Lakeland Care 2019 Updates October 17, 2018.

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Presentation transcript:

Lakeland Care 2019 Updates October 17, 2018

The Dual Special Needs Product Medicare Advantage Plan for Medicare-Medicaid Enrollees

Expanding to 14 New Michigan Counties 2019 Expansion Counties: Allegan Barry Bay Calhoun Kalamazoo Kent Mecosta Montcalm Newaygo Ottawa Saginaw Sanilac St. Joseph Van Buren Existing Service Area Includes: Berrien Branch Gratiot Hillsdale Tuscola Washtenaw To begin with, let’s take a quick look at the service area in Michigan for 2019. As you’ll see on the map, UnitedHealthcare Dual Complete will be active in 20 counties for the calendar year. The expansion counties for this year are in light blue on the map. Counties in darker blue had this D-Snip plan in 2018 and will continue to offer in 2019. We are excited to be partnering with you this year as we expand our coverage of this plan to allow more qualified individuals to take advantage of the additional benefits we will share with you in this Michigan overview

DSNP Michigan Member Benefits UnitedHealthcare Dual Complete Value Added Benefits and Features: OTC Debit Card: Up to $270/quarter - $1,080/year on an over-the-counter (OTC) Debit Card. Expires annually Dental Coverage: $2,000 annual toward dental care Transportation: Up to 24 one- way rides for health care visits and prescription needs Chiropractic Coverage: Up to 10 chiropractic visits every year Personal Emergency Response System: Members are connected to trained operators in any emergency situation 24 hours a day Vision Coverage: Annual exam and $200 credit every two years for eyewear

DSNP Michigan Member Benefits UnitedHealthcare Dual Complete Value Added Benefits and Features: Hearing Coverage: Annual exam and $2,000 credit every two years for hearing devices Foot Care: Four visits per year at $0 copay Meal Program : Up to 14 meals over seven days following discharge from a facility 24-hr. NurseLine: Members can speak with a registered nurse anytime

UHCProvider.com Provider Portal: Link

Get the Power of Self Service with LINK

LINK Highlight: Prior Authorization Use the Prior Authorization and Notification Tile to check requirements, submit requests, upload medical notes, check status and update cases — without faxing or calling! See if prior authorization or notification is required for UnitedHealthcare Commercial, UnitedHealthcare Medicare Advantage, UnitedHealthcare Community Plan and UnitedHealthOne members Find out which procedures require additional information and what to include Upload any required medical notes or other attachments, and add messages about them for the reviewer Check the status of all your notification and prior authorization requests and submit updates For more information — including quick reference guides and videos to help with using the Prior Authorization and Notification app — visit UHCprovider.com/paan

UnitedHealthcare in Action

Contacts Darin Yates Facility & Provider Advocate Office 269-337-9450 Email darin_yates@uhc.com Melanie Osment Director, Network & Community Programs Office 269-343-2952 | Cell 269-271-1118 Email mosment@uhc.com  Contacts