U gudub tusmada ugu weyn
Tusmada Ugu Weyn

2023UnitedHealthcare Dual Complete® (HMO-POS D-SNP)

Qorshaha wuu cusub yahay oo lama qiimeyn karo
2024 Qorshaha Laba Geesoodka ee Buuxa ee Dual Complete ee UHC MN-Y001 (HMO D-SNP)

Medicare

Waa maxay Qorshaha Laba Geesoodka ah ee Dadka Qaba Baahiyaha Gaarka ah?

H7778-001 -000

Qiimaha bishii: $0.00 *

* Kharashkaagu waxa laga yaabaa inuu u hooseeyo ilaa $0, iyadoo ay ku xirantahay heerkaaga u-qalmitaanka Medical Assistance (Medicaid). 

SNBC (H7778-001-000): Baahiyaha Gaarka ah ee Minnesota (SNBC): Medicare & Caawinta Caafimaadka (Medicaid)

Qorshahayagu waa Medicare Advantage HMO Plan (HMO waxay u taagan tahay Hay'adda Joogtaynta Caafimaadka (Health Maintenance Organization)) oo leh xulashada Barta-Adeegga-Bixinta (POS) oo ay ansixisay Medicare oo ay maamusho shirkad gaar loo leeyahay. “Xulashada Barta-Adeeg-Bixinta (POS)” macneheedu waxa weeye inaad u isticmaali karto bixiyeyaasha ka baxsan shabakada qorshaha wixii kharash dheeraada ah.

  • Hubi u-qalmida (ku furma bogga xiran)

1-844-812-5967 TTY: 711 or use your preferred relay service 8:00 sn. to 8:00 gn. local time, 7 days a week

Hel bixiyeyaasha iyo caymiska loogu talagalay qorshahan.

Hel Bixiye Daryeel

Raadi dhakhaatiir, isbitaallo, iyo khabiiro.

Eeg Liiska Daawooyinka

Hel daawooyinka lagu daboolo caymiskan.

Hel dhakhtarka ilkaha

Hel Dhartarka Ilkaha oo kuu dhow.

Hel farmashiye

Hel farmashiye kuu dhow.

Macaashyada & Sifooyinka

Fur Dhammaan

Cuntada OTC, amarta

$130 bishii si aad u iibsato cunto caafimaad leh iyo alaabta OTC ama aad ku bixiso biilasha tamarta. Wax badan ka baro faa'iidadan

$0 lacag ku bixi dhammaan dawooyinka guud ee lacaymiyay iyo magaca summada oo ay ku jiraan geynta guriga. Wax badan ka baro faa'iidadan

Caymiska ka hortagga ee baaritaanada, nadiifinta, raajooyinka iyo fluoride. Hagaajinta gudaha ilaga, buuxinta iyo ilkaha macmalka ah ayaa la caymiyaa marka loo baahdo caafimaad ahaan.

UHC waxay bixisaa 48 safaro hal jiho ah oo lagu tago ama looga imaado goobo la ansixiyey kuwaas oo la daboolo sannad kasta (ku xaddidan gaadiidka dhulka oo keliya) marka lagu daro waxa lagu daboolo Medical Assistance (Medicaid).

Waxaa loo caymiyaa sida loogu baahdo marka caafimaad ahaan loogu baahdo. Muraayadaha indhaha ayaa la daboolaa hadba sida loogu baahdo iyadoo loo eegayo muraayadaha indhaha marka loo baahdo caafimaad ahaan.

Mid ka mid ah muraayadaha indhaha ama muraayadaha indhaha la saaro ka dib qalliin kasta oo katarakt ah, ama muraayadaha indhaha la saaro ee xaaladaha qaarkood marka muraayadaha indhaha aysan shaqaynin.

Adeegyada shaybaadhka

$0 bixinta dhammaan adeegyada shaybaadhka la daboolay

Gaadhsiinta cuntada

Ilaa 28 cuntada loogu talagalay 14 maalmood, oo laguugu keeno albaabkaaga ka dib markii isbitaal kasta oo bukaan-jiif ah uu joogo si loo ilaaliyo nafaqada

Looma baahna tixraacyo

Gelitaanka shabakadeena bixiyaha weyn oo aan loo baahnayn tixraacyo

Khadka Taleefanka Kalkaaliyaha

Kala hadal kalkaalisada diiwaangashan su'aalahaaga ama walaacyadaada la xiriira caafimaadka wakhti kasta, maalin iyo habeen lacag la'aan

Nidaamka Ka-jawaabida Xaaladaha Degdegga ah ee Shaqsiyeed (PERS)

Qalab ka jawaab celin degdeg ah oo shakhsi ah oo ku heli kara caawimo degdeg ah, 24 saacadood maalintii oo aan kharash dheeraad ah lahayn

Daryeelka ka-hortagga

$0 Lacag bixinta daryeelka ka hortagga, oo ay ku jiraan tallaalka jireed iyo hargabka sannadlaha ah

Booqashooyinka daryeelka aasaasiga ah

$0 lacag bixinta booqashooyinka daryeelka aasaasiga ah si ay kaaga caawiyaan helitaanka daryeelka aad u baahan tahay si aad ugu noolaato caafimaad

Barnaamijka Jimicsiga ee Renew Active ®

Renew Active® waa barnaamij jirdhiska jirka iyo maskaxda si ay kaaga caawiyaan in ay firfircoonaadaan, goobta jimicsiga ama guriga, iyada oo aan kharash dheeraad ah lagu bixin.

Daryeelka cagaha caadiga ah

Ilaa 6 booqashooyinka daryeelka cagaha sanadkiiba $0 lacag bixin ah si looga caawiyo in cagaha ay caafimaad qabaan adigoo siinaya daryeelka ka hortagga ah

Faa'iidooyinka maqalka caadiga ah

Imtixaanka maqalka caadiga ah iyo $2000 gunnada aalada maqalka ee magaca suubban ama UnitedHealthcare Hearing's brand Relate™.  Wax badan ka baro faa'iidadan

Wicitaannada Guriga ee UnitedHealthcare

Baaritaanka sannadlaha ah ee guriga si ay kaaga caawiso inaad la socoto caafimaadkaaga inta u dhaxaysa booqashooyinka dhakhtarka caadiga ah iyada oo aan kharash dheeraad ah

UnitedHealthcare® Navigator

Taageero ka hel Navigator kaaga, kaas oo ah qofka aad u tagi karto si uu kaaga caawiyo inaad sida ugu fiican uga faa'iidaysato qorshahaaga

Booqashooyinka Caafimaadka ee Fogaan-aragga ah.

$0 Lacag bixinta booqashooyinka bixiyaha fogaan-aragga si aad ugala hadasho walaacyada caafimaadka, ku hel ogaanshaha iyo daaweynta xaaladaha aan degdega ahayn

UnitedHealthcare Dual Complete® (HMO-POS D-SNP)

Qorshaha Billaha ah ee loogu talagalay dadka ka hela Caawinaad Dheeraad ah Medicare si ay uga caawiyaan Bixinta Kharashaadka Dawooyinka laguu qoray

Haddii aad ka hesho caawimo dheeraad ah Medicare si ay kaaga caawiso bixinta kharashka qorshahaaga dawada ee Medicare, khidmadaha qorshahaaga billaha ahi wuu ka hooseeyaa waxa uu noqon lahaa haddii aanad kaalmo dheeraad ah ka helin Medicare. Qadarka caawimada dheeraadka ah ee aad hesho ayaa go'aamin doonta wadarta lacagta qorshahaaga bille ahaan xubinta Qorsheheena.

Shaxdani waxa ay ku tusinaysaa waxa uu noqon doono lacagta qorshahaaga bilaha ah haddii aad hesho caawimo dheeraad ah.

Heerkaaga caawinaada dheeraadka ah Qiimaha bilaha ah*
100% $0.00
75% $10.00
50% $20.00
25% $29.90

Tan kuma jiraan wax khidmadaha Medicare ee Qaybta B oo laga yaabo inaad bixiso.

Haddii aadan helin gargaar dheeri ah, waxaad ku arki kartaa inaad u qalanto adigoo wacaya:

  • 1-800-Medicare ee isticmaalayaasha TTY wac 1-877-486-2048 (24 saacadood maalintii/7 maalmood todobaadkii),
  • Xafiiska Medicaid ee Gobolkaaga, ama
  • Maamulka Lambarka Bulshada ee 1-800-772-1213. Isticmaalayaasha TTY waa inay wacaan 1-800-325-0778 inta u dhaxaysa 7 subaxnimo - iyo 7 galabnimo, Isniinta ilaa Jimcaha.

Baahidaada daryeelka caafimaad waa mid gaar ah. Dukumeentiyadani waxay kaa caawin karaan inaad hubiso inaad hesho caymiska saxda ah.

Dukumeentiyada waxaa ka mid ah Ogeysiiska Isbeddelka ee Sannadlaha ah, Caddaynta Daboolista, Foomamka, Qiimaynta Xiddiga Qorshaha Medicare, Tusaha Bixiyaha, Soo koobida Faa'iidooyinka, Ilaha kale ee la soo dejisan karo.

Khayraadka la soo dejisan karo (furta daaqadda modeelka)
Go'aannada Daboolista, Racfaannada iyo Cabashooyinka(fur window-ga modal-ka ah)

Dhigaalada Xubinta

Eeg Dhigaalada La Heli karo (wuxuu furaa Bogga Xiran)
MN Disclaimer
(ku dhex wad bogoskan si aad u aragto)

UnitedHealthcare Dual Complete® is a health plan that contracts with both Medicare and the Minnesota Medical Assistance (Medicaid) program to provide benefits of both programs to enrollees. Enrollment in UnitedHealthcare Dual Complete® depends on contract renewal.

1-844-368-5888, TTY 711 or use your preferred relay service

Attention. If you need free help interpreting this document, call the above number.

Thov ua twb zoo nyeem. Yog hais tias koj xav tau kev pab txhais lus rau tsab ntaub ntawv no pub dawb, ces hu rau tus najnpawb xov tooj saum toj no. 

Digniin. Haddii aad u baahantahay caawimaad lacag-la’aan ah ee tarjumaadda (afcelinta) qoraalkan, lambarka kore wac.

Atencion. Si desea recibir asistencia gratuita para interpratar este documento, llame al numero indicado arriba.

“UnitedHealthcare will accept all eligible Beneficiaries who select or are assigned to UHC without regard to medical condition, health status, receipt of health care services, claims experience, medical history, genetic information, disability (including mental or physical impairment), marital status, age, sex (including sex stereotypes and gender identity), sexual orientation, national origin, race, color, religion, creed or public assistance status.”

Cusbooneysintii Ugu Dambeysay: 10.25.2023 at 9:51 sn. CDT

H7778_230907_104113_M

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. Xaddidaadyada, ka-dhaafitaanada iyo/ama xannibaadyada shabakadeed ayaa laga yaabaa in lagu soo dabaqo. Macaashyada, khidmadaha iyo/ama kharashka la wada bixiyo/qaybsiga caymiska ayaa laga yaabaa inay isbeddelaan markay tahay 1-da Janaayo ee sannad kasta.

Afeefta Khidmadda Billaha ah

Qorshayaasha Dual Special Needs waxay leeyihiin $0 khidmado bille ah oo loogu talagalay xubnaha haysta Caawimaada Dheeraadka ah (Kabka Dadka Dakhligoodu Hooseeyo).

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) is a health plan that contracts with both Medicare and Texas Medicaid to provide benefits of both programs to enrollees.

UnitedHealthcare Connected® for One Care (Medicare-Medicaid Plan)

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

UnitedHealthcare Senior Care Options (SCO) is a Coordinated Care plan with a Medicare contract and a contract with the Commonwealth of Massachusetts Medicaid program. 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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