HealthChoice 常見問題

Medicaid 這項計劃針對低收入並符合特定投保資格的人，並可能因州別而異。

Medicare 是為年滿 65 歲、殘障人士或罹患末期腎病的人所提供的聯邦健康保險方案。Medicare 的審核標準並不是收入，且其基本保險範圍在各州都一樣。

當您申請 Medicaid 時，您必須填寫一份申請表格。另需準備下列文件：

• Household monthly income (including pay stubs, W-2 forms, or tax returns if you have them)
• Social Security numbers or document numbers for each household member reapplying for coverage
• Date of birth for each household member reapplying for coverage
• Immigration information, if applicable
• 其他必要資訊

您使用處方藥物保險後，當月就會收到福利說明。它將會顯示您在處方藥物上所花費的總金額，以及我們為您支付處方藥物的總金額。福利說明將於每個月郵寄給您，說明您所使用的福利。

A "medical emergency" is when you reasonably believe that your health is in serious danger – when every second counts. A medical emergency includes severe pain, a bad injury, a serious illness, or a medical condition that is quickly getting much worse.

If you have a medical emergency:

• Get medical help as quickly as possible. Call 911 for help or go to the nearest emergency room, hospital, or urgent care center. You don’t need to get approval or a referral first from your primary care doctor or other plan provider.

If, while temporarily outside the Plan’s service area, you require urgently needed care, then you may get this care from any provider. The plan is obligated to cover all urgently needed care at the cost-sharing levels that apply to care received within the Plan network.

You must obtain covered services from network providers except in limited cases such as emergency care, urgent care, or when our network is not available. If you get non-emergency care from non-network providers without prior authorization, you must pay the entire cost yourself.

The Group ID may not appear on your member ID card.  For 馬里蘭 Medicaid members, your Group ID is MDCAID.  You may call 1-800-318-8821 (TTY: 711) for help with myuhc.com/CommunityPlan.