UnitedHealthcare Community Plan6220 Old Dobbin Rd.Columbia, MD 21045

AMC-049-MD-CAID

Health TALKWINTER 2019 | ¡VOLTEE PARA ESPAÑOL!

It’s easy. It only takes a few minutes to complete a health assessment. Just visit myuhc.com/CommunityPlan. Or call 1-800-318-8821, TTY 711, Monday–Friday, 8 a.m.–7 p.m. ET, to complete it over the phone.

What do you think?In a few weeks, you may get a Consumer Assessment of Healthcare Providers & Systems (CAHPS) survey in the mail. It asks how happy you are with UnitedHealthcare Community Plan, your provider and the health services you received. If you get a survey, please fi ll it out and mail it back. Or if you get a call, please take a few minutes to answer the questions. Your answers will be private. Your opinion helps us make the health plan better.

How can we help?Take a health assessment and let us know.UnitedHealthcare Community Plan off ers special benefi ts and programs to help improve your health. A health assessment tells us which services can help you. By answering just a few questions, you can be matched with the right programs for you.

We ask new members to take a health assessment within 60 days of joining the plan. If you have been a member for longer, it’s not too late.

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2 HEALTH TALK

Take charge.See your PCP for your annual well visit.Checkups aren’t just for kids. They can help adults stay healthy, too. See your primary care provider (PCP) once a year for a well visit. You will get any tests or shots you need. Your PCP can look for problems that often don’t have symptoms.

Get off to a good start this year by scheduling an appointment with your PCP. Preparing for your PCP visit can help you get the most out of it. Here’s how you can take charge of your health care:

1. Think about what you want to get out of the visit before you go. Try to focus on the top 3 things you need help with.

2. Tell your PCP about any drugs or vitamins you take on a regular basis. Bring a written list. Or bring the medicine itself with you.

3. Tell your PCP about other doctors you may be seeing. Mention any medications or treatments they have prescribed for you. Bring copies of any reports and test results.

4.  Write down your symptoms. Tell your doctor how you feel. Mention any new symptoms and when they started.

5. Bring someone for support. He or she can help you remember and write down information.

Toothache?A toothache is the fifth most common reason for an emergency room (ER) visit. But up to 79 percent of dental ER visits could be better handled in a dentist’s office. Most hospitals don’t have dentists in the ER. There isn’t much they can do to help patients with toothaches.

That’s why it’s important to have a dental home. This is the office where you get your dental care. When you have a regular dentist, he or she can help you when you have pain. More importantly, he or she can help you avoid toothaches with preventive care.

The entire family can get dental care. The Maryland Healthy Smiles Program provides care for children under age 21, former foster care youth up to age 26, and pregnant women. Members 21 and older may now get an oral exam and cleaning twice a year. X-rays, simple extractions and fillings are also covered. These services help the dentist find and treat small problems before they turn into big problems.

Smile. Need help finding a participating dentist? Want to learn more about your dental

benefits? Call Member Services toll-free at 1-800-318-8821, TTY 711, Monday–Friday, 8 a.m.–7 p.m. ET.

Need a doc? We can help. Call Member Services toll-free at 1-800-318-8821, TTY 711, Monday–Friday, 8 a.m.–7 p.m. ET. Or visit our member website at myuhc.com/CommunityPlan or

use the UnitedHealthcare Health4Me® app. Use Group ID MDCAID to register.

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We speak your language.We want members of all cultures and languages to get the care they need. Let your providers know what language you prefer reading and speaking in. Tell them if you have any special cultural needs. In-person interpreters and signers for the deaf are available at no cost to you.

If you need to receive care in a language other than English, we can help with telephonic interpretation. Your doctor’s office can help you with coordination by calling Member Services. We can also provide materials for members with visual impairment.

Special services.We’re here to take care of you.UnitedHealthcare Community Plan has a Special Needs Unit. This unit helps members who:

Are pregnant or just had a baby. Are children with special health care needs. Are living with HIV/AIDS. Have a developmental disability. Are homeless. Need mental health or substance use treatment. Are in foster care.

We can help. If you or your children have special needs, our special needs coordinator can give you information and support. Call 443-896-9081 if you

need help with transportation, doctor appointments or any other issues preventing you from getting the care you need.

Talk to us. We provide free services to help you communicate with us. We can send you information in other languages

or in large print. You can also ask for an interpreter. To ask for help, please call Member Services toll-free at 1-800-318-8821, TTY 711, Monday–Friday, 8 a.m.–7 p.m. ET.

4 HEALTH TALK

Avoid the ER.Know where to go and when.For most illnesses and injuries, your primary care provider’s (PCP’s) offi ce should be the fi rst place you call when you need care. You can even call at night or on weekends.

If you cannot get in to see your doctor, you could go to an urgent care center. Urgent care centers take walk-in patients. Many urgent care centers are open at night and on weekends.

Emergency rooms are for life-threatening medical emergencies only. Go there only when you think your illness or injury could result in death or disability if not treated right away. If you go for a minor problem, like a sore throat, earache or sinus pain, you may need to wait a long time. If you are not sure if the problem is an emergency, you can talk to a nurse at NurseLineSM 24 hours a day, 7 days a week. Just call 1-877-440-0251, TTY 711.

Is it urgent? To find an urgent care center near you, visit myuhc.com/CommunityPlan. Click on “Find a Doctor.” Or call Member Services

toll-free at 1-800-318-8821, TTY 711, Monday–Friday, 8 a.m.–7 p.m. ET.

Use a detector. Every home should have a CO detector. It will alert you to high CO levels. Make sure to replace the batteries once a year. Maybe on your birthday, so it’s easy to remember.

Say no to CO.Carbon monoxide (CO) is an invisible killer. It is a colorless, odorless gas that is produced from burning fuel. CO is produced year-round. But because windows are closed and heaters are on, the risk for CO poisoning is higher in the cooler months.

Because you cannot see or smell CO, the fi rst sign it is in your home is often when you start to feel sick. The fi rst symptoms include headache, fatigue or dizziness that gets better when you leave the house. You may feel nauseous or have trouble breathing.

If you suspect CO poisoning, go outside immediately. Make sure all people and pets in the building leave, too. Then, call 911 from a cell phone or neighbor’s home.

To prevent CO poisoning, keep all cooking and heating appliances in good working order. Plus, NEVER:

Leave a car running in a garage or other enclosed space, even with the door open. Run a generator inside your home, garage or crawl space. Burn charcoal inside. Use a gas range, oven or dryer for heating your home.

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Keep your coverage.Renew your health care benefits on time. For information on renewing, call Maryland Health Connection at 1-855-642-8572, TTY 1-855-642-8573. Or, visit MarylandHealthConnection.gov.

We’re in it for the long haul. We have disease management programs. They help people with asthma, diabetes and other chronic conditions. Call Member

Services toll-free at 1-800-318-8821, TTY 711, Monday–Friday, 8 a.m.–7 p.m. ET, to learn more.

Breathe easy.Understanding your asthma medication.There are many different medications for asthma. Your doctor will prescribe the right ones for you. Be sure to take your medications the way your doctor says you should. Don’t stop taking them without talking to your doctor, even if you are feeling better. You should have a written action plan to help you know what to take and when.

Long-term medications Most people with asthma take medicine every day, even when they are feeling well. These long-term medications keep asthma under control. They can be oral or inhaled. Most help by reducing swelling and opening airways.

Rescue medications Inhaled rescue medications are for when you are coughing or short of breath. Rescue medications can help you breathe better in minutes. They work for a few hours. Carry rescue medications with you all the time. Keep taking your long-term medication, even when you are also using your rescue inhaler.

6 HEALTH TALK © 2019 United Healthcare Services, Inc. All rights reserved.

10 facts about depression.Things to know when you’re feeling down.1. Depression affects your thinking. If you have thoughts

of suicide, please call someone right away. You can call the National Suicide Prevention Lifeline at 1-800-273-TALK (8255) or the National Hopeline Network phone at 1-800-SUICIDE (1-800-784-2433).

2. Depression makes it hard to give. It’s hard to think of other people when you’re depressed.

3. Depression is often experienced as anxiety. Make sure you get a correct diagnosis. This will help you get the best treatment for you.

4. Ongoing irritability can be a symptom of depression.

5. Chronic pain can be another symptom of depression. At the same time, being in continual discomfort can cause you to become depressed.

6. Alcohol is a depressant. So are marijuana and many other recreational or street drugs. Using these substances could make you feel worse in the long run.

7. People don’t choose to be depressed. But they do make a choice about how to deal with it. Denying that you have a problem will not make you feel better.

8. Depression can be as hard on your loved ones as it is on you. Those closest to you may start to feel unloved. Try to show your love in small ways you can manage.

9. Exercise is the easiest and least expensive cure for depression. Walking just 30 minutes a day can help.

10. Sometimes talk therapy can work wonders. Think about seeking counseling.

More information, tools and resources for depression can be found at the Live and Work Well website. To access Live and Work Well:

Go to LiveandWorkWell.com. If you do not know your access code, click on “I don’t know my access code.” Select your health plan in the list of UnitedHealthcare Community Plan options.

Click on “Enter.” Go to the “Mind and Body” drop down. Select “Mental Health.” Scroll down to select your topic. Topics include depression as well as other mental health conditions.

Resource corner.

UnitedHealthcare Member Services:  1-800-318-8821, TTY 711 Monday–Friday, 8 a.m.–7 p.m. ET

24/7 NurseLineSM: 1-877-440-0251, TTY 711

Public Behavioral Health System:  1-800-888-1965, TTY 711

Transportation: Contact your Local Health Department.

Special Needs Unit:  1-800-460-5689, TTY 711

Special Needs Coordinator:  443-896-9081, TTY 711

UnitedHealthcare Outreach:  1-866-735-5659, TTY 711

UnitedHealthcare Health Education: 1-855-817-5624, TTY 711

Healthy First Steps®:  1-800-599-5985, TTY 711

Department of Human Resources:  1-800-332-6347, TTY 711

Maryland Health Connection:  1-855-642-8572, TTY 711 MarylandHealthConnection.gov

Maryland Medical Assistance Help Line:  1-800-284-4510, TTY 711

Maryland Healthy Smiles Dental Program:  1-855-934-9812, TTY 711

UnitedHealth Group Customer Care Fraud Hotline: 1-866-242-7727, TTY 711

HealthChoice Fraud Hotline:  1-866-770-7175, TTY 711

Interpretation Services: Call Member Services to request interpretation services for your medical visits. Get help. To learn more about your behavioral health

benefits, call Member Services toll-free at 1-800-318-8821, TTY 711, Monday–Friday, 8 a.m.–7 p.m. ET.

Nondiscrimination Statement

It is the policy of UnitedHealthcare Community Plan not to discriminate on the basis of race, color, national origin, sex, age or disability. UnitedHealthcare Community Plan has adopted an internal grievance procedure providing for prompt and equitable resolution of complaints alleging any action prohibited by Section 1557 of the Affordable Care Act (42 U.S.C. 18116) and its implementing regulations at 45 CFR part 92, issued by the U.S. Department of Health and Human Services. Section 1557 prohibits discrimination on the basis of race, color, national origin, sex, age or disability in certain health programs and activities. Section 1557 and its implementing regulations may be examined in the office of Civil Rights Coordinator who has been designated to coordinate the efforts of UnitedHealthcare Community Plan to comply with Section 1557.

Any person who believes someone has been subjected to discrimination on the basis of race, color, national origin, sex, age or disability may file a grievance under this procedure. It is against the law for UnitedHealthcare Community Plan to retaliate against anyone who opposes discrimination, files a grievance, or participates in the investigation of a grievance.

You can send a complaint to:

Civil Rights Coordinator UnitedHealthcare Civil Rights Grievance P.O. Box 30608 Salt Lake City, UTAH 84130

UHC_Civil_Rights@uhc.com

Procedure:

• Grievances must be submitted to the Section 1557 Coordinator within 60 days of the date the person filing the grievance becomes aware of the alleged discriminatory action.

• A complaint must be in writing, containing the name and address of the person filing it. The complaint must state the problem or action alleged to be discriminatory and the remedy or relief sought.

• The Section 1557 Coordinator (or her/his designee) shall conduct an investigation of the complaint. This investigation may be informal, but it will be thorough, affording all interested persons an opportunity to submit evidence relevant to the complaint. The Section 1557 Coordinator will maintain the files and records of UnitedHealthcare Community Plan relating to such grievances. To the extent possible, and in accordance with applicable law, the Section 1557 Coordinator will take appropriate steps to preserve the confidentiality of files and records relating to grievances and will share them only with those who have a need to know.

• The Section 1557 Coordinator will issue a written decision on the grievance, based on a preponderance of the evidence, no later than 30 days after its filing, including a notice to the complainant of their right to pursue further administrative or legal remedies.

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The availability and use of this grievance procedure does not prevent a person from pursuing other legal or administrative remedies, including filing a complaint of discrimination on the basis of race, color, national origin, sex, age or disability in court or with the U.S. Department of Health and Human Services, Office for Civil Rights. A person can file a complaint of discrimination electronically through the Office for Civil Rights Complaint Portal, which is available at: https://ocrportal.hhs.gov/ocr/portal/lobby.jsf by mail or phone at:

U.S. Department of Health and Human Services 200 Independence Avenue SW Room 509F, HHH Building Washington, D.C. 20201

1-800-368-1019, 1-800-537-7697 (TDD)

Complaint forms are available at: http://www.hhs.gov/ocr/office/file/index.html. Such complaints must be filed within 180 days of the date of the alleged discrimination.

UnitedHealthcare Community Plan will make appropriate arrangements to ensure that individuals with disabilities and individuals with limited English proficiency are provided auxiliary aids and services or language assistance services, respectively, if needed to participate in this grievance process. Such arrangements may include, but are not limited to, providing qualified interpreters, providing taped cassettes of material for individuals with low vision, or assuring a barrier-free location for the proceedings. The Section 1557 Coordinator will be responsible for such arrangements.

U nla kosna mahola ni hop won I nsinga ini: 1-800-318-8821, TTY 711. Ngui nsaa wogui wo.

Declaración Antidiscriminatoria

La política de UnitedHealthcare Community Plan es la de no discriminar en base a la raza, color, nacionalidad, sexo, edad o discapacidad. UnitedHealthcare Community Plan ha adoptado un procedimiento interno en casos de agravios para proveer una pronta y justa resolución a reclamaciones en las cuáles se alegue cualquier acción prohibida por la Sección 1557 del Acta de Cuidados Asequibles (Affordable Care Act - 42 U.S.C. 18116) y la implementación de sus regulaciones en 45 CFR parte 92, emitidas por el Departamento de Salud y Recursos Humanos de los Estados Unidos (U.S. Department of Health and Human Services). La Sección 1557 prohíbe la discriminación en bases de la raza, el color, la nacionalidad, el sexo, la edad o la discapacitación en ciertos programas de salud y de actividades. La Sección 1557 y sus regulaciones implementadas pueden ser examinadas en la oficina del Coordinador de los Derechos Civiles, quien es una persona que ha sido designada para coordinar los esfuerzos de UnitedHealthcare Community Plan para cumplir con los requisitos de la Sección 1557.

Cualquier persona que crea que alguien ha sido discriminado en base a su raza, color, nacionalidad, sexo, edad o discapacidad puede presentar una reclamación siguiendo este procedimiento. Es contra la ley que UnitedHealthcare Community Plan tome represalias en contra de cualquier persona que se oponga a la discriminación, presente una reclamación o participe en una investigación acerca de una acción discriminatoria.

Usted puede enviar una queja a:

Civil Rights Coordinator UnitedHealthcare Civil Rights Grievance P.O. Box 30608 Salt Lake City, UTAH 84130

UHC_Civil_Rights@uhc.com

Procedimiento:

• Las reclamaciones deben presentarse ante el Coordinador de la Sección 1557 dentro de los primeros 60 días, a partir de la fecha en que la persona que presenta la reclamación tomó consciencia de ser objeto de una posible acción discriminatoria.

• Una reclamación debe presentarse por escrito y contener el nombre y la dirección de la persona que la presenta. La reclamación debe declarar cual es el problema o la posible acción discriminatoria y cuál es la solución o asistencia que se desea obtener.

• El Coordinador de la Sección 1557 (o la persona que se designe) podrá conducir una investigación acerca de esta reclamación. Esta investigación puede ser informal, pero será exhaustiva, ofreciendo a todas las personas interesadas una oportunidad para presentar evidencias relevantes a la reclamación. El Coordinador de la Sección 1557 conservará en su poder todos los expedientes y records de UnitedHealthcare Community Plan relativos a tales reclamaciones. En la medida posible y de acuerdo a las leyes vigentes aplicables,

el Coordinador de la Sección 1557 tomará todas las acciones necesarias para preservar la confidencialidad de los expedientes y records relativos a las reclamaciones y compartirá la información solamente con aquellas personas que tengan la necesidad de conocer esa información.

• El Coordinador de la Sección 1557 emitirá una decisión acerca de la reclamación, basándose en la preponderancia de la evidencia, no más tarde de 30 días a partir de la fecha en que se presentó esta reclamación y se incluirá una notificación para el demandante acerca de su derecho para proseguir con esta reclamación por medio de otras resoluciones legales o administrativas.

La disponibilidad y el uso de este procedimiento de reclamaciones no le impide a la persona que la presenta, proseguir con otras reclamaciones legales o administrativas, incluyendo la presentación de una reclamación por discriminación basada en la raza, color, nacionalidad, sexo, edad o discapacidad en la corte o ante el Departamento de Salud y Recursos Humanos de los Estados Unidos, Oficina de los Derechos Civiles (U.S. Department of Health and Human Services, Office for Civil Rights). Una persona puede presentar una reclamación por discriminación electrónicamente a través del portal de la Oficina de Reclamaciones para los Derechos Civiles (Office for Civil Rights Complaint Portal), disponible en: https://ocrportal.hhs.gov/ocr/portal/lobby.jsf o hacerlo por correo a la dirección:

U.S. Department of Health and Human Services 200 Independence Avenue SW Room 509F, HHH Building Washington, D.C. 20201

1-800-368-1019, 1-800-537-7697 (TDD)

Las formas para las reclamaciones se encuentran disponibles en: http://www.hhs.gov/ocr/office/file/index.html. Estas reclamaciones deben presentarse dentro de los primeros 180 días a partir de la fecha en que esta posible acción discriminatoria tuvo lugar.

UnitedHealthcare Community Plan llevará a cabo todos los arreglos necesarios para asegurar que a las personas con discapacidades o aquellas personas con un limitado dominio del idioma inglés se les provea con apoyos auxiliares y servicios o asistencia en el lenguaje, respectivamente, si existe la necesidad de que estas personas tengan que participar en este procedimiento de reclamación. Tales arreglos pueden incluir, pero no estar limitados a, proveer intérpretes calificados, proveer casetes conteniendo el material para aquellos individuos con problemas de visión o asegurando localidades existentes para los procedimientos que sean libres de barreras que impidan el acceso a los procedimientos. El Coordinador de la Sección 1557 será la parte responsable para esos arreglos.