UnitedHealthcare Community Plan of Kentucky

Sipò pou Opresyon ak COPD

Individual care to help control your asthma or COPD.

You may qualify for care management services if you have asthma or COPD. Including respiratory equipment and supplies.

Chwazi Doktè

You will have a primary care physician (PCP) who will be your main doctor. Your PCP is the person you should see for most of your care. Sa gen ladan tchekòp, tretman, vaksen, blesi minè ak pwoblèm sante. Talk to your PCP about any behavioral health concerns you may have. Your PCP can help you decide the right options for you.

PCP w la se doktè prensipal ou pou:

• Swen prevantif.
• Tretman si w malad oswa blese.
• Rekòmandasyon kay espesyalis pou sèten pwoblèm medikal.

Itilize zouti pou chèche Doktè a, pou wè si doktè ou nan rezo nou a. Si ou pa gen yon doktè oswa si doktè w pa nan rezo nou an, nou ka ede w chèche yon nouvo doktè ki toupre w.
 

Choose a Birth Center

Kote ou fè tibebe w lan se yon chwa ki enpòtan. That's why you can pick from a large network of hospitals across Kentucky.

We also encourage you to tour the hospital's birthing center. Nan fason sa a, ou pral abitye avèk li. And you'll be more relaxed when you have your baby.

Sipò pou moun ki gen dyabèt

Si w gen dyabèt, n ap ede rann lavi a yon jan pi fasil pou ou. W ap jwenn medikaman, founiti ak edikasyon pou ede w rive ak rete nan pi bon eta w. Ou jwenn rekonpans ak kat kado tou poutèt ou pran dispozisyon senp pou jere dyabèt ou.

If you experience a hospital stay and have diabetes or pre-diabetes, you are eligible to receive 14 home delivery meals post discharge.

Pwogram dyabèt nou an gen ladan tou fòmasyon pou pran swen pwòp tèt ou ak klas ki konsantre sou:

• Planifikasyon repa nitritif.
• Jesyon estrès.
• Viv yon mòd devi ki sen.

Ekipman ak Founiti Medikal

Sante ak sekirite lakay ou enpòtan.

Plan nou an garanti ekipman medikal doktè w preskri. Sa ka gen ladan founiti tankou:

• Kabann lopital.
• Tank oksijèn.
• Chèz woulant oswa wòkè.

Swen pou Pye

Si ou gen dyabèt oswa yon pwoblèm sikilasyon san, bon swen pye yo ka ede anpeche pwoblèm ki pi grav toujou. Nou fè egzamen ki nesesè yo pou ede kenbe pye w an trè bon fòm.

Our podiatry coverage includes routine foot exams for certain conditions.

Healthy First Steps®

Lè ou ansent, ou ka resevwa èd ak konsèy nan men manman w, matant, sè ak zanmi fi ou. Men, chak gwosès diferan. Pwogram sa a ap ba w sipò ou pandan tout gwosès ou an. Get pregnancy and parenting support by calling (toll-free) 1-800-599-5985 (TTY 711).

Nou kapab ede ou:

• Jwenn yon doktè pou ni manman ni tibebe a.
• Aprann sou nitrisyon, kondisyon fizik ak sekirite.
• Find out what extra rewards you could be eligible for.
• Learn about breastfeeding questions and resources in your area.

Swen sante adomisil

Apre yon operasyon oswa yon maladi grav—oswa si ou gen yon andikap—ou ka bezwen èd siplemantè pou travay toulejou yo. Avèk apwobasyon, epi si doktè ou preskri sa, plan nou an kouvri:

• Sèvis swen enfimye kalifye ki gen limit tan
• Terapi espesyalize, sa gen ladan terapi fizik, terapi lapawòl-langaj ak terapi okipasyonèl
• Home health aide services (help with activities such as bathing, dressing, preparing meals and housekeeping)
• Materyèl medikal 

Ospitalizasyon

Plan sa a peye pou tout depans ki gen rapò avèk yon sejou lopital, konsa ou ka repoze epi geri.

Plan nou an kouvri:

• Swen pou pasyan entène
• Swen pasyan ekstèn
• Laboratwa, radyografi ak lòt tès

Apre ou fin kite lopital la, ou pa poukont ou. Nou asire ou jwenn swen swivi pou w kontinye geri lakay ou.

Entèprèt

Doktè ou ansanm avèk oumenm, youn dwe konprann lòt. Not speaking  the same language could make this difficult. We can arrange for a medical interpreter to be at your appointments at no cost (or free).

Nou gen moun tou nan depatman sèvis pou manm yo ki pale pliske yon lang. Chances are, we have someone who speaks your language or they can connect you with our interpreter service which currently supports 200 +/- languages.

Swen pou Maladi Ren

Maladi ren se yon pwoblèm medikal grav. Apre ren yo sispann fonksyone, tretman regilye ke yo rele dyaliz ren oswa grèf ògàn nesesè pou viv. Dyaliz la itilize yon machin pou netwaye san an menm jan ak ren ki an sante yo fè li.

Plan nou an gen ladan:

• Dyaliz.
• Medikaman.
• Edikasyon ak sipò pou lasante.
• Grèf ògàn si sa nesesè.

Laboratwa ak radyografi

Lè w konnen kisa pwoblèm lan ye e lè w detekte l bonè, sa ka fè tout yon diferans. Plan nou an kouvri:

• Laboratwa ak tès.
• Radyografi, eskanografi, ak lòt tès imajri.

N ap ede w jwenn enfòmasyon ki nesesè pou amelyore sante w oswa pou w nan pi bon fòm ou.

Èd nan domèn lang

Ou ka resevwa enfòmasyon nan lang ou pi pito a. Mande tousenpleman. We also have people at our customer service centers who speak more than one language. Gen bon chans ke nou gen yon moun ki pale lang ou an, oswa yo ka konekte ou avèk sèvis entèprèt nou an ki kouvri plis pase 200 lang.

Medikaman

Our plan includes prescription drugs and refills with no copays. We also cover over-the-counter medicines with a written order from your doctor.

And we make getting your medicine easy. Ou ka egzekite preskripsyon ou nan:

• Local pharmacies

Sèvis pou Manm

Gen dèfwa ou ka bezwen èd pou konprann opsyon swen sante w yo. Lè w avèk nou, ou gen yon moun ou ka rele. N ap reponn kesyon w yo konplètman e avèk yon langaj ki senp.

Nou ka ede w tou pou jwenn:

• Home care providers
• Dentists and vision providers
• Help finding housing, transportation and other community services
• Locating or changing a Primary Care Provider (PCP)

Mental Health Services for Children and Youth

Problems such as depression and anxiety can also be challenging for children and teens.

There are no costs for covered services. We have therapists and doctors for youth and teens that can address their specific behavioral health or substance use. Help get them extra support to live a heathier life.

Additional Resources:

Kentucky 988 Suicide and Crisis Lifeline: Call 988 or text 988 on your device

Sou entènèt: Call 988 | KY Suicide, Mental Health, & Substance Abuse Lifeline or https://988.ky.gov

Teens can connect with teens during specific hours: 1-866-833-6546, teenlink@crisisclinic.org, www.866teenlink.org.

Dailystrength.org is an online support resource that provides over 500 support communities for people facing similar life challenges, medical conditions and mental health issues.

No Cost for Covered Services

Get the quality health care you deserve at no cost for covered services. You get:

• Care from highly skilled and compassionate doctors.
• Treatments at respected hospitals and clinics.
• Home medical equipment and supplies to help you be at your best.

Liy Dirèk pou Enfimyè

Pafwa, kesyon ak sitiyasyon medikal prezante a dè moman ki pa apwopriye. When you have questions about your health, you can call a nurse 24 hours a day, 7 days a week, 365 days a year: 1-800-985-3856 (TTY 711).

Enfimye/enfimyè nou yo pral:

• Koute sentòm yo.
• Ede pou swen pèsonèl.
• Ba w konsèy sou kijan pou jwenn swen kay yon doktè oswa nan yon sant swen dijans.
• Ede w konnen kilè pou w ale nan sal dijans.

Vizit enfimye(è)

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 may make home visits to:

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

Prenatal Visits

Your pregnancy is a walk you’ll want to make with the help of your friends, family and a pregnancy doctor, called an Ob-Gyn. With our plan, you also can receive gift cards for seeing your pregnancy doctor before and after having your baby.

All the visits at the pregnancy doctor’s clinic are covered, no cost to you. Seeing your doctor at all the visits before and after will help keep you and your baby as healthy as possible. 

Nan vizit sa yo, klinik la ap:

• Make sure both you and your baby are healthy.
• Eksplike kisa pou w atann nan chak etap gwosès ou.
• Answer all of your questions.

We at UHC are excited for you and wish you the best for you and your family.

Programs for Kids and Teens

Kids with positive role models make more healthy choices. That's why we provide free memberships to participating Boys & Girls Clubs in your area.

Along with fun and games, these clubs offer help with:

• Homework.
• Mentoring.
• Coaching.

Sispann itilize tabak

The Kentucky Tobacco Quit line gives you one-on-one help to quit smoking. If you're ready to make a change, call 1-800-QUIT-NOW (1-800-784-8669) to join. Or visit www.quitnowkentucky.org for more information about:

• Deciding if you're ready to quit
• Planning to quit
• Staying on track after you quit

Swen Rezidansyèl

After a serious illness, surgery or injury you may need extra nursing and therapy. Si sa nesesè, plan nou an garanti sejou kout nan yon sant reyabilitasyon kote ou kapab geri. Sa ki genyen se:

• Sèvis mezon retrèt.
• Èd avèk aktivite lavi toulejou.
• Terapi fizik, okipasyonèl, ak pou lapawòl.

Piki ak Vaksen

Piki woutin pou ede pwoteje ou kont maladi.

Plan nou an kouvri:

• Recommended shots and vaccines
• Influenza shots
• COVID vaccine

Sèvis Terapi

Terapi fizik, okipasyonèl ak terapi lapawòl ka ede ou refè apre yon blesi oswa maladi grav, oswa tou senpleman reyalize tout sa ou kapab fè.

Our plan provides:

• Terapi okipasyonèl.
• Terapi fizik.
• Terapi lapawòl.
• In-home therapy.

Sèvis Transpò

Transportation services:

• Emergency: If you need emergency transportation (an ambulance), call 911.
• Non-emergency: Non-emergency medical transportation is available if you can’t get a free ride to a covered service.

How to get non-emergency transportation

Kentucky Medicaid will pay to take some members to get medical services covered by Kentucky Medicaid. If you need a ride, you must talk to the transportation broker in your county to schedule a trip.

Each county in Kentucky has a transportation broker. You can only use the transportation broker for a ride if you can’t use your own car or don’t have one. If you can’t use your car, you have to get a note for the transportation broker that explains why you can’t use your car. If you need a ride from a transportation broker and you or someone in your household has a car, you can:

• Get a doctor’s note that says you can’t drive.
• Get a note from your mechanic if your car doesn’t run.
• Get a note from the boss or school official if your car is needed for someone else’s work or school.
• Get a copy of the registration if your car is junked.
• Kentucky Medicaid doesn’t cover rides to pick up prescriptions.

For a list of transportation brokers and their contact information, please visit the website www.chfs.ky.gov/dms/ or call Kentucky Medicaid at 1-800-635-2570. For more information about transportation services, call the Kentucky Transportation Cabinet at 1-888-941-7433.

The hours of operation are 8:00 AM to 4:30 PM ET, Monday through Friday; and 8:00 AM to 1:00 PM ET, Saturday. If you need a ride, you have to call 72 hours before the time that you need the ride. If you have to cancel an appointment, call your broker as soon as possible to cancel the ride.

You should always try to go to a medical facility that is close to you. If you need medical care from someone outside your service area, you have to get a note from your PCP. The note has to say why it is important for you to travel outside your area. (Your area is your county and the counties next to it).c

Modivcare is a transportation vendor partner who offers non-Emergency stretcher transportation services to UHC KY Medicaid Members. To schedule a ride, Members or Member representatives can call 1-899-918-8996. For the best service, please call at least 1 week in advance of appointment for scheduling needs.

Vizit pou moun ansante

Vizit konsiltasyon pou moun ansante kay doktè ka ede w rete ansante. Vizit konsiltasyon sa yo ka ede detekte pwoblèm sante bonè, pou yo sa trete yo. Sèvis prevantif gen ladan yo:

• Checkups for children.
• Screenings for adults.
• Swen pou tibebe ki ansante.
• Swen pou fanm ki pral fè yon tibebe.
• Piki ak tès woutin.
• Mamogram.

Pa gen okenn kopeman pou swen prevantif yo.

Wellhop for Mom & Baby

Connect with other expectant moms. Get support and information during your pregnancy and after you deliver. This program is part of your health plan and there is no extra cost to you.
Here’s how it works:

• Join video conversations every other week with women who have similar due dates and a group leader.
• Chat and share experiences with moms from your group on the Wellhop app or website.
• Visit the Wellhop library. You’ll find articles, videos and more.