Dardaaranka Horudhaca ah

You have the right to file an “Advance Directive.” An Advance Directive states in advance what kind of treatment you would like to receive if you have a serious medical condition that prevents you from telling your doctor how you want to be treated.

There are two types of an Advance Directive: 1) a Living Will; and, 2) a Medical Power of Attorney (which may also be called a "durable power of attorney for health care or heath care agent"). An "agent" is the person you trust to speak for you when you are not able to do so for yourself.

You should think carefully about the person you choose to be your health care agent. You should have a long talk with your agent about your advance directive so they are able to make the decision the way you would.

Two examples of Advance Directives can be found below or at https://member.uhc.com/communityplan.

Advance Directives Example 1

Advance Directives Example 2

Taageerada neefta iyo Neefsasha oo adkaato (COPD)

Do you need help trouble managing asthma or COPD (chronic obstructive pulmonary disease) symptoms? A nurse who specializes in breathing issues can really help. You'll get a customized treatment plan and medicine to:

• Manage flare-ups.
• Reduce symptoms.
• Help you stay active.

Maaraynta Daryeelka

A serious health problem requires extra care and support. If your health needs qualify, then our care managers are in your corner. They will:

• Explain medical terms in plain language.
• Coordinate your doctor appointments.
• Provide your care team with your medical records.

Your care manager will stay close by throughout the medical journey. He or she will:

• Think beyond immediate medical needs.
• Make sure you have support at home.

Chiropractor Services

Our plan includes visits for chiropractic care. Whether chiropractor services are your primary or alternative treatment method, you're covered.

Members covered for up to $700 in chiropractic care costs per year. And you do not need to get approval prior to scheduling a visit to your chiropractor.

Choose a Birth Center

Where you have your baby is an important choice. That’s why you can pick from partner hospitals across Mississippi.

We also encourage you to tour the hospital's birthing center. This way you will be familiar with it. And be more relaxed when you have your baby.

Dooqa dhakhtarka

Members can choose a primary care provider (PCP). Isticmaal Qalabka Raadinta Dhakhtarka si aad u aragto in dhakhtarkaagu ku jiro shabakadeena.

The PCP is your main doctor for:

• Preventive care.
• Treatment if you are sick or injured.
• Referrals to specialists for certain conditions.

For members who don’t have a doctor or whose doctor is not in our network, we can help find a new one close by.

Daryeelka ilkaha

Checkups and emergency care are covered.

Dental checkups and cleanings can help keep teeth and gums healthy. Covered services include:

• Cleanings.
• X-rays.
• Certain dental work, including some extractions.

The benefits for both children and adults are:

• $2500 maximum each year dental care.
• $4200 maximum for braces per child.

Diabetes Services

Haddii aad qabto sonkorow, waxaanu kaa caawin doonaa inaan nolosha kuugu fududeyno. Waxaad heli doontaa daawo, sahay iyo waxbarasho kaa caawiya inaad gaadho oo aad sida ugu fiican u ahaato.

Our diabetes program also includes self-care training and classes focused on:

• Planning healthy meals.
• Managing stress.
• Living a healthy lifestyle.

Qalabka iyo Saadka

Caafimaadkaaga iyo badbaadadaada guriga waa muhiim

Our plan covers medical equipment ordered by your doctor or case manager. Tan waxaa ka mid noqon kara agabka sida:

• Hospital beds.
• Oxygen tanks.
• Wheelchairs or walkers.

Daryeelka cagaha

We provide the exams needed 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.

Farm to Fork Program

A diet that includes fresh vegetables and fruit goes a long way to helping you stay at your best. That's why our plan includes farm-fresh produce for members.

We make getting your produce easy. You can pick up your free bag at one of the many Farm to Fork Program sites across the state.

The program runs from May through September.

Please view a complete list of distribution sites and schedule.

Healthy First Steps™

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. 

Waan ku caawin doonaa:

• Choose a pregnancy provider and a pediatrician (child’s doctor).
• Schedule visits and exams and arrange rides to your visits.
• Earn rewards for going to visits throughout your pregnancy and baby’s first 15 months of life.
• Get supplies, including breast pumps for nursing moms.
• Ku xirirannashaha dhigaalada bulshada sida adeegyada Haweenka, Dhallaanka iyo Carruurta (WIC).

Hearing Care

Trouble hearing can affect your child’s everyday life in many ways. Our plan covers hearing exams and services for members up to age 21.

Daryeelka caafimaadka ee guriga

Sometimes continued care is needed after leaving the hospital or urgent care. For example, after a serious illness, surgery or injury. In these cases, a nurse will make home visits to:

• Provide medical care.
• Answer any questions and concerns.

Adult members can get up to 25 home health care visits per year. For children, there is no limit on the number of visits.

Isbitaal Dhigista

This plan pays for all expenses related to a hospital stay, so you can rest and heal.

Qorshahayagu waxa uu daboolaa:

• Nursing care.
• Room and board.
• Supplies and equipment.
• Treatment and therapies.
• Diagnostic tests and exams.

Ka dib markaad isbitaalka ka baxdo, keligaaga ma tihid. We make sure you get follow-up care to continue healing at home.

Interpreters

Your doctor and you need to understand each other. In aan si fiican loo hadlin Ingiriisi ayaa tan ka dhigaysa mid adag. Waxaan kuu diyaarin karnaa turjumaan inuu joogo ballamahaaga.

We also have people in member services who speak more than one language. Chances are, we have someone who speaks your language.

Daryeelka Cudurka Kelyaha

Cudurka kelyuhu waa xaalad caafimaad oo halis ah.

Qorshahayagu waxa ka mid ah:

• Kelyo-sifaynta.
• Daawooyinka.
• Waxbarashada iyo taageerada caafimaadka.
• Tallaalitaanka xubinta haddii loo baahdo.

Lab and X-ray Services

Ogaanshaha waxa khaldan iyo in la helo goor hore ayaa wax walba samayn karta. Our plan covers most:

• Shaybaarada iyo tijaabada.
• Raajooyinka, iskaangaraynta iyo sawir-qaadista kale.

Waxaan kaa caawin doonaa inaad hesho macluumaadka loo baahan yahay si aad u hormariso caafimaadkaaga ama aad u noqoto sida kuugu fiican.

Ka caawin Luqad

Waxaad xogta ku heli kartaa luuqad kale. Adigu un weydii. Then anything we write to you will only be in that language. This is provided at no cost to you.

Daawooyinka

For members over age 21, our plan includes up to six prescription drugs and refills each month. For members up to age 21, there are no limits.

We make getting your medicine easy. You can fill your prescriptions at:

• Local in-network pharmacies.
• Services that deliver routinely right to your door.

Member Incentives

Member Services

Sometimes you might need a little help understanding your health care options. With us, you have someone you can call. We'll answer your questions simply and completely.

We can also help you find:

• Home care providers.
• Dentists and vision providers.
• Adult day health centers.

Caafimaadka Maskaxda

Mental health is as important as physical health. That's why we have coverage for both.

Required care is 100% covered. Tani waxaa ka mid ah:

• Individual therapy.
• Outpatient psychiatric care.
• Crisis services and medications.

Mental Health Crisis Line call 1-877-743-8731, TTY 711,  24 hours a day, 7 days a week. 

Khadka Taleefanka Kalkaaliyaha

Medical questions and situations come at inconvenient times. For questions about health, members or their caregivers can call 1-877-370-4009, TTY 711 to speak with a trained nurse 24 hours a day, 7 days a week.

Kalkaaliyeyaasheena way:

• Dhageysan doonaan astaamaha.
• Kaa caawin doonaan is-daryeelka.
• Kaala talin doonaan ku helida daryeel booqashada dhakhtarka ama xarunta daryeelka degdegga ah.
• Kaa caawin doonaan inaad ogaato goorta aad aadi doonto qolka gargaarka degdega ah.

Obesity Care

Obesity is common and serious. It can also lead to other health problems. To help members live healthier, we will:

Obesity is common and serious. It can also lead to other health problems. To help our members be their best, our plan includes:

• Provide information on a healthy diet and exercise.

Connect you to support in the community.

Prenatal Visits

A pregnancy is a journey that’s easier with the help of friends, family and a pregnancy doctor, or OB/GYN.

All recommended prenatal clinical visits and tests are covered by our plan.

At these visits, the clinic will:

• Make sure both mom and baby are healthy.
• Explain what to expect at each stage of your pregnancy.
• Answer questions.

Residential Care

After a serious illness, surgery or injury, you may need ongoing nursing and therapy. If needed, our plan covers short stays in a rehabilitation center where you can heal. Included are:

• Nursing home services.
• 24-hour nursing care.
• Help with activities of daily living.
• Physical, occupational and speech therapy.

Shots and Immunizations

Routine shots help keep you healthy. Qorshahayagu waxa uu daboolaa:

• Pneumonia, influenza and shingles shots.

Other recommended shots and vaccines.

Daawaynta jireed, hadalka ama dawaynta jirka, dareenka iyo garashada

Daaweynta jirka, shaqada iyo hadalka waxay kaa caawin kartaa inaad ka soo kabsato dhaawac halis ah ama jirro, ama si fudud u gaarto awooddaada buuxda.

Our plan provides up to 12 visits for:

• Occupational therapy.
• Physical therapy.
• Speech therapy.

Gaadiid-raaca

Whether you live in the city or in the country, our plan provides rides to and from health care locations. That includes trips to:

• Doctor and therapy visits.
• Health departments.
• Vision clinics.
• Urgent care centers.

Unlimited Doctor Visits

There may be times when your health requires regular visits to a primary care provider (PCP).

Our plan does not limit the number of times you can see your PCP. This way you get care when you need it. And the doctor can see how your health is progressing.

Daryeelka Degdegga ah

    You may have an injury or sudden illness that is not life-threatening but needs immediate attention. So our plan covers care at:

• Urgent care centers.
• Medical aid units.
• Other walk-in clinics.

Daryeelka Aragga

You'll get the care, eyeglasses and treatment that let you see life more clearly.

• Children can get up to two pair of eyeglasses per year.
• Adults receive new eyeglasses every three years.

This benefit is offered by March Vision Care..

Booqashooyinka Wanaagsan

Booqashooyinka wanaagsan ee dhakhtarkaaga ayaa kaa caawin kara inaad caafimaad qabtid. Booqashooyinkani waxay ku dhici karaan dhibaatooyin caafimaad goor hore, si loo daweeyo. Adeegyada ka hortagga waxaa ka mid ah:

• Baaritaannada ku aaddan dadka waaweyn iyo carruurta.
• Daryeelka ilmaha wanaagsan.
• Daryeelka haweenka uurka leh.
• Tallaalada joogtada ah iyo tijaabooyinka.
• Raajada naaska.

Ma jirto wax lacagta caymiska ee go'an ah oo laga bixiyo daryeelka ka hortagga ah.