Box 3327 2023 CommunityCare Choice, Inc. All Rights Reserved. Grievances, Coverage Decisions and Appeals, Frequently Asked Questions about OTC Benefits, Frequently Asked Questions about OTC Benefits - Large Print. Unused money in any one quarter does not roll over to the following quarter. We are available Monday through Friday from 8:00 to 6:00. In the meantime, if you need help or have questions, please call 1-877-596-3258 (TTY 711 . * That means you can use this benefit to buy foods like: *CHPWs Grocery benefit cannot be used on soda, candy, or bakery items. Your wallet includes benefits for gym memberships, comprehensive dental, home & bathroom safety devices and more. EGHP+D plan benefits may vary. if(typeof loadStateSpecificContent == 'function') loadStateSpecificContent('_krf1rtqt'); One (1) per day for 21+ years old. Up to 7 therapy treatments units per week. Call your plan or review your Evidence of Coverage (EOC) for more information. The survey does not take long to complete. TTY users should call 1-877-672-2688. Limitations and exclusions apply. ET, Monday-Friday Staying healthy is easier with a Healthfirst OTC Plus and OTC card. 1-800-MEDICARE (1-800-633-4227). UPMC for Life Complete Care Shop Healthy Card. Copays can change if you move out of the Initial Coverage level. If you are not sure which plan best suits you, give us a call at (918) 594-5275. If you are not sure which plan best suits you, give us a call at (918) 594-5275. Medicare customer service representatives are available 24 hours a day, 7 days a week to answer questions about Medicare. * These are your copays while you are in the Initial Coverage Stage of your Part D coverage. 1-844-812-5967 / TTY: 711 We'll be happy to send you an Enrollment Form please call us at We hope you will take a few minutes to share your thoughts with us. Silver (MA Only) has a $50 quarterly Over the Counter benefit. P.O. This is not a complete list. Information regarding multi-language interpreter services. UnitedHealthcare Senior Care Options (SCO) is a Coordinated Care plan with a Medicare contract and a contract with the Commonwealth of Massachusetts Medicaid program. Please contact Carisk for Authorization at 1-800-294-8642, Medical care, tests, and other treatments for the kidneys. Our plan covers herbal supplements for the treatment or prevention of conditions such as allergies, anxiety, arthritis, back pain, eczema, fatigue, insomnia, menopause symptoms, obesity, as well as many others. TTY/TDD users should call 1-800-722-0353. You can implement the program in three months and choose to . Our sites will be temporarily down from 10:00 p.m., CT, on May 19, 2023 until 6:00 a.m., CT, on May 20, 2023. UnitedHealthcare Connected for MyCare Ohio (Medicare-Medicaid Plan) is a health plan that contracts with both Medicare and Ohio Medicaid to provide benefits of both programs to enrollees. *Benefits and features vary by plan/area. One of our representatives will help you select the right plan for you. Under Maintenance. Resource Center CCP will assist you in getting the following services. Must be diagnosed with chronic pain or cancer for 21+ years old, About Us Contact Us Community Corner COVID-19, Careers Contact Us Report Medicaid Fraud Privacy Policy Notice of Privacy Practices Nondiscrimination Notice Sitemap, document.write(new Date().getFullYear()) Community Care Plan, a registered name of South Florida Community Care Network, LLC, Up to 150 minutes of brief behavioral health status assessments (no more than 30 minutes in a single day), One initial evaluation per lifetime, completed by a team, One adult health screening (check-up) per year, Child health check-ups are provided based on age and developmental needs, One visit per month for people living in nursing facilities, Up to two office visits per month for adults to treat illnesses or conditions, One new hearing aid per ear, once every 3 years, Up to 4 visits per day for pregnant recipients and recipients ages 0-20, Up to 3 visits per day for all other recipients, Copayment: See information on Patient Responsibility for copayment information, Up to 365/366 days for recipients ages 0-20, Up to 45 days for all other recipients (extra days are covered for emergencies), Must be in the custody of the Department of Children and Families, Transfers between hospitals or facilities, Copayment: $1.00 per each one-way trip ($2.00 to go to your doctors office and back home), We cover 365/366 days of services in nursing facilities as medically necessary, One initial wheelchair evaluation per 5 years, Emergency services are covered as medically necessary, Non-emergency services cannot cost more than $1,500 per year for recipients ages 21 and over, Copayment: $15.00 or less for non-emergency services at an emergency room and $3.00 for all others, Covered as medically necessary. We are available Monday through Friday from 8:00 am to 8:00 pm. Last updated: 07/20/2023 at 12:01 AM CT | Y0066_AARPMedicarePlans_M, Last updated: 07/20/2023 at 12:01 AM CT | Y0066_UHCMedicare_M. Learn how to enroll in a dual health plan. This can be a short-term rehabilitation stay or long-term, - We cover 365/366 days of services in nursing facilities as medically necessary, Occupational therapy includes treatments that help you do things in your daily life, like writing, feeding yourself, and using items around the house. You can call our Medicare team at (918) 594-5275, TTY/TDD (800) 722-0353, for more information on this plan or other options. For a complete list of products, visit the NationsBenefits website. ; support stockings, Cough & sore throat lozenges/drops, cough syrup, decongestants, homeopathic cold medicines, nasal sprays, vapor rubs, Condoms, contraceptive creams, pregnancy tests, ovulation predictor kits, Alcohol swabs; blood glucose control solutions, monitors, strips and products; lancets and lancet devices, urine testing products, Auro Ear Drops, Debrox Ear Drops, Murine Ear Drops, Saline and cleaning solutions, eyeglasses, contact lenses, Eye wash products to clean out eye or remove foreign objects, Murine, Visine, Bandages, dressings, first aid kits, peroxide, rubbing alcohol, Cholesterol, colorectal, drug, HIV, ovulation predictor, pregnancy and urine tests; thermometers (ear or standard), Citrucel, Dulcolax, Ex-Lax, FiberCon, Fleet, Metamucil, Milk of Magnesia, Peri-Colace, Bonine, Dramamine, motion sickness wristbands, Acetaminophen, Advil, Aleve, Anbesol, Aspercreme, aspirin, Ben-Gay, Excedrin, homeopathic pain relievers, ibuprofen, Icy Hot, Midol, Mineral Ice, Motrin, naproxen sodium, pain relieving gels, Tylenol, Smoking Cessation Medicine - patches and gum, Compound W, Curad, Dr. Scholl's Corn Remover, Wart-Off. Frequently asked questions 1930 Rapid Care 37-Piece All-In-One First Aid Kit 1/EA - $30.00 Sponges Item No. Looking for the federal governments Medicaid website? Address: 5200 Blue Lagoon Dr. Miami. They do not include all available OTC drugs and medical care items, and the lists are subject to change. Please contact member services for more information 1-866-899-4828. Our health plans cover a wide range of local medical services, offering an excellent choice of physicians and benefits that help members get and stay healthy. This includes hearing aids and repairs. This catalog lists only the most commonly ordered products. If you would like to contact Senior Health Plan via mail, please use the following address: Senior Health Plan Customer Service Network providers help you and your covered family members get the care needed. Adult Care Wipes : NoComparable: 48 CT: $8: I83 . You can get these services and supplies from any Medicaid provider; they do not have to be a part of our Plan. Please contact Carisk for Authorization at 1-800-294-8642. Hearing tests, treatments, and supplies that help diagnose or treat problems with your hearing. Each year, the Centers for Medicare and Medicaid Services (CMS) randomly surveys members about the care and services received from their doctor and from CommunityCare. This includes hearing aids and repairs. Limitations and exclusions apply. Enrollment in Community Health Plan of Washington depends on contract renewal. TTY/TDD users should call * This benefit gives our members a flexible monthly credit to spend on healthy food, OTC products and pay utility bills. Senior Health Plan Star Rating - updated 10/27/2022, Medicare Part D Coverage Decisions and Appeals, Summary of Medicare Part C and Part D grievances, coverage decisions and appeals (Silver Plus, Platinum, Platimum Plus), Summary of Medicare Part C grievances, coverage decisions and appeals (Silver), National Coverage Determination (NCD) Notification, Get help with complaints, grievances, and information requests, Online Formulary/Prescription Drug Search, Comprehensive Formulary & Utilization Management, Medication Therapy Management (MTM) Program, Monthly plan premiums for people who get extra help from Medicare, Improving Drug Utilization Review Controls, Summary of Medicare Part C and Part D grievances, coverage decisions and appeals (Premier and Deluxe), Summary of Medicare Part C grievances, coverage decisions and appeals (Choice). Please refer to the benefits grid below: Senior Health Plan OTC Benet . Services used to detect or diagnose mental illnesses and behavioral health disorders, - One initial assessment per year, - Up to 150 minutes of brief behavioral health status assessments (no more than 30 minutes in a single day), Please contact Carisk for information at 1-800-294-8642, Behavioral health services provided to children (ages 0 18) enrolled in a DCF program, We cover 365/366 days of services per year, including therapy, support services, and aftercare planning, Services that treat the heart and circulatory (blood vessels) system. You will need Adobe reader to open PDFs on the site. This list provides examples of available drugs and items; however, it is subject to change. Also, individual employers choose whether to provide OTC coverage under their benefit plan. Remember to, We use cookies on this website to give you the best experience and measure website usage. A Increase font size. This information, however, is not an endorsement of a particular physician or health care professional's suitability for your needs. Some service and age limits apply. Your feedback will help us understand how well we are serving you. If youre affected by a disaster or emergency declaration by the President or a Governor, or an announcement of a public health emergency by the Secretary of Health and Human Services, there is certain additional support available to you. Grievances, Coverage Decisions and Appeals, Gramm-Leach Bliley Act (Consumer Information Disclosure), Protected Health Information (PHI) Authorization Form, Health Information Exchange (HIE) Network Opt-Out Request Form. 2023 United HealthCare Services, Inc. All rights reserved. This can include any tests, medicines, therapies and treatments, visits from doctors and equipment that is used to treat you, - Emergency services are covered as medically necessary, - Non-emergency services cannot cost more than $1,500 per year for recipients ages 21 and over, - Copayment: $15.00 or less for non-emergency services at an emergency room and $3.00 for all others. Prior Authorization is required for some Durable Medical Equipment and Medical Supplies, Services to children ages 0 - 3 who have developmental delays and other conditions, - One initial evaluation per lifetime, completed by a team, - Up to 3 follow-up evaluations per year, Up to 2 training or support sessions per week, Transportation provided by ambulances or air ambulances (helicopter or airplane) to get you to a hospital because of an emergency, Services for doctors visits to stay healthy and prevent or treat illness, - One adult health screening (check-up) per year, - Child health check-ups are provided based on age and developmental needs, - One visit per month for people living in nursing facilities, - Up to two office visits per month for adults to treat illnesses or conditions, Services for families to have therapy sessions with a mental health professional, Services to treat conditions, illnesses, or diseases of the stomach or digestion system, Services to treat conditions, illnesses, or diseases of the genitals or urinary system, Services for a group of people to have therapy sessions with a mental health professional, Hearing tests, treatments, and supplies that help diagnose or treat problems with your hearing. Physical therapy includes exercises, stretching and other treatments to help your body get stronger and feel better after an injury, illness or because of a medical condition. If you don't already have this viewer on your computer,download it free from the Adobe website. Limitations and . ON-SCREEN TEXT: Over 55,000 stores nationwide, S3 network retail locations as of January 2023. Tulsa, OK 74101-3327. You will automatically go back to the You can also get information about the Medicare program and Medicare health plans by visiting Lets update your browser so you can enjoy a faster, more secure site experience. EGHP+D and Silver (MA Only) have a $50 quarterly Over the Counter benefit. We are available Monday through Friday from 8:00 am to 8:00 pm. Click 2022 Plans and Enrollment on the side bar. Information regarding multi-language interpreter services. Community Care Plan - Using Your Benefits OLD 2 3 4 5 6 7 8 Language Members > Medicaid (MMA)/Birth, Baby, and Beyond Using Your Benefits OLD CCP will assist you in getting the following services. Retiree groups may have a different OTC benefit. 1-800-942-0247 (TTY: 711). Food, OTC and utility benefits have expiration timeframes. ON-SCREEN TEXT: 2022 United HealthCare Services, Inc. All Rights Reserved. 1-877-486-2048. For more information, see the Pharmacy and Prescription Info page. They do not include all available OTC drugs and medical care items, and the lists are subject to change. If you had a UnitedHealthcare dual health plan, you could use your credit to: Many members of UnitedHealthcare dual health plans get the UnitedHealthcare UCard. Individuals can also report potential inaccuracies via phone. (other physicians and providers are available in our network) All covered medications are $0 copay. Fax: Fill out the Over-the-Counter (OTC) Mail Order Form and fax only the order form pages to: 1-888-778-8384. Feel free to contact them should you have any questions by calling 1-833-899-0614 . The catalog below includes items such as: The Over-the-Counter (OTC) benefit is an additional benefit for most of our plans. Benefits, features, and/or devices may vary by plan/area. Child Health Services Targeted Case Management, Services provided to children (ages 0 - 3) to help them get health care and other services, Your child must be enrolled in the DOH Early Steps program, Diagnosis and manipulative treatment of misalignments of the joints, especially the spinal column, which may cause other disorders by affecting the nerves, muscles, and organs, - 24 established patient visits per year. Be sure to let us know what retiree group you are with. Aetna Better Health of Illinois - Medicaid, Aetna and Allina Health | Aetna Medicare, Blue Cross Blue Shield of Minnesota - SecureBlue SM (HMO SNP), Buckeye Health Plan - MyCare Ohio (Medicare-Medicaid Plan), MeridianComplete (Medicare-Medicaid Plan) - Michigan, Wellcare Prime by Absolute Total Care (Medicare-Medicaid Plan). You can shop in-store or online for pain relievers, cold remedies, vitamins and more with your UnitedHealthcare UCard. We are available Monday through Friday from 8:00 am to 8:00 pm. 8 a.m. to 8 p.m. local time, 7 days a week. Your guide will arrive in your inbox shortly. Over the Counter (OTC) Program: You receive $35 a month. 7 a.m. 11 p.m. One evaluation/re-evaluation per year;does not require prior authorization. Whats the difference between PPO vs. HMO plans? 20 units per year. Medical supplies are items meant for one-time use and then thrown away. UnitedHealthcare Members should call the number on the back of their ID card, and non-UnitedHealthcare members can call1-888-638-6613TTY 711, or use your preferred relay service. TTY/TDD users should call Food, OTC and utility benefits have expiration timeframes. Take a look at our various offerings and choose the plan that is best for you. This site contains documents in PDF format. We partner with to bring you these benefits. By continuing to use this website, you consent to these cookies. No appointment necessary. Silver (MA Only) has a $50 quarterly Over the Counter benefit. To determine whether OTC drugs and medications are covered under your FSA or Definity / iPlan HRA, please consult your employer?s benefit plan . The cost of food, everyday products and utilities have gone up a lot lately. our solutions An Innovative Benefit for Over-the-Counter Products Program Details In today's fast-paced world of E-commerce and shifting consumer behavior, health plan members have come to expect the same expediency they experience with the largest global retailers. For 2022, Senior Health Plan Silver Plus, Platinum and Platinum Plus have a $40 quarterly Over the Counter benefit. . Information to clarify health plan choices for people with Medicaid and Medicare. Black cohosh, echinacea, evening primrose oil, ginkgo biloba, Ginsana, ginseng, goldenseal root, nettle, olive leaf extract, saw palmetto, St. John's wort, Acidophilus, alpha lipoic acid, amino acids (L-Lysine, L-Arginine, L-Carnitine), chondroitin sulfate, cod liver oil, DHA, DHEA, EFO, flax seed oil, glucosamine complex, glucosamine sulfate, kelp, melatonin, omega-3, shark cartilage, Antioxidants, calcium, chromium, folic acid, iron, magnesium, multi-minerals, multi-vitamins, potassium, selenium, vitamins, Creams, Lip Balm, Lipstick, Lotions, Moisturizers, Basis, Biore, Eucerin, L'Oreal, Neutrogena, Nivea, Noxzema, Oil of Olay, PHisoderm, Breath fresheners; dental floss, adhesives, cleansers, gel, gum, rinses; oral cleaning systems (Water Pik); tongue scrapers; whitening products/systems; toothbrushes; toothpaste, Always, douches, feminine lubricants and pads, tampons, Arch and insole supports, Dr. Scholl's callus removers, Odor-Eaters, pedicure products, shoes, toenail clippers, Conditioner and shampoo (including those used for dandruff), hairspray, styling aids, Sunscreen, Sunless Tanning, After Sun Products.

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