Value-added benefits only from UnitedHealthcare Community Plan. Get the benefits you need and the care you deserve. Help Getting a Ride Members who need a ride to their doctor and other medical appointments when they have no other transportation options. Terms: Members must call at least 2 days before the appointment to schedule transportation. Need determined by Health Plan Member Advocate as medically necessary. Members under the age of 18 must be accompanied by an adult. Extra Vision Services Members receive up to $105 annual benefit to cover: • An upgraded selection of frames and lenses • Or contact lenses in place of glasses • Damaged/lost frames and lenses Terms: Must use in-network provider. Up to $105 per year. Excludes CHIP Perinate members. Cannot be used for second or spare pair. Wellness Visit Gift Card Members receive a $25 gift card for completing their Wellness Visit. • $25 gift card for completing their annual wellness visit Go to your appointment. Upon completion, log in to myuhc.com/CommunityPlan. Click on the Health and Wellness tab and follow the link for Member Rewards to get access to the form. Terms: Member must log in and validate checkup on online tool or mail in the signed redemption form. One $25 gift card per check-up per year. Must use in-network provider. Gift card cannot be used to purchase alcohol, tobacco or lottery tickets. Help for Members with Asthma Members may request one hypoallergenic mattress cover and one pillowcase. Terms: Member must be diagnosed with asthma or COPD. Member must be under case management for asthma. One cover and pillowcase per year. Weight Watchers® Members who are interested in eating healthier or losing weight may join Weight Watchers®. You will receive 13 Weight Watchers® vouchers to attend free meetings. Terms: 13 vouchers provided, maximum of $156 per year. A parent or guardian must sign the Health Notice portion of the Weight Watchers® Registration Form. Excludes CHIP Perinate members. Children ages 10-16 need referral from PCP with target weight goal. Workout Gear Members who successfully complete Weight Watchers® are eligible to receive a $50 gift card for workout clothes. Terms: Must complete 13 Weight Watchers® sessions. One $50 gift card per year. Excludes CHIP Perinate members. Leisure Programs Baker Ripley (Harris SDA Only) base membership for Members 18 and younger at contracted locations or up to $50 per school year for Boys & Girls Club base membership ages 6-18 years where available. Terms: Members 18 and younger. Programs may be limited to first come, first served. Baker Ripley only available in Harris SDA. Sport and School Exams Members receive an annual exam for sports/school/camps. Terms: Must use in-network provider. One exam per year. Ages 4 through 19 years. Excludes CHIP Perinate members. Book for Expecting Moms Pregnant members get 1 book for educational information such as What to Expect the First Year. Terms: Eligible pregnant or new mothers. CHIP Perinate only. Includes 1 book per year. Baby Showers Pregnant members are invited to a baby shower in their area. At the shower, they will receive health and safety education, and other information. Each member who attends will receive a gift. Terms: Member must be pregnant. Healthy First Steps Pregnant women who enroll in Healthy First Steps will receive rewards for completing prenatal, postpartum and well child visits in a timely manner. Terms: All pregnant members are eligible. Must enroll and update visits in Health First Steps to qualify for rewards. Once baby is born child must be in a UHC plan to continue to receive rewards. Maximum of each gift reward is $20. Pregnant Pampering Kit Includes items like footie socks, mini lotion, shampoo and conditioner, lip balm and stretch mark cream. Terms: CHIP Perinate members only. New Mom and Baby Wellness Free diapers, wipes or other items for members who get postpartum visit and baby well-child check-ups on time. If mom and baby get all five exams they earn a bonus item. Exams include: • Mother’s postpartum checkup • Baby’s 2-weeks, 2-month, 4-month, and 6-month checkup Terms: New mothers only. Member must have doctor sign redemption card at time of visit. Must use in-network provider. Member must mail in signed redemption card. Excludes CHIP Perinate members. Thank you for being our member. We know that health care is a large part of your life. We’re here to help make things a little easier. That’s why our health plan includes so many extras for your health and everyday life. All value-added services are offered once per fiscal year (9/1/2019 - 8/31/2020) and are available to all CHIP Members unless otherwise noted. Questions? We’re here to help. For more detailed information or to request a service, please call Member Services at 1-888-887-9003 (TDD/TTY 7-1-1) Monday – Friday, 8 a.m. – 8 p.m. Or visit UHCCommunityPlan.com © 2019 United HealthCare Services, Inc. All rights reserved. 932-CST26487E 9/19 CSTX20MC4531624_000
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Value-added benefits only from UnitedHealthcare Community Plan.
Get the benefits you need and the care you deserve.
Help Getting a RideMembers who need a ride to their doctor and other medical appointments when they have no other transportation options. Terms: Members must call at least 2 days before the appointment to schedule transportation. Need determined by Health Plan Member Advocate as medically necessary. Members under the age of 18 must be accompanied by an adult.
Extra Vision ServicesMembers receive up to $105 annual benefit to cover:• An upgraded selection of frames
and lenses• Or contact lenses in place of glasses• Damaged/lost frames and lensesTerms: Must use in-network provider. Up to $105 per year. Excludes CHIP Perinate members. Cannot be used for second or spare pair.
Wellness Visit Gift CardMembers receive a $25 gift card for completing their Wellness Visit.• $25 gift card for completing their annual
wellness visitGo to your appointment. Upon completion, log in to myuhc.com/CommunityPlan. Click on the Health and Wellness tab and follow the link for Member Rewards to get access to the form. Terms: Member must log in and validate checkup on online tool or mail in the signed redemption form. One $25 gift card per check-up per year. Must use in-network provider. Gift card cannot be used to purchase alcohol, tobacco or lottery tickets.
Help for Members with AsthmaMembers may request one hypoallergenic mattress cover and one pillowcase. Terms: Member must be diagnosed with asthma or COPD. Member must be under case management for asthma. One cover and pillowcase per year.
Weight Watchers®Members who are interested in eating healthier or losing weight may join Weight Watchers®. You will receive 13 Weight Watchers® vouchers to attend free meetings. Terms: 13 vouchers provided, maximum of $156 per year. A parent or guardian must sign the Health Notice portion of the Weight Watchers® Registration Form. Excludes CHIP Perinate members. Children ages 10-16 need referral from PCP with target weight goal.
Workout GearMembers who successfully complete Weight Watchers® are eligible to receive a $50 gift card for workout clothes. Terms: Must complete 13 Weight Watchers® sessions. One $50 gift card per year. Excludes CHIP Perinate members.
Leisure ProgramsBaker Ripley (Harris SDA Only) base membership for Members 18 and younger at contracted locations or up to $50 per school year for Boys & Girls Club base membership ages 6-18 years where available.Terms: Members 18 and younger. Programs may be limited to first come, first served. Baker Ripley only available in Harris SDA.
Sport and School ExamsMembers receive an annual exam for sports/school/camps. Terms: Must use in-network provider. One exam per year. Ages 4 through 19 years. Excludes CHIP Perinate members.
Book for Expecting MomsPregnant members get 1 book for educational information such as What to Expect the First Year.Terms: Eligible pregnant or new mothers. CHIP Perinate only. Includes 1 book per year.
Baby ShowersPregnant members are invited to a baby shower in their area. At the shower, they will receive health and safety education, and other information. Each member who attends will receive a gift. Terms: Member must be pregnant.
Healthy First Steps Pregnant women who enroll in Healthy First Steps will receive rewards for completing prenatal, postpartum and well child visits in a timely manner. Terms: All pregnant members are eligible. Must enroll and update visits in Health First Steps to qualify for rewards. Once baby is born child must be in a UHC plan to continue to receive rewards. Maximum of each gift reward is $20.
Pregnant Pampering KitIncludes items like footie socks, mini lotion, shampoo and conditioner, lip balm and stretch mark cream. Terms: CHIP Perinate members only.
New Mom and Baby WellnessFree diapers, wipes or other items for members who get postpartum visit and baby well-child check-ups on time. If mom and baby get all five exams they earn a bonus item. Exams include: • Mother’s postpartum checkup• Baby’s 2-weeks, 2-month, 4-month, and
6-month checkupTerms: New mothers only. Member must have doctor sign redemption card at time of visit. Must use in-network provider. Member must mail in signed redemption card. Excludes CHIP Perinate members.
Thank you for being our member.
We know that health care is a large part of your life. We’re here to help make things a little easier. That’s why our health plan includes so many extras for your health and everyday life.
All value-added services are offered once per fiscal year (9/1/2019 - 8/31/2020) and are available to all CHIP Members unless otherwise noted.
Questions? We’re here to help.For more detailed information or to request a service, please call Member Services at 1-888-887-9003 (TDD/TTY 7-1-1) Monday – Friday, 8 a.m. – 8 p.m.
Or visit UHCCommunityPlan.com
© 2019 United HealthCare Services, Inc. All rights reserved. 932-CST26487E 9/19CSTX20MC4531624_000
Beneficios de valor agregado solo de UnitedHealthcare Community Plan.
Reciba los beneficios que necesita y la atención que merece.
Ayuda para obtener transportePara miembros que necesitan servicios de transporte para ir al médico u otras citas relacionadas con la salud cuando no hay otras opciones de traslado disponibles.Términos: Los miembros deben llamar al menos 2 días antes de la cita para programar el transporte. El defensor de miembros del plan de salud debe determinar que es médicamente necesario. Los miembros menores de 18 años de edad deben estar acompañados por un adulto.
Servicios oftalmológicos adicionalesLos miembros reciben un beneficio anual de hasta $105 que cubre lo siguiente:• Una selección mejorada de marcos
y lentes• O lentes de contacto en lugar de anteojos• Marcos y lentes dañados/extraviadosTérminos: Debe usar un proveedor dentro de la red. Hasta $105 por año. No incluye a los miembros del programa perinatal de CHIP. No puede usarse para el segundo par o par adicional.
Tarjeta de regalo para visita de bienestarLos miembros reciben una tarjeta de regalo de $25 para asistir a su visita de bienestar.• Tarjeta de regalo de $25 para asistir a su
visita anual de bienestarVaya a la cita. Al finalizarla, inicie sesión en myuhc.com/CommunityPlan. Haga clic en la pestaña de Health and Wellness (Salud y Bienestar) y siga el enlace a Member Rewards (Recompensas para Miembros) para obtener acceso al formulario.Términos: El miembro debe iniciar sesión y validar el examen médico en una herramienta en línea o enviar por correo el formulario de canje firmado. Una tarjeta de regalo de $25 por examen médico anual. Debe usar un proveedor dentro de la red. La tarjeta de regalo no puede usarse para la compra de alcohol, tabaco o billetes de lotería.purchase alcohol, tobacco or lottery tickets.
Ayuda para miembros con asmaLos miembros pueden solicitar una funda hipoalergénica para colchón y una funda de almohada.Términos: El miembro debe haber sido diagnosticado con asma o EPOC. El miembro debe estar en el programa de administración de casos para el asma. Una funda para colchón y una funda de almohada por año.
Weight Watchers®Los miembros a los que les interese alimentarse de manera más saludable o bajar de peso pueden inscribirse en el programa Weight Watchers®. Usted recibirá 13 cupones de Weight Watchers® para asistir a reuniones gratis. Términos: Se entregan 13 cupones con un máximo de $156 por año. Uno de los padres o el tutor debe firmar la parte de la Notificación de Salud del Formulario de Inscripción de Weight Watchers®. No incluye a los miembros del programa perinatal de CHIP. Los niños de entre 10 y 16 años necesitan una remisión de su médico de atención primaria (Primary Care Physician, PCP) con el objetivo de peso deseado.
Artículos deportivosLos miembros que completen satisfactoriamente el programa Weight Watchers® serán elegibles para recibir una tarjeta de regalo de $50 para ropa deportiva.Términos: Debe completar 13 sesiones de Weight Watchers®. Una tarjeta de regalo de $50 por año. No incluye a los miembros del programa perinatal de CHIP.
Programas de tiempo libreMembresía básica para Baker Ripley (solo en la Iglesia Adventista del Séptimo Día [Seventh-Day Adventist, SDA] de Harris) para miembros de 18 años y menores en lugares contratados o hasta $50 por año escolar para la membresía básica para Boys & Girls Club, entre 6 y 18 años de edad, cuando estén disponibles.Términos: Miembros de 18 años de edad y menores. Algunos programas pueden estar limitados al orden de llegada. Baker Ripley solo está disponible en la Iglesia Adventista del Séptimo Día (Seventh-Day Adventist, SDA) de Harris.
Examen para deportes y escuelaLos miembros se realizan un examen anual para deportes/escuela/campamentos.Términos: Debe usar un proveedor dentro de la red. Un examen por año. Entre 4 y 19 años de edad. No incluye a los miembros del programa perinatal de CHIP.
Libro para futuras mamásLas embarazadas que sean miembros reciben 1 libro de información educativa, por ejemplo, “What to Expect the First Year” (Qué esperar el primer año).Términos: Embarazadas o madres recientes elegibles. Solo el programa perinatal de CHIP. Incluye 1 libro por año.
Celebraciones por nacimientoLas embarazadas que sean miembros están invitadas a una celebración por nacimiento dentro de su área. En la celebración, recibirán información educativa sobre salud, seguridad y otros temas. Cada miembro que asista recibirá un obsequio.Términos: La miembro debe estar embarazada.
Healthy First Steps Las embarazadas que se inscriban en Healthy First Steps recibirán recompensas por completar las visitas prenatales, posparto y de bienestar del niño en su debido tiempo.Términos: Todas las embarazadas que sean miembros son elegibles. Para reunir los requisitos para las recompensas, deben inscribirse y actualizar las visitas en Healthy First Steps. Una vez que nazca el bebé, deberá estar en un plan de UHC para continuar recibiendo las recompensas. El importe máximo de cada recompensa de regalo es de $20.
Kit de cuidados de la embarazadaIncluye artículos como calcetines informales, mini loción, champú y acondicionador, bálsamo para los labios y crema para estrías.Términos: Solo para miembros del programa perinatal de CHIP.
Bienestar para la mamá reciente y el bebéPañales, toallitas u otros artículos sin costo para miembros que completen la visita posparto y los chequeos de bienestar del niño a tiempo. Si la mamá y el bebé completan los cinco exámenes, recibirán un artículo adicional. Entre los exámenes se incluyen los siguientes:• Control posparto de la mamá• Control del bebé a las 2 semanas,
2 meses, 4 meses y 6 mesesTérminos: Solo para madres recientes. El miembro debe pedirle al médico que firme la tarjeta de canje en el momento de la visita. Debe usar un proveedor dentro de la red. El miembro debe enviar por correo la tarjeta de canje firmada. No incluye a los miembros del programa perinatal de CHIP.
Gracias por ser nuestro miembro.
Sabemos que el cuidado de la salud es una gran parte de su vida. Estamos aquí para ayudar a facilitar un poco las cosas. Es por eso que nuestro plan de salud incluye tantos beneficios adicionales para su salud y su vida cotidiana.
Todos los servicios de valor agregado se ofrecen una vez por año fiscal (del 1 de septiembre de 2019 al 31 de agosto de 2020) y se encuentran disponibles para todos los miembros de CHIP, a menos que se indique lo contrario.
¿Tiene preguntas? Estamos aquí para ayudarle.Para obtener información más detallada o solicitar un servicio, llame a Servicios para Miembros al 1-888-887-9003 (TDD/TTY 7-1-1) de lunes a viernes de 8 a. m. a 8 p. m. O visite UHCCommunityPlan.com
© 2019 United HealthCare Services, Inc. Todos los derechos reservados.932-CST26487S 9/19CSTX20MC4531624_000
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