shuruudaha Xeerka Naafada ee Dawladda Dhexe Maraykanka 1990 iyo Qeybta 504 Xeerka Baxnaaninta 1973 ("ADA"), Shirkadda Caymiska UnitedHealthcare waxay bixisa adeegyada la daboolay oo buuxa oo loo siman yahay mana takooraan shakhsiyaadka u-qalma ee naafada ah iyadoo lagu salaynayo naafanimada markay bixinayaan adeegyadooda, barnaamijyadooda, ama waxqabadooda.

Gudbinta

Bixiyeyaasha shabakadda ayaa idin ka caawin doona adiga iyo xubnaha qoyskaaga ee caymiska leh inaad heshaan daryeelka aad u baahan tihiin. Helitaanka dhakhaatiirta takhasuska leh waxaa isku dubaridi kara dhakhtarkaaga daryeelka aasaasiga ah.

Codsiyada diiwaanka waraaqaha

Nuqullada warqadaha ee ku jira diiwaanka bixiyaha shabakadda waxay ku heli karaan xubnaha si bilaash ah iyagoo wacaya lambarka adeegga macmiilka ee ku yaala gadaasha kaarka aqoonsiga. Dadka aan xubinta ka ahayn waxay natiijooyinka ka soo dejisan karaan oo ka daabacan karaan diiwaanka onlaynka ah.

Macluumaadka khaldan

Si aad uga warbixiso xogta khaldan, u dir iimayl provider_directory_invalid_issues@uhc.com. Bogoskan iimaylka waxaa loogu talagalay xubnaha si ay uga warbixiyaan khaladaadka suurtagalka ah ee macluumaadka qofka (cinwaanka, telefoonka, iwm.) ee ku jira hagaha diiwaanka onlaynka ah ama waraaqaha. Ka warbixinta arrimaha iyadoo loo marayo bogoskan boostada waxay keeni doontaa in la gaaro xafiiska bixiyaha si loo xaqiijiyo dhammaan xogta dadka ee ku jira diiwaanka, taasoo qaadan karta qiyaastii 30 maalmood. Shakhsiyaadka sidoo kale waxay soo sheegi karaan khaladaadka suurtagalka ah iyagoo adeegsanaya telefoonka. Xubnaha UnitedHealthcare waa inay wacaan lambarka ku yaala gadaasha kaarkooda aqoonsiga, halka dadka aan xubin ka ahayn UnitedHealthcare ay soo wici karaan 1-888-638-6613 TTY 711, ama waxay isticmaali karaan adeegga gudbinta ee ay doorbidayaan.

Ku Dhawaaqida Musiibo ama Xaalad Degdeg ah

Haddii ay ku saamayso ku dhawaaqida musiibo ama xaalad degdega ah ee Madaxweynaha ama Guddoomiyaha Gobolka, ama oggeysiiska xaalad caafimaadka dadweynaha ee degdeg ah oo uu ku dhawaaqay Xoghayaha Caafimaadka iyo Adeegyada Aadanaha, waxa jira taageero dheeraad ah oo gaar ah oo adiga diyaar kuu ah.

  • Qaybta A, Qaybta B, iyo dheefaha qorshaha Qaybta C ee dheeraadka ah waa in lagu bixiyaa xarumo aan qandaraaska lahayn oo gaar ah (ogsoonow in dheefaha Qaybta A iyo Qaybta B ay tahay in laga helo xarumaha shahaadaysan ee Medicare);
  • Meeshii ay ku habboon tahay, shuruudaha loogu talagalay gudbinta albaab-ilaaliyaha si buuxda ayaa looga dhaafay;
  • Wadaagista kharashka shabakada ka baxsan ee qorshaha la ansixiyay ilaa qadarada wadaagista kharashka shabakada ayaa si ku meelgaar ah loo dhimay; iyo
  • Shuruudaha oggeysiiska ee 30-ka maalin ah ee ku aadan xubnaha waa la dhaafay, ilaa inta dhammaan isbeddellada dheefta (sida dhimista wadaagista kharashka iyo oggolaanshaha ka dhaafitaanka) ee xubinta.

Haddii CMS aysan bixin taariikhda dhammaadka ee loogu talagalay musiibada ama xaaladda degdegga ah, qorshooyinka ayaa dib u bilaabi doona maalmaha 30 shaqada ee caadiga ah ka dib ku dhawaaqista hore.

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