Hamm … waxay u egtahay il-mariskaagu (browser) inuu duugoobay.
Aan cusboonaysiinno il-mariskaaga si aad ugu raaxaysato mahadhada degdeg badan, ee degelka aadka u sugan.
Ha lumin macaashyadaada
You can update your information online with ePASS. ePASS is North Carolina’s secure self-service website where you can apply for various benefits, view your case details, renew your Medicaid and update your information without having to visit your local DSS. If you have an account, log in and update your information as soon as possible. Learn how to create an account here: What is ePASS?
More information can be found here: medicaid.ncdhhs.gov/renew. If you want to learn more about Medicaid recertification (renewal), check out our Recertification Fact Sheet.
UnitedHealthcare Community Plan Medicaid
Medicaid
UnitedHealthcare Community Plan of North Carolina Medicaid offers a range of benefits along with extras that other plans don’t cover. Children, families, pregnant women and single adults may qualify based on income. You can choose your own doctor, and get many extras that other plans don’t offer. View the benefits below to see all that it offers.
Qorshahan waxaa laga heli karaa gobolada soo socda:
Alamance, Alexander, Alleghany, Anson, Ashe, Avery, Beaufort, Bertie, Bladen, Brunswick, Buncombe, Burke, Cabarrus, Caldwell, Camden, Carteret, Caswell, Catawba, Chatham, Cherokee, Chowan, Clay, Cleveland, Columbus, Craven, Cumberland, Currituck, Dare, Davidson, Davie, Duplin, Durham, Edgecombe, Forsyth, Franklin, Gaston, Gates, Graham, Granville, Greene, Guilford, Halifax, Harnett, Haywood, Henderson, Hertford, Hoke, Hyde, Iredell, Jackson, Johnston, Jones, Lee, Lenoir, Lincoln, Macon, Madison, Martin, McDowell, Mecklenburg, Mitchell, Montgomery, Moore, Nash, New Hanover, Northampton, Onslow, Orange, Pamlico, Pasquotank, Pender, Perquimans, Person, Pitt, Polk, Randolph, Richmond, Robeson, Rockingham, Rowan, Rutherford, Sampson, Scotland, Stanly, Stokes, Surry, Swain, Transylvania, Tyrrell, Union, Vance, Wake, Warren, Washington, Watauga, Wayne, Wilkes, Wilson, Yadkin, and Yancey.
- UnitedHealthcare Community Plan Medicaid
Is Your Address Up to Date?
Make sure you do not miss information about your Medicaid coverage. Visit or call your local DSS to update your address and contact information. A list of DSS locations can be found here: ncdhhs.gov/localdss
Behavioral Health Crisis
If you are experiencing a behavioral health crisis, call 1-877-334-1141
Hel bixiyeyaasha iyo caymiska loogu talagalay qorshahan.
Search for doctors, hospitals and specialists.
Baarbaar bixiyeyaasha daryeelka caafimaadka handhaqanka iyo dhigaallo.
Hel daawooyinka lagu daboolo caymiskan.
Hel farmashiye kuu dhow.
Macaashyada & Sifooyinka
Caafimaadka Dabeecadda
Caafimaadka maskaxda wuxuu muhiim u yahay sida caafimaadka jirka oo kale. That’s why we have coverage for both. Daryeelka loo baahan yahay waxaa la daboolay 100% iyadoo la isla bixinayn. Tani waxaa ka mid ah:
- Counseling
- Substance use treatment.
- Daawooyinka.
Call the Behavioral Health Crisis Line at 1-877-334-1141, at any time, 24 hours a day, 7 days a week. If you are in danger or need immediate medical attention call 911.
Breastfeeding Support
SimpliFed provides free virtual breastfeeding and baby feeding support to UnitedHealthcare Community Plan of North Carolina members, starting in pregnancy. Members have access to up to six visits with baby feeding experts who provide judgment-free care, no matter how you feed your baby.
For more information or to book an appointment, text UHCNC4MILK to 888-458-1364, visit www.simplifed.com/united-nc, or call 844-799-0538.
Dooqa dhakhtarka
Each member can choose a primary care provider (PCP). Isticmaal Qalabka Raadinta Dhakhtarka si aad u aragto in dhakhtarkaagu ku jiro shabakadeena.
The PCP is the 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.
Copays
Copays If You Have Medicaid
Service | Your Copay |
---|---|
Booqashooyinka xanuunka chiropractic Booqashooyin dhakhtar Non-emergency and emergency department visits Optometrist and optical visits Outpatient visits Podiatrist visits |
$4 per visit |
Generic and brand prescriptions | $4 per prescription |
There are No Medicaid copays for the following people or services:
- Members under age 21
- Members who are pregnant
- Members receiving hospice care
- Federally recognized tribal members
- North Carolina Breast and Cervical Cancer Control Program (NC BCCCP) beneficiaries
- People living in an institution who get coverage for cost of care
- Carruurta ku jirta daryeelka korrinta
- People living in an institution who are receiving coverage for cost of care
- Adeegyada caafimaadka dabeecadda
- Intellectual/developmental disability (I/DD) services
- Traumatic brain injury (TBI) services
A provider cannot refuse to provide services if you cannot pay your copay at the time of service. If you have any questions about Medicaid copays, call Member Services at 1-800-349-1855, TTY 711..
Diabetic Support
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:
- Planning healthy meals.
- Managing stress.
- Living a healthy lifestyle.
Maareynta cudurada
If you have chronic or high-risk illnesses, our disease management services are designed to support you.
We have special programs for:
- Congestive heart failure.
- Asthma.
- HIV.
- Chronic obstructive pulmonary disease (COPD).
- Coronary artery disease.
qalabka caafimaadka ee waara
Some members may need extra support to live safely at home.
Our plan covers medical equipment ordered by your doctor or case manager. Tan waxaa ka mid noqon kara agabka sida:
- Oxygen tanks.
- Hospital beds.
- Wheelchairs or walkers.
Waxbarashada caafimaadka
Take free classes to help improve your health or to address a condition.
Our plan includes classes on diabetes, nutrition and more. You can even get a ride, if needed, to and from the class at no cost to you.
BabyScripts
Build a healthy future for you and your baby and earn great rewards with BabyScripts. 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).
Healthy Rewards
An ounce of prevention can be worth a pound of cure. It can also be worth great rewards.
You can earn great gifts for your child by doing things like:
- Completing well-child exams.
- Getting lab tests.
- Recording your family’s health activities.
Hearing Care
Trouble hearing can affect your everyday life in many ways. Our plan includes services and support to help protect your hearing.
Qorshahayagu waxa uu daboolaa:
- Exams, therapy and tests.
- Hearing aids and batteries.
Isbitaal Dhigista
This plan pays for all expenses related to a hospital stay, so you can rest and heal.
Hospitalization coverage includes:
- 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.
In-Home Care
After surgery or a serious illness, you may need extra 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 covers:
- An in-home medical visit.
- Medical equipment like hospital beds, walkers or wheelchairs.
- Disposable medical supplies.
- Help with personal care or housekeeping.
Lab and X-ray Services
Knowing what’s wrong and finding it early can make all the difference. Our plan covers:
- Shaybaarada iyo tijaabada.
- Raajooyinka, iskaangaraynta iyo sawir-qaadista kale.
We’ll help you get the information needed to improve your health or be at your best.
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
And we make getting your child's medicine easy. We'll provide a list of covered drugs if you have questions about what prescriptions are covered.
You can fill the prescriptions at local pharmacies in the UnitedHealthcare Community Plan network.
Member Services
Sometimes you might need a little help understanding your health care options. We’ll answer your questions simply and completely.
We can also help you find:
- Home care providers.
- Specialists.
- Doctors.
- Pharmacies.
- Hospitals or other health facilities.
- Local resources.
Nurse Visit
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.
Khadka Taleefanka Kalkaaliyaha
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.
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.
Nutrition Coaching
Healthy eating goes a long way to helping you stay at your best. A nutritionist can meet with you to review your eating habits and food choices.
You’ll come away with new ideas for:
- Making good choices for quick meals and snacks.
- Preparing healthy meals on a budget.
Obesity Care
Obesity is common and serious. It can also lead to other health problems. To help our members be their best, our plan includes:
- Screening for obesity.
- Counseling for obesity.
Outpatient Services
Knowing what’s wrong and finding it early can make all the difference. Our plan covers:
- Shaybaarada iyo tijaabada.
- Raajooyinka, iskaangaraynta iyo sawir-qaadista kale.
We’ll help you get the information needed to improve your health or be at your best.
Daryeelka gaarka ah
Sometimes the basics are hard to do yourself after an illness or injury. If needed, we provide someone to help with:
- Dressing.
- Bathing.
- Feeding.
Prenatal Visits
A pregnancy is a journey that’s better 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 pregnancy.
- Answer questions.
Joojinta Tubaakada iwm
Most people know the bad health effects of smoking. And they know they need to quit. We support our members while they quit, with coaches and supplies. The only thing they won’t get from us is a lecture.
Rehabilitation Care
After a serious illness, surgery or injury you may need extra 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.
Respite Care
Do you have family members or friends who care for you at home?
If so, we want to support their hard work too. That’s why we provide respite care to give your caregivers a rest. Respite care offers caregivers time away from their loved one who is ill or has special care needs.
Xabado iyo Tallaal
Tallaabooyinka caadiga ah waxay kaa caawinayaan inay jirro kaa difaacdo. So, our plan covers:
- Recommended shots and vaccines.
- Influenza shots.
Social Services
Many communities offer additional benefits for children in this plan. Social Services helps members connect to these local programs and services, such as:
- WIC and financial support.
- School services.
- Respite care.
- Training and family phone line.
Daaweynta hadalka
Speech therapy visits and exercises can help those who have difficulty speaking. At your doctor’s requests, we will cover up to 60 combined physical, occupational, speech and other therapy visits each year
Text4baby
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:
- Prenatal care.
- Labor and delivery.
- Breastfeeding.
- Safe sleep.
- Nutrition.
- Car seat safety.
So you and your baby can make a great start on life.
Adeegyada Daawaynta.
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:
- Occupational therapy.
- Physical therapy.
- Speech therapy.
Unlimited Doctor Visits
There may be times when your or a family member’s health requires repeated visits to a primary care provider (PCP). Our plan does not limit the number the number of times you can see your PCP. This way you get care need when you need it. And your 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.
Weight Control
Our plan encourages a healthy approach to eating and living. To help our members be their best, we cover:
- Screening for obesity.
- Support for healthy diet and exercise choices.
Wellhop for Mom & Baby
An online meeting and resource community for pregnant members. Wellhop brings pregnant women together and matches them with clinically trained facilitators in group video conversations for education and support.
Booqashooyinka Wanaagsan
Well visits with your doctor are important for good health. 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.
Wax Badan Ogow
UnitedHealthcare Community Plan