UnitedHealthcare Connected® လၢ MyCare Ohio (Medicare-Medicaid တၢ်တိာ်ကျဲၤ) အဂီၢ်

Adult Day Care

Companionship is important. Adult day care provides care and companionship for seniors who who qualify for extra help during the day.

Caregivers also benefit, knowing their loved one is well cared for and safe during the day.

If your need for long‑term care has been determined by Ohio Medicaid, Adult day care can provide:

• Social connections and friendship.
• Meals.

Asthma and COPD Care

Individual care to help control asthma and other lung diseases.

Some members may have trouble managing asthma or COPD symptoms. For them, a nurse who specializes in breathing issues can really help. They get a customized treatment plan and medicine to help you:

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

တၢ်ကွၢ်ထွဲတၢ်ပၢဆှၢရဲၣ်ကျဲၤ

Members get a get a Personal Care Manager. The care manager is there for you throughout your medical journey. He or she will:

• Work with you to develop a plan of care that meets your individual needs.
• Coordinate with family members, caregivers and health care providers.
• Help get additional services or support you may need.

Chiropractor Services

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

Members of all ages can get up to 15 visits per year. Members under 21 may get additional visits with prior authorization.

တၢ်ဃုထၢကသံၣ်သရၣ်

From regular checkups to preventive health screenings, we want to make sure you get access to the right care at the right time.

You get a primary care physician (PCP), who is your main doctor. If you don't have a doctor or if your doctor is not in our network, we can help you find a new one close to you.

န PCP န့ၣ် မ့ၢ်နကသံၣ်သရၣ်မိၢ်ပှၢ်လၢ -

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

မဲတၢ်ကွၢ်ထွဲ

Regular exams help keep teeth and gums strong and healthy. Oral exams are covered once per year for members over age 21.

တၢ်အပီးအလီတဖၣ်ဒီးတၢ်ဆှၢဟ့ၣ်တဖၣ်

Our plan covers some medical equipment ordered by a member's doctor or case manager. အဝဲန့ၣ်ပၣ်ဃုာ်ဒီးတၢ်ပီးတၢ်လီဒ်အံၤတဖၣ်လီၤ -

• Walkers
• Wheelchairs
• တၢ်ဆါဟံၣ်လီၢ်မံတဖၣ်

တၢ်ကွၢ်ထွဲခီၣ်လၣ်

We provide the exams and treatments needed to help keep your feet in great shape. And for those with 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.
• Therapeutic shoes and inserts for members with diabetes.

Hearing Care

Trouble hearing can affect a person's everyday life in many ways. Our plan includes services and support to help protect your hearing.

ပတၢ်တိာ်ကျဲၤန့ၣ်အုၣ်ကီၤဝဲလၢ -

• Exams, therapy and tests.
• Hearing aids, batteries, and accessories.

တၢ်အိၣ်ဆူၣ်အိၣ်ချ့ တၢ်ကွၢ်ထွဲ ဖဲဟံၣ်

If you are living with a long-term health condition, disability or leaving the hospital after surgery or a serious illness, you may need extra support. This can include 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 may cover:

• An in-home medical visit.
• Medical equipment like hospital beds, walkers or wheelchairs.
• A home health aide, nursing services or a private nurse.
• Physical, occupational, and speech therapy.
• Help with personal care or housekeeping.
• Home infusion therapy.

တၢ်တီၣ်ထီၣ်တၢ်ဆါဟံၣ်

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

Our plan covers these services and more:

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

ဒီးဖဲနဟးထီၣ်လၢတၢ်ဆါဟံၣ်ဝံၤအလီၢ်ခံန့ၣ် နတမ့ၢ်ထဲတဂၤဘၣ်. We make sure you get follow-up care to continue healing at home.

Language and Interpretation

နၤဒီးနကသံၣ်သရၣ်န့ၣ် လိၣ်လၢကနၢ်ပၢၢ်လိၣ်သးန့ၣ်လီၤ. We can explain information in အဲကလံးကျိာ် or in your primary language. If you are visually or hearing impaired, special help can be provided.

ကလ့ၢ်တၢ်ဆါတၢ်ကွၢ်ထွဲ

ကလ့ၢ်တၢ်ဆါမ့ၢ် ဆူၣ်ချ့တၢ်အိၣ်သးလၢအဆူၣ်နးန့ၣ်လီၤ. After the kidneys stop working regular treatments, called renal dialysis, or an organ transplant are needed to live. တၢ်သ့စီမၤကဆှီန့ၣ် စူးကါဝဲစဲးတမံၤ လၢကသ့ဆီသွံၣ် ဒ်သိးကလ့ၢ်ဆူၣ်ချ့တဖၣ်မၤတၢ်န့ၣ်လီၤ.

Our services may include:

• တၢ်မၤကဆှီသွံၣ်.
• Needed equipment and supplies.
• Home support services.
• Health education and training.

ကသံၣ်ကသီတဖၣ်

Our plan includes prescription drugs and refills for prescriptions written by your doctor or specialist. Thousands of drugs are covered.

You pay a co-pay amount, if needed, and you can get your prescription drugs at any in-network pharmacy.

Member Services Representative

Every member of the health plan gets a personal Members Services representative. This person can help you get the most of your benefits. They can:

• Welcome you to the plan and help you understand your benefits.
• Arrange for extra support services.
• Complete a health risk assessment.
• Help you access community services.

Mental Health and Substance Use Disorder Treatment Services

Get help with personal problems that may affect your mental or physical health. These may include stress, depression, anxiety or drugs and alcohol abuse. Our services also include:

• Therapy
• Counseling
• တၢ်ဟ့ၣ်ကသံၣ်ကသီတဖၣ်.

Nurse Advice

Medical questions and situations come at inconvenient times. When you have questions about your health, you can call a nurse 24 hours a day, 7 days a week.

ပနၢး(စ)ကွၢ်ထွဲပှၤဆါတဖၣ်န့ၣ် က -

• ဒိကနၣ်တၢ်ဆါပနီၣ်တဖၣ်.
• မၤစၢၤတၢ်ဒီးနီၢ်ကစၢ်တၢ်ကွၢ်ထွဲ.
• ဟ့ၣ်ကူၣ်နၤဘၣ်ဃး တၢ်ဒိးန့ၢ်တၢ်ကွၢ်ထွဲလၢကသံၣ်သရၣ်ကွၢ်ထွဲပှၤဆါ မ့တမ့ၢ်တၢ်ကွၢ်ထွဲချ့ချ့လီၢ်ခၢၣ်သး.
• မၤစၢၤနၤလၢကသ့ၣ်ညါ တၢ်ဆၢကတီၢ်လၢကဘၣ်လဲၤဆူဂ့ၢ်ဂီၢ်အူဒၢး.

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.

တၢ်ဒုၣ်မိာ်

Most people know the bad health effects of smoking. And they know they need to quit. We support our members with coaching while they quit.

တၢ်ကူစါယါဘျါတၢ်တိစၢၤမၤစၢၤတဖၣ်

Therapy can help you recover from a serious injury or illness, or simply reach your full potential. Members receive needed:

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

တၢ်ကွၢ်ထွဲသတူၢ်ကလာ်

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.
• Federally qualified health centers.
• Other walk-in clinics.

တၢ်ကွၢ်ထွဲမဲာ်တၢ်ထံၣ်

Eye exams are covered every year for members age 21-59.